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CONSTRUCTION PERMIT APPLICATION
PLICATION
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OWNER NAME NAME OF BUSI ESS
A D a HESS
ADDRESS
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SUBDIVISION NO
100 No
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TELEPHONE NUMBER
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Legal Description of Property - include all ease
SERAREVIEW
COMPLETE 5XEMPT
SIGN AREA
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REQUIRED SETBACKS FIFT) PRoPoFf
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NECKED BY rTYPE OF CONST
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DEMOLISH INSERTS
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SPATY
DIAL INSPECTOR AREA
OCCUPANT
GAA�GE r-1 RETAININGWALLI
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QUIRED
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LOAD
CARPORT II ROOKERY
RENEWAL
REMARKS
OF USE, BUSINESS OR A TIV Y) L
PROGRESS INSPECTIONS PER UBC 108
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NUMBER Nu BER F
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OF 11.
ITICAL
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STORIES UNIT I
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
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GLAZING
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PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the pulb�lc domain (curbs, sidewolks,
riveways, marquees, etc.) wil require separate permission,
STATE SURCHARGE
Permit Application: 100 Days
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Permit Limit: I Year - Provided Work Is Started Within 180 Days
STO MDFAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
END, INS - PECT ION FEE
successors in interest, agrees to indemnify, defend and hold,
harmless the City of Edmonds, Washington
employees, and agents from any and all claims iortisarrages of
what a, net,,,, arising directly or Indirectly Irom the issuance
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of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
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modify, waive or reduce any'requ!rement of any city ordinance
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nor limit in any way the City s ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; hatthe
ATTENTION
APPLICATION APPROVAL
informal ion given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
State laws regulating construction; and in doing the work authoriz.
AUTHORIZES
THE.
s,gned by the Building Official or his/her
ed thereby, n person will be employed in violation of the Labor
Cod act the Slate ofWashington relating to Workmen's Cornpensa�
ONLY
W ORK NOTE
a uty; and fees are paid, and receipt is
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lion Insurance EU,a RCM618.27.
INSPECTION
acknowledged in space provided.
SIGNATURE (OWNEP 0 GEN I DATE StGWEQ
DE-1.1ill
OF G-TU.E DATE
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UALL FOR
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ATTENTION
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING
UNIk A FINAL INSPECTION HAS BEEN MADE AND DAPsPT',u1cATu,"E'
771-0220
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OR'IGINAL P- YF L IrI,pecto,
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
SECTION 109
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FINS PROJECT APPROVAL VWPM
TO:_
DATE:
I�MMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -FIRE DEPARTWNT DATE
L GINEERING DIVISION DATE
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PLANNING DIVISION DATE
PROJECT /L,,,3,�3
SITE ADDRES
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PERmrr#2,0c)2--O?c42- ADB# -DATE INSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes
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that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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u Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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u Copy of CORRECTION NOTICE given to owner/contractor by 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 ......... I .............
Pier/Porch ....
RetainingWall ............
Slab Insulation ............
PLUMBING:
Underground .............
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Rough -in .................
Commercial Final ...
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HEATING:
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Gas Test .................
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GasPlping... ...... ......
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Equipment ........ .......
Commercial Final
171 M
EXTERIOR SHEATHING
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NAILING ....................
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FRAMING ... ..........
INSULATION:
Floorinsulation
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Wall Insulation ......
Ceiling Insulation .........
SHEETROCK NAILING ......
SPECIAL INSPECTION ......
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MISCELLANEOUS
FINAL APPROVAL
FOR OCCUPANCY ......
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