20020931.pdf - LEGACYDATE 1-1111D
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PERMIT EXPI ES
CITY OF EDMONDS
USEE PERMIT IZO 7
ZON NUMBER 0; /
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ADDRESS IUITEI
CONSTRUCTION PERMIT APPLICATION
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PLAT NAMEISUBDIVISION NO.
LOT 110,
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, 0 FEE S
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
Riannirrilpnt; of whether the,,water system
CITY zip
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is open or closed, mansion tanks are
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requiiBd on all hot water tanKs per
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ENGINEER
104,9WO DATE
ADDRESS
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FIRE RVIEWED BY DATE
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I;J1PROPERIYTAX ACCOUNT RCELNO.
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NEW S SIDENTIAL R(PLUMBINGIMECH
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LOT COVENAGE
ALLOWED PROPOSE
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0 "TACKS (FT.)
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COMPLIA CIS OR
ADDITION COMMERCIAL 0 CHANGE OF USE
REMODEL MULTIFAMILY SIGN
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RECID ROVIDED
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REPAIR GRADING oyes F NCE
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REMARKS us,
DEMOLISH TANK OTHER
FRESPRINKLER
GARAGE RETAINING WALL I
ARPORT 13 OCKERY FIREALARM
OWE OF USE. 13USINESS 01,
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CHECKED fly
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.ROUP
OOCUPAN��
NUMBER
OF
NUMBER OF
DWELL NG
CRITICAL
AREAS
SPECIAL INSPECTION
CCUPANT
0 STORIES
UNITS
NUMBER
CURED 0
RE YES
JAREA
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REDO
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Description
FEE
Description
FEE
4eve'g-�% 1-tcaiomr)
Plan Check
State Surcharge
HEAT SOURCE GLAZEING 11 LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
8 DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
ir ETC.) WILL REQUIRE
3 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES,
SEPARATE PERMISSION.
Engr. Review
PE MITAPPLICATION: IN DAYS
PERMIT LIMIT. I YEAR - FINDING 0 WORK IS STARTED WITHIN IGODAYS
Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHAL 0 HIS 08 HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt If
ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE ARISING DIRECTLY OR INDIRECTLY
BE
FROM THE ISSUANCE OF THIS PERMIT SSUANCi OF THIS PERMIT SHALL NOT
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Part Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Receipt #
1 HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
Theappil,all- a., a pannint-111 signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
NO PERSON WILL BE EMPLOYED
CALL
degOlficilicr s1ha, apdty: and Faasarda, Paid. a
B'ij his 0
TION; AND IN DOING THE WORK AUTHORIZED THEREBY,
IN VIOLATI R ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION I I k 1 d d
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WORKMEN. TI. RANcE AN. FICW 1.21.
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PELEASECfB'(- I,-
ATPENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK-MNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING
5 COPIES GREEN - ACCOLNTINr
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...........
FOUNDATION:
Footing........................
wall ...................
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Pier/Porch .................
0
Retaining Wall
Slab Insulation
PLUMBING:
M
Underground .............
M
0
0
Rough -in .......... . ..
Commercial F iflal
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HEATING:
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Gas Piping .............
0
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Equipment ................
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Commercial Fin at
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EXTERIOR SHEATHING
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NAILING ..........................
IT 0
FRAMING .............
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
I'D
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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