20020423.pdf„,DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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PERMIT EXPIRES
USE PERMIT
ZONE PQ5�p' NUMBER (ZLXYL-()11
JOB SUITEIAPT#
ADDRESS 7,12- 14Ve- -5
PLAT NAMEISUBDIVISION NO. NO.
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T�EIII'Ap 1111
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STATE LICENSE NUMBER EXPIRATION E
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VARIANCE 08 CU
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INSPECTION
REGO
13YES ONO
PROPERTY TAX ACCOUNT PARCEL NO.
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SERA REVIEW
COMPLETE EXEMPT
EXI I
SIGN AREA
ALLOWED PROPOSED
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HEIGHT
ALLOWED PROPOSED
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[3 NEW DnESIDENTAL III—PLUMBINGIMECH
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SErBACKS (FT)
FRONT SIDE BEAR
PROPOSED SETBACK$ JET)
FRONT US SIDE pAR
COMPLIANC 08
ADDITION COMMERCIAL CHANGE OF USE
PARKING
REGO I PROVIDED
LOT AREA
PLANNING RIVIEWID .1 DATE
REMODEL MULTIFAMILY 0 SIGN
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1:1 REPAIR E] GRADING
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REMARKS
DEMOLISH TANK OTHER
oGARAGE o RETAININGWALL E:] R ESPRINKLER
CARPORT ROOKERY FIREALARM
(TYPE OF USE. BUSINESS OR ACTIVIF
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NUMBER OF RITICAL
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UNITS NUMBER
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REMARKS
PROGRESS INSPECTIONS PER UBC 1010/FINAL INSPECTION REOD
VALUATION
$
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Description
FEE
Description
FEE
Plan Chemck
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State Surcharge
HEAT SOURCE
LOT SLOPE %
Building Permit
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City Surcharge
PLAN CHECK NO: VEST10"DATE
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Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
ETC.) WILL SO
:1 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUESS, R UIRE
t: SEPAMTE PERMISSION.
Engr. Review
PERMITAPPLICATiON: HIS DAYS
PERMIT UMM I YEAR � PROVIDE WORK 15 STARTED WITHIN ISODAYS
SEE 13ACK OF P14K PERMIT FOR MORE INFORMATION
SpeC
Engr. in tion
'APPLICA . ON BEHALF OF HIS OR HER E HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk, Deposit
IN INTEREST, AGREES 10 INGE.1,111 DISFENITAND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
IALL CLAIMS ED DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY. WAIVE OR REDUCE A Y REQUIREMENT OF ANY CITY ORDINANCE
Landscaphemsp.
FR
Tolal Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee
Receipt If
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVE IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNE � I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Thes.pplic.'an Is hot . panah-11 signed by It.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIO LAID" CODE OF THE STATE 01 WASHINGTON RELATING TO
Sh" din, Offid.1 of hisihe, Depley: and Fees see paid, and
FOR INSPECTION 111liptil Ick-wildgedi-paeoprovid,al,
W..K. ATION IN=NCE AND ACW 11 '27�
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!�b _IitIl WN OR AGENX_ DATE 103YED
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al XON
771-0220
RELEASED BY
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE YELL�V-INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall .................
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Pier/Porch .................
Retaining Wall
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Stab Insulation ..........
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PLUMBING:
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Underground .............
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Rough -In ...................
0
Commercial Final
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HEATING:
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Gas Test ....................
Gas Piping
0 n
Equipment
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.................
-4
Commercial Final
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ExTERiopt SHEATHING
0
NAILING .............
FRAMING ........................
ITI 0
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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-4
3:
Wall Insulation
65
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Ceiling Insulation
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0
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SHEETROCK NAILING
0
171
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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