20060206.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MA LING ADDRESS
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cl ZIP TELEPHONE
PERMIT EXPIRES _4 I �3)1
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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EXISTING _ PROPOSED
REQUIRED DEDICATION _ FT u
METER SIZE I LINE SIZE I NO, 01 FIXTURES PRV REQUIRED
YES 13 NO 13
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINCERINGREVIEWEDBY DATE
ADDRESS
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REMARKS
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REMARKS
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Description
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Description
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State Surcharge
HEAT SOURCE LOT 1LO11% VESTED DATE
Building Permit
City Surcharge
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PLAN CHECK NO:
/V17 _00
Pluoibing
Base Fee
Mechanical
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THI PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
Gracing
HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS, SIDEWALKS, DRIVEWAY% MARQUEES , ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: SEE ECDC 19,00.005(A)15)
Engr. Inspection
JA
PERMIT L MIT. SEE ECDC 19.00.005N,)(6)
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Fire Review
It, INTEREST, AGREES TO INDEMNIFY, DEPEND AND HOLD HARMLESS THE CITY OF
ED M NOS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS(FORROM ANY AND
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Fire inspection
elpt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTO No FECTLY
BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
OF ANY CITY ORDINANCE
Landscapein
Total AmL Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT
c NOR LIMIT IN ANY WAY THE CiTY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION -
— - -1
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, No THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNER, I ABBE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC'
CALL
B.ddlq OX1 ., i,W D. rd 5— .1v p.1d, rd
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
FOR INSPECTION
S p... pKX,,d.d
IN VIOLATION OF THE a 'DOE OF THE STATE
WORKMEN'S COMPENSA�TA
OFFICIALS SIGNATURE "All
ATE SIGNED
(425)
'So
�OR
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771-0220
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'GAILI
ATTENTION
REL�
EXT. 1333
ITIS UNLAWFULTO USE OROCCUPYA BUILDING OR STRUCTURE UNTIL
A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL -FILE YELLOW � INSPICTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
PINK . OWNER GOLD �ASSESSOR
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Permit Inspection Details
Permit: BLD20060206
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03/31/2006 i�OOK 30 APPROVED
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Total Time: 30
Total Inspections: I
Total Tim 30
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6/18/2009 10:32:09 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..................
Wall ......................
Pier/Porch .................
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Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
-4
x
M
C
Rough -in ...................
IT, a
0
Commercial Final
0
C:
HEATING:
M
M z
Gas Test ..............
ID
Gas Piping .................
Equipment .................
5
O'n
Commercial Final
'n
EXTERIOR SHEATHING
IT! ITI
NAILING ..........................
0
FRAMING ........................
C.)
C: I'D
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FIRST FLOOR FRAMING
INSULATION . ..................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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