20040388A.pdfI
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CITY OF EDMONDS NUMBER
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STATE LICENSE NUMBER EXPIRATI N DATE VARIANCE OR CU SHOREL1777INSOECTION BOND
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ArF0 WC 1 Z2 SEPA REVIEW SIGN AREA E]YES ONO S HEIGHT
PROPERTYTAX ACCOUNT PARCEL NO,
Mk� COMPLETE EXENJPT P OSE.D. AffED PROPOSED
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NEW RESIDENTIAL PLUMBING MECH h VW18 "StAICIS kPIP 11PIWWRETBACKS (Fr.)
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REPAIR 11 CYDS 11 ( X FT) REMARKS
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Z Ei GARAGE RETAINING WALL FIRE SPRINKLER
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E (TYPE OF USE, BUSINES R ACTIV`ITY)� EXPLAIN:,,
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NUMBER OF CRITICAL GRO
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Description FEE Description FEE
0 6/t e-( L-�r -S/ Plan Check State Surcharge
HEAT SOURCE: 11 GLAZING % j_(rzq tltft =1 —
Building Permit City Surcharge f7
PLAN CHECK NO: VESTEb 6ATE Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
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W PERMIT APPLICATION: 180DAYS
CL PERMIT LIMIT., I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Plan Chk. Deposit
U) Fire Review
Let IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt
ALI, CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECILY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMI1 SHALL NOI BE
DEEMED TO MODIF'� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt 0
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION I —
GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGRiE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. I his application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building 011icial or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is a9knowledged in space provided.
WO��MEN;��.NSATION INSURANCE AND RCW 18 27. ---------
S E SIGNED/ (425) OFFIC.IA1 I IN I U� ATE
-0220
771
TION EXT 1333 RELEASED BY D E
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
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR.
DATE APPROVED
SETBACKS........................
FOUNDATION:
poting......................
-Wall .........................
P erkrd
Retaining Wall ....
Slab Insulation ..........
PLUMBING:
Underground ............. .
99ugh-In ...................
4CQmmqrcia1 Final ......
HBATINq..
Gas Test ....................
Gas Piping .................
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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