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D =PERMIT EXPIRES
CITY OF EDMONDS PERMIT
NUM BIER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
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SPECIAL INSPECTOR
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DESCRIBE WORK TO BE DONi
REMARKS 2
PROGRESS INSPECTIONS PER USC: 108/11NAL INSPECTION REOD 9
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PLAN CHECK
VESTED DATE
Plumbing
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THIS PERMIT AUTHORIZES 0
AS BID N " '
JOE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONTHE PUBLIC
)o IN
MAIN (CURBS, SIDERVAL10% DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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SEPARATE PERMISSION.
Grading
Recording Fee
Engr. Review
City Surcharge
PERMIT APPLICATION: IN DAYS
IT
PERMIT ILMA11 I YEAR -PROVIDED WORK IS STARTED WITHIN I.DAYS
A I
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. inspection
State Surcharge
AP C A - ON
'APPLICA ON BEHALF OF HIS OR HER SPOUSE, HE A% ASSIGNS AND SUCCESORS
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N a S
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLO HARMLESS THE CRY OF
T ' A. A Be
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EDMONDS . WAS"Nam
EOMONOS,WASHINITTON, ff'OFF'r"",IMPLOIIEI,MDAIIINTIIROM ANYANG
ALLOW" Fort .
ALL CLAUMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECI LY
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
HE S AN a
D�E"`D T M " V
EEMsD - MODIFY. WAVE 01 REDUCE AN' REQUIREMENT OF ANY CITY ORDINANCE
AD. T 'A " e
"OR LIMIT IN A. W
Ox NOR LIMIT IN ANY WAY THE - DAYS ABILITY TO ENFORCE A14Y ORDINANCE PROVISION.-
LVIOLATION
Traffic Mitigation
Plan Chit D
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Fire Review
Receipt #
rl�111 Z�91
Fire Inspection
Total Amount Due
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Landscapeinsp.i
Receipt #
01h./ A
NoVit
I HERESY ACKNOWLEDGE THAT I HAVE A IS APPLICATION; THAT THE INFORMATION
TH
By C A SOT AI BAD OR
IS
GIVEN 'A CORRECP. AND THAT I AM THE OWNER, TH DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
'I.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN LA OF THE LABOR CODE OF THE STATE OF WASHINGTO14 RELATING TO
WORKMEN'S COMPENSATIEURANCE AND RCVV 19,27.
APPLICATION APPROVAL
CALL This appli,stion Is not a inumlituatil signed by 1130
Building Offillill If banner Deputy: and Fees am paid, and
FOR INSPECTION neselpt Is acknolledged In spealt prwided.
OFFICIALS SIGNATURE DATE
(425) /5
771-0220 `4ELE&___
DATE
SIGNATURE to A A
SIGNED
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109
7V
EXT 1333 7
771-0221 ORIGINAL -FILE - YELLOW. INSPECTOR
FAX PINK -OWNER - GOLD,ASSESSOR
10/01
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
wall ...........
Pier/Porch .................
Retaining Wall
z
Slab Insulation ..........
PLUMBING:
Underground .............
5
Rough -in ...................
M
C:
Commercial Final
0
0C
HEATING:
rn
IT!
Gas Test ............
Gas Piping ...; .............
C
> -4
Equipment.................
x
Commercial Final
0 -n
n
-4
EXTERIOR SHEATHING
x
NAILING ..........................
M IT
FRAMING ...............
0
0
co
FIRST FLOOR FRAMING
0'
IN S ULAT ION ................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................