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FP7ERM71T��PIR�ES
USE PERMIT
CITY OF EDMONDS
ZONE�61� IUMBER
CONSTRUCTION PERMIT APPUCATION
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MAILING ADDRESS
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REQUIRED DEDICATION- FT
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NAME
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YES 13 No 0
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REMARKS 2;
OWNERICONTRACTOR RESPONSIBLE F04 EROSION CONTROLIDRAINAGE
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ENGINEERING REVIEWED
By DATE
ADDRESS *
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PROPERITAX ACCOUNT PARCEL NO.00&J341 OWOOO 5Q
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REQUIRED SETBACKS (Fr.)
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PROPOS 0 SETBACHREA(FT
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PA KING
REQN) PROVIDED
LOT AREA
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M REPAIR 0 GRADING CYDS 11 11 - FT)
REMARKS
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ri GARAGE o RETAININOWALL 0 FIRE SPRINKLER
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NUMBER UMBER F R ICAL OCCUPAN'T
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STORIES NITS CNUMBER REQUIRED (3 YES
DESCRIBE WORK TO BE DONE
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INSPECTIONS PER UBC Joe/FINAL INSPECTION REQ`D
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VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
GILAZING % LOT SLOPE %
Building Permit /,,(,I
City Surcharge
PLAN CHECK N91r) VESTED
plumbing
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THIS PERMIT AUTHORIZES ONLY THE W08M NOTED. TH S PERMIT COVERS WORK TO
IE10"11"IR111111111 ONIMANYCONST UCTIONONTHEPUBLIC
Grading
DOMAIN (CURBS. SIDEWALKS.0 RIVEWAYS. MARQUEES, ETCJ WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: ISODAYS
PERMIT LIMM I YEAR � PROVID D WORK IS STARTED WITHIN 180DAYS
SACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
_SEE
*A11UCANL ON 11HALF 01 HIS 01 HER SPOUSE, HEMI, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposh
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS ' WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDISE07LY
FROM TH E ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, 'NAIVE 01 REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE
NOR LIMIT 1. ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINA. Q ........
Recording Fee
Receipt #
IHEREBY 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
CONSTRUC.
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V 6t.rIll dgn.d by ft
THE OWNE . I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING
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N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
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IN VIOLATION OF THE LA OF THE STATE F WASHINGTON RELATING TO
FOR INSPECTION
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WORKMENS COMPENSAT CS AN. FICW I—
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S1 ATURE AA E
(OWNER ATE SIGNED
(425)SIGNP
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771-0220
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ATTENTION
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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
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK -OWNER GOUO-ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN ACCOUNTING
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FINAL PROJECT APPROVAL F
To.
DATE:
i�smo To: PERmrr comwmoi� BUILDING DIVISION
FROM: —FIRE DEPARWENT DATE--.�--
--17 ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJEC
SITE ADDRESS
PERMIT #d,0-1� �-�ADB#-Zg--Zd�—/DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED
Final a al
A fleld inspection was conducted to determine final compliance with approved plans. pprov
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRAISTI` PROJECT APPROVAL WITH CONDITIONS NOTED
ontractor by inspector
u Copy of CONDITIONS given to owner/c
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
ci Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE_INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date. Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wait
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
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
SHEETIFIOCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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