20020518.pdfUSE PERMIT
CITY OF EDMONDS . h NUMBER )C�'031
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CONSTRUCTION PERMIT APPLICATION JAODRESS - IUITEIFITI �fjp
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Description
FEE
Description
FEE
Plan Check
VBuilding
State Surcharge
HEAT SOURCE LOT SLOPE �K
Permit
City Surcharge
PLAN CHECK NO.�
lumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO
11 DONE I" Pill PROPERTY ONLY. ANY INSTRUCTION I" THE PUBLIC
Grading
U E
DOMAIN (CURBS, SIDEWA"S, DRIVEWAYS MARQUEES, UC.) WILL RED IR
SEPARATE PERMiSSION.
_
Engr. Review
PERMIT APPLICATION I.DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS
Engf. Inspection
SEEBACKOF INK PERMIT FOR MORE INFORMATION
*APPLICANT. ON B1HAI,1 OF 1111 OR HER SPOUSE, 111111, 411IONS AND E11C18OnS
Fire ReView
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIDEC1 LY
FROM THE ISSUANCr ME THIS PERMIT ISSUANCE OF THIS PERMIT SHAL' NOT HE
Landscapainsp,
Total Amt. Due
DEEMED TO MODIFY WAIVE OR REDUCE ANY REOUIRCMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITN'S ABII ITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
Receipt III
AT
I HEREBY ACKNOWLEDGE III AVI'NEAD IHIS APPLICATION; TITAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM OWNER. OR THE DULY AUTHORIZED AGENT Or
TIE
C014STRUC
A A. andi. Aaarajd sig.adby
THE OWNER, I AGREE To COMPLY WITH CITY AND STAI E LAWS REGULATING
THEREBY. NO PERSON WILL BE EMPLOYED
CALL
ThesitA.Applee.
drag OffirIIiA his/her Depay: Ad Foes did paid. deal
Wo 0
TION, AND IN DOING THE RK AUTH RIZED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINC, TO
N—a—hIdgad birip— re.1ded,
FOR INSPECTION facrat,_
WORKMENS COMPENSATION INSURANCE AND RCW 18 27.
OFF IAL NAT DATE
RE (OWNE OR N GAT E s
(425)
-1/1 ) /,r)
771-0220
-, —
'RELEASEIV
DATE
ATTENTION
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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-
OHIGNAL - FILE YELLON - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1 09
erINK-OWNER rOLD-ASSESSOR
04/02 GREEN ACCOUNTING
PRESS HARD -YOU ARE MAKING 5 COPIES
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .............
Pler/Porch ..............
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
-4
M
Rough -in
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Commercial Final
0
0
HEATING:
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Gas Test ....................
171
Gas Piping
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Equipment
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0
Commercial Final
11
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EXTERIOR SHEATHING
NAILING ..........................
0
0
FRAMING ..............
0
FIRST FLOOR FRAMING
Q 0
INSULATION
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Floor Insulation
Wall Insulation ...........
>
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Ceiling Insulation
29 1
C4
SHEETROCK NAILING
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