20020733.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME
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YES 0 NO 0
ARKS
ow NERICONIRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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FIRE REVIEWED BY DATE
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LICENSE NUMBER
EXPIRATION 0
VARIANCE OR CLI
8110SELINE On AOB1
INSPECTION
BOND
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POSTED
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PROPERTY TAX ACCOUNT PARCEL NO.
COM SERA REVIEW
PLETE EXEMPT
SIGN AREA
ALLOW. G 1..P.SE. A—E
EIGHT
00SV9 0 0 0 0o Am
EXP ,
,
NEW
RESIDENTIAL
PLUMBING "EC'
_T COVE
ALLOWED PR-02SED
RED G SETBACKS LET) PROPOSED
FRUOI SIDE REAR FRONT
SFTBACKS (Fr.)
Iln SIDE BEAR
ADDITION
COMMERCIAL
C MPLANCE OR
CHANGE OF USE
PARKING
RE ... �L
U11.11
SIGN
REG
G I PROVIDED
LOT AREA
PLANNING REVIEWED DATE
0 REPAIR
GRADING
FENCE
i — X _ Fri
REMARKS
DEMOLISH TANK 01�HEFI
IN'
GARAGE RETAIN No WALL FIRE SPRINKLER
CARPORT OCKERY L_J FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITTY) EXPLAINi
CHECKED
0
Tp
BY
TYPE MSTILUCTof
.,IOCCU
GROUPPAN
NUMBER
NUMSER OF
CRITICAL
OF
.WELL No
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NUMBE
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REMARKS
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PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REOD
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VALUATION
$
Description
FEE
Description
FEE
Plan Check
State Surcharge
GLAZING �Ja ---
LOT SLOPE %
T
Building Permit
City Surcharge
PLAN CHECK NO:
111TID DATE
Plumbing
THIS PERMrr AUTHORIMS ONLY THE 0 K NOTED. THIS
PERMIT COVERS WORK TO
Mechanical
BE **"I ON PRIVATE PRO111W"LRY. ANY CONSTRUCYION ON THE 8
0 PU LID
Grading
OMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION�
PE"MITAPPUCATION: IWDAYS
Engr. Review
PERMIT LIMIT. 1 YEAR 7PROVI EDWOITK IS STARTED WITHIN HIODAYS
Engr. Inspection
SEIEBACKOFPINKPERMITFORMO EINFORMATION
'APPLICAW, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chit, Deposit
IN INTEREST, AGREES To INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
—
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
da
Fire Inspection
Receipt 11
ALL CLAIMS FOR DAMAGES OF HATEVEG NATURE ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIW IT ISS."'Ci OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OS PER1
Landscapeinsp,
Total And. Due
E ANY REQUIREMENT OF ANY CITY ORDINANCE
-ort-r-n-N—ti, ON,
C ITYS ABILITY TO ENFORCE ANY ORDINANCE PROVIS
Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT; T14AT I AM
APPLICATION
APPROVAL
AND THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC*
CALL
Tly, afiPlictifild is 'It 0 Patina until signad by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING
Initialing Offilial or Insthar Deputy: and Faas ant paid, and
TO
WORKMEN'S COMPENSAT102MNCE AND RCW 18.27.
FOR INSPECTION
4E (OW:ER 0
DATE SIGNED
(425)
nil 4111INUR OATI
9
7,
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RELEASED BY A7E
A77E ION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
08 G NAL FILE - YELLOW INSPECTOR
P2K-OWNIES
04102 PRESS HARD -YOU ARE
GOLD ASSESSOR
MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF IhSPECTIONS
INSPECTOR
DATE APPROVED
"BE BACKS . .....................
FOUNDATION:
Footing: .....................
Wall..........................
PieriPorch ...........
Retaining.Wall ...........
Slab Insulation
PLUMBING:
Underground .............
Rough -in ... ................
Commercial Final
t
HEATING:
GasTest ...............
Gas Piping
Equipment ..........
Commercial Final
EXTERIOR SHEATHING
NAILING ................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION .� ............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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