20060170.pdfDATE RECEIVED
PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
NUMBER
-70010
CONSTRUCTION PERMIT APPLICATION
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Description
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Building Permit
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PLAN CHECK NO:
Tumbing
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THI PERMIT AUTHORIZES ONLY THEWORK NOTE THIS PERMIT COVERS WORK T
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Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
-�mdng
SEPARATE PERMISSION.
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PERMIT APPLI ATION: SEE ECDC 19.00.005(A)(6)
Engr. Review
Recording Fee
PERMIT LIMIT, SEE ECDC 19.00.00SRM(In
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
En!
Plan Chk, Deposit
CA F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Receipt 4
;APP
N NTERSST, AGREES T DEFEND AND HOLD HARMLESS THE CITY 01
Fire Review
INDEMNIFY.
EDMOND , WASHINGTON TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
S' -CTLY OR INDIRECTLY
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRC
Fire Inspection
Total Arm, Due
FROM T HE ISSUANCE OF THIS PERNIII ISSUANCE .1 THIS PERMIT SIIALL HOT BE
C DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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C' NOR LIMIT IN ANY WAY THE CONS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Receipt
APPLICATION APPROVAL
I H111"Y ACKN-11OG1 THAT I HAVE READ THIS APPLICATION� THAT THIS lHFOIMATIIN
THE DULY AUTHORIZED AGENT OF
CALL
ThIl applFaII.., Ii a P01111t Ilti 11i,t1d by P1
GIVEN A AND THAT I AM THE OWNER, OR
IS SO RECT' To COMPLY BUD'
THE OWNER. 'AI"EE WITH DRY All STATE LIS RE.LLATING CONST
FOR INSPECTION
BU11-9 Offi,bi 01 h.111,11 DAP.ty 1bd F— — p- Ind
TION;ANOIN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
b,- ackn—rdpd �b SP110 pb—d1d
WORKMENS COMPENSATION INSURANCE AND ROW 18:27.
(425)
FFICIALS SIGNATURE DA
sit BIG 0 Nr �6 SIGNED
771-0220
vA,S,",k-
RELEASED BY
EXT. 1333
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TTTENT ON
IT IS UNLAWFJO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / ISC110 I IRC11O,
PINK OWNER GOLD ASSESSOR
PRESS HARD - YOU
ARE MAKING 4 COPIES
6/05
Permit Inspection Details
Permit: BLD20060170
PERMIT'rR,',X
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Total Time: 0
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch . ................
Retaining Wall ...........
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Stab Insulation
0
PLUMBING:
Underground .............
PAS Lo _0 0�
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Rough -in ................
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Commercial Final
--1 0
0 0
C
HEATING:
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Gas Test ....................
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Gas Piping .................
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Equipment .................
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0 -n
Commercial Final
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EXTERIOR SHEATHING
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NAILING .................
0 C-0
0 r
FRAMING ........................
0 IT
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FIRST FLOOR FRAMING
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Q 0
INSULATION ..........
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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