20050947.pdfDATE RE CEMED
[PERMITEXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
.
PERMIT
NUMBER
JOB CBS SUITVAPT�
Anon 776V _5
OWNERNA E AMEOF�?SINV
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LOT NO
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TELEPHONE
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1 NO- OF FIXTURES
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YES C1 NOO 3
ADDRESS
REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRA�NAG�
WNER�c
ZIP I TELEPHONE
0 NEW 54 RESIDENTIAL
MSER
PLUMBING I MECH
0 ADDITION
0 COMMERCIAL
COMPLIANCE 0
0 OF USE'
0 MIXED USE
CHANGE
0 REMODEL
0 MULTIFAMILY
0 SIGN
0 REPAIR
0 GRADING CYOS
0 FENCE X FT.)
0 DEMOLISH
0 TANK
0 OTHER
oGARAGE
CARPORT
o RETAINING WALL
ROOKERY
o FIR SPRINKLER
FIREALARM
0 IC TTY)EXPLAIN:HD
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NUMBEROF
ENGINEERING REVIEWED BY DATE
FIRE REVIEWED By DATE
VARIANCE OR CU 5HORELI"EORA181 I INSPECTION S"
13 RE �D COMPLETID I 1X111T
YES 13 N
E-FIE SIGN AREA GHT
WAIVER 0 1 I-POSEB 0. 1 PR.—Ee
STUDY 13
LOT COVERAGE EQUIRE SETRACKSLFT) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED I RFRONTO SIDE REAR 11 FRONT URSIDE REAR
PARKING I LOTAREA IPIANNINGIIEVIIWEDIY BITE
RECo I PROVIDED
OCCUPANT
GROUP R
4 _3
NU
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DWELLING
SPECIAL INSPECTION
CONSU LTANT
OCCUPANT
LOAD
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UNITS
REQUIRED 13 YES
DESCRIBE WORK I U bft UUNI,
REMARKS
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T R ESIGI
STRUCTURAL DESIGN
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A T I N
VALUATION
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Description
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Description
FEE
IREOUIREGrading
Plan Check
State Surcharge
E D AT
HEATSOURGE IOTILOPE� VESTED DATE
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Building Permit
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City Surcharge
PLAN CHECK NO:
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Base Fee
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Mechanical
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THI PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
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THE PUBIC
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T
DONMAIN (CURB$. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL OU
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.00sIA)(5)
Erg, ReV,..
Engr. Inspection
PERMIT LIMIT., 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 'HIS REST 5 To "ID"INIFY'DEISHO AN.' "Lo =�ES'1"T.e CITY .1
=T B PLO E S OM ANY AND
S.MONOS, IN ON, IT. OFF AN.
Fire Inspection
Receipt #
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ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE. ARISING DIRECTLY RINDIRECTLY
sHALL NOT
FROM THE ISSUANCE OF THIS PERMIt ISSUANCE OF THIS PERMIT
ANY REQUIREMENT OF ANY CITY ORDINANaCEE
Landscapeinsp.
Total mt. Due
Total A
DEEMED TO MODIFY. WAIVE OR REDUCE
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NOR LIMIT IN ANYWAY THE CITYSASILITY TO ENFOR E ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
IRENE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE iNF RMATION
APPLICATION APPROVAL
B IZE
GIVEN 15 CORRECFANO THAT I AM THE OWNER, OR THE DULY AUTHOR DAG NTOF
REGULATING CONSTRUC-
THE OWNEFL I AGREE TO COMPLY WITH CITY AND STATE LAWS
TION;ANOIND IN TH WORKAU D THEREBY, NO PERSON WILL BE EMP DYED
-ODE T TATh OF WASHINGTON RELATING TO
CALL
FOR INSPECTION
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IN VIOL !ON OF THE LABOR OF
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OFFICIALS SIGNATURE DATE
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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 IBC1I0 I IRC110,
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..........
FOUNDATION:
Footing ......................
wall ...............
Pier/Porch .................
Retaining Wall ...........
Stab insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ............... . ...
Gas Piping .-. ............. .
Equipment .................
Commercial Final
lee \0
EWrERIOR SHEATHING
NAILING ..........................
Ak
FRAMING ........................
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FIRST FLOOR FRAMING...
0
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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