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LP�ERMIT��PIRES
CITY OF EDMONDS
PERMIT
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NUMBER CQCe'19
ONSTRUCTION PERMIT APPLICATION
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NO. OF FIXTURES PAV REQUIRED
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ADDRESS
REMARKS
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TATE LICENSE NUMBER EXPIRATION
PROPERTY TAX ACCOUNT PARCEL NO.
-7/7
FIRE REVIEWED By DATE
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REMARKS
INSPECTIONS PER USC 108/FINALINSPECTIOI
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Description
FEE
Description
FEE
Plan Check
�tate Surcharge
HEAX SOURCE GLAZING I
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City Surcharge
PLAN CHECK NO:
IISIED 04TE
Plumbing
Mechanical
THIS PERMIT AUTRORIZES ONLY INS WORK NOTEM THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY OHL% ANY CONSTRUCTION ON THE PUBLIC
Grading
" DOMAIN 'CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, In ) WILL REQUIRE
3 SEPARATE PERMISSION.
PE MITAPPLICATION.' IN DAYS
PERMIT LIMIt I YEAR - PROVIDED WORK IS STARTED WITHIN IN DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC ANT. ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
PlanChk.Deposft
to C/
IN INTEREST, AGREES I NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AN.
Fire Inspection
Receipt N
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Or THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE
DEEMED TO Mom", WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CRyS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
I HEREBY 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
THE OWNER� AGREE LY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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CALL
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TION; AND IN DOING THE WORK AUTHORIZED THEREOV, NO PERS N WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHIONGTON RELATING TO
WORKMEN'S CDWJNSATION INSURANCE AND ncW 18.27.
FOR INSPECTION
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OFFII JA NAT DATE
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771-0220
'RE ED By *TE
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-
ORIGINAL-FR5 y9l
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER GOUD-ASSESSOR
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..........................
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Pier/Porch ....... ......
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Retaining Wall
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PLUMBING:
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Underground .............
RR
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Rough -in ...................
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Commercial Final
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HEATING:
Gas Test .................
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 .................
'Floor Insulation
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Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION