20060109.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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Description
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Base Fee
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SEPARATE PERMISSION.
PERMIT APPLICATION! SEE ECDC 19.00.005CAJIS),
Engr. Review
Engr Review
Recording Fee
PERMIT LIMIT. SEE ECDC 19,00.005(A)(6)
Eng, I Papect"D
Eng, Inspection
Plan Chili. Deposit
SEESACK OF PINK PERMIT FOR MORE INFORMATION
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'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HE19% ASSIGNS AND SUCCESSORS
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IN INTEREST, AGREES TO INDEMNIFY, DEPEND AND HOLD HARMLESS THE CITY OF
EDMOND WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
S' BRECTLY . "V.,PECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A Y CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Fire Review
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Receipt #
Fire Inspection
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1 HEAE8Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; T14AT THE INFORMATION APPLICATION APPROVAL
GIVEN is CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL Th,FK.I,.n �. P.I. P.—I ,� �11 �, INV
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- ,, Otfi1 ., rI F 11. 111, nI
TION: AND IN DOING 'HE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED FOR INSPECTION CapI Is 11k,owI,dq,,d,, spce Pr—ded
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPEN$ATIOV,��ANCE AND A (425) OFFICIALS SIGNATURE
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ATTENTION _rr T_
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. UBC1091 IBC110/ IRC110. PINK -OWNER GOLD - ASSESSOR
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Permit Inspection Details
Permit: BL020060109
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Page 1 of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ....................
Wall..........................
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Pier/Porch .................
Retaining Wall ...........
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Stab Insulation ..........
PLUMBING:
M
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MID
Underground .............
Rough -in ...........
3: M
Commercial Final
M
HEATING:
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GasTest ....................
Gas Piping .................
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3:
Equipment
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ...............
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FIRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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