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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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NAME
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STATE LICENSE NUMBER EXPIRATION RATE
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FPERMIT EXPIRES
PERMIT
NUMBER 09 0_:�a
ADDRESS
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PLAT NAMEISUBDIVISION NO
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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REQUIRED SETBAC
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OCCUPANT
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REQUIRED 13 YES
I EXIARKS
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Description
FEE
Description
FEE
a;r:�URCE LOT SLOPE-. VESTED DATE
Plan Check
State Surcharge
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DON ON PRIVATE PROPERTY ONUY� ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
PERMIT APP ICATION: SEE ECDC 19.00.005(A) (5)
PERMIT LIMIT. SEE ECOC 19,00,005(A)(6)
Engr. Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
SEE a ACK OF PINK PERMIT FOR MORE INFORMATION
;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AN SUCCESSORS
N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
I
Receipt #
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Total Amt. Due
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE 01 THIS PERMIT. ISSUANCE OF THIS PE 'MIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Receipt IS
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIOM'
Landscapeinsp,
I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL
GIVEN 16 CORRECT; NO THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL TTI,, P I - I Sla— P, VIA
T E OWNER� I AGREE TO COMPLY WITH CI Y AND STATE LAWS REGULATING CONSTRUC- I`— — ad
FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON VIILL HE EMPLOYE ."'T P,1F_ISP9.II SP— pl
IN VIOLATION OF THE LASO OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAT CE AND RCW 18:27. (425) G TE
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771 -0220
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EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-NAL FILEYELLOW -INSPECTOR
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PIGI
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / ISC110 / IRC110. INK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060224
PERM ITr`R:��,'�
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06/29/2006 MS 20 GAS TEST AND GAS PIPING APPROVED y
Total Time: 20
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07/13/2006 MS io FINALAPPROVED Y
Total Timw. 20
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INSPECTION WAS REQUIRED TO MAKE SURE THAT CAN'T SEE HVAC Y
07113/2006 JW 0 COMPLETE,
UNITS FROM THE STREET. CONFIRMED THAT YOU CAN"r SEE THEM.
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Total Time: 0
Total Inspections: 3 Total Time; 40
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
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Stab Insulation ..........
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P!,?MBING:
Underground .............
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Commercial Final
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HEATING:
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Equipment
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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 ...................
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Floor Insulation
Wall Insulation ...........
Cat ing Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
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