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[PERMIT
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CITY OF EDMONDS
PERMIT
NUMBER 7 `57
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CONSTRUCTION PERMIT APPLICATION
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NO OF FIXTURES
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ADDRESS
REMARKS
OWNERICONTRACTOR RESIONSISLE 'OR EROSION CONTROUDRAINAGE
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LOT COVERAGE I REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR
.5 1- 1 N /c, 1 5, 1 o, Is, NO cylanq-p—
PARKING DATE
ERGO PROVIDED LOTARIA PI�NNING REVIEWED By
OAMAAi4 09/DI/05
YP CONSTRUCTION I CODE I GO URANT
GROUP
SPECIAL INSPECTION I CONSULTANT I OCCUPANT
REQUIRED E3 YES
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Description
FEE
Description
FEE
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State Surcharge
12 S-UR j VOT SLOPE16 VESTED DATE
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Building
City SUrCharge
PLAN CHECK NO:
Plumbing
Base Fee
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Mechanical
THIS PERMIT AUTHORIZES ONLY HE WORK NOTEM THIS PERMIT COVERS WORK TO
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Do NMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEMRATE PERMISSION,
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
Engr. Review
Engr. Inspection
L I
u PERMIT L MIT. SEE ECDC VILBILOOSIA)(6)
See BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
Plan Chk. D.posi
;APPLICANT,
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
S Cc WASHINGTON,STS FFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
S'
Fire inspection
Receipt #
z ALLMOROMS FOR DAMAGE OFOWHATEVER NATURE, ARISING DIRECTLY OR INDIRECT'
CLA` L NOT BE
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAL
L.ndscap.Insp.
Total Amt. Due Z 7�;
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DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E
NOR LI IS CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
MIT IN ANY WAY TH
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT TH INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
LAWS REGULATING CONSTRUE"
Tir-PP-11- A -I Ilg-� by IN,
THE OWNHHL I AGREE TO COMPLY WITH CITY AND STATE
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
THE STATE OF WASHINGTON RELATING TO
CALL
FOR INSPECTION
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IIIJ91- IP111 PI-illd
IN VIOLATION OF THE LABOR CODE OF
WORKMENs COMPENSATI��NCE AND RCVJ 18:27�
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771-0220
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ATTENTION
Rt LEASED BY
EXT. 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL -FILE YELLOW 14SPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK -OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS
FOUNDATION:
Feeling ......................
wall...................... ...
Pier/Porch .............
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Retaining Wall ...........
Slab Insulation ..........
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PLUMBING:
Underground .............
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Rough -In ...................
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Commercial Final
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HEATING:
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GasTest ....................
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Gas Piping
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Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
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NAILING..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Calling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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