20020577.pdfPERMIT EXPIRES
PER T -7
CITY OF EDMONDS NUMMBER -7
CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS
ER EMAME OF BUSINEIIS,__ I 'u`TU2 -
PLAT NAMEISUBDIVISION NO. I LOT NO, LID NO,
MAILING ADDRESS LID FEE S
P SUC RIGHT OF WAY PER OFFICIAL STREET MAP 811, �fl n, D
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REMARKS
171 DEMOLISH TANK OTHER
0 GARAGE AETAININGWALL FIRE SPRINKLE
CARPORT FIOCKERY FIREALARM
(TYPE OF USE, BUSINES
CHECKED BY TYPE -UPAN;,,,
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PROGRESS INSPECTIONS PER USIC 10B/FINAL INSPECTION RECID
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ALUATION
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$
Description FEE Description FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge 115—
PLAN CHECK NO.- :STED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1: 8 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS MARQUEES, ETC�) WILL REQUIRE
SEPARATEPEMM;SSIOM.
Engr. Revim
PE MITAPPINCATION: lBoDAYS
T PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 18D DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Oil 81-IF 01 His 01 HER IPOUS�. HEIRS, ASSIGNS AMC SU.CS�.Rs
Fire neview PlanChk.Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHING N. IRS OFFICIALS, IMPIOYIEI, AND AGENTS 110. ANY AND
ALL CLAIMS FOR DAMAGES 01 WHATEVER MATURE, ARIIIIN. W.E.T11 ON 11,1.1.�cal
Firelrispection Receipt #
,a.. TIHE'S."ANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY WAIVE OR RE UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDIr
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION: THAT
�F
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNI OR T I DULY AUT11111111 AGIN
a To 'T LAWS REGULATING CONSTRUC.
ST
THE OWNER, I AD EE COMMLY WITH CITY A�Rdj
.RE
This appicati-e is A.'. Per.` Mail signed by Me
CALL
,
TION AND GOING THE RE N PERSON WILL BE EMPLOYED
I� OF THE A oF7
IN 'R._T A �PGION RELATING TO
Buiftling Official or his/her Depty; and Fees are paid, and
FOR INSPECTION n_ipIisa,Ma,,,I,dgodInap ... paAdad.
a �i
WORKMEN G.DENSAT�� B27.
<11AII 11 DAYE
URE
SIGNED
� AGA
(425)DATE
771-0220 UY DATZC/
ATTENTION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-OVVNER GOILD-ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing................
Wall..................
Pier/Porch ...........
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
0 M
C a I';
0
Rough -in ...................
0
Commercial Final
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HEATING:
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Gas Test ...........
Gas Piping
0,
Equipment ............
Commercial Final
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EXTERIOR SHEATHING
0
NAILING ..............
FRAMING ............. ..........
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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