20060040.pdfDATE RECEIVED
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USEE PERMIT
CITY OF EDMONDS ZO NUMBER
CONSTRUCTION PERMIT APPLICATION ',0DORESS
OWNER NAME11A.E OF (6't) "To
SAM 'yjINEI3S e
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTUOL,DRAtNAGE
CITY ZIP
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REMARKS
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HEAT SOURCE GLAZING % LOT SLOPE %
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PLAN CHECK NO: VESTED DATE
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0 6 Base Fee
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THIS PERNIFT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO
'0
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
G OIIIIAIN JCURBS, SIDEWALKS, DRIVEWAYS )WILLREQUIRE
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c: BE. PER.iSSION"E".
-----------
Engr, Rwiew
PER ITAPPLICATION: INDAYS
PERMIT LIMIT I YEAR - PSOVID D WORK IS STARTED WITHIN 1-0 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHAL HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan ChIL Deposit
;APPLICAN7.
N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
See pt
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANC OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
Landscapainsp.
Total ADS. Due
I
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
—
Recording Fee
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVE IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
is a.,. panned 111,1ge.d by In.
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LASC1T'CSQE OF THE STATE OF WASHINGTON RELATINGTO
FaIeThf-ppi.silo.
di,901ficialothisiher epely: and Fees ,a paid. and
FOR INSPECTION "cipti�..k.-I�dogedi,spoup�ided.
IS WORKMEN'S COMPENSPIQN INSUR'f�E AND FICA 1827.
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T IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
NSPECTION HAS BEEN MADEANDAPPROVALORACEFrriFICATEOFOCCU-
PANCY HAS BEEN GRANTED. UBC109/]BCIIO/IRC110.
ORIGINAL - FILE YELLOW INSPECTOR
PINK -OWNER GOLD -ASSESSOR
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Permit Inspection Details
Permit: BLD20060040
PERMITTrAX
01/1812006 snook 30 approved
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Total"riale: 30
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01/2012006 snook 20 approved
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TotalTime: 20
Total inspections: 2
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Feeling ..................
Wall ...................
Pier/Porc4
Slab latibn
'�:Pj
1.�dergrotJnd
Rough -In ................. -
,commercial r1hil
7
HEATING:
as st
Cal
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
13, C
OCCUPANCY ..................
00 yo 1 0000