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DATE RECEIVED
PERMIT EXPIRES
USE PERM T
CITY OF EDMONDS ZONE 01 /1 NUM1'ER2fb2_- C"Lks
CONSTRUCTION PERMIT APPLICATION JOB SUITFIAPT#
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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PLAN CHECK NO: VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BEDONEONPRIVATEP OPEIM ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 OM
3 D AN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
I= SEPARATE PERMISSION.
Engr. Review
PE MITAPPLICATION: 180DAYS
PERMIT LIMIT. I YEAR - PROVID 0 WORK IS STARTED WITHIN 100DAYS
Engr. Inspection
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFN. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFIOPILS, EMPLOYEES, AND AOENI1 1R.. 1141 AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt IT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C ORRINA CE
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Total Amt. Due Q� -A
o .0. LI.n.N ANY WAY THE ITY1 ABILITY To ENFORCE ANY ... WAN'CE PROVISION.�
Recording Fee
Receipt #
I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION AP ROVAL
GIVE IS CORRECT. AND THAT I AM THE OWNER. 08 THE DULY AUTHORIZED AGENT OF
THE OWNE . I AGREE TO COMPLY WITH CITY AMD STATE LAWS REGULATING CONETTIUC
CALL
Inla, a ptum I until 119ned by Ina
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TION; AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
"' "O�Tu` BOB CODE OF THE STATE OF WASHINGTON RELATING TO
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INSPECTION n..Ipl 1. ."n—utdg.d In.p.c. poodiul.
W.FII0VIE..,�k1;"14EATI.. INSURANCE AND ..W iaZ1. IFOR
OFFICIAL DATE
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(425)
771-0220
RELEASED By DATE
ATTENTION
EXT 1333
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T IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL, FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER G LO - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
............
Equipment 11 ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ....................... —
FRAMING . ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulatio,
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................
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