20020987.pdfDATE RECEIVED 1
1,2 PERMIT EXPIRES
USE PERMIT
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CITY OF EDMONDS NUMBER C& . . . . . . .
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS -<7
1111E :.11A1 :1,11111
FLAT NAMEISUBDIVISION NO. LOT NO, L�D NO,
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[ffiMAILING ADDRESS L 0 EES
1_'2 rr PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY ZIP ME EXISTING — PROPOSED— =121.11111 113,
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NAME METER SIZE I LINE SIZE 110, OF 11-URII PRY REQUIRED
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VALUATION
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Description
FEE
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Plan Check
State Surcharge.
GLAZING % LOT SLOPE %
Building Permit
City Surcharge
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PLAN CHECM_, ESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
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-QUIRE
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:3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
t: SEPARATE PER.;SSiON.
LGrading
Engr. Review
ITAPPLICATION: INDAYS
DAYS
PERMIT LIMPRI YEAPRERPROVIDED W RK IS STAITTED WITHIN 180 It
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
F HIS OR HINT SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IZTIf�'E 7;EE ;T,;C�;WE___EEE �r RIDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt III
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IALLCLAIMSF0 DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDURECILY
9 FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED H) MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
—
Landscapeinsp.
Total Amt. Due
'OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Receipt if
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION; THAT THE IMF RMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AMD THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I
THE OWNER. I AGREE To C MPIY WITH CITY AND STATE LAWS REGULATING CONSTFUC.
CALL
ThI.Implicatem 1, not a permit until signed by and
TION; AND IN DOING THE WORK AUl HORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Beading Careen .1 hielmn Darally: and Foes are paid, and
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WORKMEN$ COMPENSATIONj�,SYRANCE AND RCaN 18,27.
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DATE SIGNED
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BY DAT1f
ATTENTION
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MAHN rURE UNTIL
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Call INAL-FILE YIUI�
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER G LD - ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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By order of the Building Official for the
City of Edmonds
All Persons Are Ordered to
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Pursuant to Section 202(d) of the Uniform Building Code the Building Official for the
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City of Edmonds hereby orders all work to STOP at the site listed below.
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Address:
For the following reason(s):
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WARNING
Posted thisz!��day of Jft 41OW2 The failure to stop work, or the
resuming of work without permis-
sion from the Building Official,
at am/pm. or the removal, mutilation, or
concealment of this notice is
punishable by fine and imprison-�
Building Official ment.
Slab Insulation ..........
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PLUMBING:
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Underground .............
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Rough -in ...................
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Commercial Final
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HEATING:
GasTest ....................
Gas Piping .................
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Equipment .................
M 111
Commercial Final
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EXTERIOR SHEATHING
0
NAILING ..................
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FRAMING ...................
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FIRST FLOOR FRAMING
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INSULATION ................
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Floor Insulation
-4
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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171
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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