20060126.pdfLF RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
IER NAPFINAME OF BUSINESS,
ADDRESS
CITY ZIP
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�ONE PERMIT
NUMBER
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METER SIZE I IME EIIE. 1 .0. .1 FI�MU.ES YEERV REQUIRED
C3 NO E3
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDMINAGE
FIRE REVIEWED By DATE
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VALUATION
FEE I Description I FEE
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Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
t: HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
I DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERM;
t: — SSION.
Engr. R.Iew
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR . PROVIDED WORK IS STARTED WITHIN 18D DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE , HEIRS, ASSIGNS AND SUCCESORS
Fire ReVievY
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
— —_
EDMONDS INGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
'FOSR"DAMAGES
Fire Inspection
Receipt III
ALL ...a OF WHATEVER NATURE, AR SING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
OR RE LICE ANY REQUIREMENT OF ANY CITY ORDINANCE
DEEMED To MODJF�� 0
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Total Amt. Ou a
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X1 NOR LIMIT IN ANY HE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee
Receipt III I
I HERE ACKNOWLEDGE 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 CO HCTY 111111R111LAGNGC.NEmUC
CALL
This appi is not a pedond idifil sighed by III,
�TION AND .RK OF T ERESY. No PERSON WILL BE EMPLOYED
IN V,._T 'TATE OF WASHINGTON REILATING To
FOR INSPECTION
Suildihg Offw�.I ., heilho, Copedy; end Fees ore P.1d, s
receipt Is acknmi,dged I —pace provided.
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771-0220
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IT IS UNLrFUL TO USE OR OCCUPY OR STRUCTURE UNTIL
A FINAL I SPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW-INSPECTO
cATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK.OWNER - GOLD-ASSESSOP
04102 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN � ACCOUNTING
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Permit Inspection Details
Permit: BLD20060126
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08102/2006 Ms 15 FINALAPPROVED
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Total Time: 15
Total Inspections:
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71212009 1:36:31 PM
Page I or I
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ..............
FOUNDATION:
Footing.....................
Wall ............
Pier/Porch ............
Retaining Wall
Stab Insulation
M
PLUMBING:
Underground .............
Rough -in
C
..................
ITI
0
Commercial Final
0
HEATING:
ITI
Gas Test ................
Gas Piping .................
Equipment
Commercial Final
x
EXTERIOR SHEATHING
m M
NAILING .........................
065
0
0 Fn
FRAMING ........................
C 0)
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
-4
x
Wall Insulation
z
-4
Coiling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............