20050745.pdfDATIRICIIVED
PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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Description
FEE
Description
FEE
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Plan Check
State Surcharge
I HEAT SOURCE ILOTSLOPE%
VESTED DATE
Building Permit
City Surcharge
PLAIN C"EC1 11;0_5 __Z0q
Plumbing
Base Fee
THIS PERM T AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
Grading
BE DONE ON PRIVATE PROPERTY NLY. ANY CONSTRUCTION ON THE PUBIC
DO
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC WILL RE IRE
PERMISS ON.
SEPARATE
I
PERMIT APPLICAT ON: SEE ECDC ls.00.005(A)(Si
En9r. ReVie.
Engn Inspection
PERMIT LIMrn SEE ECDC 19,00,005(A)(6)
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
2 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 NO I bt
3 BE WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapoinsp.
Total Amt. Due
0 =,T=FY.
ml IN WAY THE CITY's ABILITY TO ENFORCE A Y ORDINANCE PROVISION.-
127/1
Recording Fee
Receipt # A,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI.AIION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT� AND THAT I AM THE DINNER, OR THE DULY AUTHORIZED AGENT OF
Th, appl,ca 1011, po-I -.1 s,g,,d by 1h,
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
g Olkol V, N—r D,puty nd Fou Bd—d
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMP DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION 1 EnI.V, �p p,o,,d.d
WORKMEN's COMPENSATI=NGE AND Hew 18:27,
DATE
(425)
54W� y/ 1 14n,
��SIG"ED
am 0/0,
771-0220
BY ATE
ATTENTION
RELEASEP
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-
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ORIGINAL - FILE - YELLOW /INSPECT/
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
101" PRESS HARD - YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...............
FOUND,ATION:
Footing ......................
Wall.................
Pier/Porch ..........
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground ............. i
Rough -in ...................
Commercial Final
HEATING:
GasTest ....................
Gas Piping ...........
Equipment ................
commercial Final
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ......................
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