20060097.pdfATE NECEIIED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME —ME OF BUSINESS
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Description
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Ian Check
State Surcharge
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Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTE , THIS PERMIT COVERS WORK TO
Mechanical
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Grading
pinsvpection
1= BE DONE ON PRIVATE PROPERTY ONLY. ANY ONSTRUCTON ON THE PUBIC
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ONMAIN (CURBS. SIDEWALKS, DRI WAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION! SEE ECDC 19.01DOS(A)(5)
Engr. Revie.
Engr
PERMIT LIMIT. SEE ECDC 19.0�005JA)(6)
SEE BACK OF PINK PERMIT FOR MORE IN50RMATION
'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, $SIGNS AND SUCCESSORS
Fire Review
PlaFChk.O.p.Bit
IN INTEREST, AGREES TO INDE NIFY DEFEND AND HOLD HARMLESS THE CITY OF
1 0 BENTS FROM ANY AND
EEMON , WASHINGTON, TS OFFICIALS, EVEN. YEES, AND A
ALL CLA`tNS I R DAMAGES OF WHATEVER NATURE. ARSING DIRECTLY OR INDIRECTLY
Fins Inspection
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
BE D TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Landscapeinsp.
Total Amt. Due
0= NOR LIMIT IN ANY WAY THE CFFY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Receipt #
JHEREDYAC NOWLEDGE 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
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONST Rue -
CALL
Off,- ., hm-, D.,uly .�d F — p,d, .�d
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOL TBI a R CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
WORKMEN a 4��LTAI.;�URJQYCE AND RCW 1.11.
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. REIEASE.
BY DArk
ATTENTION"
EXT. 1333
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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 JNSFATOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC1110.
PINK � OWNER - GOLD . ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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APPROVED BY PLANNING
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218th Street Southwest
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Jze and location approved by:
NORTH RESUB
CITY COPY JAN 2 3 2006
BUILDING DEPARTMEN'
BUILDING B-1 OrPe OF EDMONDS
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ARCHITECTURAL SITE PLAN
Permit Inspection Details
Permit: BLD20060097
PERmiTT,
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10/03/2006 Snook 45 CORRECT18� �OT-CE W�RMEN
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