20060106.pdfDATE
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PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
JOB
ADDRESS
CONSTRUCTION PERMIT APPLICATION
OWNER NAM NAME OF BUSINESS
PLAT SAMiDSLUDIVISION NO
LOT NO,
I'D 10,
LID FEE S
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MAILINGADDRESS
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDA AINAGE I
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ADDRESS
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RECYCLE REVIEWED By
DATE
CITY
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PUBLIC WORKS REVIEWED By DATE
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Plop" TY TAX ACCOUNT PARCEL NO,
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RELICS ED SETBAC KSII
ADDITION CHANGE OF USE
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MIXED USE
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FRO SIDE RSEXR)
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FRONT URSIDE REA
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GRADING CYGS
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LOTA 7.A
PLANNING REVIEWED ITY DATE
DEMOLISH
TANK
30 WT.ER , I
REGO I PROVIDED
REMARKS
m GARAGE RETAINING WALL FF2ESPRINKLER
CARPORT ROCKERY REALARM
DWELLING I f-I/E OF C�r:U-101 0 DURANT
UNITS GROUP
I REQUIRED 13 YES
BY
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VALUATION
VALUATION
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Description
FEE
Description
FEE
HEAT SOURCE LOT ILOPI** VESTED DATE
Plan Check
State Surcharge
PLAN CHECK NO:
Building Permit
City Surcharge
Plumbing
an�
Base Fee
THIS PERMITAUTHORIZESONLY THE WORK NOTED, THIS PEXRMITCOVERSWORKTO
BE DO E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
N
Grading
I,
DOMAIN 4CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.1 WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19,B0,0500 5)
Engr. Review
Recording Fee
PERMIT LIMSE SEE ECDC'9.00 -OS(A)(6)
Eng, Inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, AbbluNb A-
NPINTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 0;
ED WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
MONDS'
ALL CLAIMS I R DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
0
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
=TT. NG.IF1 WAIVE OR FIEDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
N IN NY WAY THE CITY'S ABILITY TO ENFORCE ANY ... I.A.CE PR.Vls'.H.'
Fire REVIEW
Receipt If
--j Ire �Inspectio7
o0oI&
T.I.IArnt Due
_�EC-Ipl _�,K
Landscape Insp.
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; T AT THE INFORMATION
GIVEN ISCOARECT�. NO THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTR -
TIOW AND IN DOING THE WORK AUTHORIZED THEREBY, No REASON WILL BE EMPLOYUECD
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENG COMPENSATI=4NO RCW I ' :27�
CALL
FOR INSPECTION
(425)
771-0220
EXT. 1333
APPLICATION APPROUV
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RELEASE DEW I .."K
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 �INSIECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC1110. PINK . OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060106
F`ERMtTTR..4x
0110812007 SMITH 20 APPROVED
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Total Time: 20
Total Inspections:
Total Time: 20
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Page I of 1
6/112009 10:30:02 AM
�7777r
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ......................
Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground .............
Rough -in .............
Commercial Final
HEATING:
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 ....... ...
L