20060237.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF US
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MAILING ADDRESS
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NAME
PERMIT EXPIRES
PERMIT
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FIRE REVIEWED6,11.11111
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STATE LICENSE NUMBER EXPIRATION DATE
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DESCRIBE WORK TO BE DONE
REMARKS
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Description
FEE Description FEE
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Plan Check
State Surcharge
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HEAT SOURCE GLAZING % LOT SLOPE %
S OFF %
L. TTE
Building Permit
City Surcharge
STED
PLAN CHECK NO: VESTED DATE
Plumbing
Base Fee
JE-
V
"a"T S WORK To
THIS PERMITAUTHORIZES ONLYIHE WORK NOTED. THIS PERMIT COVERS WORK TO
'"0. ON PUBLIC
t: 8 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
Grading
M DOMAIN (CURBS, SIDEWALKS, DFIBIMAYS ETC.) WILL REQUIRE
SSBIQUEES.
t: SEPARATSPERM!"A"N.
Engr. ReView
PE MITAPPLICATION: ISODAYS
PERMIT LAST 1 YEAR - PROVID D WORK IS STARTED WITHIN ISODAYS
Engr, Inspection
M
L SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, Oil ISIHALI OF 111101 HER SPOUSE. HIIII, ASIIGIII AND SUCCES.Rs
Fire F1GViBW
Plan Chk. Deposit
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IN INTEREST, AGREES TO INDEMNJFI� DEFEND AND HOLD HARMLESS THE CITY OF
2 IT OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMiI FOR DAMAO 0 WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
ROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY C17Y ORDINANCE
Landscapeinsp.
Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Recording Fee
IHERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION AP PROVAL
GIVEN IS CORRECr. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
appikation is not a pursh unill signod by Ind
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO
:C
rFOR INSPECTION
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WORKMEN'S COMPENSATI URANC RCW 10.2
OFFICI:EURE
SIMIWNER 0) GEN
(425)
1
7117 1 _0
RELEASED BY
I
ATTENTION
EXT 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE ANDAPPROVALOR ACERTIFICATE OF OCCU
ORIGINAL -FILE YEUON-INSPECTO
PANCY HAS BEEN GRANTED. UBC1091IBC110/iRC110,
PINK -OWNER GOUD-ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060237
PERMITTRAX
f, 2,
5118/2006 snack APPR"- ED
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Total Time: 30
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0511812006 n.ok 15 APPROVED
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Total Time: 15
Total Inspections:
2 Total Time; 45
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EXTERIOR SHEATHING
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Wall Insulation ...........
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SHEETROCK NAILING
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SPECIAL INSPECTION
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