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CITY OF EDMONDS NUMBER MOO
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
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STATE LICENSE NUMBER EXP,lRATI?N DATE J'AJ�4EII REO'D POSTED
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PaI4 CHECK NO: Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I!= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180DAYS
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IL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review Plan Chk. Deposit
Cn IS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
in 'APPLICANT, ON BEHALF OF H
�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
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* ALI- CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIREC I IN OR INDIRECTLY 11t
* FROM THE ISSUANCE OF IHIS PERMIT ISSUANCE OF THIS PERMH SHALL NOT BE �E
01 DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENr OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
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Recording Fee
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPRO
GIVEN IS CORRECT AND THAr I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF it until signi
I AGRiE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a perm y the
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THE OWNER. CALL Building Otlicial or his/her Deputy: and Fees are paid, and
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION receipt is acknowledged in space provided.
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S Co M PEN SATjQN-4N4P RANCE AND RCW 18 27. OFFICIALS S�GNATdRE DATE
DAIE S NED (425)
SIGNATURE (OWN f��GENT�)
'I, z h 771-0220 RELEASELYBY DATFr'
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 -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
M03 PRESS HARD -YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
12 1 5TH AVENUE NORTH EDMONDS. WA 98020 (425) 771 -0220 FAX (425) 771-0221
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Website: www.d.edmondsma.us
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DEVELOPMENT SERVICES DEPARTMENT
Planning Building - Engineering
August 25, 2005
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Mr. David Traux
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19208 76"' Avenue West
Edmonds, Washington 98026,
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RE: Plumbing Permit #2004-0309
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Dear Mr. Traux':
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According to City records Washington Energy Services obtained a permit on your behalf to change out
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a gas water heater within a utility room (reference permit #2004-0309 copy enclosed for your
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and requires a filial installation inspection in order to close out the pennit and to be assured no life-
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safety issues exist.
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S of' d of inspection request, My staff placed a phone call to
Unfortunately, a this date there is no recor
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Washington Energy Services 'and, confirmed that tile work is finished. We understand that it is
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ieti S icult to arrange a d a'y and time for inspection, especially when family members are
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wo rking; however the code requires a filial inspection.
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Please contact the Building Services Inspection hotlin e at 425-771-0220 extension 1333 by September
9, 2005 to schedule a day and time fo r inspection. Our inspection hours call be from 7:15am to
3:451im" Monday through Friday. If these times are not convenient for You perhaps another family
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inember or neighbor Could allow tile City Building Inspector access for inspection. We will try to
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accommodate your schedule as much as possible. IT there are circumstances beyond Your control that
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will pre ii complying by September 9, 2005 please call me directly at 425-771-0220
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extension 1226.
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Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister CitV - Hekinan, Japan
INSPECTOR DATE APPROVED
i:-SETBACKS .....................
FOUNDATION-.
Footind
Wall...........................
Pier/Porch ..................
Retaining Wall ............
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Slab lnsulptlon� ...........
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PLUMBING:
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Underground . .............
Rough -in ...................
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Comme . rcial-Fin6l ......
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HEATING:
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'Gas Test ....................
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Gas Piping .................
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Equipment .................
Commercial Final .......
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ...................
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Floor Insulation .........
Wail Insulation ...........
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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