20020610.pdfI`
DATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS """HE P.ERmmB`ER 2- - IN C)
T
CONSTRUCTION PERMIT APPLICATION JOGRERS%),�:\y�� 1APT1
ADD
OF BUSINESS
27111AII
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REQUIRED DEDICATION— R 13
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ENGINEERING REVIEWED BY DATE
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�TATE L GENRE NUMBER
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mia'a POSTED
14 3 W,
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SEPA REVIEW SIGN AREA HEIGHT
cam XEMIT AILOWI=ISED ALLOWED No, SED
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LOT COV ?fMft-- -M77—A PROPOSECTIFTBACKS (FT.)
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ALLOWED
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ADDITION
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REMODEL
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R MARKS
DEMOLISH
rl TANK
OTHER
GARAGE
— RETAININGWALL
FIRE SPRINKLER
OF I I . I.M..
STOR UNITS
DESCRIBE WORK TO BE DONE
ICHECKEDBY ITYf
CRITICAL I
AREAS SPECIAL NSPECTIC
NUMBER REQUIRED rl YES
00 UPANT
GROUP
PER UBC 108/11FINAL INSPECTION REO'D
I A)( -\, D1,0fA-v-,1 ,
0061c,-2-
$
"C"'pidon
D 2e!cription
F
FEE Description FEE
OW01futW14
P - C
Check
State Surcharge
REAT SOURCE GLAZING LOT SLoPE
11
r
Elan
Building Permit
I
LN It
d" Permit
City Surcharge
PLAN CHECK NfL_____ VESTED DATE
lu
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
—
M Me III
echanical
all
cha c
t BE DONE ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
D OMAIN ICURBS, SIDEWALKS, DRIVEWAYS NIA11UF11, ETC.) WILL REQUIRE
SSION. t
Engr. Review
PE MITAPPUCATION: INDAYS
PEnmrr Lima. I YEAR - PROVID D WORK IS STARTED WITHIN ISO DAYS
En9r. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HES SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chi. Deposit
;APPLICAW,
N INTEREST. AGREES TO INDEMNIFV. DEFEND AND HOLD HARMLESS THE CITY OF
a E MONDS, A HIN T N, 11 OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt III
LL LAIMS R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT E
Ell D EMEDTOMODIFY, WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINAN6 E
Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
12 2�Lj
I HEREBY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER, I ABBE TO COMPLY WITH CITY AND STATE LAWS REGULATING COAST -
CALL
in ann- K . lnunal Unit] aignad by UP.
0 0 L(RUG
TIEN; AND IN DING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMP D
IN VIOLATIC)i.O.F 11.1 A ODE OF THE STATE OF WASHINGTON RELATING TO
SAL
FOR INSPECTION
SdIlhaa.p
ding Offia�al in, hislinn Dainny: and F-ea and paid. and
r ... IpI Laindna-ladgad in apaao po,id,d.
W.B.I.S.. P. T RAWthND RCW I a
OFFILLI BE DATE
I ER OR LGI;NLL DA�,IRI
(425)
IS&AT,
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771 -0220
RELEASED BY DATE'
ATTENTION
EXT 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�GIBJAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PNK OWNER OLD,ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES BREEN ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
w Footing ...........
wall
Pier/Porch
Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
GasTest ...............
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
-,4-c,3
OCCUPANCY ..................
oftCa J%W
Ile