20020808.pdfDATE BE
PERMITEXPIRES
USE P T
NE CC _1
CITY OF EDMONDS -ON' NEURMMI'EFI&J� 2
CONSTRUCTION PERMIT APPLICATION 'ADD EIR
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Description
FEE
Description
FEE
Plan Check
State Surcharge
GLAZING % I OT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
-3
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE LIC
Grading
2 Up.) WILL HPUB
- EQUIRE
3 DOMIAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES,
SEPARATE PERMISSION.
Engr. Review
PERMITAPPLICATI N: INDAYS
PERMIT UMM I YEAR - P ED WORK IS STARTED WITHIN
ROV' '00 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICANT. ON BEHALF 01 HIS OR HER 1PO111, IIIIRS, ASSIGNS AND uCcE,ORS
F! Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
A L CLAIMS FOR DAMAGES F WHATEVER NATURE, ARISING DIRECDY OR INDIRECTLY
FR M THE ISSUANCE OF IS PERMU. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED 10 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Arnt. Due
PROV $10
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE I N,'
Recording Fee
Receipt # —i-ZZEL
I HERESY ACKNOWLEDGE T1 E READ THIS APPLICATION: THAT THE INFORMATION
IAT HAVTJ
APPLICATION APPROVAL
GIVEN IS CORRECr, AND THAT AM iE OWNER, OR THE BILLY AUTHORIZED AGENT OF
�
application is not a pennit onfil signed by Ins
THE OWNER, I AGREE TO ITH CITY AND STATE LAWS REGULATING CONSTRUC.
COMPLY W
SON WILL BE EMPLOYED
CALL
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ding his/h., D.pWy: nd F sh, P.1d. nhd
ON. All oil. T E A
I Vic 0, T R "T. SIZED T-ENEGYX '.'
IN HE ODE 0 THE STATE I WASHINGTON RELATING TO
FOR INSPECTION —.1pl IkP.wI.dQ.d in sp— p—id.d.
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DATE
GRS GATI. ED
(425)
711 0/v
771-02M
RELEAS
ATTENTION
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-
ORGrW2-,,,E - YELLO,
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER GOLO-ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ........... ..........
wall .............
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Pier/Porch
Retaining Wall ...........
0
Stab Insulation
PLUMBING:
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Underground
0,
0
0
Rough -in ..........
-40
C
M
Commercial Final
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HEATING:
10
Gas Test ....................
Gas Piping .............
0-11
Equipment .................
-4
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M M
Commercial Final
0
EXTERIOR SHEATHING
0
NAILING ..........................
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FRAMING ........................
Q 0
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FIRST FLOOR FRAMING...
INSULATION .................
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Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
0
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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