20020335.pdfOOK DATE RECEIVED PERMIT EXPIRES
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CONSTRUCTION PERMIT APPLICATION JOB SUIIEIAPIT#
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Description
FEE
Description
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE %
Building
PLAN CHECK NO: :STED DATE
Plumbing
Mechanical
THIS PERMIT AUTHOFUZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
ic 89 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
Recording Fee
ODUMN (CURDS'SIDERNAM, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
Re MTTAPPIJCATION4 INDAWS
Engr. Review
City Surcharge
BAN -PROVIDED WORKIS STA OWITHIN INDAYS
Engr. Inspection
State Surcharge
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEtRdI, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chit Deposit
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
AULCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM T14E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
SEEMED TO MODIFY, WAIVE Oil REDUCE ANY 1EOUI11MENT OF My CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE DRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapelnsp.i
Receipt #
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT Am THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
application Is not a rodaill-fil signed by Me
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
LA'O' CODE OF THE STATE OF WASHINGTON RELATING TO
VOU'T 0 '1
FOR INSPECTION
,tnifid
ding Official or nether Deputy: and Fees am paid, and
moolpt Is ackroalodged 1, spew pronrided.
WO...E.!.,V.WM1 \'TON ILSURANCE AND RCW 11121.
r ATE S G NED
(425)
OFE1_q1.AL GNATU DATE
ID
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RELEASED BY IIAT E
ATTENTION
EXT 1333
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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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..............
Wall ..........................
Pier/Porch ..........
z
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground ..; ..........
M
0
Rough -in ...................
0
Commercial Final
0
HEAT NG:
rn
IT!
Gas Test ............
Gas Piping
10
C
Equipment ..........
Commercial Final
-4
x
IT IT
EXTERIOR SHEATHING
a
NAILING ..........................
0
o Fn
FRAMING ........................
C D)
FIRST FLOOR FRAMING
Q
INSULATION ...................
Floor Insulation
Wall Insulation
z
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................