20020879.pdfD AE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS
IT NAME/ 41L:L
A) NO.
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LID FEE $
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RESPONSIBLE FOR EROSION CONTROL�DRIUNAGE
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EXPIRATION DATE
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REMARKS
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
0 16 1 67,0 1140
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Description
FEE
Description
FEE
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PLAN CHECK NO: VESTED DATE
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WORK
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLI
Grading
Grading
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no MAIN ICURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPAMTEPERM;SSION.
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Engr. Review
PE MITAPPLICATION: IBODAYS
T PERMIT LIMIT. I YEAR PROVID D WORK IS STARTED WITHIN 160 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
%PPLI W. ON BEHAL - OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
CA
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Fire Review
Plan Chk. Depo
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
D Nos. WASHINGTON, ITS OFFICIALS, EMPLOYEES, ADD AGENTS FROM ANY AND
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Fire Inspection
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Receipt #
ALL CL MS FOR DAMAGES OF WHATEVER NATURE, ARISING omEcrity 08 INDIRECTLY
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FRO ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT ALL NOT E
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape InsiL
Total Amt. [)us
c NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
L2eceipt III
114ESEBY ACKNOWLEDGE TH E READ THIS APPLICATION; THAT TH INFORMATION J.Fln
AT ILWTHE
APPLICATION APPROVAL
� OWNER, OR THE DULY AUTHORIZED AGENT OF
GIVEN IS CORRECT. AND THAT A
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THE OWNER. OMPLY Wirt] CITY AND STATE LAWS REGULATING CONSTSUC
I AGREE To C
TION: AND IN DOING THE WORI AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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CALL
CAL
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official acka hal aPWy:.PdFaai.1vPlad..a
IN VIOLATION OF THE LABOR OF THE STATE OF WASHINGTON RELATING TO
_CTI "lairl is —I.dged in $Palo plovidedF
FOR INSPECTION
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WORKMEN'S COMPENSATION INSURANCE AND ACW 18 27.
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RELEASED BY
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
L-TI(VA11-
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAU��
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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SETBACKS .....................
FOUNDATION"
Footing
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground . ...........
Rough -in ..................
Commercial Final
HEATING:
GasTest ................
Gas Piping .................
Equipment .................
Commercial Final
E.TEIIIOR 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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