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CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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MAILING ADDRESS
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13
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NAME
METER SIZE LINE Sl�� PAV REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROU
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS P = OVE S WORK TO
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t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCIII.Tic ON E EILIC
Mechanical
2 DOMAIN (CURBS, SIDEWALKS, RlvE.B, MARQUEES, ETC�l WILL R..UIRE
Z! SEPARATE PERMISSION.
See CCOC 19.00.00S(Ai(5)
Grading
Recording Fee
PERMIT APPUCATIOW
PERMIT L MIT, SEE ECDC 19.00.005(A)(6)
Engr. Review
SEESACK PINK PERMIT FOR MORE INFORMATION
SEE a OF
Engr. Inspection Plan Chlk. Deposit
-APPLICANT, ON BEHALF 0 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Receipt N
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E MONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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Fire Review
IF
ALL CLAIMS FOR BARAD OF WHATEVER NATURE, ARISING DIRECTLY 08 INDIRECTLY
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Fire Inspection Total Amt. Oue
Z FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
M DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIAEMENT OF ANY CITY ORDINANCE
It
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
Landscape Insp, Receipt
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APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
CALL Tr,� pl-1- . R.I. p.—I �l �,q r,, Il.
THE OWNER IAGRE E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC'
rIr.'AjNKt'.Rd
FOR INSPECTION
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TION; AND IN DOING T E WORK AUTHORIZED THEREUY� NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
pIcnMHJqP prr.p,.,,d,d
WORKMEN'S URANCE AND Now 18:27.
'q*fIMN?ATION IN
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(425)
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771-0220
[,,7-R�'O
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RELEASED DATE
EXT. 1333
ATTItNTION
IT IS UNLAWFULTO USEOR 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 / JBC110 / IRC110. PINK -OWNER GOLD - ASSESSOR
PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060145
RERMITTRA,.
03101/2006 SNOOK 20 APPROVED
y
Total Time: 20
03/01/2006 SNOOK 20 APPROVED
y
Total Time: 20
Total Inspections: 2
Total Time: 40
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ................
Wall ..........................
Pier/Porch .................
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Retaining Wall
0
Slab insulation ..........
PLUMBING:
Underground .............
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Rough -In ...................
0
0
Commercial Final
3: M
HEATING:
IT Z
'04
Gas
Test
Gas Piping .................
U-"\
Equipment .................
Commercial Final
M M
EXTERIOR SHEATHING
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0
NAILING .............. ...........
0
FRAMING ..................
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0
FIRST FLOOR FRAMING
INSULATION ...........
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Floor Insulation
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Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..............