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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
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PERMIT
NUMBER
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ADDRESS _o 5
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WIF--rM20 1- LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ..
EXISTING — PROPOSED— In n".s
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REQUIRED DEDICATION— Fr — n
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METER SIZE I LINE SU,t—Tz.-O, ,.U... P V REQUI RED
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REMARKS
�,EIPONSIBLE 101 EROSION CONTIOLIORNINAGE
_TN��_�cmio_NT BOND
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NEW rl RESIDENTIAL PLUMBING I MECH
LOT COVERAGE REQUIRED SET CKS (FT) POSED SETBACKS (Fr.)
ALLOWED PROPOSED FRONT SIDBA BEAR L/A SIDE REAR
ADDITION
COMMERCIAL
C MPLIANCE OR
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Ut
CHANGE OF USE
REMODEL
C] MULTIFAMILY
SIGN
PARKING By
RED ED LOT AREA P�ANNING REVIEWED
[3 REPAIR
0 GRADING C,GS
rl FENCE
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REMARKS
DEMOLISH
TANK
El IT
RIETAININGINALL
FIR SPRINKLER
oGARAGE
CARPOFR
[3 14OCKERY
FIRE ALARM
(TYPE INESS OR ACTIVITY) EXPLAIN:
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CHECKED BY IB!.OF CONSTRU C PANT
GROUP
NUMBER HUM ER .1
CRITICAL
(IF
DWELLING
AREAS
SPECIAL INSPECTION AREA OCCUPANT
LOAD
STORIES
UNDrR
NUMBER
REQUIRED 0 YES 40 'erfIg
DESCRIBE WORK TO BE DONE
REMARKS
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Description
FEE Description FEE
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M.ATS
Plan Check
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State Surcharge
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HEAT SOURCE GWING I
LOT SLOPE %
Building Permit
Ci ty Surcharge
PLAN CHECK NO: ITE.
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Plumbing
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THIS PERNUIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
t 13E DONE ON PRIVATE PROPER" ONLY. ANY CONSTRUCTION ON THE PUBLIC
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Grading
D U
O"N (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQ ME
SEPARATE PERMISSION.
Engr. Review
RE MITAPPLICATION: IBRIDAYS
PERMIT LIMIT. I YEAR - PROVID 0 WORK IS STARITED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
-APPLI N ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
IT 2� ;IanChk.Deposft
IN IRTCAETT, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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X EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFV. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDWAN E
LandscapelnSp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT IRS INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS RRUC�
CALL
I his.ppilennon Is not a Pe-4 'Ffil sig"d by In.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THEALABO 13br_�O THE STAT OF WASHINGTON RELATING TO
Us ding Olii,ind .1 Issiln., O.p.1y: tond Pon. Ts. psid, sod
FOR INSPECTION ... lint is eko—olgod I, spoo pT,1d,d.
WORKMENS COMPENS URAN AND FICIN 18.27.
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SI�TURE (OWNER 94AGENT) GAT IIGNID
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771-0220
/i��URE
ATTENTION'
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_/ L DATE
Off 1333
IT IS UNLAWFI 11 To I IRF nr-,ri -PY A Al III DING OR STRUCTURE UNTIL
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 -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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TUTTITTIT ITT
Citp of (ebmotlW
DEPARTMENT OF BUILDINGi
,.,4PER UNIFORM BUILDING CODE SECTION 1".
At: 7320 216' #11 lt SW EdmoDds, WA 98026 '—'I;Peanit#��2-0974
Occupancy established b Dwelling Units: **N/A** N
y this ce icate: o. Stories: 3
B p%f;.nstructl6n:.11 I HR. SPrivik I Basement:
Yes
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Owner of Building,—Aftemylon d—g— 26
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THE 2ni ns a -Mammouragby HAS4.REEN INSPE 0,4ANd,,'AP1PRD0=
_1_ Q_nteL Vr THE REQUIREMENTS OF THE 1907
OF THE uN ANP ING WITH
EDITION IFORM BUILDING CODE A�-,'A'qb �ED I Y T 5,9VITY 4 0,01-0 DIVISION OF OCCUPANCY AND THE USE FOR
WHICH THE PROPOSED OCCUPANCY IS CLASSIF
ng, 20Q3
Issued I
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H EF OFFICIAL
BY:
Thl..Mimdm.h.*� Ptdin—W.—P.W.—nd h.%-� n—nd, nn4hWw0b�n&d and Any 0onge 0 o—paneyor ume q.1m o buldin m.*.M .
MITI I I
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FINW PROJECT APEROVALARM
TO:
DATE:
WMO TO: PERmrr COORDINATOR, BUILDING DIVISION
FROM: zo_ -FIRE DEPARTWNT DATE-6.:L�— 0�
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
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PROJECTj
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SITE ADDRESS
DATE INSPECTED
P E R M r r # J&e --L —0 A D B #
DESCRIPTION OF WORK TO BE INSPECTED__LLr__
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the grouting of:
�X GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
c3 Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall ............. ............
Pier/Porch .................
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Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -in
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0
Commercial Final
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HEATING:
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GasTest ..............
Gas Piping ................
Equipment ............
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Commercial Final
MT
EXTERIOR SHEATHING
NAILING ........................
0
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FRAMING .. .................
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FIRST FLOOR FRAMING
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INS ULATION ...............
Floor Insulation
Wall Insulation ...........
Calling Insulation
3-5-L
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .............
. ..........
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