20060356.pdfLTE RECEIVED
CITY OF EDMON
CONSTRUCTION PERMIT APPLICATION
OWNER NA EINAME OF BUSINESS
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MAILING ADDRESS
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CITY I, T111FRO E
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NAME
CITY ZIP
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PIRES
P&MIT
NUMBER
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ADDRESS C, -A
PLAT NAMEISUBO[Vis[ON NO,
101 NO,
LID NO
LIDFE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
14P.-
EXISTING _ PROPOSED
REQUIRED DEDICATION _ FT
METER S12E
LINE SI
FRV REQUIRED
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YES 0 NO 13
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
BAT E
DATE
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STATE LICENSE NUMBER EXPIRATION III - � Nei COMPLETED I EXIaIPT
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NUMBER
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DWELLING
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ECIAL INSPECTION
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CONSULMANT
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DESCRIBE WORK TO HE U
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Description
FEE
Descrip I
Plan Check
State Surcharge
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HEAT SOURCE LOT SLOPES, VESTED DATE
(2c's
Building Permit
city SnL.�
PLAN CHECK NO:
—
Pl.rnhing
Base Fee
ITI
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THISPERMIT OVERSWORKTO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
L DONMAIN (CUIT24, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. —
PERMIT APPLICATION! SEE BODO Jqe0.iiQS(AI(5)
ech.n,..l
Engr. Review
T PERMIT LIMIT', SEE ECDC 19.00,005(AI(G)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. inspection
'APP ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
L
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ITS FFICIAL$, EMPLOYEES, AND AGENTS FROM ANY AND
2 EDMONDS, WASHINGTON. 0 ECTLY OR INDIRECTLY
ALL OF WHATEVER NATO E, AR SING DIR
CLAIMS FOR DAMAGES R
FROM THE I SUANCE 01 THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED To MODIFY, WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANN
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Fire Review
—
File Inspection
LandscapeRSP.
Recording Fee I
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
IHERERY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER� I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'$ COMPENSATION INSURANCE AND FCW 11:11.
APPLICATION AP ROVAL'
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CALL &dOng Offi-I , 1,,hr, oi,p.r, rd Fv.X — p.,d, rd
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FOR INSPECTION -
DATE
DATE SIGNED
(425:
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1.0,
771 -1.14411.1
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-
FICATE OF OCCUPANCY HAS BEEN GRANTEM UBCJ og I IBC11 0 1 IRC11 0.
ORIGINAL FILE YELLOW INSPECTOR
PINK -OWNER GOLD - ASSESSOR
10/04 PRESS HARD - YOU ARE MAKING 4
COPIES
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Permit Inspection Details
Permit: BLD20060356
PERmiTTRAX
0412712006 SNOOK 25 APPROVED
y
Total Tim.: 25
Ilk
60
04/2712006 SNOOK 15 APPROVED
y
Total Time: 15
Total Inspections:
2 Total Time: 40
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71112009 1:23:26 PM
Page I of I
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch . ................
Retaining Wall ...........
Stab Insulation ..........
0
PLUMBING:
Underground .............
Rough -in ...................
M
C:
Commercial Final
IT,
0
0
�,HEATING:
Gas Test
17111
ITI
d
Gas Piping . ...........
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Equipment
Commercial Final
0 -n
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EXTERIOR SHEATHING
NAILING .....................
M M
FRAMING ........................
0
0
FIRSTFLOOR FRAMING
(j)
IT 0
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Calling Insulation
SHEETROCK NAILING
U)
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SPECIAL INSPECTION
0
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............