20020257.pdfDATE RECEIV
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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Description
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Description
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Building
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO
c, B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS EES, ETC�) WILL REQUIRE
SEPARATEPERMiMARG"
DELON.
Engr. Review
City Surcharge
PERMITAPPUCATION: INDAYS
PERMIT LIMIT. I YEAR - PROWD 0 WORK IS STARTED WITHIN 1 00 DAYS
Engtinspoction
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
— LICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
INIZEREST. AGREES TO INDEMNIFY, DEFEND AND 11010 HARMLESS THE CITY 01
—
Receipt is
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLA1MSFO DAMAGES OFINHATEVER NATURE, ARIS NO DIRECTLY OR INDIRECTLY
Fire Review
FROM THE I SUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR RED E ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
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NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Landscape Insp.
Receipt # 22L--
1 HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT, AND THAT I AM THE OWNER. Oft THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
TION. AND IN DOING 714E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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771-0220
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ATTENTION
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RELEASED BY DATE
IT IS UNLAWFUL TO USE rtl—rl IPY A FU III DING OR STRUCTURE UNTIL
771-0221
i'lo`-ASINI��.CR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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RECEIVED
NGINEERING MAR 2 9 2002
APPROVED BY E
DEVELOPMENT SERVICES CTR
CITY OF EDMONDS
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Any request for modification, variance or other
administrative deviation (hereinafter "variance)
must be specifically called out and identified.
Approval of any plat or plan containing
provisions which do not comply with city code
and for which a variance has not been
specifically identified, requested and considered
�by the appropriate city official in accordance
with the appropriate provision of city code or
state law does not approve any items not to code
specification.
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RECEIVEr)
MAR 2 9 2002
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DEVELOPMENT SERVICES CIR
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CITY OF EDMONDS
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BUILDING DEPARTMENT
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01 �MER
MAR_ APPROVED DATE:
OTHER ---------- BLDG. O-'PCIAL
HEIGHT -----------
RECORD OF INSPECTIONS
114SPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing . .....................
Wall ........... ..........
Pier/Porch ................
Retaining Wall
Stab Insulation
PLUMBING:
Underground ..........
Rough -in ...................
Commercial Final
HEATING:
GasTest ....................
Gas Piping ................
Equipment .............
Commercial Final
EXTERIOR SHEATHING
NAILING ........................ _
FRAMING ...................... _
FIRST FLOOR FRAMING
INSULATION ...................
Floor insulation
Wall Insulation ...........
Coiling insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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