20060150.pdfOAT1110EI11D
to [PERMIT EX P I R E S
CITY OF EDMONDS
PERMIT
NUMBER 12A;�
CONSTRUCTION PERMIT APPLICATION
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THI PERMITAUTHORIZES ONLY THEWORR NOTED. THIS PERMITCOVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETCJ WILL REQUIRE
SEPARATE PERMISSION.
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PERMIT APPLICATION: SEE ECOC 19.00.006(A)(S)
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PERMIT SEE ECDC 19,00.00SIA)"I
Engr. Review Recording Fee
BE BACK OF PINK. PERMIT FOR MORE INFORMATION
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Engr. Inspection Plan Chk. Deposit
*A P ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR
"P L DEFEND AND ..L. A..1... THE CITY .1
INTEREST, AGREES TO INDEMNIFY,
EDMOND% WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY -a INGIRED TLY
VEOM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S ALI NOT BE
EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDNANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Fire Review Receipt
Fire Inspection Total Ann. Due
Landscapainsp. Receipt IT
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t 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
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTR 0
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYE'
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAT!91�11XSU R,ANCE AND RCW 18;27.
LSIG. 09trI DATE SIGNED
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APPLICATION APPROVAL
CALL T11S .1PI11.1111- I- 1IT—I -IT-11 ITH ITTY
FOR INSPECTION F"9 0"" "'u"
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(425)
771-0220
EXT. 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL INS P ECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL FILE - YELLOW �INSFECTOHI
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110/ IRCI10- PINK -OWNCR - GOLD - ASSESSOR
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
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denotes that there are no I objections I from the signed D epartment to the . release of
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RE-INSPECTE OUTSTANDING ISSUES - GRANT FINAL PROJECT AP PROVAL
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'Date Signature
1:tefip:b1dg:fomis:ocaprv1 3/25/04
Permit Inspection Details
Permit: BLD20060150
PEP.MITTRAX
03/0112006 HAWKINS 35 APPROVED
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0313112006 SNOOK 25 APPROVED
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Total Inspections:
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .....................
wall .............
Pier/Porch
Retaining Wall
Slab Insulation
PLUMBING:
Underground .............
Rough -in . ..................
Commercial Final
HEATING:
I li-;das T'
A,?! V'J
41 Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FI�AMING ........................
.............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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