20060319.pdfDATE RECEIVED L "jot
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PERMIT EXPIRES.
CITY OF EDMONDS
PERMIT
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CONSTRUCTION PERMIT APPLICATION
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDGAINAGE
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CITY
CHECKED BY
relief valve, an aPPruvt
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PROPERTY TAX ACCOUNT I RCELNO,
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Description
FEE
Description
FEE
Slate Surcharge
HEAT SOURCE VESTED DATE Plan Check
City Surcharge
117,
Building Permit
PLAN CHECK NO:
Bes. Fee
941-)
I A I
Plumbing
THI PERMITAUTHORIZES ONLY THE WORK NOTE . THIS PERMITCOVERS WORK To
BE DO E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Mechanical
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION, Grading
PERMIT APPLICATIOW SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT, SEE ECDC 19,00.005A�((B
Engr. Review
Recording Fee
Plan Chk. Deposit
SEEDACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIR% ASSIGNS AND SUCCESSOR$
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I E MONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
D ECTLY
L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIA
A L
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
D C IMED TO MODIFY, WAIVE On REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
.j NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDI NANCE PROVISION.
Fire Review
Fire Inspection
Landscape Insp,
Receipt N
L
I
I
Total Arm, Due
Receipt It
I HEREBY ACK OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY A THORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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
WORKMEN'S C�^ISATIOKI INSURANCE AND Row 18Z7.
CALL
FOR INSPECTION
(425)
APPLICATION APPMOVAL
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EXT. 1333
AT—TENtION
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 I ISC110 I IRC110.
ORIGINAL , FILE YELLOW INSPECTOR
PINK . OWNER GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
E Permit: BLD20060319
PERMITTP.Ax
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10/04/2006 Sn..k 20 APPROVED
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Total Time: 20
Total Inspections:
I Total Time: 20
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Page I of I
77771,�
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...............
Wall .......................
Pie*r/pprch .............
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�,,Rsltalnlng Wall
Slab Insulation ..........
PLUMBING:
Underground .............
0 3:
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Rough -In ...................
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0
Commercial Final
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HEATING:
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JD
Gas Test ....................
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Gas Piping
Equipment .................
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Commercial Final
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1 171
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
-00,
420 wO 3(9?