20020699.pdfDATE "C:4 PERMIT EXPIRES
US' PERMIT
CITY OF ED ONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB IUITEIAITI
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FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE LOT SLOPE
Building Permit CitWy Surcharge
PLAN CHECK NO: VESTED DATE
1615
THIS PERMIT AUTHORIZES ONLY THE W6RK NOTED, THIS PERMIT COVER WORKTO
I: HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, IMDEWA�SESPADRITVE�PEARYMS MARQUEES, ETC.) WILL REQUIRE
2
iSSION.
PERMtTAPPLICATION: INDAYS
Plumbing
Mechanical
Grading
Engr. Review
PERMIT LIMIE i YEAR - PROVID 0 WORK IS STARTED WITHIN Jae DAYS
SEE BACK Of PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLIC . 'IN BEHALF OF HIS OR HER SPOUSE. HEIAS,ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposft
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HO D HARM ESS THE CITY OF
EDMONDS, WASHINGTON, I OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES F WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF TH S PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REOU E ANY REQUIREMENT OF ANY CITY ORDINANCE
a NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
—
Fire Inspection Receipt #
Landscapoinsp. Total Amt. Due
Recording Fee Receipt #
I HEREBY ACKNOWLED E THAT I HAVE READ THIS AIPLICATION; THAT THE INFORMATION
GIVE" IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE - I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
TrON; AND IN DOING THEWORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPWYEO
IN VIOLATION OF THE L Cool STATE 01 WASHINGTON RELATING TO
WORKMENS COMPE IN how 18.27,
AT;PN
DATE STED
LICATION APPROVAL
IL �saljdr,a a.,. pearnX.rall stgned b, Va.
Q al,,his , carat, and Fees are Peal,
FOR INSPE�CTION re'aXI I-Vol.h.l.diged I..pqe. p—idW.
F�IALS
(425)
f!YEASED BY DATE
ATTIENTION
1333
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. USC SECTION 109
ORVGJNAL�Ffl_E YELLOW- INSPECTOf
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..........
FOUNDATION:
Footing .......................
Wall ..........................
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Pier/Porch ................
Retaining Wall
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Slab Insulation ..........
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Podergropnd
7
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0
0
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Final,,
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10
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Gas Test ....................
Gas Piping ...............
Equipment
..............
Commercial Final
IT! M
EXTERIOR SHEATHING
0
;
NAILING ...........................
C: to
C co
FRAMING ........................
M 0
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
0
ITI
CIAL INSPECTION
JOS
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............