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PERMITEXPIRES,
USE
CITY OF EDMONDS PERMIT
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CONSTRUCTION PERMIT APPLICATION JOB
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METER SIZE I LINE $111 No 04 S Y'PR�IEI.IIME. I
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1�' - - i (j I- I 6.�WW'�IONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
cl 61 41 TELEPHONE
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FIRE REVIEWED BY
DATE
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EXPOIATIC, E
VARIANCE OR cu
HORELFN—CORADBN
I INSPECTION
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PROPERTY PARCEL NO.
SEPA REVIEW
SIGN AREA
HEIGHT
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REPAIR GRADING E [:] FENCE ----I
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DEMOLISH [3 TANK E3 OTHER 11
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Description
FEE Description FEE
HEATS, SO ING %
State Surcharge
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHM,
VESTED DATE
Plumbing
t: HE DOME On PRIVATi POFI"OLPYFTFgWOIOILRyKAN.O,'CED6 THISPEnmacoverl WORKTO
Mechanical
a LKE nIV:P NSTRUCTION ON THE PUBLIC
DOMAUN (CURBS, SIDEWA WAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
SE�Ao
GAT CAMISSION.
PE RMITAPPLICATION: I.DAYS
Engr. Review
PERMIT LIMIT I M R PROVIDED WORK IS STARTED WITHIN VKDAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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INFP T. N. Y I SG B
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Fire Review
Plan Chk. Deposit
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DMONDS,WASHIN ON, JTSOFI E. EMLO SES, AN. ADEN D
ALL CLAIMS FOR DAGAGES OF WHATEVER TS FROM ANY AN
ARISING DIRECHY
on
Re.e,p I#
FROM THE ISSUANCE �,ATURE, OR INDIRECTLY
OF HIS OF THIS PERMIT SHALL NOT OF
DEEMED TO MODIFY, WAIVETOR RPEED"Cle
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ANYSUANCE
REQUIREMENT OF ANY CITY ORDINANCE
WAY TH C)
NOR LIMIT IN ANY E PYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
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HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE
- INFORMAT
TOF
Recording Fee
Receipt It
GIIVEN IS CORRECT, AND TH I AM T"
AT
THE OWNER. I AGREE TO COMPLY W EDOWNIR OTT TH A'UTHORRED AGENT
HY AN6 B ATE =E UL�TING
IROVAI
CONSTA
TION; AND IN GGFING THE WORK AUTHORIZED THEREBY. NO PESSO UC.
N WILL BE EMPLOYED
CALL
Laa �PPIIIddi N Panall anfil ag..d by 0.
IN VIOLATION TH
C E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEWS OMPENSATIC� INSURANCE AND RCW 18,21.
FOR INSPECTION
B111ding offidId of hiVh, Dopa and Fads am Paid, and
ma.1ra Ick.oZ1fddg1d ly:.p..a r—Id.d.
DATE
(425)
0 ZICIIAL GNA:r DATE
7
771-0220
41-
ATTENWCNo'
EXT 1333
.71.6 1 / I DATE
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. UBC SECTION 109
tLE '. YE6CW PhPECTOR
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04/02
PRESS HARD
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS
FOUNDATION:
Footing ......................
wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
PLUMBING:
P-J
Underground
.............
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Rough -In ............
0
0
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Commercial Final
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HEATING:
10
Gas Test _ .................
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Gas Piping .................
Equipment .............. ..
0 -n
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Commercial Final
lT1 M
EXTERIOR SHEATHING
NAILING ................
0
FRAMING ........................
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Q 0
FIRST FLOOR FRAMING
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INSULATION ...........
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Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
0
SPECIAL INSPECTION
ITI
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................