20050201.pdfDATE RECEIVED
PERMIT EXPIRES 1. �
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CONSTRUCTION PERMIT APPLICATION JOB TE APTU
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Description
FEE
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Plan Check
State Surcharge
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Building Permit
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Plumbing
Base Fee
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Grading
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19.00.005(A)(6)
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
EDMONDS,
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
W AIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY.
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
#
Record ng Fee
Receipt
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ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
I HEREBY
GIVEN IS CORRECT: AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
This application is not a perrinit until signed by the
THE OWNER. I RIE 'V#LWITH CITY AND STATE LAWS REGULATING CONSTRUC-
AG E To COE
CALL
Building official or his/her Deputy and Fees are paid. and
TION: AND IN DOIN THE W AUTkORIZED THEREBY, NO PERSON W ILL BE EMPLOYED
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OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowledged in space. provided
IN VIOLATION OF THE LA40R C04E
COMPENSA��.jNjq=NCE AND RCW 18:27.
OF 1, 1 1 SIG RE DATE
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SIG ATURE (OWNER AG T)l DATE SIGNED
(4251)
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771-0220
RECE Y 15A1 E
�,,T�ENTION OCCUPY A BUILDING OR STRUCTURE UNTIL
IT Is UNLAWFUL TO USE OR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / 113101110 / IRC110.
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ORIGINAL -FILE YELLOW -INSPECTOR
PINK -OWNER GOLD - ASSESSOR
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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 .................
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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