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USE PERMIT
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CITY OF EDMONDS NUMBER n -4 C,
CONSTRUCTION PERMIT APPLICATION JOB ILI 7, b U7*
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ADDRESS REMARKS
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INSPECTIONS PER USC 1081FINAL INSPECTION RE
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I Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING LOT SLOPE
Building Permit
city Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUY ORIZES ONLY THE WORK NOTED. THIS PERMU COVERS WORK TO
t: HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLICI
2
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARGO EES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Eng, Review
PE MITAPPLICATION: IWDAYS
PERMffUMRr.jYEAR.PROVI 90 WORK IS STARTED WITHIN 1 60 DAYS
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICA . ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fir. Revi"
li-andscapernsp.
PlanChk.Deposft
1. INTEFIES1 AGREES To IN.E.N11 DEFEND AND HOLD HARML S1 THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAUMS 101 GANA El OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt III
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Total Due
NOR LIMIT IN MY WAY THE CHYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
R82
I HEREBY ACKNOWLED E THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
PLICATION APPROVAL
GIVE IS CORRECT, AND THAT I AM THE OWNETL OR THE DULY AUTHORIZED AGENT OF
T OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
HE
CALL
'P!�`W.,NtI
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF T ODE OF THE STATE OF WASHINGTON REILATING TO
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FOR INSPECTION 4/W-'P�l�.�l�'oh���dg�din�p��.p,.Id�d.
WORKMENS C , ATON I CE AND RCW 18.27,
OMPE��
GNATURE DATE
DATE SIGNED
(425)
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771-0220
PELEA111 BY —DATE
ATTENTION
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-
OR CUNAL - FILE YEMM - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC 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:
Footing
wall
Pier/Porch ................
Retaining Wall ..........
0
Slab Insulation ..........
PLUMBING:
Underground ..........
M
M
0
Rough -in
0
Commercial Final
HEATING:
ITI
10
Gas Test ....................
Gas Piping .................
0)
Equipment ; ..........
Commercial Final
M
EXTERIOR SHEATHING
NAILING ........................
F"
FRAMING .................
FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SH EETROCK NAILING
SPECIAL INSPECTION