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UQ-F PERMIT
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CITY OF EDMONDS NUMBER i
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OWNER NAME/NAME SINESS
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11 REMODEL MULTIFAMILY SIGN REO'D EM
L____� FENCE
11 REPAIR 13 GRADING CYDS X Fr) REMARKS
1:1 DEMOLISH 1:1 TANK OTHER BULE AAAGGEHED
GARAGE RETAINING WALL FIRE SPRINKLER
zi E] CARPORT 1:1 ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED . BY TYPE 009f OCCUPANT
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PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REQ'D 6
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MT.SOURCE GLAZING % OT SLOPE % Building Permit City Surcharge
l" - I VESTED DATE Base Fee
[PLAN CHECK NO: Plumbing 1� ) — I I
/1-31
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
It= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
M PERMIT APPLICATION: 180DAYS
w PROVIDED WORK IS STARTED WITHIN 180 DAYS
CL PERMIT LIMIT. I YEAR - Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review Plan Chk, Deposit
U) -APPLICANI, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
in
�j IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTI_YORINoIREC1LY
< THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF
a DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR L IMIT IN ANY WAY THE CI I-YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT TIIE INFORMATION APPLICATION APPROVAI
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF this application is not a permit until signed by the
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL Building Official or his/tier Deputy: and Fees are paid, and
LION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR.�;ODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSATION IN HANCE AND RCW 18 27, OFFICIALS S AT E 0 D)tE
L-ENTJ DATI Sl ED (425)
SIGNATURE (OWNER Oft A 7
Frf'By lip
To k 771-0220
EXT 1333
'ATTENTION
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-O"INER - GOLD -ASSESSOR
O9jO3 PRESS HARD -YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
'.SETBACKS .....................
FOUNDATION:'
�ootlng .......................
vvall ...........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING: .
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
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Equipment .................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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