20050747.pdf71 W"5' PERMIT EXPIRES.2
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CITY OF EDMONDS
NUMBER
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AUD
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NAME
MEIER SIZE LINE SIZE NO OF 111TIRE1 RECLINED
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REMARKS
OW ERICONTRACTOR RESPONSIBLE FOR EROSION COWTROIJORAINAGE
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PLAN CHECK NO:
Plumbing Base Fee
THI ISN.FFAUT ... RES ONLY THE RHIK NOTED THIS IER.1 COVERS WORK To
Mechanical
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BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBIC
Grading
'ONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.005(A)(5)
EngE Reviev,
SEE a PERMIT LI.11 SEE ECDC 19,00,1NISIA)(6)
ACK OF PINK PERMIT FOR MORE INFORMATION
Engn Inspection
'A P ICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESSORS
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Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEF No AND HOLD HARMLESS THE CITY OF
a ONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROMIANY AND
EOM Ly
NATURE, ARISING DIRECT ORIN RECTLY
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $.ALL NOT
Landscapelnsp. Total Amt. Due
Q DEEMED TO MODIFY, WAII E OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANSCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
Recording Fee I 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
Thv . p.-I 11.11,Kd b,ffi.
THE OWNER. I AGREE 70 COMPLY WITH CITY AN. STATE LAWS REGULATING CONSTRUC-
CALL ..d,Lna Dv,AI, nd F A. pPd. ..,J
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
LABOR CODE Of THE STATE OF WASHINGTON RELATING TO
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FOR INSPECTION
IN VIOLATION OF THE
WORKMEN'S COMPENS 7 INSURANCE AND RCW 18;27.
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LS7 E DATE
DATE SIGNED
(425) NC
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771-0220 RELEASED By DATE
ATTENTION OR OCCUPY A BUILDING OR STRUCTURE UNTIL EXT. 1333
IS UNLAWFUL TO USE I
IT
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL -FILE YELLOW IINSPE�TOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 / IRC110.
PINK -OWNER GOLD - ASSESSOR
PRESS HARD - YOU ARE MAKING 4 COPIES
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS
FOUNDATION:
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Pier/Potch .................
Retaining Wall ...........
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Slab Insulation ..........
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PLUMBING:
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Rough -in ...................
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Commercial Final
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HEATING:
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Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
NAILING ................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
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Wall insulation ...........
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Calling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
i"o-d
OCCUPANCY ..................