20020168.pdfPERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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OWNER
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REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D 5
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO
L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
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DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL RED IRE
SEPARATE PERMISSION.
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BE MIT APPLICATION: 180 DAYS
. . . ..... ............
PERMIT LIMIT., I YEAR - PROVIDED W RK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'AP LICANT, ON BEHALF OF HIS 013 HER SPOUSE, HEIRS, ASSIGNS AND SUCCF-SORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS. WASHINGTON. TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE I I
ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY 09 INDIRECTLY
FROM TIE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS P514MIT SHALL NOT BE
G=,T=FY.WAIVEOREEOU E ANY REQUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT JHEG`7�
N WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROWSION.�
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IRICEWT
T TALAMOUNT DUE
IHERES ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLI ATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. 08 THE DULY AUTHORIZED AGENT OF
T E OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
1.1, 1.1.11 �Mll �l IF.
CALL
TiON AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
811" dIn
FOR INSPECTION 1-111111 ..l.dg.- Fp ... ... �-d.
W.PKMINI COMPINIATIO RANGE AND RCW IS.27,
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-OFFIALS
T 'AT
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(425)
�7113
771-0220
DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL N PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
I S
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK OWNER GOTI - ASSES90F
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SCALM 1, = 20'
RECEIVED
NORTH
SEP 2 0 2001
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ........... ...........
wall ..................
Pler]Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
'n.
Underground .............
Rough -in ...................
M
C
IT
0
Commercial Final
0
C
HEATING:
—4 C
= M
ITI
Gas Test . ....................
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10
Gas Piping
Equipment .................
4:
ca
O'n
Commercial Final
n
—1
M M
EXTERIOR SHEATHING
NAILING ..........................
0
FRAMING
0
........................
FIRST FLOOR FRAMING
Q 0
Z
INSULATION .................
Floor Insulation
Wall insulation ..........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................ .
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