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[PERM.TFXPIRES
USE PERMIT -C,2
CITY OF EDMONDS Z.NE �51 ..... 70 (g)
CONSTRUCTION PERMIT APPLICATION 'AOD'D'RESS SUITEJAPT#
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PI -AT NAMEtSUBDIVISION NO. LOT NO.. LID O�
FEES
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THE WATER SIRJTOFF�
THIS PERMIT HORIZES ONLY THE WO K NOTED. THIS PERMIT COVERS WORK TO
t t: BE Beale ON PRIVATE PROPERTY ONLY. ANY CONST UCTION ONTHE PUBLIC
Grading
Recording Fee
M
M DOOMM (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
City Surcharge
PIE MITAPPLICAT.O.: 10MAYS
PERMIT LIMIT I YEAR - PROVID D WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
State Surcharge
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRSLASStGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO IND MNIFY DEFEND AND HO 0 HARMLESS THE CITY OF
Receipt Ity
IOMOND5, WASHINGTON, ITSEMFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Review
—
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
Fire Inspection
Total Amount Di to
DEEMED TO MODIFYYWAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOTILIMITINANYW T HE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVE" IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
I —le penelt until signed by Me
THE OWNER . I AGREE TO COMPLY WrrH CITY AND STATE LAWS REGULAT114G CONSTAUC�
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO P RSON WILL BE EMPLOYED
CALL
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Sul'The.pin
IN VIOLATION 01 TH LA1qK_C_bDf OF THE STATE OF WASHINGTON RELATING TO
INSPECTION
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WO11MEN'S COtIPEN'�XTAIINSUAAVCE AND Row 18.27.
OFF, DATE
SIGNATI�
I D� lip
(425)
=BY/
771-0220
142ELEAGED
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AffE"ON
EXT 1333
IT"S UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
NAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLO - INSPECTOR
'OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD ASSESSOR
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
F001466 ................... .
wait .............
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
OCCUPANCY ...............
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