20060238.pdfD E RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER
MAILING ADDRESS
ZIP IT1111HONE
ZIP IT11111-10111
NAME JCILI
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ADDRESS
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CITY ZIP TELEPHON
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STATE LICENIS NUMBER EXPIRATION DATE
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ik)� I PERMIT "PIRES
(ISE PERMIT
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ADDRESS
FLAT NAMEISUDDIVISION NO, I LOT NO, LID 0,
11. FEE I
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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Description
FEE
Description
FEE
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Plan Check
State Surcharge
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Building Permit
City Surcharge
13LAN CHECK NO: VESTED DATY
Plumbing
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Base Fee
11,12
Mechanical
THIS PERMIT AUTHORUES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 D ILL
3 OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) Yin REQUIRE
t: SEPAIPUITEPERUMISSION�
Engr. Review
PE MITAPPLICATION: 180DAYS
PERMIT Urine 1 YEAR -PROVIDED WORK IS STARTED WITHIN HI.DAVO
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT ON BEHALF 01 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND IUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
CLAIM. Fo DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ..DIN.. 1130VISION.-
a:
Recording Fee
Receipt #
1 HEREBY ACKNOVILE GE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This application Pareja Furred unfit signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
an wing Ofthul or hisnon Deputy: and Fees are paid, and
FOR INSPECTION w,iptiacknmiedgdinspac,p,ovided.
WORKMENG COMPENSATqL4kSURANCE AND RCW UL 7�
— _ .... . ......
0111TIGNATURE DATE
DATE SIGNED
(425)
L_
1 3 0
771-0220
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RELEASED BY GAT
ATTENTION
EXr 1333
T IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILARNAL
I
NSPECTION HAS BEEN MADE AN D APPROVALOR A CERTI FICATE OF OCCU-
ORR3 NAL - FILE - YELLOW - INSPECTO
PANCY HAS BEEN GRANTED. UBC109/iBC110/iRC110.
PINK -OWNER - GOLD -ASSESSOR
09103 PRESS HARD -YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060238
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0312912006 Snook 20 APPROVED
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Total Time: 20
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'601/2007 Read.i. 30 INSPECTED AND APPROVED
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Total Time: 30
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Total Inspections: 2
Total Time: so
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718/2009 8W:35 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 .............
3:
M
Rough -In ...................
M 0
0
Commercial Final
C:
HEATING:
IT
ITIZ
011
Gas Test ....................
C
Gas Piping .................
Equipment . .............
Commercial Final
Ti
3:
EXTERIOR SHEATHING
M IT
NAILING ..........................
0
0
FRAMING ........................
C
FIRST FLOOR FRAMING_
Q 0
Z
INSULATION ..........
Floor Insulation
Wall Insulation
z
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............