20020916.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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No NO.
PLAT NAMEISUBDIVISION NO. --rT;7 L� D FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ;1.."N`Z'-' 8
sea., ".. 1—ft ese. 13
EXISTING — PROPOSED 8
REQUIRED DEDICATION— FT 13
METER SIZE I LINE SIZE I NO. OF FIXTURES PAV REQUIRED
No 13 9
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REMARKS i
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIL/DRAINAGE as
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VNGINEERING REVIEWED By DATE
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REMARKS CTION FIE=
PROGRESS INSPECTIONS PER UIBC 11081FINAL INSPE
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Building Permit
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PLAN CHECK NO: VESTED DATE
Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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SEPARATEPERMISSION.
PERMITAPPLICATI N: INDAYS
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PERMIT LIM I I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPUCA N ON BEHALF 01 HIS On HER SPOUSE. HEIFS. ASSIGNS AN' SUCC ... B
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Fire Review
Plan Chk, Deposit
CITY OF
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 E MONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Ardt, Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt #
I HERE 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
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Ties npialcaelan 1, not a p,,,It anin signed by tho
THE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
THEREBY, PERSON WILL BE EMPLOYED
CALL
801ding Offidial 01 his/her Dap,ny� and Fees are paid. and
K AUTHORIZED NO
T'ON.AND'NDO'NOTH WORKA' 'NOTO R L TING To
IN VIOLATION OF THE I .1 THE STATE .1 WASHINGTON RELATING TO
FOR INSPECTION aselpt is acknowledged In apes. Pa.1d-d
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1 9.4 INS RANGE AND RCW 18,27.
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OFFICIALS S�BNAT DATE
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771-022
DATE
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL FILE YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
P�NK � OWNER GOLD � ASS SSOR
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MEMO TO: PErTtOO IN �OUILDING DIVISION
FROM: FIRE DEPARTMENT DATE t,�joL
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE —
PROJECT
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PERMIT # 7,130 -?— 9 119 ----ADBk—DATE INSPECTED --I I—L?�)O Z-
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of
Final approval of the described work
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_�GRANT FINAL PROJECT APPROVAL
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-----�GRANT PROJEICT APPROVAL WITH CONDITIONS NOTED
--YAILED, FINAL INSPECTION - OUTSTANDING ISSUES
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OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ............ .............
Pier/Porch
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Retaining Watt ...........
Slab Insulation
PLUMBING:
Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
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Gas Test ....................
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Gas Piping .................
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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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 ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..............