20020630.pdfDATE RECEIVED
PERMITEXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
JOB Ess SUITEJAPT#
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ING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Tedc' --
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METER SIZE I LINE SITE
NO. OF FIXTURES PRV REQUIRED
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ES _ No
BESS
REMARKS
OVVNEFVCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
U"Iflf/
ADD"E1S
CITY ZIP TELEPHONE
u STATE LICENSE NUMBER EXPIRATION DATE ACHECKED BY
FIRE REVIEWED By
[3 NEW
RESIDENTIAL
IECH
[3 PLUMBING I MECH
0 V A G I
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L 0
A L L 0
ALUDIK. 111`OGIG�'
P a 0
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ADDITION
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0 M RGIAL
OR
[3 COMPLIANCE OR
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S
0 GE
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[3 REMODEL
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P K I N
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0 GRADING GYMS
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0 X Fit
:)—
A AK
REMARKS
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_
[3 DEMOLISH
TANK
0 OTHER
[I GARAGE
CARPORT
[3 RETAINING WALL
ROOKERY
13 RENEWAL
OWE OF USE, BUSINESS OR ACTIVFTY�SLr
CHECKED BY
TY
ITY'PE6CO STRUCTI
NUMBER
OF
NUMBER 01
DWELLING
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SPECIAL '-SPECTOR
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NUMBER
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REMARKS
ROGRESS INSPECTIONS PEF
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VALUATION $
Description
Plan Check
DATE
IN111C -BOND
RED
13 YES kc, L-STE�
'CEIGHT
ALLOWED OPOSED
PROPOSED SETBACKS (W)
FROIff UIS)DE R�AR
0 UPANT
2��
OCCUPANT
LOAD
Em it I
244
PLAN CHECK NO: Y's— -'a
viumotng
Mechanical
THIS PERMIT AUTHORIZES ONLY THEWO KNOTED, THIS PERMIT COVERS WORK TO
V Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
1E
Grading
Recording Fee
3 DONUUN (CURBS, SIDEWALKS, DRIVEWAYS ETC.) WILL REQUIRE
SSROQUEES.
SEPARXIEPERMiMANN.
Engr. Review
City Surcharge
PE MIT APPLICATION: IN DAYS
16r4)
PERMIT UNIT I YEAR - PROVIDED WORK IS STARTED WITHIN INDAYS
Engr. Inspection
State Surcharge
I
_SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-PIJOAN" ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND IUCCISOBS
Traffic Mitigation
— -71q---
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFt. DEFEND AND HOLD HARMLESS THE CITY OF
ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY Alto
Fire Review
Receipt #
EDMONDS, WASHINGTON,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE 01 THIS PERMIT 6HAII NOT BE
Vshh,pection
Total Amount Due
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PACNISION.�
Landscapoinsp.
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAW. REGULATING CONSTRUC-
CALL
This appliesirs. Jesse. panel, -111,1anull by the
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATIOWE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Burden, Offidal or his/her Deputy; old Fees are paid. and
nsouip, I—kn—I.dand In sprise pe.1ded.
WORKMENS RATION INSURANCE AND How 18.27.
OF SIGNATURE DATE
5 SIGNED
(425)
L4 —7
771-0220
J.0
I
ATTENTION
FEXT 1333
RELEASED rbATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
t
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI�
ORIGINAL �1461? - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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RECEIVED
AUG 6 2002
BUILDING DEPT.
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Feeling ......................
Wall..........................
Pier/Porch .................
z
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
z
IT!
Rough -in ...................
-40
Commercial Final
0 C:
HEATING:
-4
X M
ITI z
Gas Test ................
0-1
Gas Piping .................
Equipment .................
0 -n
Commercial Final
EXTERIOR SHEATHING
M M
NAILING ..........................
I
0
FRAMING ...........
FIRST FLOOR FRAMING
ITI C)
z r-,
INSULATION ...................
74
Floor, Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
j
FINAL APPROVAL FOR
OCCUPANCY ..................