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FPERMIT EXPIRES
CITY OF EDMONDS
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NUMEIER
CONSTRUCTION PERMIT APPLICATION
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REMARKS
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FEE
Description
FEE
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Plan Check
State Surcharge
HEAT SOURCE LOT ILOPI*,, VESTED DATE
Building Permit
City Surcharge
PLAN CHECK NO:
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Base Fee
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THIS PERMITAUTHORRZESONLY THEWORK NOTED. THIS PERMIT COVERS WORKTO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSIOIC
Mechanical
Grading
PERMIT APPLICATION: SEE ECDC 19.00.005(Alts)
PERMIT LIMIT: SEE ECDC I9.00.DGS(A(6)
SEE BACK OF PINK PERMIT FQR MORE INFORMATION
EngE Review
Engr. Inspection Plan Chk. Deposit
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
S OFFICIALS. EMPLOYEES, AND AGENTS FRO. ANY AND
EDMONDS, WASHINGTON,Slo WHATEVER NATURE* ARISING DIRECTLY OR INDIRECTLY
ALL CLAIMS FOR DAMAGE F
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S14ALL Nor BE
DEEMED TO MODIFY, VIAWE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Fire Review Receipt #
Fire inspection
Landscapeinsp. Receipt #
I HERESY ACKNOWLEO01 THAT I HAVE READ THIS APPLICATION; THAT THE INFO RM ATION
GIVEN IS CORRECT. AND THAT IAM THE OWNER OR THE DULY AUTHORIZED A NTOF
THE OWNER, I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CoNSTRUC-
TION� AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKME1,11I COMPENSAT11 URANCE AND A W18:27.
jZATUIE JOYNER $ GNED
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APPLICATION'A PROVAL
CALL Tna aplicnada,s n. X Ed .11711 11911a by In,
Bu0bbIg Oflaall , Iallad, DeP1iY and 'a,,,,, IMn, and
FOR INSPECTION N,b.Wb,dg.d a, ap-T. P--d
(425)
771-0220
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EXT. 1333
TENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI_ ORIGINAL - FILE YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. USC109 / IBC110 i IRC110- PINK -OWNER GOLD � ASSESSOR
Ends PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060199
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PERMITTRAX
04/1312006 Readwin 0 contractor failed to contact City for tear -off. No ladder provided" visual lanipection from y
ground appeared ok.
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04113/2006 readwln 20 No ladder provided -visual Isnpection frcm ground appeared ok.
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Total Time: 20
Total Inspections: 2
Total Time: 20
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .................
FOUNDATION:
Footing ................
Wall ................
Pier/Porch _ ...............
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
Underground
Sough -in .............
Commercial Final
HEATING:
GasTest ..............
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL44M
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