20060301.pdfSITE RECEIVED
PERMIT EXPIRES
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CITY OF EDMONDS
PERMIT
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CONSTRUCTION PERMIT APPLICATION
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HEAT SOURCE LOT SLOPE'- VESTED DATE
Plan Check State Surcharge
PLAN CHECK NO:
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Plumbing Base Fee
TH$ PERMIT AUTHORIZES ONLY THE WORK NOTED THIS PERMIT COVERS WORK TO
Mechanical
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DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE
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PERMIT APPLICAT ON: SEE ECDC 19.00.005(A)(S)
T PERMIT LIMIT'. SEE ECDC 19.00.005(A)(6)
Engr. Review Recording Fee
_SCE SACK OF PINK PERMIT FOR MORE INFORMATION —
Engr. Inspection Plan Chk. Deposit
ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
;APPLICANT,
MNIFY, , ,
N NTEREST, AGREES TO tNDE E END AND HOLD HARMLESS THE CITY OF
Fire ReVSW Receipt #
2 EDMONDS, WASHINGTON, ITS OFFICIALS EMPL YEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVEA NATURE, ARISING DIRECTLY OR INDIRECTLY
ire Inspection Total Amt. Due
FA M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT
D EMED TO MODIFY, -IVE OR REDUCE ANY REQUIREMENT 01 ANY CITY OIDINANOC8E
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NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Landscapoinsp. Receipt #
I HEREBY ACKNOWLEDGE 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
CALL Th, 1PInlan" Is not I PIIIX n1t.1 S�gold oy in,
T E OWNER. I AGREE TO COMPLY WITH 01 Y AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION 811"I'l 0""' " "n" D"I"I -no F,,$,,,, pno—d
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
o.o.,pi � 11, P1,oA
WORKMEN'S 40
)IIEENSATION INSURANCE AND RCW 18;27,
FURE DATE
(425)
4 1
L/ 2L
771-022C
EXT. 1333
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ATTENTION �;"
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI.
ORIGINAL FILE - YELIO INSPECTOR
FiCATE OF OCCUPANCY HAS BEEN GRANTED. UBC1 09 1 IBC1 10 / IRCI 10.
PINK , OWNER - GOLD ASSESSOR
6105 PRESS HARD YOU ARE MAKING 4 COPIES
Any request for modification, variance or other
administrative deviation (hereinafter "variance")
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Permit Inspection Details
Permit: BLD20060301
PERMITT11AX
04/14/2006 HAWKINS 30 AOPROViD"
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Total Time: 30
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04114/2006 SNOok- 30 APPRbV6
Total Time: 30
Total Inspectionw 2
Total Time: 60
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Page I of I
6/2212009 4:47:12 PM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ............
FOUNDATION:
Footing .....................
Wall..........................
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Pier/Porch .................
0
Retaining Wall ...........
R1
Slab Insulation ..........
PLUMBING:
0 ITI
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Underground .............
IT,
0
0
Rough -in.
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Commercial Final
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to --I
HEATING:
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Gas Test, ............
Gas Piping .................
...
Equipment
...........
3:9
Commercial Final
0
EXTERIOR SHEATHING
NAILING ..........................
0
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FRAMING ........................
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FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................
MION