20020184.pdfDATE RECEIVED
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CITY OF EDMONDS ZONE PERMIT
WC NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUFTEIAPT#
OWNER NAMEINAME OF BUSINESS ADDRESS (019 (z-L-r1-1I
No.
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Description
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PERMIT LIMIT I YEAR -FIR6VIDED WORK IS STARTED WITHIN INDAYS Engt Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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IPPLICArff. ON BEHALF OF HIS OR HER SPOUSE, FIEFUS, ASSIGNS AMR 1UCCF1ORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMO T'
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MPULD EES, AND AGENTS FROM ANY AND
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Receipt #
FROM THE ISSUANCE OF THIS PERMIT. �T.
ISSUANCE OF THIS PERMIT 814ALL NOT BE
Fire Inspection
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NO' LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Total Amount Due
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 10 CORRECT�, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER , I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TION; AND IN DOING TH WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL,
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To
FOR INSPECTION
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:�PAIL MN; DATE
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771-0220
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ATTENTION
EXT 1333
RELEASED BY
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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APPROVED BY PLANNING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wait� .......... __ ..........
Pier/Porch
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Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
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Underground .............
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Commercial Final
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HEATING:
M 171
Gas Test ....................
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Gas Piping � ................
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j: Equipment .. . .............
0
Commercial Final
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EXTERIOR SHEATHING
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NAILING .....................
0
0
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FRAMING
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Coiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
LO
t OCCUPANCY .............