20020521.pdfPERMIT EXPIREII
USE PERMIT
CITY OF EDMONDS ZONE N U M B E R 900 9 --OS Z I
CONSTRUCTICI;NPER T �APPLICATION 'ADURESS
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ZIP T111PI40NE EXIST No � PROPOSED - In,1— Inau-s
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AMI LINE 1111 NO. 01 11-111EI PFV RIEQUII D
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REMARKS -1
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDMINAGE
FIRE REVIEWED BY DATE
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sIATE UqENSE NUMBER ExPIF!ATW�
�ON DATE
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CARPORT ROOKERY 0 FPE.RM
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ALL02TEG""PERFIAGPE
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REQUIRED SETBACKS (FT.) PROPOSED
FRONT SIDE HEAR FRONT
SETBA
Up SHH
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PLANNING REVIEWED BY DATE
REMARKS
(TYPE OF USE, BUSINESS 0 IVITY) EX PLAIN:
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NUMBER
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NUMBER
SPECIAL INSPECTION JAREA
REQUIRED
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DESCRIBE WORK TO BE DONE I
REMARKS
PROGRESS INSPECTIONS PER USC IOB/FINAL INSPECTION
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Description
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FEE
Description
FEE
State Surcharge
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LOT SLOPE %
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Building Permit
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City Surcharge
PLAN CHECK NO:
T E D D A
VESTED DATE
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THIS PERMIT AUTHORIZER ONLY THE W HK NOTED. THIS PERMIT COVERS WORK TO
C 0 V W 0 R K To
t: BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
E P
d I n
Grading
DOMAIN (CURDS, SIDEWALKS, orgyEwAys uARQU ES, EIC.) WILL REQUIRE
E I W I L L In E E
SEPARATE PERMISSION.
E - v I W
Engr. Review
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PERMIT APPUCATION: IN DAYS
E a
Engr. Inspection
R gr. R IS "t L-n-
PERMIT Leam I YEAR -PROVIDED WORK IS STARTED WITHIN -SAYS
"D a " A V
SEE BACK OFPJNK PERMITFO MOREINFORUATION
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ON BEHALF OF HIS OR FISH Spouse, HEIRS. ASSIGNS AND SUCCESORS,
ON A A G U DESCH.
IN ArMREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M L E S THE CITY OF
'it. REV
Fire Review
Plan Chili. Deposit
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
S
IS TS ' . ANY AND
'I'. 'rep.-tion
Receipt #
ALL 11111111 ED IF WHATEVER 1111, IIIIINI DIRECTLY 111111"111
"EQ-Y OR INDIRECTLY
FROM THE ISSUANCE GOF T IS PERMIT.
ISSUANCE OF THIS PERMIT $HALL NOT E
.E. , T BE
.'I SH ' G No NCE
DEEMED TO MODIFY, WAIVE ANY CITY
On REDUCE ANY REQUIREMENT OF My ORDINANCE
L G d. '-SP
Landscapeinsp.
TotalAmt.Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVASIO'..
-
Recording Fee
Receipt
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN is CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNE � I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This pfication Is net a pamit rall signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREW. NO PERSON WILL BE EMPLOYED
Building 0"KICIal or hashor Deputy: sad Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COM AND HOW 18.27.
FOR INSPECTION
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__IDMPEN��URANCE
ATE
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SIGNATNIIR_ I AG n
(425)
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771-0220
NEIEA�E S CA,
ATTENTICYN
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
�hfal
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
OR GINAL . FIL - YELLOW - INSFIECTOFt
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
P:.K.CYNEE
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GREEN -ACCOUNTING
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.......... . . ....
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
FOUNDATION:
Footing ...............
wall .............
Pier/Porch
z
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
4
Underground .............
x
0 M
Rough -in ...................
M
0
0
Commercial Final
C
M
HEATING:
GasTest .................
C
> z
Gas Piping .................
Equipment ; ...........
0
n X
Commercial Final
M M
EXTERIOR SHEATHING
a ra.
NAILING ............ ....
0 r
FRAMING ........................
C
K
M 0
FIRST FLOOR FRAMING
5,
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Calling Insulation
co
SHEETROCK.N AILING
SPECIAL INSPECTION
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