20021007.pdfDATE RECEIVED
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PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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REMARKS
PROGRESS INSPECTIONS PER USC 11081FINAL INSPECTION REOZ
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PLAN CHECK NO:
VESTED DATE
Plumbing
MIS PERMITALITHORIZES ONLYTHE ORK NOTED. THIS
PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSMUCTION O"THE PUBUC
a
!as. !QUIUC
Grading
Recording Fee
2 C.� WILL REQUIRE
Z a OMAIN (CURBS. SIDEWALKS, DRIVEWAYS MAROU ES. ETC.), WILL Be
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k: SEPARATE PERMISSION.
Engr. Review
City Surcharge
MrrAPPUCATION. INDAYS
PERMIT UMM. I YERG - PROVi ED WORK IS STARTED WITHIN '80 DAY'S
Eng0rispection
State Surcharge
SEE BACK OF PINK PERMIT MR MORE INFORMATION
%PPLICAHT ON BEHALF 01 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chit Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND ROLV HARMLESS THE CITY OF
1OMOND1, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
-
Fire Review
Receipt #
ALL CLAIMS To DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE iSSUA CE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT SEE
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDI�NC
Fire Inspection
Total Amount Due
NOR LIL41T IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE P MISION.'
Landscapoinsp.
Receipt III
y
I HERE 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 APPROVAL
THE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
,,,This spriplirmlim, Is nen a permit until signed by me
dl,,901fl,i.t.,hl,ih.rD.puly:.�dF.. empuld.und
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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WORKMEN'S COMPENSATIO
,NjPSURANCNAND NOW 16.27.
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DATE
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771-0220
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RPEASED
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ATTENTION
EXT 1333
IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
4�
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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Ceiling Insulation
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................