20021005.pdfj,DA11 RECEIVED 7
PERMIT EXPIRES
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CITY OF EDMONDS �"E L 0 NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPT#
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PLAN CHECK NO: L
ESTED DATE Plumbing
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Mechanical
THIS PERMIT AUTHOAIZES ONLY THE WO K NOTED. THIS PERMIT COVERS WORK TO
t: 0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON HEPU LIC Grading
DOMAIN (Contra, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL EQUIRE
lz SEPARATE PERMISSION, Engr. Review
PERMIT APPILICATION: IN DAYS
PERMIT LIMM I Y. - PROAR ED WORK IS STARTED WITHIN INDAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT. ON BEHALF OF HIS OR HER SEOUSE� HEIRS, ASSIGNS AND SUCCESORS Fire Review
IN HIE REST, AGREES TO INDEMNIFY, DEFEND AND HOLD HAS LE S THE CITY OF
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EDMONDS, WAIIIINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection
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ALL CLAIMS FOR OAMAGE1 OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
Total Amt. Dus
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FROM T.EhNGANCE OF THIS PEAMM ISSUANCE OF THIS PERMIT SHALL NOT ' E L
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DEEMED TO MODIFY, WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINAN8 Landscappelnsp.
0 NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
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1 HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVE IS CORRECT. AND THAT I AM THE OWNER OR THE DULY UTHORIZED AGENT
APPLICATION
APPROVAL
THE OWNEIL I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
a permit until signed by the
I
TION; AND IN DOING THE We PERSON WILL BE EMPLOYED
RKAU OR ED
IN VIOLATION OF THE LABOR .J1 01"I. STATE WASHINGTON FELATING I.
FOR INSPECTION
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A GERTIFI-
OFIGINAL,41LE YELLOW'-INSPEdOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK -OWNER GOLD,ASSESSOR
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pERMIT COUNTER
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ............
1-:30
wall
Pier/Porch .................
Retaining Wall
Stab insulation ..........
PLUMBING:
Underground .............
Rough -in ... .............
FRAMING ........................ ly 'S t7 I -
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR -7,d 1- (,,3
OCCUPANCY ...............
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