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PERMIT EXPIRES
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE PERMIT
ZONE NUMBER
AODBDRESS SUIT An #
IER NAMEINAME OFPSINESS
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P1,Vr NAMIBSUBDIVISION NO, LIP-.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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REMARKS
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ADDITION COMMERCIAL
COMPLIANC OR
CHANGEOFUSE
iD BY DATE
REMODEL MULTIFAMILY
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REPAIR CYDS x Fr)
REMARKS
0 DEMOLISH TANK
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NUMBER
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RE ARKS
P.�GRREO'D
ROGRESSINSPFCTIONS PER UBC 1081IBC1091IRCID9 FIRAILINSPECTION
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Plan Check
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City Surcharge
PLAN CHECK NO: VESTED DATE
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ase So
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THIS PIEFUMBI AUTHORIZES ONLY THE ORK NOTED. THIS P ... IT COVERS WORK 1.
z BE GONE IN 11,11 P11P11 1"I I CO"11111" IN THE 111"
Grading
.MAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUI HE
SEPAMTEPERMISSION.
Engr. Review
P MITAPPUCATION: INDAYS
5 a
PERMIT LIMIE I YEAR- PROVID 0 WORK IS STARTED WITHIN 180DAYS
Engr. ln!!!!I�L
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
C
-APPLICANT. ON DEPAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
hk. Depos
PRIeceipt
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
I EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
DIRECTLY OR INDIRECTLY
Fire Inspection
#
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
Landscape Insp.
Total Amt. Due
9 DEEMED TO MOD WAIVE OR RE UOE ANY REQUIREMENT OF ANY CITY ORDINANCE
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D NOR LIMIT IN ANY WAY THE CRyS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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Receipt It
11 HEREBY 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
THEOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
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" not It p.,.Jl unfil oignod by th.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
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IN VIOLATION OF THE "Ron CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
DATE
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IFISLINLAWFUL If USE Oft GCCUPYABUILDING OR STRUCTURE UNTILAFINAL
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INSPECTION I IAS BEEN MADE AND APPROVAL ORA CERTIFICATE OFOCCU-
ORIGINAL - FILE YELLOW - INSPECTOR
BEEN GIIANITED LjI1CI09/IBCI10/IRCI10-
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Is Permit Inspection Details
Permit: BLD20060127
PERMITT,;Ax
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02/2312006 SNOOK 30 APPROVED
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Total Time: 30
03/13/2006 SNOOK 15 APPROVED
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Total Time: 15
Total Inspections: 2
Total Time: 45
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6/512009 3:23:43 PM
Page I of 1
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall.................
Pier/Porch .................
z
Retaining Wall ...........
0
0
Stab Insulation ..........
PLUMBING:
Underground .............
171
Rough -in ...................
0
0
Commercial Final
C:
HEATING:
R1
ITIZ
0-1
L
GasTest ................
C -
> z
E:
Gas Piping . ................
74:
Equipment ... ..............
0
"n
-4
Commercial Final
EXTER OR SHEATHING
1
13
NAILING ... .......................
0
0 ITI
FRAMING ........................
C Cf)
M 0
FIRST FLOOR FRAMING...
INSULATION
Floor Insulation
Will Insulation ...........
z
Ceiling Insulation
DIP
z
SHEETROCK NAILING
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
vns
OCCUPANCY .............