20060021.pdfATE RECEIVED
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I I PERMIT EXPIRES
PtRMIT
CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
Do SUITEIPT.
ADDRESS
OWNER NAMEJNAME OF BUSINESS
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PLAT NALIF-SUBDIVISION NO LOT 11, LID 10
MAILING ADDRESS
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LID FEE S
PUBLIC RIGHTOF WAY PER OFFICIAL STREET MAP T�L''.=.
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13
CITY "P TELEPHONE
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EXISTING PROPOSED
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NAME
PRV REQUIRED
YES C3 No 13
I. ADDRESS
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REMARKS
OWNERGONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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CITY ZIP
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NAME
ENAGINE NI GAI I
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ADDRESS
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RECYCLEREVIE EDDY DATE
CITY ZIP TELEPH HE
PUBLIC WORKS REVIEWED BY DATE
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STATE LICENSE NUMBER EXPIRATIO ED BY
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Building Permit City Surcharge
PLAN CHECK NO:
Plumbing Base Fee
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THIS PERMIT ALITHORIZESONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN IOUROS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETO,) WILL REQUIRE
6 PARATE PERMISSION,
Giadmg
PERMIT APPLICATION: SEE ECDC 19.01005( Allsl
PEBM, T LIMIT; SEE ECDC 19,00.005(A)(6)
Engr. Stevie. Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk, Deposit
ON BEHALF OF Hi OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR
Fire R.vi.W Receipt #
;APPLICANT,
INTEREST, ACIRIES TO INDEMNIFY, DEFEND AND "OLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
FROM THE ISSUANCE Of THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'$ ABILITY TO ENFORCE ANY ORDINANCE PROVISIOM
Receipt I
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APPLICATION APPROVAL
A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE IN OPMATION
AUTHORIZED AGENT OF
CALL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FILM,, OX,—, A, NK—, D.pi, a. l—, Rid
FOR INSPECTION
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 RE LATING TO
WORKMEN'S COMPENSAT=URANCE A 0 HOW 11 ;;; 7.
(425) OFFICIALS
S,G;MJO%7NERO:� V�ENT)
771-0220
EXT. 1333
ATTENYION
IT IS UNLAWFULTO 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. UBC109/ IBC1101 IRC110. PINK -OWNER COLD - ASSESSOR
BIDS PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060021
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01/1112 006 snook 35 APPROVED
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Total Time:
35
158 B Build 11%
comp!p!e�,
1� APPROVED
y
01/1112006 snook
Total T1..:
is
Total Inspections: 2
Total Time:
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7.
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ................
FOUNDATION:
Footing ......................
wall ................
Pier/Porch
Retainlng7�Wafl
Stab Insulation
PLUMBING:
Underground .............
Rough -In ............
Commercial Final
HEATING:
Gas Test
Gas Piping
Equipment ..............
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..............
FIRST FLOOR FRAMING
INSULATION .............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
It 6
OCCUPANCY ..................
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