20020918.pdfDATE RECEIVED
PERMIT EXPIRLS ILL
I
USE PERMIT
CITY OF EDMONDS
70NE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
FADDRESS
IA4
7
SUITEJAPT#
ER NAMEINAME OF BUSINESS
19-30
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REMARKS
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NAME
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ADDRESS AFFIDAVITS SHALL NQT
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STATE IJCENSE NUMBER EXPIMTION ... REaD POSTED
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SIGN AREA
PAR `EF� R`Yff`W ALLOWED PROPOSED ALLOWED PROPOSED
PROPERTY TAX ACCOUNT ILBI E )(E.1T F
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LUMBING/MECH LOT Coiv .. U, RED SMACKS (FF.) PROPOSED SETBACKS (FT)
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LIANCE OR
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ADDITION COMMERCIAL CHANGE OF USE
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REMODEL 0 MULTIFAMILY SIGN' SEC. PROVIDED
REPAIR rl .-.IN. Cyas M FENCE
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GARAGE RETAINING WALL 0 FIRESPAINKLER
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Description
FEE
Plan Check
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—
HEAT SOURCE GWING I LOT 'LOP' I
City Surcharge
PLAN CHECK NO: VESTED JDATEPIumbing
m 72
KE
THIS PERMIT AUTHORIZES ONLY THE WO K NOTED, THIS PERMIT COVERS WORK TO
C
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
m DOMAIN (CURDS' SID Q, .
3 EINALKS, DRIVEWAYS MARQUEES, ETC,) WILL REQUIRE
I= SEPARATE PERM;SSION.
Engr. Reviev, —
PE MITAPPLICATION: INDAYS
P. PERMIT LIMIT. I YEAR - PROWD' WORK IS STARTED WITHIN ISODAYS
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
—PLICANT ON REIIA11 01 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Revi—
Plan Chill. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HELD HARMLESS THE CITY OF
2 E MONDS. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
WASHINGTON.
A2L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SH LL NOT BE
Arnt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY 111OUIREMENT OF ANY CITY ORDINAN I
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Land p. IT p
Total
01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIO
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Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
1".
rINSPECTION
This,ppl�ationisn.'.P�'�it-l"!'n.dby..
T OWN a EE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST
IAG RUO'
BE EMPLOYED
CALL
Building Official,, Nunn, Data, and 00—ap.1d,
'Y;
N; A IN DIN THE WORK AUTHORIZED THEREBY, NO PERSON WILL
OF T E OF THE STATE 0 WASHINGTON RELATING TO
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FOR I narlplia.clan Madgadjuapda.pidad.
OR ErSCO�PEHNSALTI�L,,N�-NCFAN.�-1.�l.
TI
VNIED
(425)
GNUE
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RELEASED By DA
ATTtNTION
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 yELLM,INSPECTOI
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK, MNER (POLD. ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .................
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i.,Porch .................
Retaining Wall
Stab Insulation ..........
PLUMBING:
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Underground ............
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Rough4n ..............
0
0
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Commercial Final
M
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HEATING:
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102
G as Test - ............
Gas Piping ............
Equipment ..............
0 n
n
Commercial Final
M M
EXTERIOR SHEATHING
0 rj)
NAILING ..........................
0
FRAMING ........................
To
FIRST FLOOR FRAMING...
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INSULATION
Floor insulation
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Wall Insulation
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .............