20020739.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER N INAME OF BUSINESS
MAID G ADDRESS
117-932- Me '?'S
CITY III ITEIEPHO"I
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NAME
CITY
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0 NEW _WPLUMBING I IVECH
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Description
FEE
Description
FEE
1
Plan Check
State Surcharge
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BEAT SOURCE
LOT SLOPE
Building Permit
City Surcharge
Plumbing
R1
PLAN CHECK NO:
VESTED DATE
Mechanical
THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORKTO
FEngr.RwIew
PUBLIC
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTR CTION ON THE PUBLIC
I g
Grading
S E )WILLREQUIRE
OGMAUN (CURB$, SIDEWALKS, DRIVEWAYS, MAROU ES.ETC
SSIMURATE PERMISSION.
aw
'E MIT APPUGAT01GKN
PEnMrTLiMm1Y Un - PROVIDED ISISNTADMAYED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF 0 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Revievv
Plan Chic. Deposit
;APPLICANT
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire inspection
Receipt N
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECHY
F Or
ROM THE ISSUANC OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Duo
NA,
D EMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
a Via.
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINAI.
- _
Recording Fee
I HERE ACKNOWLEDGE T14AT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVE IS CORRECc AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
N
CITY AND STATE LAWS REGULATING CONSTRUC.
is o,da pannit-11 sign d by rhii
THE OWNER. I AGREE TO COMP WITH
WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
S�i'Thl..Ppftidl.-
ding Offidid o, hillb., D"Tui, d F.—In P�ld, n.
TION; AND IN DOING THE
IN VIOLATION OF TH -a .." OF HE STATE .1 WASHINGTON RELATING TO
FOR INSPECTION
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WORKMENS COMPeN�A �NCE AN1, HoW is Z,
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O'LEASED
SIGNATUFm A*
D,
(425)
771-0220
BY
ATTEATION
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 YCLI-M - 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
''66RD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..................
FOUNDATION:
Footing ..; ............
Wall ..........................
Pier/Porch
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground ........ . ...
Rough -in
Commercial Final
HEATING:
9-a
Gas Test ..............
irn
Gas Piping ............
Equipment
commercial
EXTERIOR SHEATHING
NAILING ........... ...........
FRAMING ............
FIRST FL60FI FRAMING
INSULATION ; ..................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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