20020572.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PER UBC 108/11FINAL INSPECTION REO'D
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PLAN CHECK NO: GTE. DATE
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THIS PERMIT AUTHORGAIS ONLY THE WORK NOTED. rHIS PERMIT COVERS WORKTO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONUFIUM014 ON THE PUBLIC
Grading
:1 OMAUN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
I= SEPARATE PERMISSION.
Engr. ReVie.
PERMIT APPUCATION: IW DAYS
PERNOTIAM 111 YUR � PROVIDED WORK IS STARTED WITHIN ISDOAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT, ON SEHAL OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire REVIEW
Plan Chk. Deposit
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY Of
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS 'all. ANY AND
Fire Inspection
Receipt N
ALLCLA"'S FOR 11011RHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
FROM THE 0, THIS Frew. ISSUANCi OF THIS P%M'T SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total And. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY 080INANCE PROVISION.-
Recording Fee
Receip
I HEREBY ACKNOWLED 6 THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN is CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE DIANE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
Is not a permit unfil signed by the
TO R 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
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FOR INSPECTION Iplo,ock ... todgwirep ... po,Id,rL
WORKMENG COMPENSA;qFMqD�ANCE AND RCW 18.27.
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW . INSPECTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK.MNER OOLD-ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing ......................
wait .. .......................
PierlPorch .................
Retaining Wall ...........
Slab Insulation
PLUMBING:
Underground
Rough -in ...................
Commercial Final
HEATING:
Gas Test ..................
Gas Piping ..........
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ... .......................
FRAMING ...........
FIRST FLOOR FRAMING... -
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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