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PERMIT EXPIRES hLzb-&L
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
PERMIT �200�
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NUMBER 0
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PLAT NAMEISUBDIVISION NO,
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRMNAGE
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PROPERTY TAX AC05ZO�� itaoC52— V/
rl NEW XRE.I.ENTIAL PLUMBING I MECH
0 ADDITION 0 COMMERCIAL C MPLIANCE OR
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CHANGE OF USE
0 MIXED USE
EMODEL 0 MULTIFAMILY 0 SIGN
0 REPAIR M GRAOING CyCS 0 PENCE
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0 DEMOLISH 0 TANK o OTHER
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0 CARPORT ROCKERY REALARM
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Description
FEE
FEE
P an Check
State Surcharge
let F�
HEAT SOURCE LOTSLOPE% VESTED DATE
Building Permit
pDoscription
City Surcharge_
PLAN CHECK NO:
Plumbing
Base Fee
Mechanical
THI PERMITAUTHORQES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Grading
Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU.jC
DONMAIN (CURB$, SIDEWALKS, DRIVEWAYS, MARQUEES, CTC.1 WILL Read IRS
SEPAMTE PERMISSION.
Engr. RevieW
PERMIT APPLICATION: SEE 'CDC lS.00.005(AI(S)
Emir. Inspection
PERMIT UMBE SEE ECDC 19*00.005(A)(6)
SEE SACK 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 ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
c c FROM THE I SUANCE OF THIS PERMR� ISSUANCE OF THIS PERMIT SHALL NOT as
2DIFY, ANY CITY ORDINANCE
� S
Landscapensp.
TblalAmt.Due
DEEMED TO WAIVE OR REDUCE ANY REQUIREMENT OF
NOR LIMIT IN ANYWAY THE CITY-SABILI T.E..B..A.Y ... INA.CE PROVISION.'
Recording Fee
Receiptill J-7-9601
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORM TION
APPLICATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
Ti apta"'t", "ad a P"!PPROVAL
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THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
Buld,ag Off —I., hurb., D.P`y and Fada paal. and
TIOW AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMP DYED
STATE OF WASHINGTON RELATING T 0
FOR INSPECTION a.,bl,d —n—ladpd—po, +bIld
IN VIOLATION OF THE LAB
COMPENSAO�NNCUODE OF THE
WORKMEN's RANCE AND RCW 18:27.
OFFt I S Sit UR
SIGNATURE (0 DATE SIGNED
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(425)
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771-0220
[R�11E��l
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 �MSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBCJ 09 1 IBC110 I IRC110.
PINK -OWNER - GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060325
R1 �AX
1211312006 Snook 20 APPROVED
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Total Time: 20
Total Inspections:
Total Time: 20
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
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FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
RetaininlyWall
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Slab -Insulation
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Underground .............
Rough -in .. .................
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Commercial Final
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HEATING:
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Gas Test ....................
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Gas Piping ... ..............
10
Equipment
.................
Commercial Final
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EXTERIOR SHEATHING
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NAILING _ ............ ..........
M IT!
0
FRAMING .....................
0
0
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FIRST FLOOR FRAMING...
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INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................