20020507.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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COMPLETE , EXEMPT
ION AREA
ALLOWED PROPOSED ALLOWED,
HEIGHT
PROPOS
PROPEBW TAX ACCOUNT PARC L NO.
NEW 0 RESIDENTIAL PLUMBINGIMECH
COMPLIANCEOR
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[3 AD CHANGE OF USE
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GARAGE " FIETAININOWALL FI E SPRINKLER
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ALLOWED PROPOSED
REQUIRED SET ASKS (FT.) PROPOSED
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THIS PERMIT AUTHORIZES ONLY THE RR..1EIg.1.I.P.mJmC.0VE.SVNmKT0
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BE DONE ON PRIVATE PROPERTY ONLY, AMY CONSTRUCTION ON THE S .
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r.ding
5 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL R UIRE
SEPARATE PERMISSION.
Engr. Review
PE MITAPPLICA11.14; HOODAYS
PERMIT LIMIT. 1 YEAR - PROW ED WORK IS STARTED WITHIN '00 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
*APPLICANT ON BE11411 01 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HARMLESS T14E CITY Of
EDMONDS. WASHINGTON, ITS OFFICIALS� EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
T.I.IA.I.D..
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt Ar
I HERE ACKNOWLEDGE THAT I HAve READ THIS APPLICATION: THAT THE INFORMATION]
By
APPLICATION APPROVAL
HE 0
GIVEN CORRECT, AND THAT I AM T OWNER, OR THE DULY AUTHORIZED AGENT OF
U_TING CONSTR.
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
In
coach least a parcel—fil signodbythe
G 0 AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
T'oN,AND HI.T. . _" G To
IN V,.,TeND 'TH'1W.' .1 THE STATE 01 WASPIN.T.H �EIIING TO
StalThissrapt
ding Official or his/her Deputy: and roes are paid. ant
FOR INSPECTION Ipt 1, acknowledged 1, space prealdral.
C.7�T I NCE AND RCW � 18.27.
S ONE
IGNED
(425)
OF TURF
T13X2
771-0226--
' RE DATE
_�TTENTiON
M 1333
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IT 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. UBG SECTION 109
PINK�OWNEH rOUD-ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORDOF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall, ........................
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Pier/Porch .................
Retaining Wall
Stab Insulation
PLUMBING:
0 TR
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Underground
0
0
Rough -in ...................
R1
Commercial Final
171
HEATING:
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GasTest ...................
Gas Piping .................
0 -n
Equipment.................
MIT
Commercial Final
0
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING
W
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
CA
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Calling Insulation
0
SHEETROCK NAILING
IT
SPECIAL INSPECTION