20020338.pdf-
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EXPIRES
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CITY OF EDMONDS ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION 'A00'DRESS SUITEIAPT#
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Plumbing
THIS PERMIT AUTHOAMS ONLY THE WORK NOTED. INISIEN.Pr COVERS WORK TO
I= DONE ON PRIVATE PROPERTY ONDfANY CONSIRUCIROM ON TM
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Description FEE
66LMN (CURM.610MALKS,DRIVMAVS MARQUEES, UC.1 WILL E PUBLIC
REQUIRE
SEPA"7EPCRM;9SION. __
Grading
Engr. Review
Recording Fee
City Surcharge
State Surcharge
PIE MEFAPPUCATION: IN DAYS
PERMIT LiMir. I YEAR - PROVI ED WORK 15 STARTED WIT14IN IWDAVS Engr. Inspeckion
SEE MACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICAW, ON SEHAAUF F fits OR HER SPOUSE, HEI%A SIGNS AND SUCCESORS
TNillic Mitigation
Plan Chk Deposit
IN INTIFIEST, AGREIS TO IND MNIFY DEFEND AND NO 0 HARMLESS THE CITY OF
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EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECIVY
FROM T14E ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY. WAIVE ON REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE
Fire Review
Fire Inspection
Total Anho Ed Due
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NOR LIMIT IN ANY WAY THE CITY'S ABIL17Y to ENFORCE ANY ORDINANCE PROVISION -
Receipt III
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I HEREBY ACKNOWLEDGE 7 E READ THIS APPLICATION; 7HATTHE INFORMATION
NAT � "AV E
GIVEN IS CORRECT. AND THAT AM TH OWNER, OR 7HE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER, I AGREE TO GO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
TION; AND IN DOING THE WORKAUTHORIZED THEREBY. No PERSO WILL BE EMPLOYED
CALL
This appin,alIan 1, - a pJ1 unfid signed by an,
SWIM, Othdal ni NOW, Dopuly: and Foes aN, paid. and
IN VIOLATION OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKMEN'S COMPENSAT2�=FLANCIE AND RCW 10,27. OFFICIALS
SION��W�V(OWNIER TATE SIGNED (425)
(0jL4al"'tiq 771-0220 �L 4 .
AMNTION L-/ EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221
ORIGNAL-FILE YELLOW- 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 ......................
wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
63
OCCUPANCY ...............
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