20020190.pdfDATE RECEWD
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CITY OF EDMONDS
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PERMIT
CONSTRUCTION PERMIT APPLICATION
JOB
-NUMBER
ADDRESS /41
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDMINAGE
NAME
1`0111,le-27 IN91JI(7
ENGINEERING REVIEWED/DATE
ADDRESS
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FIRE REVIEWED BY
DATE
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COMPLETE EXEMPT
COMPLETE EXEMPT ALLOW
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LOT COVERAGE RIQUIRID IMACKS 1-1 PROPOSED SMACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR
�MMERCIAL
�0 ADDITION "I
— CM—PLIANCE OR
To-
13 CHANGE OF USE
0 REMODEL '/0 APARTMENT
!OFXUSE
0 SIGN
PARKING AREA PLANNING REVIEWED By DATE
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REDD I PROVIDED I LOT
0 REPAIR 0 GRADING CYOS 0 F NCE
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REMARKS
REMARKS
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0 OTHER
GARAGE 0 RETAINING WALL
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0 RENEWAL
CARPORT ROOKERY
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CHECKED BY ITYPE OF_�� CIF
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SPECIAL INSPECTOR
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTiO NS PER UBC IOSIFINAL INSPECTION REaD
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Plan Check
HEAT SOURCE OWING LOT 810PI I
Building
PLAN CHECK NO: .;STEDGATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY, AM CONSTRUCTION ON THE PUBLIC
Grading
a
M3 DOMAIN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
1* SEPARATEPERMISSION.
Engr, Review
City surcharge
3—
PE MIT APPLICATION: I...
PERMITUMMIYEAR-PROVID WORK IS STARTED WITHIN INDAYS
Engr. Inspection
State Surcharge
SEE ISACK OF PINK PERMIT FOR MORE INFORMATION
'APPLI ANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTsR ST. AGREES -1. IND .1,111. DEFEND AND HOLD "ARMLESS I", I'll 11
Receipt #
'OMOND:, WASHINGTON. ffS'OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, AN SING DIRECTLY OR INDIRECTLY
E
Fire Review
m 0
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY OR NANCE
Fire Inspection
Total Amount Due 1 �5
OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
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Receipt #
I HERESY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT HE INFORMAIKIN
APP
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
STATE LAWS REGULATING CONSTRUG-
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THE OWNER. I AGREE TO COMPLY WITH CITY AND
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
re ,natgft.rfla1qa.dbyth.
BuIldle" .1 her aputy: she Fees are pold. and
IN VIOLATION OMFP Boll CODE OF THE STATE OF WA HINGTON RE TING TO
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FOR INSPECTION
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C. URANCE AND DOW I. �'.
WOnKMENS E,;g IILIIsii�
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SIGNATURE (0 AGE" D E SIGNED
(425)
Fg��L-
771-0220
DATE
AFENTR54
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-
ORIGINAL , FILE - YELLOW . INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .. ....................
Wall....................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
—j
PLUMBING:
C 0
M
0
Underground .............
8 0
C
K i
Rough -In ..............
TR
ITI
Commercial Final
z
HEATING:
Gas Test ....................
4-11
_q
co
V7
0 In
Gas Piping ..........
n
Equipment .................
rn M
Commercial Final
0
o Fn
EXTERIOR SHEATHING
C: 0)
CO)
NAILING ..........................
0
FRAMING............. ..........
;13
FIRST FLOOR FRAMING
INSULATION ...................
z
Floor Insulation
Wall Insulation ...........
z
Ceiling Insulation
0
M
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............