20060185.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAMC OF BUSiNFSS
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STATE LICENSE NUMULK T
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Description
FEE
Description
FEE
Plan Check
'a'o Surcharge
HEAT SOURCE LOT SLOPE% VESTED DATE
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Building Permit
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City Surcharge
PLAN CHECK NO:
Plumbing
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Base Fee
THI PERMITAUTHORMES ONLY THE WORK NOTEG�. THISPER IT 0 KTO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBL C
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES� ETC.) WILL REQUIRE
SEPARATE PERMISSION'
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Mechanical
PERMIT APPLICATION: SEE ECDC 19,0D.006uNIS)
'�Gg, Rev*W
Recording Fee
PERMIT LIMIT. SEE GCOC 19.00.005JAIS)
EDgr. inspection
Plan Chk. Deposit
EE BACK OF PINK PERMIT FOR MORE INFORMATION
S SEE 8
;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESS R
N S THE CITY OF
HTEREST, AGREES TO INDEMNIFY, DEF NO AND HOLD HARMLES 0
EDMONDS , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
C MS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR IN IRECTLY
ALL LAI 0
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NDT BE
BEE D TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Me
z NOR LIMIT IN ANY WAY THE CITY 'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
Fire Review
Receipt #
Fire Inspection
Total Amt. Due
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Receipt IT
IHERE Y ACKNOWLEDGE THAT] HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
B E
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE OULY AUTHORIZ D AGENT OF CALL Th—TP-111-11 I' "I I PbI ml ,Ipbd by Ibb
THEO . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC, 8,,Id., Offi—I .1 h.—I D� bbbr--po
TIOJ,I;ANDR DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE PLOYED FOR INSPECTION gp� y
ANE EM Id 11 sp— P—lb'd
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO 0 'C' SS A, P DATE
WORKMEWS5�MPENSATIO INSURANCE AND ROW la�27. (425)
-77ATE
hRELEASEDBY
S'r.((..yA1rft,pR AGENT): IGNED
771-0220
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EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL FILE - YELLOW - INSPECTOR
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FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I ISCI10 I IRCIIO- PINK -OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing
wall ...............
Pier/Porch ..............
Retaining Wall ...........
Slab Insulation ..........
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PLUMBING:
Underground .............
Rough -in .................. I.'.
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Commercial Final
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HEATING:
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Gas Test ..............
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Gas Piping ...............
Equipment ............
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Commercial Final
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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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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