20060132.pdfDATE RECEIVED
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE_ LOTSLOPEIA VE1110 DATE
City Surcharge
Building Permit
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PLAN CHECK NO:
Plumbing
Base Fee
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTES. THIS PERMIT COVERS WORK TO
t, BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PQUBIB
Grading
2 DONMIMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC�) W, LL RE IRE
SEPARATE PIERMISSIOW
Eng, Review
PERMIT APPLICATION! SEE ECDC 19,00.005(A)(5))
T PERMIT LIMIT. SEE ECDC 19 00-005 1
(Ails
Engr� Inspection
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
r 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND UCCESSORS
Fire Review
Plan Chk. Deposit
) INDEMNIFY, DEFEND AND HOLD ARMLESS _- _ � _
i EDMONDS ITS OFFICIALS. EMPIL YEIBL, AND AGENTS FROM ANY AND
ALL CLAMSFOR%'AMAGE OF WHATEVER NATUOE� ARISING DIRECTLY OR INDIREC
Fire Inspection
Receipt #
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL MOT E
CITY ORDINA E
LandscapeinsO
Total Amt. Due
766
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVIS11
Recording Fee
Receipt #
A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE NFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT tA THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
EMPLOYED
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TION; ANO IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSF 'ECTION
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IN VIOLATION
WORKMEN'S COMPENSATION IVUBju,ICE AND RCW 111:27.
OFFIO USSIG ATURE DATE
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DATE SIGNED
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RELEASED BY
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ORIGINAL - FILE - YELLOW - INSPECTOR
OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
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PRESS HARD - YOU
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Permit Inspection Details
Permit: BLD20060132
PERMITTI;7x',Y,
08/11&06 MS 20 FINAL APPROVED
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Total Time: 20
Total Inspections: 1
Total Time: 20
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Page i of I
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
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Retaining Wall ...........
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Stab Insulation ..........
PLUMBING:
Underground .............
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INSULATION ...................
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Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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