20020590.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
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ALL CLAIMS FOR NATURE. PERMIT
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I HERESY ACKNOW-EDGE THAT `AT'O - THAT THE INFORMATION
ity AUTH
GWEN 15 CQRRECT� AND THAT � A. 'THIM-WZIR. 'ORPLTHE "N DFI1M AC1W OF
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
TION; AND IN DOING THE W K AUTNORZED THEREBY No PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LASON-CCIK OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S CC4fPENSAT;WN6URAI)CE ANI) RCW 18 27�
APP�CA!1�14 APPROVAL
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DATE SIGNED
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771-0220 RFL By DATE
A"ItEl'ITION -------
EXr 1333 r12L
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL-M - YEULOW INSPECTOR
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
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DATE APPROVED
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SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..; .......................
Pier/Porch .................
Retaining Wall ...........
Slab Insulatlon ..........
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FRAMING ............ ; ...........
FIRST FLOOR FRAMING
INSULATION ................ . .
Floor Insulation
Wall Insulation ...........
CellIng Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS
CONST RUCTION PERMIT APPLICATION
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUTRAINAGE
ADDRESS
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FIRE R-EWED By
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PROGRESS INSPECTIONS
PE UBC 108/FINAL INSPECTION RM0
$
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Description
FEE
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PLAN CHECK NO: 111TED DATE
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ANYAND
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Receipt #
10110"11, WAIHINGTON, IISOIFIIIALI,EMPLOYEEI,.D�GE�TS..NI
"RECTLY
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Total Amt. Due
MOM THE ISSUANCE
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I HEREBY ACK14OWLEDGE THAT I HAVE READ TH I APPLICATIOM; THAT THE INFORMATION
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APPLICATION-A�P
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WTM CITY AND STATE LAWS REGULATING CONSTRUC
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IN VIOLATION OF THE LABG WASHIONGTOU
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(425)
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771-0220
DATE
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ATTENTION
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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-
YEL-LOW-INSPECIOR
CATE OF OCCUPANCY HAS BEEN GRANTED- UBC SECTION 109
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