20020787.pdfI DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
tq) .- - — . -I^-- . - I 1 -1 __ - , �— I Descrintion I FEE I Description I FEE I
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HEAT SOURCE T SLOPE a,
uilding Permit
City Surcharge
PLAN CHEC VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
11 DONE ON pall, PROPERTY ONLY All CONSTRUCTION ON INS PUBLIC
Grading
DOMAIN (CURBS, SIDSWALKS.DRIVEWAYS, MARQUEES, ETC.l WILL REQUIRE
SEPARATEPEFIMISSION�
PERMIT APPUCATION 1BGD1WS
Pit BY
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PERMIT LIMIT. I YEAR -PROVIDED WORK IS STARTED WITHIN laODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIF'r. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fife Inspection
Receipt
ALL CLAJM� FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Landscapeinsp.
Total Amt. [)us
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF Y CITY ORDINANCE
Q NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
R ..C.'uma
ecording Fee
Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVE IS CCRRECT�,Alu TH T I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CONSTAUC�
This appleadunn is run A panald until aign.d hy ad,
THE OWNEF A.R Co PLY WITH Cit AND STATE LAWS REGULATING
AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
CALL
Building Offidid "J�ffip,D.pd and ...n.paid,.
Tsplia's
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TIDN; AND WORK
VIOLANK 00 OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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IN
WORKMEW� N INS CE AND RCW 18.27,
OFFICI NATURE DATE
SIGNATURE
(425)
U�SSII
LWNIR �E
771-0220
7157TI/
RELEASeD BY
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ATTE TI N
Off 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 - YELLOW � INSPECTOR
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-CYNER - GOLD,ASSESSOR
CATE
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN. ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ...... . ..............
PlarlPorch ..................
Retalnihg Wall
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in .............
Commercial Final
HEATING:
Gas Test ...........
Gas Piping ..........
Equipment .............
Commercial Final
EXTERIOR SHEATHING
NAILING ......................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECI ION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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