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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
NUMBER
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Description
FEE
Description
FEE
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PLAN CHECK NO:
Plan Check
State Surcharge
Building Permit
City Surcharge
Base Fee
THISPERNUTA THOROES ONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLI
Mechanical
E D 0 , ETG) WILL REQUIRE
MAIN ICURBS. SIDEWALKS, DRIVEWAYS. MARQUEES
SEPARATE PERNI
Grading
PERMIT APPLICAT'OW SEE ECDC 19.00.005(A)(5)
Engr, Review
Recording Fee
PERMIT LIMIT. SEE ECDC 1941).051A)(6)
Engr. Inspection
71.n Chk. Deposit
SEE BACK OF tINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIR% ASSIGNS AND SUCCESSORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
w A LL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
VeEMEO TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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re VIEW
Receipt
Fire Inspection
Total Amt. Due
Landscapeinsp.
Receipt#
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATICN� THAT THE INFORMATION APPLICATION APPR VA
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL Tra Pp1,1-UV.,a A p.dTa adl.,,nW a, In,,
THE OWNEM I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- Bu,jd,,g OfaNaa a, a.vae, Deday and Pad, ,a rUdd ad
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED FOR INSPECTION t " acklW111d9ga 11 1pF1 pdld�
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEWS COMPEN:2=RANCE AND RCW 18:27,
(425) OF LS I NATU
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DATE SIGN
SIGNATURE (OWNER Ck AGE ED
771-0220
n2 RELTEASY A E
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 CEFITI- ORIGINAL FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC1 09 1 IBC11 0 / IRC1 10. PINK OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BL020060257
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04/03/2006 snack 30 APPROVED
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Total Time: 30
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04/03/2006 snook 30 APPROVED
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Total Time: 30
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Total Inspections:
2 Total Time: 60
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .....................
Pier/Parch .................
Retaining Wall
Stab Insulation ..........
PLUMBING:
Underground
Rough -in ...................
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Commercial Final
HEATING:
Gas Test ....................
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Gas Piping .................
Equipment
Commercial Final
EXTERIOR SHEATHING
NAILING ..................
FRAMING ......................
FIRST FLOOR FRAMING
INSULATION ...................
f Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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