20020556.pdfDATE RECEIVED 71 o I o,-)— I ES
U§E PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION Joe :UITIIAPT*
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No ADDRESS 1 11. FEE S
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Description FEE Description FEE (n
Plan Check State Surcharge Z
HEAT SOURCE GLAZING % P._ d — 9
LOT SLOPE % Building Permit City Surcharge m
PLAN CHECK S71ED DATE Plumbing
I'll, Mechanical 30,
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
RM"' COVERS WORK To
t BE DONE ON PRIVATE PROPERTY OHM ANY CONSTRUCTION ON THE PUBLIC
"ON ON THE PUBLIC
2
Grading
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0 DUE U
OMAIN (CURM, SIDEWALKS, DRIVEWAYS, MAR ES'GTC�) WILL AEG IRE
t: SEPAMTEPERMISSION.
-
PE MRIAPPLICATION: IN DAYS
Engr. Review
S. PERMIT UMM I YEAR - PROVI ED WORK IS STARTED W::: DAYS
ITHIN 'no DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC HIT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. A.1EEG TO 11101111111. DEFEND AID HOLD HARMLESS THE CITY 01
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR GAMA ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
G M
PERMIT SHAIL NOT BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMEM OF ANY CITY
" My CITY
Landscapeinsp.
Total Amt. Due _777
ORDINANCE
ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
SO
'
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE E READ THIS APPLICATION; THAT THE INFORMATION
TTHHAATT 1 HAVTHE
APPLICATION APPROVAL
GWEN is CORRECT, AND AM OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
Thld.ppfliasi.. IS data pandaft unfil Olga.d by th.
TION; 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
FOR INSPECTION
BuIlding 01111W .1 hHjh11 Depu y: and FOOS W, Paid, and
nic. In H.Sk—ladGM—pace pwided.
WORKMEttS�OMPENSATIO=��NCE,")fICW 14.
OFFICIALS SIG TURE 0 E
SIGNA&RE JOWNER I-NED
(425
771-0220
/DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORGINAL-FILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD�ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
ot
FOUNDATION:
Wall ..........................
Pier/Porch .................
z
Retaining Wall
Stab Insulation
PLUMBING:
Underground ...........
-4
0 rn
Rough7ln ...................
M
Commercial Final
C:
HE
MT
GiWiest
..........
Gas Piping
.................
Equipment
0
Commercial Final
n
M M
EXTERIOR SHEATHING
NAILING ..........................
0 (1)
0
FRAMING ............ .............
0
CO)
FIRST FLOOR FRAMING
Q 0
INSULATION ...............
X
Floor Insulation
Wall Insulation ...........
z
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
0
M
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............