20020648.pdf11
AWDAIE RECEIVED
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CONSTRUCTION PERMIT APPLICATION
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PLAT NAMEISUDDiVISION NO.
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REMARKS
OWNERICON7RACTOR RESPONSIBLE FOR EROSION CONTRI iUDMINAGE
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NAME _—TERL 0 Type B or L vent connectors
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STATE LICENSE NUMBER EXPIRATION
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PROPE TA"X ACCO PARCEL NO.
DATE I gLIECKED BY
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SEPA REVIEW 1111 AREA HEIGHT
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REMARKS
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NUMBER OF
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SPECIAL INSPECTION CCUPANT
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NUMBER
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER USC 11081FINAL INSPECTION REO'D
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[VALUATION;
Description FEE Description FEE
Plan Check
State Surcharge
HEAT SOURCE
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO:
5STED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMG` COVERS WORK TO
IS0
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
a U
OMAIN (CURES, SIDEWALKS, DRIVEWAYS, MARQUEE% ETC.� WILL REG IRE
SEPARIATEPERMISSION.
_
PERMIT APPLICATION: IN DAYS
Engr. Review
PERMITLIM I YEAR -PROVIDED WORK 15 STARTED WITHIN IBODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON 1311111F 01 HIS OR HER SPOUSE, HEIRI, AIIIGNI AND SUCCISOrla
Fire Review
Plan Chk, Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
a EDMONDS SHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS F R DAMAGES OF WHATEVER NATURE, AnSING DIRECTLY OR INDIRECTLY
Fire inspection
Receipt #
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FROM THE ISSUANCE OF TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
D EMED TO MODIFY. WAIVE OR REDU E ANY REQUIREMENT OF ANY CITY ORDINANC
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Total AITL Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PSOVISIONE
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INERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVE IS CORRECT AND THAT I AM THE OWNER� OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
appi code, I%— , p11-rd signed by the
IN. HE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EM"QYEO
1. VIJ11F.F THE ... Co.. or HE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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des 01111�.I .1 Noire, O.Puly: d Food .. P.1d, rd
.... Ipt 1, ack-11dood i-pace provided.
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cHAPENSATP0%
DATE
(425)
771-0220
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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-
ORIGINAL -FILE YELLOW, INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER OLD -ASSESSOR
04102 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
'6iETBACKS".: ........ .. * ..........
FOUNDATION:
Footing.......... ...........
Wall .................
PlerlPorch .................
Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground
0 IT!
Rough -in ...................
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0
Final
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Commercial
HEATING:
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0-4
Gas Test ..........
Gas Piping .................
Equipment ..........
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Commercial Final
IT! III
EXTERIOR SHEATHING
a V55
NAILING ..........................
0
0
FRAMING ........................
0
FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................