20020959.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
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NAME
METER SIZE LINE SIZE No. OF FOGURES
PRV REQUIRED
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ADDRESS
REMARKS
RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
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STATE LICENSE NUMBER EXPIRATIO "ATE
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PROPERTY TAX ACCOUNT PARCEL NO.
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13 NEW RESIDENTIAL PLUMBING MECH
COVERAGE RED 11 ED S BACKS (FT.) PROPOS D SETBACKS (F1.)
ALL LOTD PRO OSED FRO14T $1 BEAR FRONT L/RSIDE REAR
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VrHANGEOFUSE
COMPLIANCE OR
1:1 ADDITION 0 COMMERCIAL 1:1
[:3 REMODEL 0 MULTIFAMILY 0 SIGN
PARKING
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LOT AREA PLANNING REVIEWED BY DATE
FENCE
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[3 REPAIR 0 = CYDS X FI)
REMARKS
[3 DEMOLISH TANK 017MER
oGARAGE
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A FIT ROCKERY FIREA RM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
CHECKED By ITIPE 01 CCINSTSUCTION ::JA�C�PANT
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AREAS
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION IREO'D
VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
7EAT —SOURCE GLAZING LOT SLOPE I Building Permit
City Surcharge
PLAN CHECK NO: ESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZED ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
2 Do MAIN (CURBS. SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REGUIRE
SIEPAJUGTEPERM;SSION.
Grading
Engr. Review
PERMITAPPLICATION: INDAYS
PERMIT LIMIT. I YEAR � PROVIDED WORK IS STARTED WITHIN led DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection
1PPIICAV1 Oil BEHALF OF 1111 OR HER SPOUSE, HEIRS, ASSIGNS AND 1UGCE1ORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
COLIONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALI CLAIMS FOR DAMAGES OF WHATEVER, NATURE. AR SING DIRECTLY OR INDIRECTLY
FROM Till ISSUANCE OF THIS PERMIT SWARDS 01 THIS PERMIT SHALL HOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINAN E
NOR LIMIT IN A14Y WAY THE CITYS ABILITY to ENFORCE ANY ORDINANCE PROVISION.-
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
Plan Chl Deposit
Receipt III
Total Amt. Due
t #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION
This attention
APPROVAL
Is onne 0
al nod by Me
Tf I FEE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC C LL P p 9
IS OWNER V
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMP DYE Sardis Offidato,his no- and Foos Me paid. and
i I L
N VIOLAT ON OF THE LABOR ODE OF THE STATE OF WASHINGTON FUELATMG7 FOR INSPECTION
WORKMENS Ca�LENISATION It SURANCE AND HOW 18.27. DATE
(425)
DA NED
to
3 771-0220 R11 Es-ED By- Or —
A E
ATTENTION EXT 1333 By
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE NTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CE IFI- YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR
GREEN -ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ......................
FOUNDATION:
Footing ......................
z
wall ...........
0
Pier/Porch ..........
Retaining Wall ...........
Slab Insulation ..........
m
C
IT
PLUMBING:
0
0
Underground .............
m
Rough -in ...................
m z
Commercial Final
HEATING:
>
Gas Test ....................
0
Gas Piping .................
mm
Equipment
Commercial Final
0
C
EXTERIOR SHEATHING
NAILING
IT 0
..........................
FRAMING .. ......................
;0
FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
m
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................