20060190.pdfOATS RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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Description
FEE
Description
FEE
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Plan Check
State Surcharge
LOTSLOPE% VESTED DATE
Building Permit
City Surcharge
16:1
PLAWCHECK NO:
Plumbing
E.S. Ice
Mechanical
THISPERMIT AUTHORIZES ONLY THE WORK NOTE THIS PERMIT COVERS WORK TO
Grading
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THE PUBIC
TION ON THE
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUC PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE ETC.) WILL REQUIRE
S.
PERMISSION.
Ergr. Review
_SEFARATE
PERMIT APPLICATION: SEE ECDC i9.00.005(A)(S)
EGn
Engr. Inspection
SEE E PERMIT LIMIT, SEE ECDC 19.00,006(A)(1
SEE BACK OF PINK PERMIT FOR MORE INFOR ATION :::
'APPLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR$
Fire ReveW
Fire Review
Plan Chlk. Deposi
IN INTEREST. AGREES TO "OEMI"' DEFEND AND HOLD HARMLESS THE CITY OF
A RIGTON S OF S 0 N
SH , , FICIYLS, EMPLOYEES, AND AGENTS FROM ANY AND
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Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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Total Amt. Due
I DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF NY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; TH. THE 'HE RMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Tr11PII �� - - 111 11 �9"ed by 1h.
THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUc.
CALL
Sum'Ag off-, ., A,V PIXI. Ild
TION; AND IN DOING THE W RK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
THE STATE OF WASHINGTON SLATING TO
FOR INSPECTION
IN VIOLATION OF THE OR OF
WORKMEN'S COMPENS SURAINCE AND RCW 111:27.
OFFI,
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771-0220
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit:
BLD20060190
PERMIT-FPAX
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09/19&06 JR
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09120/2006 MS
20 GAS TEST AND PIPING APPROVED
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20 APPROVED
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Total Inspections: 3
Total Time:
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