20020578.pdfPERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
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NUMBER
CONSTRUCTION PERMIT APPLICATION
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REMARKS
PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REQO
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D cription
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FEE
Description
FEE
State Surcharge
HEAT SOURCE GLAZINI LOT SLOPE Building Permit City Surcharge
NO:
PLAN CHECK Plumbing ALL
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Mechanical
THIS PERMIT AUTHORIZES ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE Grading
SEPAMTEPERM isslom
Engr. Review
PI MITAPPLICATIOW I-IIAYS
PERMIT -.11. 1 YEAR - PROVID 0 WORK 13 STARTED WITHIN Ir*DAYS En9r. Inspection
SZE 13ACK OF P NK PERMIT FOR MORE INFORMATION
*APPUO � ON BEHALF 01 HIS 011111 SPOUSE, HEIRS. ASSIGNS AND SUCCES.RS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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101IONDI,WAIHINGTIIN, ITS OFFICIALS, EMPLO1111,AND AGENTS FROM ANYAND Fire Inspection Receipt III
CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISS ANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAI E OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. I Total And, Due
NOR LIMIT IN ANY WAY THE CHYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt
I HEREBY ACKNOWLE BE THAT I 14AVE READ THIS APPLICATION; THAT THE INFORMATION APPROVAL
GIVE IS CORRECT. AND THAT I AM THE OWNER, On THE DULY AUTHORIZED AGENT OF APPLICATION
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL ThI..pPl1..lI.d land . ponnot n.111 signad by this
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED floildting Offidid ., hist, Doldity: and Foos did Pis, and
IN VIOLATIJ OF THE LA 0 HE STATE 01 INA HINGTON RELATING TO FOR INSPECTION onsip, n.,knol.dPod Ilion ... pa.Adsd�
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OMPENSAT 'WN RCW)8,27. `7_N7Aj11,#lL_
OWNER 08 GEN GNED (425)
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771-0220 RELEAS j DNfE
ATTENTION Off 1333
IT
IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER . GO 0 -ASSESSOR
04102
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
S�TBACKS ...........
FOUNDATION:
Footing ......................
........................
Pier/Porch .................
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Retaining Wall
Slab Insulation
PLUMBING:
Underground
M
Rough -in ...................
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-40
0
Commercial Final
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HEATING:
M 2;
GasTest . ..........
Gas Piping
.............
Equipment ............
0-.
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Commercial Final
EXTERIOR SHEATHING
0
NAILING ................
0
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FRAMING ........................
M 0
FIRST FLOOR FRAMING...
F_
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
M
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY
J 95 P