20020248.pdfDATE RECEIVED
A PERMIT EXPIRES
CITY OF EDMONDS
U E
�IINE
CON'STRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
ADORES
NAM
OWNER NAIMEINAME OF BUSI
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ADDRESS
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FIRE RE4
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EXPIRATION DAT4
VARIANCE OR CU
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INSPECTION
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SIGN AREA
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ALLOWED PROPOSED
ALLOWED PROPOSED
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PROPOSED SETBACKS (Fr.)
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ALLOWED PROPOSED
FRONT SIDE BEAR
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ADDITION
JYCOMMERCIAL
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CHANGE OF USE
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APARTMENT
SIGN
rINNIN. FIEVIEWED BY
0 REPAIR
GRADING CYOS
0 F NCE X
REMARKS
0 DEMOLISH
IANK
OTHER
(11 AGE
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RETAINING WALL
13
RENEWAL
5
ARPORT
ROOKERY
9
"E OF USE, DUBIN SS OR ACT, EXP N:
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CHICKED By
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77
0. CUPANT
GROUP
NUMBER
or
NUMBER OF
D ELLING
CRITICAL
AREAS
SPECtIALEINSPECTOR
OCCUPANT
STom se
UNITS
NUMBER
c R [] YES JAREA
LOAD
DESCRIBE WORK TO 69
DONE
A-r -" '-) , ,
Plan Check
HEAT SOURCE LOT SLOPE
Building
PLAN CHECK NO: STED DATEE
I%
Plumbing
Mechanical
THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I
I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
Recording Fee
ETC) WILL .. ore.
M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
t SFPARAT9 PERMISSION.
Engr. Review
City Surcharge A —
PERMIT APPLICATION: INDAYS
PERMITUM I YEAR - PROVID90 WORK IS STARTED WITHIN INDAYS
Engir. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
—PU— ON EHAL OF .1. OR HER POU.., ..IRS. ASSI.N. A.. SUCCPSONS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON ' ITS OFFICIALS, EMPLOYEES, ING ADMITS FROM ANY IN"
Fire FI2VreW
Receipt Is
ALL CLAIMS FOR DAMAGES OFWHATVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT $11ALL NOT BE
EEMEDTOMOVIFY,YWAIVEORREDU E ANY REQUIREMENT OF My CITY ORDINANCE
Fire Inspection
Total Amount Due
W T
OR LIMIT IN ANY HE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I Receipt #
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
AF ovAL
GIVEN IS GO RECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND ST REGULATING CONSTRUC.
CALL
This appli,allon I—ot a parieft until signed by the
I.,ITELAP
'ON* AND IN 11 NO THE WORK AUT IED 1"' " By ' N P SON WILL. BE EMPLOYED
IN V'OL'TON 'TH, -I'D, Coca OF THE ATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Offielal r his/lie, Deputy: sand Fees ate paid, and
'0111pr Is alknowledged 11 space Prelude,
'ME.i. P.N AT.., AN 1627.
Won,
6
O4F SLONATLU DATE
' I LS
'.N ED
(425)
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L
LEASE.
ATTENTION
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 - NELLOW - 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 ............. 11
wait ..........
Pier/Porch . .........
z
Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
Underground .............
M
Rough -in .. .................
0
0
Commercial Final
HEATING:
z
Gas Test ..........
Z
Gas Piping
Equipment ............
0 -n
n
Commercial Final
Rn M
EXTERIOR SHEATHING
0
0
NAILING ..... . ......... . ........
0 j�
C
FRAMING ...................
Q 0
FIRST FLOOR FRAMING
z
:1
INSULATION ............
7J
Fluor Insulation
Wall Insulation ...........
Ceiling Insulation
cn
z
SHEETROCK NAILING
SPECIAL INSPECTION
IT!
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................