20020800.pdfDATE RECEIVED
EPERMIT EXPIRES
CITY OF EDMONDS
PER T
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME FF BUSINESS
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REMARKS
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RIDGRESS INSPECTIONS PER UBC 10EfFINAL INSPECTION RE2�D
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Description
FEE
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FEE
Plan Check
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Building Permi"P.
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1ESOliD DATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE ORKNOTESELTHISPEHMITC OVENS WORK TO
Mechanical
I= BE
2 DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
DOMMN
Grading
=I (CURBS. SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
c: SEPARATE PERMiSSION.
Engr. Revim
2-
PER"ITAPPUCATI N: 1NDAYS
PERMIT LIMIT, I YEAR, - PROVIDED WORK is STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANWT,, BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review I
PlanChk.Dep
IN INTEREST. AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS' WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
Fire Inspection
Receipt #
ALLCLALMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
CTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
S DEEMED To MODj`YWMVE OR REDUCE ANY REQUIREMENT OF ANY C ORDINANCE
NOR LIMIT IN ANY WAY THE BOYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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By
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAI THE IHF.R.A1I.N
GIVEN IS CORRECT. AND THAT I AM THE OWNER, 08 THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TI.N; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING
B.fldl�g OlkI.I., hbft, D.ply; ii�d F—.1. P.Id,.rid
TO
WORKMEN'S Cc��NSATION INSURANCE AND RCW 18.27,
FOR INSPECTION
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OFFICI S S G DATE
t-410NATUREJOWNEA O� AGEN�,� SIGNED
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771-0220
RELEASED BY DATE
ArrENTION U
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
OR OtNAL - ) YELLOW - INSPECTOR
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SETBACKS .....................
FOUNDATION:
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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