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PERMIT EXPIRES
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE, PERMIT
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Building Permit
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PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES'ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: HE DONE ON PRIVATE PROPEM ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
Grading
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2 13 OMAIN (CURDS, SIDEWALKS, DRIVIDVAYS. MARQUEES, ETC.) WILL REQUIRE
SEPAWEPERMISSIONL
RE MITAPPLICATION: 180DAYS
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PERMIT LIMIr. I YEAR - PROVIDED W RK IS STARTED WITHIN 180 DAYS
Engr. Inspection
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SEE BACK OF PINK PERMIT FOR NONE INFORMATION
.RS
'APPLICA 101 BEHALF 01 HIS III HER 5POU11, HEIRS, A11IGN1 AND IUCCE1011
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Fire ReView
Plan Chk. Deposit
OF
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IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEE% AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHAT�ER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUA CE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 8j
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Total Amt. Due
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDWANC
NOR LIMIT IN ANY WAY TH CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION
Recording Fee
Receipt III
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT 1HE INFORMATION
P IC ON APIP VA
GIVE IS CORRECT. AND THAT I AM THE OWNES. On THE OULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
P."". 'I I � , "
TION: AND AU ZED IIIEREDY, NO P RSON Wit L BE EMPLOYED
IN VIOLATI THE STATE OF WASHINGTON REUkTING TO
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WORK4EN. C.I. AS. AN. So. 1112T
OFF IAL fbNATU 0
I DATE SIGNED
(425)
771 '0220
EAIED I BY
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 GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
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DATE:
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F I ROM. FIRE DEPARTMENT DATE—fil�/_/Z4 —?--
3NGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJECT___.,c��
SITE ADDRESS -
PERMIT 4 .. 2�(Do �Z- 6C�'9ADB#_________DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED__ -
Afield inspection was conducted to determine compliance with approved plans- Final approval denotes that
there are no objections from the above signed Department to the granting of
-_-5—�Fi.al approval of the described work
__41:::��GRANT FINAL PROJECT APPROVAL
___jGRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..................
wall
Pier/Porch
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Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground ...........
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Commercial Final
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HEATING:
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Gas Test
Gas Piping .................
Equipment
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EXTERIOR SHEATHING
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NAILING ................
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FRAMING _ .....................
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FIRST FLOOR FRAMING...
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INSULATION .................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...... ........