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CITY OF EDMONDS Will
CONSTRUCTION PERMIT APPI ICATION JOB SUITEIAPT#
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REMARKS
GEOTECH REPORT
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE LOTSUOPE% VESTED DATE
Building Permit
City Su.h.19.
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PLAN CHECK NO:
Plumbing
AM
Base Fee
Mechanical
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WO.. TO
RReco'ding
8 DONE ON PRIVATE PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBIC
n DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19.0LOOSAHS)
Engr. Inspection
PERMIT LIMIT�. SEE ECDC 19,11IL0051"')
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSOR$
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, 06FEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGEN'�LSYF.R.Om A,14YcATNLYD
Fle In,pection
Receipt #
OF WHATEVER RE, ARISING DIRECT NOR
ALL CLAIMS FOR DAMAGES NATU
z FROM THE ISSUANCE OF THIS PERM ISSUANCE OF THIS PERMIT SHALL NOT BE
IT
OF ANY CITY ORDINANCE
andscape Insp,
ToWl A.A. Due
M DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT
D NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
d,aq Offi-I .1 h1a0v,1 D�P Pad Fan .. paid, ad
nON,. AND IN DO THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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.t,. LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION
IN V,.,AT.
WORKME4.�EIQISATI.N INSURANCE ND Hew 181L
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I DATE SIGNEP
(4,25)
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771-0220
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 CERTI.
ORIGINAL -FILE - YELLOW -INSPECTO
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 ISC110 I IRC110.
PINK -OWNER , GOLD -ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..................
Pier/Porch .................
Retaining Wall ........... z
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Stab Insulation ..........
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PLUMBING:
Underground .............
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Rough -in ................... a M
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Commercial Final
HEATING:
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Gas Test .......... M z
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Gas Piping .................
Equipment .................
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EXTERIOR SHEATHING
NAILING ...................... M M
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FRAMING ................ 0
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FIRST FLOOR FRAMING C co
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INSULATION ................... 7`1
Floor Insulation W
Walt Insulation ...........
Ceiling insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FO
OCCUPANCY ............ R R4