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PERMITEXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITEIAPT#
ADDRESS 446/0 --7/01-t- AA/ tv
OWNER NA EINAME OF BUSINESS
5 0 tA P-GA a C, 'S- rot"
PLAT NAME/SUBDIVISION NO.
I LOT 10,
U 110,
LID FEE S
MAILING A DRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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P-1 R.1s
CITY
TELEPHONE
EXISTING — PROPOSED —
In
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REQUIRED DEDICATION— IT —
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NAME
METER SIZE I
LINE SIZE
I NO._7XTURES
PRV REQUIRED
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
PUMUAW TO 1W 6W.2
CITY
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NAME
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_eNUINEBRING
REVIEWED BY DATE
ADDRESS
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CITY rip
TELEPHONE
FIRE
DATE
HED, By UStriieS
r9fia Labor & Ind
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17?/"3 1 1 VARIANo. OR C.
STATE LICENSE NUMBER EXPIRATION DATE IIIURSU� SHORELINEOR AD"' POSTED
q //,. /' NT TO ECDC 1§3"3`9RE00560
6L-5 r 111, 7-33 eo , M 11 HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLEX W a (PRINED PR
EXP TMP G'O"D
S& I E INS NE
LOT COVERAGE REQUI 0 SETBACKS hFT) I PROPOSED SETBACKS (FI.)
NEW PLUMBING I MECH ALLOWED PROPOSED FRONTE SIDE REAR I FRONT UN SIDE REAR
COMPL E A
ADDITION 13 CHANGIANCEUSE
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PARIIIIIIA""Ithod wi4 R A&A"� VWRfNdMNr0WMM%Y 0 41111JAIrt
REMO DEL SIGN FrEo. d, expansion tanks are
FENCE
171 REPAIR X __ FT) REMARKS11.4-lic"l "N""ll Lull" ILH%f
DEMOLISH rl TANK
r3GARAGE RETAININGWALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPEPF USE, 811SINESS OR ACTIVITY) FXPLeIN: 1�
.. UPANT,
CHECKEDBY ITYPEO CTION
ryA Xj'-W_fr'L r. C-�- 14t! & f, 5f GROUP
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NUMBER NUMBER F CRITICAL CUPA
DWELLING AREAS SPECIAL INSPECTION JAREA
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IRED FICA, =T
STORIES UNITS NUMBER FrEoul 0 YES
or TO�,E= P." REMARKS
or
PROGRESS INSPECTIONS PER USC 10811"INAL INSPECTION REO'D
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Description
FEE
Description
FEE
P169.Check
State Surcharge
HEAT SOURCE G�ING % LOT SLOPE %
Building Permit
city Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPXR7Y ONUL AM CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, ainEWALKS�AURIVEFW�yMSISMAROUSES, EJC�) WILL REQUIRE
Grading
Be RAT Re Sholl
'R
EngT. Review
PERMITAPPUCATION gza �4 '
It.
PERMIT LIMIT I YEAR - PROVI ED WOMCAR�XE HIM HIS DAYS
SEE BACK OF P NK PERMIT FOR MORE INFORMATION
ri� Inspection
-APPLICANT, ON BEHAL OF HIS OR HER SPOUSE. HEIRS A SIGNS AND SUCCESORS
ITO
Fire Review
PlanChk.Deposit
IN INTEREST. AGREES INDEMNIFY� DEFEND AND HOLDSHARMLESS THE CITY OF
2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FRO" ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapainsp.
Total Amt. Due
.9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CIIYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Recording Fee
Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
CALL
application is not a permit until signed by the
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
shaThis
ding officlell a, huilhor Deputy: and Fees are paid,
IN VIOLATION OF THE M<%&ODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION 'chair, I, thhouthidg.d In space Provided.
WORKMEN'S CoMpENEAI� G�AND now 18.27.
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OF I—CIAL a
:1 IOWN11 OR DAT7n
6 A���S
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(4,25)
) W161ATU
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RELEASED BY DA'rE
I/MTENTION
EXT 1333
2445�
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
Y
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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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACkS .............
FOUNDATION:
Footing ....................
Wall ....................
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Pier/Porch .............
Reaming Wall ..........
Slab Insulation ..........
PLUMBING:
M
C:
M
Underground ..............
0
0
C:
R(! ugh -in .................
ITI
Commercial Final
M
HEATING:
Gas Test ..............
Gas Piping ............
0
...........
M M
Commercial Final
EXTERIOR SHEATHING
NAILING .............
FRAMING
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation
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Coiling Insulation
SHEETROCK NAILING
ITI
SPECIAL INSPECTION
I
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...........
........ ... ... .
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