20020840.pdff
DATE RECEIVED
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PIRES IZ42
CITY OF EDMONDS
USE PER T
ZONE
NURMMBIER
CONSTRUCTION PERMIT APPLICATION
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NAME
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ADDRESS
REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRG
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REMARKS
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Description
FEE
Description
FEE
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Plan Check
State Surcharge
HEAT SOURCE GLA2ING % U.Ts.PE
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Building Permit
City Surcharge
-
PLAN CHECK NO: I VESTED DATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE ORK NOTED. THIS PERMIT COVERS WORKTO
Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU LID
Grading
OMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, VFC.) WILL REGSIRE
SEPARATE PERMISSION.
Engr. Review
PER ITAPPUCATION: ISO DAYS
PERMIT JAMIT. I YEAR - PROVID 0 WORK IS STARTED WITHIN ISODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFOR ATION
-APPLICANT. ON BEHALF OF HIS OR HER SPOUSE� HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEF16N. AND 111110 HARMLESS THE IFTY OF
EDMONDS' WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVE NATURE. ARISING DIRECTIYOR INDISECTIN
Fire Inspection
Receipt #
FROM THEISSUANCE OF THIS PERMIT ISSUANCE F THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY, WAIVE 0 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY CABIN NCE PROVISION.-
Recording Fee
�1.1�
Receipt 0
1 HERESY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVE" IS CORRECT, AND THAT I AM THE OWNER� on THE DULY AUTHOR ZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
T P1111111111 I 11� u.11 �irinld by .
TION�OANT,.�NN;INT.HTHE W RIZED THEREBY, NO PERSON WILL BE EMPLOYED
LA F_ F THE STATE OF
IN V SHINGTON RELATING TO
FOR INSPECTION
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WOF PAP ON
AD 0 E SIGNED
425
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7ws/.
-
�61771-010
�LEASFD BY DATE
-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.
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK,OWNER GOLD -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 ..........................
Pier/Porch .................
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -In
rn
!:�
M 0
Commercial Final
HEATING:
-4
MITI
M z
Gas Test ............
C:
C?
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Gas Piping ..........
Equipment
.................
Commercial Final
It
M M
EXTERIOR SHEATHING
NAILING . ...............
0
0
FRAMING � ................
0
C:
0
FIRST FLOOR FRAMING_
INSULATION
Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
I'D
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
nd: 9 4 10