20050740.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PLAT NAMEISUBDh/ISION NO 11_0110
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LID FEE S
PUMLI RIGHT OF WAY PER OFFICIAL STREET MAP
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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PLANNING REVIEWED By DATE
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TY 11TRUIT111 I CODE I OC_CUPA_NT
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NUMBER OF
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Description
FEE
Description
esc' 'Ption
FEE
Plan Check
State Surcharge
'at Sucha 'go
lEh8\0/WCE VESTED DATE
Building Permit
City ...... go
City Surcharge
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PLAN CHECK NO:
Plumbing
Base Fee
Base Fee
Mechanical
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
G d Ing
Grading
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS� SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
a EPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.0051A)(5))
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Engr. Review
E n g'
In
Engr. Inspection
E IT g'
PERMIT LIMIT, SEE ECDC 19.00.00IAK6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
S
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
"a Re
Plan Chk. Deposit
IN INTE EST, AGREES T INDS NIFY, DEFEND AN. HOLD HARMLESS THE CITY OF
EDMOND , WASHINGTON� TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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Fire Inspection
G I hS,
Receipt 4
Y
ALL CLAIMS F R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
0
E
BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S.ALL Or E
OROINANC
Landscape Insp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY
NOR LIMIT IN ANY WAY THE CIWS ABILITY 10 ENFORCE ANY ORDINANCE PROVISION..
It
Recording Fee
Receipt #
IHERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
a
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNEFL OR THE DULY AUTHORG 0 AGENT 01
T cate -he pthhht 111.1 1,11ed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
IN VIOLATION OF THE LABOR COOE OF
WORKMEN'S COMPENS=RANCE AND NOW 18:27.
SIGNAT IF DATE
S EIGWNIRO 6ENT); DATE SIGNED
(425)
WEA.E.
055
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771-0220 R
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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 - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
1.104 PRESS HARD - YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETSACKS .....................
FOUNDATION:
Footing ............
wallI .............. I ..........
Pier/Potch .................
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Retaining Wall
Slab Insulation ..........
0
PLUMBING:
Underground.............
0 M
C
-In ...................
MRough 0
0
commercial Final
C
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HEATING:
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Gas Test ....................
*Gas Piping ...........
Equipment ...............
0 -n
,n
-4
Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
00
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FRAMING ..............
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FIRST FLOOR FRAMING...
INSULATION ...................
;13
-4
Floor Insulation
x
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
9
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
XV6 0 NO