20020417.pdfDATE RECEIVED,
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CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPT#
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OWNFRICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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PROGRESS INSPECTIONS PER USC 11081FINAL INSPECTION REO'D
VALUATIO
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Description
FEE
Description
FEE
Plan Check
State Surcharge
GLAZING % LOT 111111 %
city urcharge
PLAN CHECK VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 D OMAIN (CURBS, SIDEWALKS, DAWMAYS, MARQUESS. FTC,) WILL REQUIRE
SEPARATE PERMISSION.
TWA'
PERMITAPPLICATiON: 180DAYS
PERMIT LIMIT I MR , PROVIDED WORK is STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BERAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY 01
EDMONDS WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMil FOR DAMAGES OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF Pits PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
LandscapeinsP.
Total Arnt. Due
D EMED TO MODIFX WAIV 08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY T E CiTYS AUILITY TO ENFORCE ANY ORDINANCE PROVISION .
1
Recording Fee
Receipt #
1. 1
IHERE8Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This spat sation Is not , persaft until saftod by the
TION; IN DOING THE WOpA_&UQiUQfdZEO THEREBY, NO PERSO ILL BE EMPLOYED
SullalIg otfic�ul,, hialhor Dopuly: and Foosard paid, an
IN VIO OF TH R CODE Of"'HE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORK4! IAT'ON INSURANCE �D RCW 18,27,
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AGENT
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771-0220
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ATTENTION—
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIG HAL . FI�E ) YELLOW � !NSPE�TOA
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNIIS' GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
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Retaining Wall ...........
Slab Insulation
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NAILING ................
FRAMING ........................
FIRST FLOOR FRAMING....
INSULATION .............
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Wall Insulation
Coiling Insulation
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SHEETROCK NAILING