20020810.pdfDAATE IIECEIVEDD
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBU
Grading
DOM AIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, UC.) WILL REQUIRE
t: SEPARATE PERMISSION.
PERMIT APPLICATION: 1. DAYS
Engr. Review
PERMIT Usim IYFAR-PROViDED OAK IS STARTED WITHIN UIDDAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, Oil BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, SHINCT N. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR CANA ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM 11 E ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HAI 1 NOT BE
Landscapeinsp. Total Amt. Due
DEEMED TO MODIFY. WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY RDINANCE PROVISION.-
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHOR ZED AGENT OF
COMP
THE OWNER, i AGREE TO WITH CITY AND STATE LAWS REQUILATING CONSTRUC.
-.I. is said p—ho.111.19nad by on,
CALL
TION; AND IN DOING THE WO K AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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ding Offlolid ot�his/ho, Dopuly: and Foos are paid. and
FOR INSPECTION loosipt 11 asksoododged In,p,ce pno0dod.
Is WORKMEIV CCMPENS��S,,IRAN51E AND RCW 18 27�
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SIG — I DATE SIGNED
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771-0220 -RELEASED
BY �,X f DATE
ATTENTION
EXT 1333 . ... ... .
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-
ORIGINAL � FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-OWNES 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:
Feeling - ............
wall I ....................
Pier/Porch ..........
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rmgh-ln ...................
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. INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................
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