20020570.pdfDATE RECEIVED
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CITY OF EDMOND S
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8707 189 P1 SW
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8707 189 P1 SW
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12601 132 Ave NE
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STATE UCENSE NUMBER EXPIRATION DATE
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T... PERMIT -1 HO . DUE . . . . THE NOTE.. 71-fl. PERMIT OVEFI. WORK 1.
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUMION ON THE PUBLIC
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REG IRE
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Grading
Recording Fee
SEPARATEPERMISSiON.
Engr. Review
City Surcharge
PE MITAPPLICATI N: 180DAYS
RPROVIDED
PERMIT LIMIT I YEAR WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
State Surcharge
SEE 'JACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC , ON 1EHAU1OF 1111 OR HER SPOUSE, HINTS. A..I..a AN. SUCCEEI)Ft�
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. I'S OFFICIALS. EMPLOYEES, AND -1-1 FROM ANY IN"
Fire Review
Receipt #
9
ALL LAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
File Impaction
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NOR LIMIT IN ANY WAY THE DRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Landscapeinsp.
Receipt #
IHERESY ACKNOWLEDGE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND TTHAATT 1 HAfAV'T 11 OWNER, OR THE OULY AUTHORIZED AGENT 01
APPLICATION Aiyl
THE OWNER. I AGIEETO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
applf�110111 11" P"""""'a"" b"
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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ding od'.1.1.1 n" '"', INIP.11 andF."'."Pind..ind
IN VIOLATION F LA s BE OF TH STATE OF WASHINGTON RELATING TO
ORKMEN'S COMPENSATI SU ANCE AND RCW 1&27.
FOR INSPECTION
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SIGNATURE (OVYMNLE21
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OFFICLIAL§� ZIOL A'
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771 -0220
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A17ENTION
EXT 1333
RELEASED BY OATI1
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE YELLOW INSPECTOR
FAX PINK -OWNER GOLD � ASSESSOR
IDICH
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
..........
Wall ..........................
Pier/Porch .................
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
0
Underground .............
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Rough -In ...................
0
Commercial Final
M
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HEATING:
10
C
Gas Test
Gas Piping .............
0 -n
Equipment ............
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Commercial Final
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EXTERIOR SHEATHING
0
NAILING ..........
0
C
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4 F AMiNG
20�
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
171
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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