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.BE PERMIT
CITY OF EDMONDS ZONEcq NUMBER b-C'
CONSTRUCTION PERMIT APPLICATION JOB ILAT11APTI
ADDRESS
OWNER AMEINAME OF BUSINESS
FLAT NAME/SUBDIVISION NO. I LOT NO, _TID NO V
en4 :7t(kee— LID FEE S
MAILING ADDqE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
'X, 'ING — PROPOSED P-1 -and
CITY zip
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figeT REQUIRED DEDICAT!
NAME METER SIZE I LINE IN PRV REQUIRED
YES13 NO E3
A MARKS
ADDRESS
WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTR )LIDR41NAGE
NAME 1
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NrERING REVIEWED BY DATE
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FIRE REVIEWED BY DATE
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STATE LICENSE NUMBER CASE
4OR
BOND
VARIANCE CLI SHORELINE ADBO INSPECTION "'NED
POSTED
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A T
SEPA REVIEW SIGN AREA EIGHT
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0 PROPOSED
COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED
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NEW RESIDENTIAL PLUNSHNGIMECH
. SETBACKS,_,
FT PROPOSE
LOT COVERAGE REQUIRED S KS (FT.) PROPOS 0 SETBACKS (Fr.)
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ALLOWED PROPOSED FRONT SEIDTBEACREAS ) FRONT E Lin SIDE BEAR
E] COMM. f COMPLIANCE
ADDITION "AL 0 CHANGE OF USE
"Y
MULT".7
JX ..MODEL 11
DAT
[3 REPAIR GRADING CYDS ri X FT)
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REMARKS
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F1 DEMOLISH 0 TANK _fHEA
a19 Im cft3z;
GARAGE RETAINiNGWALL 0 FIRE SPRINKLES
CARPORT LJ ROOKERY FIREALARM
(TYPE OF USE, BUSINESS OR ACAVRn EXPLAIN:
CHECKED By CONfTR:UjCT10N E OCCUPANT
ITYPE
GROUP
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NUMBEAR— :RITICAL
�REAS
SPECIAL INSPECTION Occu NT
A UM.FR
OT'ORIES I
JAREA
LOAD
REQUIRED [:] YES
DESCRIBE WORK TO BE DONE
Fit-E Laare
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION FIEG'D
VALUATION
VAL'
$113 �' L)o
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Description
De
FEE
Description
FEE
J.ATs
Plan Check
Plan
State Surcharge
—
�50
LOT SLOPE %
HE,yr SOURCE LOT SLOPE %
Building Permit City Surcharge
Sul',
EISTE.
PLAN CHECK NO: ESTED DATE
Flu,
Plumbing
Mechanical
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THISPERMITAUT GRAZES ONLY THE WORK NOTED, TJ41S PERMIT COVERS WORKTO
C BE DONE ON PRIVATE PROPERTY ONLY. MY CONSTRUCTION ON THE PUBLIC
Grading
a ILL REQUIRE
:1 DOMAUN JCUnBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ITFC.) W
t: — SEPARATE PERMISSION.
Engr. Review
15 PERMIT APPLICATION: in DAYS
PERMITUM I YEAR -PROVIDED WORK IS STARTED WITHIN ISODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, Oil BEHALF 01 HIS 01 HER SPOUSE, HEI"I, A11IGN1 AND IUCCII01S
r ire Review PimChk.Deposft
IN INTEREST, AGREES TO INDEM IFY. DEFEND AND HOLD HARMLESS THE CITY OF
— —
EDMONDS, WASHINGTON ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY DIRECTLY
OR IN Be
PERMIT SHALL NOT
—
U-2P
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS
REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR
0 NOR LIMIT IN ANY WAY THE C TYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION�'
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Recording Fee Receipt #
I HERESY ACKNOWLEDGE THAT � HAV REM THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAW REGU ING CONS1 BUD
CALL TH"Pli-Ion Is own Fannie efil signed by One
Ps
TION; AND IN DOING TH E WORK AUTHORIZED THEREBY, NO EASON WILL BE EMPLOYED
Bteldillf.ficial of hiWher Denney : and Fees we paid, and
IN VIOLATION OF THE A CODE OF THE STATE OF WASHINGTON RELATING TO
LARD
FOR INSPECTION , , pus aek-11w[godfinspaID Pf9111d0d.
WORKMEN'S COMPENSAT19HANCE AND AC 18.27.
OFFIC L SIGNAT.RE 0
CEAJ) DATE SIGNED
(425)
771-0220
By 104TE
ATTENTION
Off 1333 �7A`Eo
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 - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -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............... I ..........
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0
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground.............
0
0�
Rough -in ............
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Commercial Final
HEATING:
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Gas Test
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Gas Piping .................
Equipment ...........
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Commercial Final
0
0 Fn
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................