20020894.pdfCITY OF EDMONDS
us PERMIT
70NE NUMBER
CONSTRUCTION PERMIT APPUCATION
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Description
FEE
—
Description
FEE
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Plan Chack
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge e- I
PLAN CHECK VESTED DATE
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Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTES. .IS PERMIT COVERS WORK TO
tie DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON E 8
TH PU LtC
Grading
It DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATI N: nad DAYS
PERMIT UMIT I Y EAR -PROVIDED WORK IS STARTED WITHIN 1MIDAYS
Engr, Inspection
SES SACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT Oil BEHALF OF HIS OR HER SPOUSE, HE18% ASSIGNS AND SUCCESORS
Fire Review
Plan Chit. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ANY AND
Receipt #
EDMONDS WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM
ALL CLAIMiiI FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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OSDINAM
NOR LIMIT IN ANY WAY THE CITYS ABILITY 10 ENFORCE ANY CE PROVISION.-
Recording Fee
IT
PE.
I HEREBY ACKNOWLEDGE THAT I HAVE READ Tifla APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS COS ECT. AND THAT I AM T149 OWNS OR TH DULY AUTHORIZED AGENT OF
A IT
In! ad by Ora
This appolostion 1, not a pannit I I sign
LAWS REGULATING CONSTRUC-
THE OWNER. I AGREE TO COMPLY WITH CITY AN6 STATEE
WILL BE EMPLOYED
CALL
Sdjhdhq Odisnd or hi,lh,h Doputy: it a as am paid, and
TION; AND IN DOINkT E WOSI(CA KORIZE ESEBY, No PERSON
DE STATE OF WASHINGTON RELATING TO
OF UT OFT
FO hm,pt Is ack—todged 1, apso, proWded.
R INSPECTION
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WORI E URANCE A RCW 13,27.
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ATTEItiftION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GO D,ASSESSOR
CATE
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 ...............
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Slab Insulation,
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PLUMBING:
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Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
Gas Test
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Gas Piping ...........
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Commercial Final
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........... ............
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FIRST FLOOR FRAMING...
INSULATION
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Floor Insulation
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Wall Insulation ..........
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Ceiling Insulation
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SHEFTROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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