20060223.pdfDATE
FPERMIT EXPIRES
CITY OF EDMONDS
PERMIT
INIUMEIER
CONSTRUCTION PERMIT APPLICATION
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ADDRESS
OWNER NAME'N Eo,SDs,N,ss
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MAILING ADDRESS
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LID FEE S
17 1.2 3 57'
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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THISPERMITA THORIZES ONLYTHEWORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBITIoC
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2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
c SEPARATE PERMISSIOM Grading
PERMIT APPLICATION: SEE ECDC 19.0D.005(A)(5)
PERMIT LIMIM. SEE ECDC 1100.005JABID
Engr. Review Recording Fee
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
;APPLICANT, ON 8EH LF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESSORS
Review Receipt N
N NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHING ON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
Fire
A CT I TLY
LL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRE LYORINDREC
Fire Inspection Total Amt. Due
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 T OF ANY CITY ORDINANCE
BE IRENE
EMED TO MDDIFY. WAIVE OR REDUCE ANY REOUIREME
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscape Insp, Receipt #
APPLICATION APPROVAL
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE IN ORMATI
THE DULY AUTHORIZED AGENT OF
CALL 1-11 -1 119— 1111-
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR
THE DIANE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
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FOR INSPECTION
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OLATION OF THE LABOR CODE OFED THEREBY, NO PERSON WILL BE EMPLOYED
IN VI THE STATE OF WASHINGI ON RELATING TO
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WORKMEN'S COMPENSATION INSURANCE AND HOW 18;27.
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ATTENTION
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. UBC109 I IBC11 0 1 IRC1 10. PINK -OWNER GOLD - ASSESSOR
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Permit Inspection Details
Permit: BL020060223
PERMITTRA-,,
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06105/2006 MS 20 GAS TEST AND GAS PIPING APPROVED
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Total Time: 20
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06116/2006 MS 15 MECHANICAL FINAL APPROVED
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Total Time: is
Total Inspections: 2
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wait ............
Pier/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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Underground .............
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Rough -in ..............
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0
0
Commercial Final
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HEATING:
10-4
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GasTest ...............
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Gas Piping .................
Equipment ............
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ...................
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FIRST FLOOR FRAMING
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INSULATION .............
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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