20020628.pdfDATE RECEIVED
PERMIT F
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CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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THIS PERMIT J ERMITCOVE4 WORKTO
I§ BE DONE ON PRiViTiPii6PERFY` ONLY. AM CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS U
SEPARATE PERMI MARQUEES, ETC.) WIL.I. RED JAE
SSION.
PERMIT APPLICATION', ISO DAYS
PERMIT LIMIT, 1 YEAR - PROVIDED WORK IS STARTED WITHIN 1. DAYS
SErISACKOFIRINK PERMIT FOR MORE INFORMATION
Mechanical
Grading
Engr. Review
Engr. Inspection
"AIPLICANTON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
1DMON111, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AMID AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES 01 WHATEVER NATURE, AH16INII DIRECTIY On INDIRECTLY
FROM THE ISSUANCE. OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
N ONJ�
OR LIMIT IN ANY THE DRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISI
Fire Review
Plan Chk. Deposit
Fire Ins * Dection
Receipt #
Landscapainsp.
Total
Amt. Due
Recording Fee I
I Receipt #
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I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATIO N
GIVEN IS CORRECT', AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION
APPROVAL
T14E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
�jjdlihja N"Il."an 111-1. panalit-fil lignad byha
nrJOffJnI.I.,hnh.,DaJXnY_dF a are paid. and
IN VIOLATION OF THE LASO CODE OF THE STATE OF WASHINGTON ABLATING TO
WORKMEN$ C2%KNSAT", INSURANCE AND RCW 18.27.
FOR INSPECTION
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(425)
OF ICIAL NATURE DATE
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771-0220
ED BY /bAT—E
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AlITTENPION -
Off 1333
RE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109
CRIGINA1 Fit F YEI I ON - NSPECT6R
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN CCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall..........................
Pier/Porch
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Sough -In ...................
-1* -CIZ
Commercial Final
HEATING:
Gas Test
a-7
Gas.Piping ................
Equipment ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
Vh
FRAMING ...........
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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