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PERMIT EXPIRES -U
CITY OF EDMONDS
USE PERMIT
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CONSTRUCTION PERMIT APPLICATION
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ADDRESS
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PI.AT NAMEISUBDIVISION NO.
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METER SIZE LINE E�ii NO OF FIXTURES
PAV REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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FIRE REVIEWED By DATE
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STATE LICENSE NUMBER EXPIRATION DATE
(E:S��3 UYAN"01 3
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VARIANCE OR CLI I
S-81LIMIORAODI I
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PROPERTY TAX ACCOUNT PARCEL NO.
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SIGN AREA
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REMARKS
DEMOLISH C] TANK ID 077HER
GARAGE RETAININGWALL 0 FIRESPAINKL R
CARPO ROCKERY FIREALARM
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DESCRIBE WORK TO Be DONE
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REMARKS
PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REOD
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HFAT SOURCE GLAZING LOT SLOPE 94
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
I- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 KID R U r
MAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, EPC.]l WILL ED z
tz SEPARATE PERMISSION.
PE MITAPPLICATION; INDAYS
Engr. Review
PERMITUMVIBIYEAR-PROVID WORK IS STARTED WITHIN ISODAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOAS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDIMNII. DEFEND AND HOLD HARMLESS THE CITY 01
IDMOND% WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. AS SING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE F THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY PEOUIREMENT OF MY CITY ORDINANCE
Landscapeinsp.
To let Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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Recording Fee
Receipt #
I HERESY ACKNOWLED E THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
G
P PPROVAL
P 'atTN
GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZE AGENT OF
ME OWNER. I AGREE To Cc PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
T�11. 11 p�fnrfl Niimd tq
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERS N WILL BE EMPLOYED
IN VIOLATION OF THE THE STAT OF SHINGTON RELATING TO
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FOR INSPECTION #I Is 1,PyMI0dD,d1WP4CQPId0d.
WORKMENajp0MP,FVSAj�U NCE�D RDW Ie�'
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L ffE 6�;�
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771-0220
E bY DATE
ATTENTION
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.
OR GINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing......................
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Wall.........................
Pier/Porch .................
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Retaining Wail ...........
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Slab Insulation
PLUMBING:
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'Underground ...........
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
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Commercial Final
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EXTERIOR SHEATHING
NAILING ............. .............
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FRAMING ........................
FIRST FLOOR FRAMING.�.
INSULATION .............
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Floor Insulation
Wall Insulation
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Calling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................