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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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2
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t: SEPARATE PERMISSION. Engr. Review
PERMIT APPILICATION: 180 DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STAMED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapelnsp. Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
zi Recording Fee Receipt #
I HEREBY 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- This applic n is not a permit until signed by the
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Buildi fi I cie his/her Deputy: and Fees are paid, and
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION r1e pits cknowledgedinApace provided.,
WORKMEN ! S COMPENSAT2,HNSURANCE AND RCW 18.27.
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SIGNAT RE (OWNER AGE DATE SIGNED (425) All
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INSPECTIONS REaD SNOHOMISH COUNTY, WASHINGTON
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PLrASZ SIGN ENGINEERING DIVISION DATE
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MAN SIGN
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A, field inspection was conducted to determine flual compliance with approved plans. Final approval
Department to the release of
denotes that there are no objections from the above signed
PERFORMANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
U Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECT . ED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ........................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipfnent ...............
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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WE RECEIYED
C),, -F-;—EXPIRES
CITY OF EDMONDS
UdE PERMIT
ZONE PAO-Z000-21 NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS C7 < L
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OWNER NAMEINAME OF BUSINESS
PLAT NAME/SUBDIVISION NO.
1
LOT NO.
LID NO.
LID FEE S
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EXISTING — PROPOSED
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RW it.
Street Use Pertnit Roq'd
Inspection Required
Sidewalk Required 13
Underground
Wiringrequired 13
CITY ZIP
TELEPHONE
1V 3) 16
NAME
L" V- V.�
METER SIZE
LINE SIZE I
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NO. OF FIXTURES
PRV REQUIRED
YES 1:1 NO C3
TD—DRESS
VF
REMARKS
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PROPOSED SETBACKS (Fr.)
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RE17D I PROVIDED
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PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN
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REPAIR CYDS ( _ X . /0 FT)
REMARKS
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oGARAGE Ei RETAINING WALL F RE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE IV" EXPLAIN:
BUSINESS OR ACT
-CHECKED BY [TYPE
b N TRMUTION.
CODE -1
OCCUPANT
NUMBER 4,Z
OF
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NUMBER OF
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OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER LIBC I 08/FINAL INSPECTION REO'D
CTIM
VALUATION
10 r: 6L. I 6W
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE % =7
I Building Permit 60, City Surdharge
PLAN CHIICK-NO: VESTED DATE Plumbing
—a
Mechanical
THIS PER IT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE De
NE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
'DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
t: SEPARATE PERMISSION.
Engr. Review
15 PFR�ITAPPUCATION: 180 DAYS
PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Arnt. Due
0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 1 1.11 -
Recording Fee Receipt # V 7__
I HEREBY 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 OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING ACONSTRUC- This applicapn Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL BuIldl ' offil o his/her Deputy: and Fees are paid, and
RELATING To 7re pils cknowledgad lWace provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR IN§PFCTION
WORKMEN'S COMPENSA��NNSURANCE AND RCW 18.27. 1 1") OFFICjALS4j 4AT E L P
SIGNAT14PE (OWNER AGENT) DATE SIGNED i"S ) / 4__,&
C(I _T16
r 771-0220 RPL
&ASED DAT?
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL-FILE YELLOW_-KSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING r1\ I
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