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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER PIAME,NAME OF BUSINESS
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[PERMIT ExP1REs
PERMIT 03/
NUMBER �Z'Tao -
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Description
FEE
Description
—Sulcl.rg.
FEE
Plan Check
H RCE LOT SLOPV� 1EITIODATE
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Base Fee
THIS PERMITAUTHORIZES ONLY THEWORK NOTED. THIS PERMIT COVERS WOR" TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
Grading
DOMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSIONI
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT: SEE ECDC 19,Q0.005(AUS)
Eng, Review
Recording Fee
Engr. Inspection
Plan Chk. Deposit
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
A ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
5 N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 E MONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
I DL ED
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIR TLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
D DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
o N OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
7,7 R.vBSw
Receipt #
—
Fire Inspection
Total Aml, Due
LandscapelDsp,
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Receipt IT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
GIVEN is CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STAT LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZE. THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSAT19)��URANCE AND Hew 18:2
CALL
FOR INSPECTION
(425)
APPLICATION APPROVAL
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R< I DATE �71
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771 -0220
RELEASED., DKT
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 CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC11O / IRC110.
ORIGINAL FILE - YELLOW INSPECTOR
PINK -OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060316A
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05/04/2006 READWIN 35 APPROVED
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Total Time: 35
Total Inspections:
I Total Time; 36
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ..........
Retaining Wall ...........
Stab Insulation
PLUMBING:
Underground .............
Rough -in ... ................
Commercial Final
HEATING:
Gas Test _ .................
Gas Piping ...............
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ...................
FRAMING ............. ..........
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL-ROFr-
..............
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