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PER IT EXPI ES
CITY OF EDMONDS
.. PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUIT61APT#
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PUBLIC RIGHT OF WAY PER OFFICIAL STRCE T MAP Rw I P211I.L,,
CITY ZIP
EXISTING —_ PROPOSED— (3
13
ITEMPTION
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REQUIRED DEQICATION� FT 0.
77
PRV REQUIRED
YES C3 No 0
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REMARKS
OWNERICONTAACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY UA't
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FIRE REVIEWED By DATE
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ADB� INSPECTI N BOND
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STATE LICE E NUMBER EXPIRATION GAIE CKED By
VARIANCE OF; CU HORELINE OR
PECH) No S POSTED
Mae 13
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46 1- 14- QE- 3 7 C/ #6 q //q .5 &
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SIGN AREA HEIGHT
PROPERTY TAX AC CURT ADEL NO.
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED ROPO-ED
6-9076,006 _:�9em,(0
EXP
RESIDENTIAL ON
NEW <gj�>.E
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDE AFAR FRONT LIN SIDE BEAR
ADDITION COMMERCIAL COMPLIANCE 08
CHANGEOFIJSE
REMODEL 0 MULTIFAMILY SIGN
PUNNING REVIEWED By DATE
REDD I PROVIDED
REPAIR GRADING cyos FE CE
( _ X_FT)
REMARKS
0 DEMOLISH TANK OTHER
GARAGE RETAININGWALL FIRESPRINK EA
CARPORT Lj RocKERY FIRE ALARM
(TYPE OF USE, BU�INESS OR ACTINI
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CHECKED BY 01 CONSTRUCTION CODE 0
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NUMBER 5
OF AREA
ALINSPECTION JAREA OCCUPANT
SPEC] LOAD
STORIES UNITS NUMBER
REQUIRED rl YES
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Description
FEE
Description
FEE
F�an Check
HEAT SOURCE GLAZINJ�% LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: (A VESTPO DATE
THIS P AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS W RK TO
E ON PRIVATE PROPERTY ONLY. ANY CONSTRUC ONTHEPUBUC
..=T
DOMAIN (CURB SIDEWALKS, DRIVEWAYSMARQUEeSTION
as. , ETC.) WILL REQUIRE
Grading
SEPARATEPERMISSION.
Engr. ReView
PERMITAPPLICATION: IWD�'S
WITHIN
PERMIT LIMIT, 1 YEAR -PROVIDED WOR IS STARTED 160 DAYS
SEC 13ACK (IF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
'APPLICANT ON BEHALF 01111101 HER SPOUSE, HEIRS, A11IGNS AND SUCCESORS
Fire Review
PlanChk. eposh
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS F OM ANY AND
Fire Inspection
C:;
Receipt #
ALL CLAIMS FOR DAMAGES OPSWPHEABTMBE.A NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THI ISSUANCE OF THIS PERMIT $HALL NOT HE
LandscapeInsp.
Total Amt. Due
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
NOR LIMIT IN ANY WAY THE CITN'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVE IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
N
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE
WORKMENS COMPENSATION INSURANCE AND RCW 18 27.
F' IA GNAT
ja�E IOWNER OE DX'
(425)
E�.
771-0220
BE 1E
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL - F1 E Y5U.CVV - INSPECTOR
A
HAS BEEN GRANTED, UBC SECTION 109
PINK.OWNEA GOLD -ASSESSOR
CATE OF OCCUPANCY
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 ..........................
Piet/Porch .............
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
OM
Underground .............
C- a
m
0
0
Rough -in ...........
0 C
Commercial Final
ITI
M
HEATING:
2-(0
>
Gas Test ...................
Gas Piping . ................
0
Equipment
..........
Commercial Final
MITI
0
EXTERIOR SHEATHING
0 M
NAILING ..........................
C rA
t FRAMING ....................
Q 0
-4
Z
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
0
RI
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............