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IDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER
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PEAMIT
NUMBER
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ADDRESS /
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PLA LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
E�ISTING PROPOSED
REQUIRED DEDICAVOR ____ FT
METER SIZE I 11"IS111 10, OF 111TUR11 11Y REQUIRED
YES C3 No E3
REMARKS
OWNERGONTRACTOR RESPONSIBLE FOR EROSION CONTROIJDAAINAGE
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Pu6LIC WORKS REVIEWED 61 DATE
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REMARKS
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Description
D S C r P
FEE
Description
FEE
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Plan Chock
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State Surcharge
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VESTED DATE
HEAT SOURCE LOT SILOPE,� VESTED DATE
PLAN CHECK NO:
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Building Permit
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Base Fee
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THIS PERMITAUTHORIZES ONLY THE WORK NOTED, THISPERMIT COVERSWORKTO
`T"N ON THE PUBLIC
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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Mechanical
ED I
ED
Grading
FBI I, g
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A (5)
E l VIEW
Recording Fee
I
PERMIT LIMIT, SEE ECDC 19.0.0051A)(6)
I '. Pact
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Engr. Inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE RIFFIRMATION
.A.—D.- ...... 11 FHISORHER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
0 R a N
IN NTEREST, AGREES T INDEMNIFY, DEFEND AND HOLD ARMLESS THE CITY OF
E MOND% WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ED I TL . N , LY
ALL CLAIMS FOR DAMAGE OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY
Be P N T SH , N T B
FR M THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
�T I
0 OF ANY CITY ORDINANCE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY 0
c NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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Fire Review
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Ell.,.ChkDe�pos%
Receipt #
'C' #
Fire Inspection
Total Amt. Due
Landscapemsp.
Receipt #
IHERE Y ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED A NTOF CALL TNII.PPI-11
B BE
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- DuI"'r" 0""I V, "" .,I, nv� I.—P, 1
TION; AND IN ODIN THE WORK AUTHORIZED THERIIIY� NO PERSON WILL BE EMPLOYED FOR INSPECTION
0
IN VIOLATION OF THE LABOR CODE OF THE STAT 0, WASHINGTON RELATING TO
E ATE
WORKMENTS COMPENSATION INSURANCE AND RCW 18:2,. (425) FFI LSSfGNA1 RE
9.7-1
ATE IIGNIDL I_
771-0220
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BE As Y TE
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ATTEWION
ITISLINLAWFULTOUSEOROCCUPYA 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. UBC109 / IBC110 / IRC110, PINK -OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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FINAj� PROJECT APPROVAL F%JRM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE -
PLANNING DIVISION DATEJ
PROJECT 1�-t �7(11
SITE ADDRESS.
PERMIT -0 1A ADBtL_DATE INSPECTED -
DESCRIPTION OF WORK TO BE INSPECTED LI)
-approved plans. Final approval
A field inspection was conducted to determine compliance with
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FIN
AL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
11 Copy of CORRECTION NOTICE given to owner/contractor by inpector
1.
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tempib1dg:fbnns:ocaprv1 3/25/04
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Permit Inspection Details
Permit: BLD20060211
PERMITTRIAN
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0312012006 MS 15APPROVED
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03/27/2006 BULLOCK 20 APPROVED
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Total Time: 20
Total Inspections: 2
Total Time: 35
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