20020498.pdfRECEIVED PERMIT EXPIRES
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CITY OF EDMONDS ZONE N�URM�MBIET#�_6��
CONSTRUCTION PERMIT APPLICATION ion SUITE/APT#
ADDRESS
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PLAT NAME/SUBDIVISION NO. LOT NO. 7D NO. (I) jTi!Tj)
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FIRE REVIEWED I DATE
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STATE LICENSE NUMBER EXP IRATI 0 N 'ENT-E VARIANCEORCU SHORELINEORAO81 I INSPECTION BOND
REOD POSTED
SEPA REVIEW SIGN AREA E3yEq 13NO S HEIGHT
PROPEITTY TAX ACCOUNT PARCEL, NO. COMPLETE EXEMPT ALLOWED ROPOSED ALLOWED POSED
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LOT COVERAGE REQUIRED SETBACK$ (FT.) PROPOSED SETBACKS (Fr.)
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PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
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ADDITION COMMERCIAL CHANGEOFUSE
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OWE OF USE EXPLAIN:
CHECKED BY IT ION OCOUPANT__
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STORIES UNITS NUMBER REOU IT [] YES LOAD
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DESCRIBE WORK TO BE DONE 11 —
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FEE Description FEE
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State Surcharge
REAT BOBFICE
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Building Permit
City Surcharge
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PLAN CHECK NO:
Plumbing
"Und"ng
Mechanical
THIS PERMMAUTHORIZCS OMLYTHC OnX MOTEO THIS PERMIT COVERS WORK TO
t: REDONE ON PRIVATE PROPEM ONLY. ANY CONST UMIONONTHEPUBUC
2
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Grading
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3 MAUN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
L SEPARATE PERMISSION.
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PE MITAPPUCATION: 100DAYS
Engr. RevieW
PERMIT LIMIT. I YlEaR - PROVIDED WORK IS STARTED WITHIN "" DAYS
Engr. Inspection
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS OR HER 11OU11. HEIII, ASSIGNS AID 5UCC11085
Fire Review
Plan Chit. Deposit
IN INTEREST, AGREES TO INU'MNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS PO DAMAGES OF WHATEVER NATURF. ARSING DIRECTLY OR INDIRECTLY
FRO THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
—
Total Amt. Due
NOR LIMIT IN ANY WAY THE CIWS ASJUTY'fO ENFORCE ANY ORDINANCE PROVISIO'..
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R cording Fee
Receipt N
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND T14AT I AM THE OWNER, OR TIVE DULY AUTHORIZED AGENT OF
APPLICATION AP IROVAL
THE OWNE Al , I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is not a Ponaft "in signed by fine
TION; AND IN DOING THE WO K AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATIO INSURANCE AND RCW 111,27,
FOR INSPECTION
Building Official at hisituer Deputy: and Fees am paid, and
la.mpu J. ek—I.dged In space provided,
DATE SIGNED
(425)
OFFI IALS IGNATURE DATE
-7/
, a
771-0220
_-7b—ATF
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE YELL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .................
FOUNDATION:
Footing......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
Underground .............
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Commercial Final
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Gas �lping
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Equipment ..............
Commercial Final
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EXTERIOR SHEATHING
NAILING ...........................
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FRAMING ......................
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FIRST FLOOR FRAMING...
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INSULATION ..............
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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ECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................