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"�'LE RECEIVED
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USE PERMIT xorp
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CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION Joe SUITEIAPT#
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REMARKS
OWNERICONTRACTOR RESPONSIBLE
FOR EROSION CONTROLIDRAINAGE
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FIRE REVIEWED BY DATE
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CITY
STATE LICENSE NUMBER EXPIRATION DATE
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
RED, PARKING
0 1 PROVIDED
LOT AREA
I P)ANNUIG REVIEWED BY
REPAIR [3 GRADING CYDS 13 (FENCE x FT)
REMAU)!V
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0 DEMOLISH Cj TANK r
GARAGE [i RETAININ WALL
CARPORT ROCKERYG 0 RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKEDITY
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AREAS
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NUMBE A
SPECIAL INSPECTOR JAREA
HE QUIRED [3 YES
OCOUPANT
LOAD
DESCRIBE WCAK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER USC 11011TINAL INSPECTION REOD
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Plan Check
HEAT SOURCE GLAZING % LOT SLOPE Is
Building
PLAN CHECK NO: ESTED DATE
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Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY7HE WORK NOTED. THIS PERMIT COVENS WORK TO
t: 13E DONE ON PRIVATE PROPERTY Not. ANY CONSTRUCTION ON THE PUBLIC
0
Grading
Recording Fee
2
:3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MAR USES, ETC.) WILL REQUIRE
S,MTEPERMiSSIOON.
Engr. Review
City Surcharge
PE MITAPPLICATION: INDAYS
PERMIT Learm I YEAR - PROVID D WORK IS STARTED WITHIN IGO DAYS
Engr. Inspection
State Surcharge
See BACK OF PINK PERMIT FOR MORE INFORMATION
-ILIC . ON BEHALF 011111 ON HER SPOU11, HEIII, -SIGNS AND IUCCESOFIS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Receipt #
DMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS MOM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
ROM THE ISSUANC OF THIS PE OF THIS PERMIT SHALL NOT BE
F E RMIT. ISSUANG
Fire Review
"otal Amount Due
DEEMED TO MODIFY. 08 RE DOE ANY REQUIREMENT OF MY CITY ORDINANCE
Fire Inspection
W�YWAIVE
NOR LIMIT IN ANY HE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Landscapainsp.
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNS , I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSMUC-
CALL
This IMUlation Is net a permit 11 signed by da
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT OF T E "BOA CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
San ding Offerni a, hirlher Oarndy: and Fee$ are paid, and
COMPENSATI=NCE AND RCW 18.27.
W08XMCNPY
CIA GNt DATE
SIG:]� 0 DATE SIGNED
(425)
'(�j :?
771-0220
4FLIAIIED BY DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
�1�1061 - FILE - YE�LOO - INSPE&OR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - G(LLV. ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing......................
Wall ... .......................
Pier/Porch .................
—0,
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
M
Rough -in ...............
M 0
0
0
Commercial Final
C:
HEATING:
M z
Gas Test ....................
C 2
>
Gas Piping .................
Equipment .................
n
Commercial Final
IT! rn
EXTERIOR SHEATHING
NAILING ..........................
0
0
FRAMING ............. ..........
C
0)
Q 0
FIRST FLOOR FRAMING...
INSULATION ...................
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Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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0
SHEETROCK NAILING
0
SPECIAL INSPECTION
M
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............
............ .