20020758.pdf0
—1 RECEIVED
PERMITEXPIRES
ZE PERMIT
CITY OF EDMONDS �. NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITEIAK#
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MAILING ADDRESS LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY h—th— PROPOSED-
41EQUI EIIIOIAIION—
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EiIE No .1 �FNT..ES � PRV REQUIRED
ADDRESS
ZIP
STATE
ENGINEERING REVIEWED BY DATE
lkFIRE REVIEWED a' DATE
VARIANCEORCU I SHORELINEORADG# I INSPECTION=
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ADDITION OFE Oil
CHANGE USE
PARKING
REGO I PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
rl REMODEL 0 MUL71FAMILY SIGN
FENCE
REPAIR [3 GRADING CYOS 0 ( _X_FT)
REMARKS
DEMOLISH 0 TANK m OTHER
GARAGE RETAININGWALL F RE SPRINKLER
CARPORT ROOKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR AC?0=14:
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DESCRIBE WORK Td BE DONE
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE.'.
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ascription
Description
FEE
Description
FEE
I an C'.c"
State Surcharge
LOT -L. E %
HEAT SOURCE GLA;nNG ss LOT SLOPE %
ding Permit
Building Permit
ELI
City Surcharge
-TE. DATE
PLAN CHECK NO: -STED DATE
Plumbing
Plumbing
JI.-
Mechanical
Mechanics,
50
E-yur COVERS WORK 1.
1HISPEFINUTC.N.1 CIIIKIO
ON
, N THE C
'B
I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH PUBLIC
2
dmg
G rading
G'
D Erc�) WILLS 'U E
ILL
erc A F
3 OMAIN (CURBS, SIDEWAUKSDRIVEWAYS. MARQUEES, REQUIRE
SEPARATE PERMISSION.
__
PERMITAPPLICATION: IN DAYS
Engr. REVIEW
z"g, Rw'aw
PERMIT LIM V I YEAR - PROVIDED WORK IS STARTED WITHIN IN DAYS
Engr. inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APILICA , ON 81-LI 011111 OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESG,,
Ty
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Plan Chk. Deposit
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
THIS PERMIT SHALL NOT BE
—
'j
FROM THE ISSUA CE OF THIS I LIIMIT ISSUANCE OF
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Landsc'p
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE P ROVISIO'..
Recording Fee
SO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
11 . IIVI" 11 CORRECT, AND THAT I AM Till OWNIR, 01 THE DULY AU1HGRI11B AGENT 01
FFOR
This -11,B.0 by his
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS FEEL TING CONSTRUC.
CALL
appli'sio, 1, 1.1 s p—A
aiiiisirooffid.l. D.Pusy: nd Fsss — pid, arid
TION; AND IN or 0 PENS N WILL BE EMPLOYED
IN VIOLATIO OrG THE WORK AUTHORIZED T7ATGyQ`1 WASHINGTON FELATINI To
TH LA0019 CODE OF THE
his,
INSPECTION '.swphihs miNgsdIhsPacspr.,id0q
0 IN
WORKMENS PENSATI0)ZHqyJ�kNCEMD WUL2T
W
OFFI
W 01�-�DATE SIGNED
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771-0:220
RELEA S.
I
AITEINTION
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 - I ILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. U8C SECTION 109
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:
F'0'9tIhg
wall . . .............
Pier/Porch .................
Z
0
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
M
Rough -in ...................
ITI
0
0
Commercial Final
-4
x rn
HEATING:
Mz
Gas Test
Gas Piping
CO
Equipment .................
-q
Commercial Final
3:
IT
EXTER OR SHEATHING
1
00)
NAILING ..........................
0
0
FRAMING ..................
M 0
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
-4
Ceiling Insulation
SHEETROCK NAILING
-04
SPECIAL INSPECTION
0
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............