20020522.pdfD411 RECEIVED
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PERMIT EXPIRES
CITY OF EDMON�;DS
PERMIT
UMBER&2=_-/95
CONSTRUCTION PERMIT APPLICA7TION]
JOB
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ADDRESS
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STATE LICENSE NUMBER EXPIRATION A f
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INSPECTION
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HEIGHT
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NEW gl'RESIDENTIAL PLUMBINGIMECH
LOT COVERAGE
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OW
ALL LOED PROPOSED
REG RED S 8 KS (Fr.) PROP
FRONT SID HEAR FRONT
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SED SI�SACKS (FT)
UP REAR
COMPLIANCE OR
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REMARKS
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[3 GARAGE o RETAINING WALL F HE SPRINKLER
CARPORT ROOKERY FIREAURM
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fTYPE OF USE, BUS EXPLAIN:
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NUMBER OF
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UNITS I
I CWITICAL
AREAS
NUMBE
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SPECIAL INSPIECTI N
REQUIRE 0 [3 YEEN
REA
OCCUPA T
LOAD
DESCRIPWORKTO.812 DONE', 621_
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REMARKS
P ROGRESS INSPECTIONS PER USC 11081 INSPECTION REO'D
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Description
I
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE IIU2ING LOT 11.11115
LOIE
ITO
BuildlingPermit
City Surcharge
VESTED DATE
PLAN CHECK NO:: TE. DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZER ONLYTHE WORK NOTED. THIS P jRMIT COVERS WORK
t: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH. PUBLIC
EPU
Grading
OIJUMM (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL R UIRE
0 SO
SEPARATE PERMISSION.
PERMITAPPLICATION '"DAYS
Engr. Revim
PERMITILIMMI YEAR � PROVIDED WORK IS STA EDWITHIN IGODAYS
Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICA - ON RENAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTERSST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ELI=�IISI.111TIIS ITS OFFICIALS, EMPLOYEE% AND AGENTS Fell AMY AND
Fire Inspection
Receipt #
A 'OR A.A.E OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THEISSUANC OF THIS PERMIT. *11JANCE .1 THIS PERMIT s.ALL NOT BE
ANY
Landscapeinsp.
Total Amt. [)us 1 ]�A_16
.EE.E. To H -111 OR IIEIUCE REQUIREMENT OF ANY CITY ORDINANCE
... LIMIT INMON'y"WIVY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
—
Recording Fee
R..P, A, 0191�j�
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, On Tfirt DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL'
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
b- I� not a Pennit-ii,19ned by In,
TIOI,i AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATI=RANCE AND RCW H.2
suyTh'it�ppfl.
ding Offid.1 ,, hittAh., 0,,ply: nd F.—I. Intid, nd
FOR INSPECTION IPI Iii.nkn-109.d In �p r1b,idiuL
(425)
WUIE
771-0220
Tip
A
EXT 1333
'T72,1T1,0N
UL 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 - Fit E YELLOW
PINK - OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wallI .......................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
0M
C
ITI
Underground
0
0
8ough-In .. .................
M
Commercial Final
M
HEATING:
GasTest ....................
Gas Piping
0 n
Equipm4n I
MM
Commercial Final
C3
0
EXTERIOR SHEATHING
0
C
NAILING .................
r co
IT! 0
FRAMING ..................
Z
71
FIRST FLOOR FRAMING
INSULATION ................
Floor Insulation
3:
Wall Insulation ...........
Coiling Insulation
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SHEETROCK NAILING
M
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR MS
OCCUPANCY ..............