20020617.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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REMARKS
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REMARKS
PROGRESS INSPECTIONS PER USC 1108MINAL INSPECTION FlEaD
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Description
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Description
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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t BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ONTHEPUSLIC
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00 SEPARATE PERMISSION.
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Engr. Review
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PERMIT APPLICATION: 180DAYS
PEAMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN His DAYS
Engr. Inspection
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICAW. ON SERAL P HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO NO MINIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS. WASHINGTON ' ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS 'OR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY 08 INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Aml
DEEMED TO MOM". WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROV S1 N,
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�Due�
Recording Fee
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I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
By �T
APPLICATION APPROVAL
GEN r OF
GIVEN IS COARECT�. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNE . I AGREE TO COMPLY WITH C1 rY AND STATE LAWS REGULATING CO'NSTRUC-
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WILL BE EMPLOYED
CALL
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ding Otlicial of his/her Deputy. a ' Pd.
TION; AND IN DOING TH WORK AUTHORIZED THEREBY, NO PERSON
IN VIOLATION OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATING TO
P .. Pow,
FOR INSPECTION receipt Is acknowledged In a d
WORKMENG COMPENSATION It SURANCE AND RCW U8.27.
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771-0220
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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-
OR GINAL, - FILE YELLOW - INSPECTOR
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PZ-OWNER COLD -ASSESSOR
CATE
04/02 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 Insulatiory ..........
PLUMBING:
Underground .............
Rough -In .............
Commercial Final
HEATING:
Gas Test ..................
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
OCCUPANCY ..................
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