20060355.pdf11,41, RECEIVED :31 ILI
� 610 1 PERMIT EXPIRES
CITY OF EDMONDS
PERMIT
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CONSTRUCTION PERMIT APPLICATION
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Plan Check State Surcharge
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PLAN CHECK NO:
Building Permit City Surcharge
Plumbing Base Fee
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TH'SPERMITA THORMES ONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,j WILL REQUIRE
SEPARATE PERMISSION.
Grading
2. PERMIT APPLICATION: SEE ECDC 19,00.005(A)(5)
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PERMIT LIMIT, SEE ECDC 19.01005(AKO
Engr. Review Recording Fee
_SEE BACK OF PINK PERMIT FOR MORE INFORMATION
- Engr. Inspection Plan Chk. Deposit
;APPLICANT. ON BEHALF OF HIS OR HER S OUSE, HEIR% ASSIGNS AND SUCCESSORS
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N INTEREST, AGREES TO INDEMNIFY, DEPEND AND HOLD HARMLESS THE CITY OF
EDMONDS' WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
ALL CLAIMS FOR DAMAGES 01 WHATEVER NATURE, ARISING DIRECT OR INDIRECTLY
Fire Inspection Total Amt. Due ID
ILY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PER, T SHALL NOT BE
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY's ABILITY To ENFORCE ANY ORDINANCE PROVISION.-
Landscape Insp. Receipt It �,XbOl
HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORREC;T,.,A AM THE OWNER, OR THE DULY AUTHORIZED GENT OF
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TION: AN[ `IG ORK UTHORIZED THEREBY� NO PERSON WILL BE EMPLOYED
IN VIOLA E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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771-0220
RELEASED Y DATE
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IT IS LIN WIFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL - FILE YELLOW INSPECT09
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC110.
PINK -OWNER GOLD � ASSESSOR
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060355
PERMITTRAX .. ........
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0412612006 6MITHM 0 LEAKERREMEDIATION WITH MANIF6LD
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12/0612006 WESTFALL 30 Mitigation report rw'd-project approved.
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Total Time: 30
Total Inspections:
2 Total Time; 30
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Fopting .............
Wall ............
Pier/Porch
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
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Underground .............
—4
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Rough -in ...................
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Commercial Final
0
HEATING:
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Gas Test ..........
-4
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Gas Piping .................
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Equipment .................
0
Commercial Final
SHEATHING
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EXTERIOR
NAILING ....................
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FRAMING ........................
0
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FIRST FLOOR FIRAMING...
ITI 0
INSULATION
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Floorinsulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........