20020332.pdfDATE RECEIVED PERMIT EXPIRES �11 r
USE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION q2 ME1APTa
DAY jRNAMENAMEOF8USaNESS,,, 1%2-
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STATE LICENSE NUMBER EXPIRATION DATE REGO OSTEC
YES r-I NO
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PROPOSED ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO� COMPLETE I EXEMPT ALLOWED ,
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LOT COVERAGE REQUIRED SET CKS (FT.) PROPOSED SETBACKS (FT.)
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ADDITION COMMERCIAL C MPLIANCEOR
0 CHANGE OF USE
PARKING 10TAIIIA IP NNMGAEVIEWEDBY DATE
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0 REPAIR 0 GRADING 0 F NCE
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPI-AIN:
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PLAIN CHECK FEE
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PLAN CHECK NO:
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LUMBING
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THIS PERMIT AUTHORIZES DAILY THE W.RKA10TED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC�) WILL REQUIRE
GRADINGIFILL
t: SEPARATE PERMISSION.
2
�T�RCHARGEV
ffi PE MITAPPLICATION: 180DAIS
A. * PERMIT LIMIT�. I YEAR - PROWS D WORK IS STARTED WITHIN 1W DAYS
A., F-EW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
;APPLICANT.
N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS. WASHINGTON� ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY On INDIRECTLY
INSPECTION FEE
TE—CEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE
PLAN CHECK DEPOSIT
OF EMED TO VOOIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVSION.�
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RECEU11 ..........
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TOTAL AMOUNT DUE
i
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT I HE INFORMATION
APP ICATION APPROVAL
GIVEN I S CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
rhppl'�4. diP . P.
THE OWNER ' AG TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
BEE
PERSON WILL BE EMPLOYED
CALL
6 19 Off, I., 1,111hol D1Pi:111a.111d'F111 110 Paid.
TION, AND IN DOING THE WORK AU HOnIZED THEREBY, NO
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
1 �P .�IP.PlPdpd a P1.1d.d,
WORKMEN S CO.PENSATI ANCE AND RCW 18.27�
OFFICIALS St RE DAME
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ATTENTION
EXT 333
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 'ILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
wait ..........
Pier/Porch .................
RetalnlridV�all ..........
Slab Insulation
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final
HEATING:
Gas Test .................. . ..
Gas Piping
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ...................
FIRST FLOOR FRAMING
INSULATION ............
A�
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............
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