20040119.pdf - LEGACYI
DATE RECEIVED
PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT #
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PARKING LOT AREA PLANNING REVIEWED BY DATE 75
REMODEL El MULTIFAMILY SIGN DED a.
[] GRADI I NG FENCE
REPAIR CYDS I x FT) REMARKS
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GARAGE RETAINING WALL FIRE SPRINKLER
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D 5
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� �-9' Description FEE Description TE E
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Plan Check State Surcharge
614,,�HEK;SOUIR E GLAZING % LOT SLOPE % City Surcharge
iiia Ilk_ 6_ Building Permit
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 Grading
:3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
cc PERMIT APPLICATION: 180 DAYS
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PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) *APPLICAN1 ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
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W IN INTERE�T, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTI.YOR INDIRECILY
* FROM THE ISSUANCE OF rHIS PERMIT. ISSUANCE OF IHIS PERMI1 SHALL. NOT 13E
* DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE LandscapeInsp. Total Amt. Due
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0 NOR LIMIT IN ANY WAY THE CITY'S A131LIlY 10 ENFORCE ANY ORDINANCE PROVISION."
Recording Fee �jReceipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ' THAT THE INFORMATION L
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 CONSTRUC- CALL [his application is not a petinit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or hisihor Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO receipt is acknowledged in spa A
FOR INSPECT[ cp provi ed.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,2T I E
dG;; 0 CIALS JSI(G TURE JDATE
SIGNATURE (OWNER OR eGENT)3 DATE SIGNED (425 1 /
k,
771 .022 "t"LEASED BY DATE
ATTENTION EXT 1333 0
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 . INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - COLD - ASSESSOR
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
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INSPECTOR DATE APPROVED
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FRAMING ........................ Q 0
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FIRST FLOOR FRAMING ...
INSULATION ................... --I
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Floor Insulation ......... z
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Wall Insulation ...........
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Ceiling Insulation ....... z
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ........ 6 .........