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CONSTRUCTION PERMIT APPLICATION AODRESS
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_OWNERNAiiMAME OF BUSINESS 7P-/1
FOC-ce�tk �5 N- FLAT NAME/SUBDIVISION NO. I LOT NO, LI 11
MA LING ADDRESS LID FEE S
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kc) 6 --1 P SLIC RIGHT OF WAY PER OFFICIAL STREET MAP
CITY EXISTING - PROPOSED
REQUIRED DEDICATION- Ft -
13
NAME METER SIZE LINE SIZE 110- 01 FIX11MES PRV REQUIRED
YES E3 No 13
I 1
ADDRESS REMARKS
NERICONTRACTOR RESPONSIBLE FOR ER SION CONTROUDRAINAGE
CITY ZIP ITILIPHONE
NAME
_Isyy,�-1 3�� Q\x ENGINEERING REVIEWEDIDATE
ADDRESS
FIRE REVIEWED By DATE
try 4E
STATE LICENSE NUMBER EXPIRATION VARIANCE OR CU SHORELINE OR ADS# INSPECTI N POOND
REGID OSTED
E3 'a E3NO
L E
SERA REVIEW SIGN AREA "EIGHT
PR PERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOW111 PROPOSED ALLOWED R.'Os'o
as
-7,��- 0(10 o66 aO EXP ,
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS A�T)
NEW TIAL MECH ALLOWED PROPOSED FRONT $JOE REAR FRONT URSIDE REAR
.<.SSIDE
ADDITION COMMERCIAL o AMPL.NCE n
C ANGE OF USE
PARKING LOT AREA PLANNING REVIEWED By "AT'
as MODEL APARTMENT SIGN RECU I PROVIDED
I
REPAIR GRADING CCS F NCE
I X FT) REMARKS
DEMOLISH TANK OTHER
0 RETAINING WALL [3 RENEWAL
o
CGARAGE
ARPORT ROOKERY
(TYPE OF USE. BUSINESS OR Ap)=I:
—5 jc,P� .20U.Ps;�s
NUMBER A an
Lima 01
AIITIIAL
WELL N SEAS SPECIAL IN.PECT. OCAOPANT
G A,11
OST,oA..
JAREA
N E.LgAS. Lo
UNITS UMBER R 1 0 YESS
DESCRIBE WORK TO BE DONi
REMARKS
PROGRESS INSPECTIONS PER UBC 1081IFNAL INSPECTION FlEaD
VALUATION $
Description
FEE Description FEE
Plan Check
HEAT SOURCE "LAZING LOT SLOPE %
Building
PLAN CHECK NO: VESTED DATE
Plumbing
30.
Mechanical
THIS PERMIT AUTHORUES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO,
I: BE DONE ON PRIVATE PROPERTV ONLY. ANY CONSTRUCTION ON THE PUBLIC
3:11
Grading
ding Fee
Recoromg roe
DOIAMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION,
Engr. Review
City Surcharge
PERMP(APPLICATION: INDAYS
PERMIT LNMrS I YEAR -PROVID 0 WORK IS STARTED WITHIN 180DAYS
EngrInspection
State Surcharge
SEE BACK OF PINXPERMIT FOR MORE INFORMATION
.APPLICANT ON BERMALF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTE EST, AGREES TO NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Receipt sit
EDMONR . N, S OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLAIMSFORDAM GESOFWHATEVER NATURE, AS SING DIRECTLY OR INDIRECTLY
Fire Review
FROM THEISSUANCE OF THIS PERMIT' IS$ NCE OF THIS PERMIT $HALL NOT BE
Fire Inspection
Total Amount Due
DEEMED TO MODIFY. WAIVE Oil RE UCE ANY REQUIREMENT OF ANY CITY ORDINANC
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Landscapainsp.
I HEREBY ACKNOWILE GE THAT I HAVE AM THIS APPLICATION; THAT THE G
APPLICATION APPROVAL
GIVEN 18 CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHOR IED AGENT OF
CONSTRUC
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING ..ST...-
CALL
Is not a permit unflin geadbythe
]INFORMATION
a SM YE.
E EMPLOYED
N;AND THEREBY, NO PERSON WILL BE PLC
TIC) IN DOING TH WORK AUTHORIZED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Stailhi—ppisago
ding Officill of Walser DOPIAY: and Fees are paid. and
,jlIKRANCE AND RCW 1627.
WORKMENS COMPENSATION
'AGEAT)
OFFIW
NATURE (OMER 0, A TE 11PNED
(425)
ID .
:
_s C2
771-0220
RELEASED BY
1_�ENTION
EXT 1333
IT IS ,w ' TI I ISE 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 ...............
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Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
4 It
Underground ... ..........
_C)
C
R!
Rough -In ...................
0
Commercial Final
C
M
HEATING:
Rr
Gas Test ....................
GasPiping .................
Equipment
-n
Commercial Final
IT! IT!
EXTERIOR SHEATHING
NAILING ..........................
0
FRAMING ............
0
FIRST FLOOR FRAMING...
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
0
SPECIAL INSPECTION
rn
MISCELLANEOUS ..........
FINAL APPROVAL FOR
NS
OCCUPANCY ................