20060123.pdfDATE RECEIVED
PERMIT EXPIRES 1,71.
10ERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITE�AFT,,
ADDRESS
OWNER NAMEINAME OF BUSINESS R&,37 W;ek
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NAME METER SIZE I LINE SIZE I NO, 01 IIXTUFIS PRV REQUIRED
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PUBLIC WORKS REVIEWED By itate Labor & In"Irles
STATE LICENSE NUMBER EXPIRATION DATE
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PLAN CHECK NO:
Building Permit
City Surcharge
Plumbing
Base Fee
THIS PERMITAUT14ORLUS ONLY THE WORK NOTED, THIS PERMIT COVERS W08K To
TY ONLY. ANY CONSTRU a SWO8 To
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BE DONE ON PRIVATE PROPER CTION ON TH PUBLIC
Mechanical
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2 DOMAIN (CURDS. SIDEWALKS, DRIVE.S, MARQUEES, ETC.) WILL REQUIRE
5= SEPARATE PERMISSION,
Grading
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PERMIT APPLICATION: SEE ECDC 19.00,005JAHS)
PERMIT LIMIT. SEE ECDC 10.00,005(A)(6)
Eng, Revi . aw
Recording Fee
engr. Inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFOR ATION
'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ASIS114G DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMI SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION�
Fire Review
Receipt 0
Fire Inspection
Total Amt. Due
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Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DU AUTHORIZED AGENT OF CALL Th,� n,X A p., -,I �,gn.d , Ir.
I ABBE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFIUC, rIvA.'O.PuI,
�?E�?WNER- LOYEO FOR INSPECTION
to , AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BEEMP IPI,snk ... ledge— pce rr-d,d
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENS RANCE AND RCW 16:27. orrlc]� 0
(425)
SIGNAT (OWNER BE DATE SIGNED 771-0220 4k)
�L40 EXT. 1333 BILEA
ATTENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC11 0 1 IRC11 (L PINK -OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060123
RERMITTPAX
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Total Inspections:
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7/1/200911�33:18AM
Page I of 1
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...............
wall..................
Pier/Porch .................
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R staining Wall
Stab Insulation ..........
PLUMBING:
Underground .............
x
0
M
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Rough -in ..............
0
IT1 0
0
Commercial Final
a
HEATING:
I'D
171 z
0:2
Gas Test ............
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Gas,Piping .................
Equipment .................
0 -n
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Commercial Final
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EXTERIOR SHEATHING,
NAILING ..........................
0
0
FRAMING ............ ...........
a In
9 co
Q 0
FIRST FLOOR FRAMING
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...........
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Floor Insulation
Wall Insulation
Ceiling Insulation
I
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SHEETROCK NAILING
9
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
cl
OCCUPANCY ..................