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CITY OF EDIVIONItDS NUMB&
CONSTRUCTION PERMIT APPLICATION 101HE_
ADD SUffF'APTA
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NAME ETERbQ&jH""IZ6—f-75'�F1XTURES I P VREOUIRED
YES 13 NO 0
ADDRESS NErMARU`8..TNAGTOII III... FOR EROSION CO TROUDRAINAGE
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lifilo mansion tank shall be
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on all hot water taftft.
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FIRE REVIEWAI�M
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REPAIR El GRADING CYCE [3 FENCE
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REMARKS
DEMOLISH TANK E3 OTHER
o G RAG o RETAINING WALL
ROCKE o FIRE SPRINK ER
CARPO RY F REALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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OCCUPANT
10
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Description
FEE
Description
FEE
I T
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Plan Check
P
State Surcharge
LOTSLOPE% VISITED DATE
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
P In
TI
..So Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK 110TEM THIS PERMIT COVERS WORK TO
Grading
B DONE ON PRIVATE PROPERTY ONLY. ANY CO STRUCTION ON THE PUBIC
NEoLN
DONMAIN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC,I WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECOC 19.00.005(A)(5)
Engr. Inspection
gr
PERMIT LIMIT, SEE ECDC 19.00.00S(AI(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, D FEND AND HOLD HARMLESS THE CITY OF
EDMONDS' WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF W14ATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Race III
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORM -
Recording Fee
Receipt It
MERE YACKNOWLEDGE THAT I HAVE READ MISAPPLICATION; THAT THE RIATION
APPLICATION PR
T'
OEIZE. AGENT or
GIVENO OIRICT.'AND THAT I AM THE OWNEFL OR THE DULY AU, IN E'Z Se.
IS CR,
T ,I.gr. I,1 h.
TN. C.NST C
I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
THE OW.E ULA R. -
CALL
A g
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
STATE Of WASHINGTON RELATING TO
pt--w.
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FOR INSPECTION 'L.�
IN VIOLATION OF T E LAS 0 THE
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WORKMEN'SCOMPE4'WU0-0ENCEA GRCWIeZT.
OFFICIALS RE DATE
DATES NED
(425)
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rRELEASED WBYQ�:
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:ZLML41�4
771-0220
DATE
VTENTION
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
OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRC110.
PINK . OWNER - GOLD � ASSESSOR
FICATE
PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit* BLD20060073
RERMITTPAX
02/0212006 SNOOK 30 APPROVED
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Total Time; 30
Total Inspections: I
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
S&ACKS .....................
FOUNDATION:
Footing ...........
Wall ............ ...............
Pier/Porch .............
Retaining Wall
Slab Insulatl on
PLUMBING:
Underground ; ............
Rough -In ............
C O.Tmerclal Final
H . EATING: ._
GasTest ....................
*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
OCCUPANCY ............
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