20060300.pdfFDATE RECEIVED
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PERMIT
CITY OF EDMONDS NUMBER CzGb
CITY
CONSTRUCTION PERMIT APPLICATION JOB (!�,IIAPTI
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0 GRADING DYES
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REMARKS
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Description
FEE Description FEE
!PLAN
Plan Check
State Surcharge
HEAT SOUR-CE VESTED DATE
U
Building Permit
City Surcharge
CHECK NO:
Plumbing
I
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
Grading
E D ONMAIN (CURBS, SID WALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
EngE Review
PERMIT LIMIT.' SEE ECDC 19.00,00SAKS) ErgE Inspection
SEE BAcH OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY ORIN
FROMTHEI SUANCE OF THIS PERIAtt ISSUANCE OF THIS PERMIT SHALL NOT as
L.RcIECBP.Ir.p�
Total Amt. Due
BE EMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
OR LIMIT IN ANY WAY THE CFEWS ABILITY TO ENFORCE ANY ORDINANCE PROVISIOW
Recording Fee
Receipt III
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECTI AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
REGULATING CONSTRUC
TNE appl-1- �� .1. b, 'A.
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS
TION; AND IN DOING THE WORK AUTHORIZ D THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RELATING TO
CALL
FOR INSPECTION
B.Ild'.9 Offi-I .1 hllh., De IF '"d IF- - pd ..d
"'22" rl!"A'23 � Ap- ,M�
IN VIOLATION OF THE LABOR CODE OFETHE STATE
WORKMEjffSATIONINSURANCEA,NDRCW 8:27-
_-
01 1 S IG. R DAT
(425)
UU� q
q 1 6
771-0220
,
REL AS DBY 'DATEJ
ATTENTION
EXT. 1333
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 IBC110 I IRC110.
PINK -OWNER GOLD - ASSESSOR
IM04 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060300
PERMITTRAX
...... ... ... .... .... ..
74!
0411712006 MS 25 APPROVED
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Tot.] Time: 25
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04/23/2006 MS 15 APPROVED
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Total Time: is
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Total Inspections: 2
Total Time: 40
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71212009 1:02:13 PM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ..........
wall ...........
Pier/Porch ...............
z
Retaining Wall
Slab Insulation ..........
0
M
PLUMBING:
Underground .. ...........
:0
M
Rough -in ...................
C
M
0
Commercial Final
__40
0 C
HEATING:
M
M
M Z
GasTest ..............
Gas Piping
...........
Equipment . ..........
0 -n
Commercial Final
-n ;a
EXTERIOR SHEATHING
M M
NAILING ..........................
065
0
FnAMING ........................
0 M
C 0)
FIRST FLOOR FRAMING
M 0
INSULATION ...................
Z
Floor Insulation
Wall Insulation
z
-4
Ceiling Insulation
j
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
000"