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al PERMIT EXPIRES-2L
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CITY OF EDMONDS
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'CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT#
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NAME METCR����s PRV REQUIRED
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NAME
M' VENGINEERING REVIEWED/DATE
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FIRE FEVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATION VAIIAI
CHECKED BY e V at6)SAA�M BOND
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PROPERTY ACCOUNT JAPLETI in, algl��dsr 04)WED PiOPOSED
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NEW RESIDENTIAL P LOT c 77MMm— -Pmeft*e*-KReAcKs wo
MOIN9 I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE BEAR
ADDITION 1:1 COMMERCIAL o COMPLIA CE OR
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C NGEOFUSE
PARKING DATE
b REMODEL 0 APARTMENT 0 SIGN REGIC I PROVIDE —77 ING REVIEWED BY
F AGE
REPAIR 0 GRADING CYDS 11 X Fit REMARKS
DEMOLISH 0 TANK OTHER
GARAGE ci RETAINING WALL
2AFI101T ROOKERY RENEWAL
OF 111, IUIINES�,�IMAEIPLAJ":
CHECKED BY JTYP:��PC [ON GO
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NUMBER UMBER OF ICAL UP 13
1
OF D AREAS PE.-L..1N.1ECT.. OCCUPANT
%�LLING
UMBER E.Um JA�EA
STORIES N 0 YES LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REaD
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VALUATION $
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Description
FEE Description FEE
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HEAT WURCE GLAZING LOTISLOPV%
PLAN CHECK NO.- VESTED DATE
Plumbing
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Mechanical
THIS PERMITAUTHORGUESIONWIME WORK NOTED. THIS PERMIT COVERS WORK TO
HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE sue
0 2
OMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
Recording Fee_
SEPARATEPERMISSION.
PERARTAPPUBA'" .: '.a.
Engr. Review
City Surcharge
PERMIT LIMIT I YEAR - PROVID WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
IDMON111, WASHINGTON, I'S OFFIGIALI, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
'1. 11 S ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO WAIVE OR CITY
Fire Inspection
Total Amount Due
MODIFY, REDUCE ANY REQUIREMENT OF ANY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIO
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Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 18 CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGII - TO COMPLY Vs. C171 AND STATE LAWS REGULATING C.HSTRUC-
CALL
This applesetur, 1, net a permit until signed by the
... ; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Offluld; , his/hal Dcplly� and Foes are paid. and
.Ip; jureeke-Imlotual 1—pue. p—ld.d.
WORKMEN'$ COMPEN. cE AND CW 18.�I.
OFFICIALS DATE
DATE SIGNED
(425)
�BYLI-/
771-0220
- RE�LEASED DATE
ATTENTION
EXT 1333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL , FILE - YEI. INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAY
PINK -OWNER - GOILOWASSESSOR
10/01
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing ................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
=4 —n
Underground .............
M
C
Rough -in
0
Commercial Final
HEATING:
RII
C2Gas
Test .............
Gas Piping ..............
Equipment .................
Commercial Final
m M
EXTERIOR SHEATHING
C3
0
NAILING ..........................
0
C
FRAMING ........................
0
FIRST FLOOR FRAMING
rn
INSULATION ...................
Floor
Insulation
z
Wall Insulation ...........
Ceiling Insulation
Z,
SHEETROCK NAILING
0
SPECIAL INSPECTION
M
MISCELLANEOUS
FINAL APPROVAL FOR
-
OCCUPANCY ...............
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