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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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USE PERMIT
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NUMBER-
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ADDRESS
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PLAT NAMEISU001VISION NO. LOT NO,
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L D FEE
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXISTING — PROPOSED
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REQUIRED DEDICATION— FT
METER SIZE
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NO- OF NXTURES
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REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION COr
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__1 FIRE REVIEWED BY DATE
VARIANCE OR CU
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INA.P.E.CTION
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WED RROPOSED
PROPERTY TAX ACCOUNT
PARCEL NO.
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EXP I
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LOT COVERAGE
A EQUIRE Ks (Fr.)
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PROPOS D SETBACK$ (FTJ
NEW P-..INGIME..
ALLOW50 PROPOSED
FRONT" AFAR
FRONT UR SIDE REAR
COMPL NCEOR
ADDITION COMMERCIAL CHANGE OF USE
--PARKING
RECRO I PROVIDED
LOT AREA]
PLANNING A IEWED BY DATE
REMODEL MULTIFAMILY SIGN
FENCE
REPAIR E] GRADING CYDS I FIT
REMARKS
DEMOLISH C] TANK OTHER
GARAGE RETAININGWALL o F SPRINKLER
FIR
CA PORT ROCKERY RE ALARM
(TYPE OF USE, BUSINESS OR
CHECKED BY
OCCUPA�
ITYPE
G ROUP
NUMBER
OF
N M8E1 OF
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C RITICAL ibivolvi,
AREAS
SPECIAL INSPECTION
OCCUPANT
STORIES
UNITS
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NUMBER *3-
COLEACD JAREA
A 0 YES
LOAD
DESCRIBE WORK TO BE
DONE
$
FEE
Description
FEE
rDescrlption
Plan Check
State Surcharge
H GLADNG % LOT SLOPE
uddRg Par."
City Surcharge
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PLAN CHECK NO: VESTED DATE
Plumbing
P'LRGD�Gg
Base Fee
Mechanical
THIS PERMIT AUT ORIMS ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO
A DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr. Review
RE MITAPPLICATION: 18.DAYS
PERMIT LIMIT, I YEAR -PROVID D WORK is STAMEO WITHIN IBODAYS
Engr, Inspection
SEE SACK OF PINK PERMIT MR MORE INFORM kTION
Fire Review
PlanChk.Deposit
'APPLICANT ON BEHALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCC SORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE C" .
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY ORANDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SH LL NOT BE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY' WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CJTYC ABILITY TO ENFORCE A Y ORDINANCE PROVISION. -
Recording Fee
Receipt
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN " CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CONSTRUC-
This appli all ch is not a parrell-il signed by Me
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING
NO PERSON WILL BE EMPLOYED
CALL
Bell ding Officialorlas/h,,D"p, eadFcalecisaid,and
T;0N: AND IN DOING THE WORK AUTHORIZED THEREBY,
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION Pada'P"'d,"de'adg.1`: P.Fe P—ided.
WORKMENS COMPENSATION.NURANCE AND RCW 18,27.
SJGNATU�E (OWNE:,0A DATE SIGNED
(425)
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RELEX�ED BY
ATTENTION
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ITISUNLAWFULTOUSEoRor.r.tipyAlLjiI INGORSTRUCTURPUNTILAFINAL
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INSPECTION HAS BEEN MADE ANDAPPROVALORA CERTIFICATE OF OCCU-
ORIGINAL -FILE YELLM-INSPECTOR
PANCY HAS BEEN GRANTED, UBC109/lEC1101IRC110.
PINK -OWNER GOLD -ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060168
PERM IT-IR,�—�
167.8...it-'Or�.D�moiltiati�Sewer�cap
COT plete?,
Y
(tel/21ii/2006 jh 10 Sever capped by OVWSD
Y
Total Time:
10
107.6 -:E.Pro- o Wateirgerv. Diswc
bem
comp ete ?
Y
0412812006 jh 10 water meter removed by OVWSD
Y
Total Time:
10
ml:iem Eir(isiond' trof
1 060'� E-Pre 0 06
'10
Complete?:
Y
041 1 28 . / 1 2 006 jh 1 TESC per City td's
Y
Total Time:
10
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1661 .;E; lneeriirtg�FimeWlanlo'�,
Complete?
"Y
0 . 711412006 1h 30 Final demo complete
Y
0
Total Time:
30
To t on,�',�
04128/2006 MS 20 PRE -DEMO APPRO�ED
Y
Total Time:
20
m
110 1611,
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0812512006 JL 0 APPROVED
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Total Time:
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Total Inspections: 6
Total Time:
80
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719/2009 9:41:09 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing..................
Wall ........................
Plar/Porch .............
Retaining Wall ...........
Stab Insulation ..........
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PLUMBING:
Underground .............
Rough -In ..........
0
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Commercial Final
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-4 0
HEATING:
0 0
Gas Test ....................
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Gas Piping ..........
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Equipment .................
3:
Commercial Final
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EXTERIOR SHEATHING
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NAILING .........................
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FRAMING ........................
0
0 M
FIRST FLOOR FRAMING
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INSULATION ..................
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Floor Insulation
;13
-1
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ............
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