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PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION Joe T#
ADDRESS
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THIS PERMIT AUTHOFUZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
ft BE OBOE ON PRIVATE PROPERTY ONCY. ANY CONSTRUCTION ON THE PUBLIC
2 Grading
0 OMAIN (OUnSS, SIDEWALKS, DRIVEWAYS MARGO ES, ac.) WILL REQUIRE
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PE MITAPPLICATION: INDAYS
PERMIT UMM I YEAR - PROVID 0 WORK IS STARTED WITHIN 180DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE S THE CITY OF
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
THE
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ISSUANCE 01 THIS IE11111, ISSUANCE 01 THIS PER IT SHAOLRLDNINANCE
DEOMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY E Landscapelnsp. Total Amt. Due
0 N OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
- Recording Fee Receipt #
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
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GWEN 13 CO RECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONISTRUC�
CALL
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TIOR AND OIN THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED 0 1, MKIM.hil IVD.pUN:.dFP.Id,IvId
VIOLATION 01 THE LAID CCQE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
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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 GOUD�ASSESSOFI
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ............
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
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PLUMBING:
Underground ...........
Rough -In ..................
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HEATING:
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Gas Test -., ................
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Gas Piping .. ...............
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Equipment ..............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING
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FIRST.FLOOR FRAMING
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INSULATION
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Floor Insulation
Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY