20020534.pdfPERMIT FIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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USE PERMIT
ZONE NUMBER 1,6a
ADDRESS
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONIROLIDRAINAGE
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STATE LICENSE NUMBER 11PI17TE , I VARIANCE 08 CU I SHORELINEOFIADB# INSPECTION 1. BOND
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REMARKS
PROGRESS INSPECTIONS PER UBC 11011MINAL INSPECTION REO'D
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Description
FEE
Description
FEE
Plan Check
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PtAN OHECK NO: DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t DEDONEONPRIVATEP OPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 0 OMAIN (CURBS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMiSSION.
PE MITAPPLICATION: IWDAYS
Mechanical
Grading
Engr. Review
PERMIT UMTc I YEAR-PROVID 0 WORK IS STARTED WITHIN 1800AYS
SIX 13ACK OF PINK PERMIT FOR MORE INFORMATION
EDIT. Inspection
-APPUcAN`r, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS' WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAUME FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM Tf E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
U C
E E
S D EMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Fire Review
Fire Inspection
Landscape insp.
Landscape Insp.
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Plan Chit. Deposit
Receipt #
Total Amt. Due
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT 7THE IMF RM 10
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I ACRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STAT OF WASHINGTON RELATING TO
WORKMEN'S COMPENESROM�364RA CE AND FICW 18.27.
APPLICATION APPROVAL
CALL This application 1, not a pentrit until signed by Me
OuIlding Offialut .1 blather Deputy: and Fees ate paid. and
FOR INSPECTION aa.ipt 11 Ick—iodood in space pte,fided.
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ATTENTION'
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
EXT 1333
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORI;t�FA YEL&-INSPECTOP
PINK-OW!4ER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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