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FDATE RECEIVED
. CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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1:1 TANK
GARAGE
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ALLOWED PROPOSED FRONT SIDE REAR FRONT LJRSIDE REAR
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
LOTSLOPE%
VESTED DATE
Building Permit
City Surcharge
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PLAN CHECK NO:
Plumbing
Base Fee
100 94\
Mechanical
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
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recor ding Fee
Receipt #
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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
This application is not a permit until signed by the
THE OWNER.. I AGREE To,..�PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DoftG-TS Wo UTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
Building Official or hisiher Deputy: and Fees are paid, and
IN VIOLATION..OF THE LABOR C DE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowledged in space provided.
WORKMEN'S COMPENSATIq�.4V NCE AND RCW 18:27.
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IT IS 'NLAW L.TOUSEOROCCUPYA BUILDING OR STRUCTURE UNTIL -zAJ 2,q
A F1 VALI PECTION HAS BEEN MADE AND APPROVAL OR A CERTI- OVGINA FIL - YELLOW - k11SPEC'
OCCUP I
FICA OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK IWN R - GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPEC TOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
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Retaining Wall ...........
0
Slab Insulation ...........
PLUMBING:
=n
Underground .............
M
C
M
Rough -In. ...................
0 0
Commercial Final ......
C
M
HEATING:
M Z
Gas Test ....................
Gas Piping .................
1
0 -n
Equipment ............
-n
Commercial Final ........
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EXTERIOR SHEATHING
Cn
NAILING ........................
0 M
C Cn
FRAMING ........................
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FIRST FLOOR FRAMING...
M 0
Z
INSULATION ...................
Floor Insulation .........
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Wall Insulation ...........
Ceiling Insulation .......
Cn
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SHEETROCK NAILING ...
SPECIAL INSPECTION
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MISCELLANEOUS ...........
FINAL APPROVAL-ROR
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