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PERMIT EXPIRES
CITY OF EDMONDS
PEFfMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME OF BUSINESS
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Description
FEE Description FEE
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HEATSOURCE LOTSLOPEIN. TETTjo-FA—TE
Plan Check
State Surcharge
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Building Permit
City Surcharge
PLAN CHECK NO:
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Plumbing
Base Fee
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THIS PERMITAUTHORIZES ONLYTHEWORK NOTED. THIS PEZITCOVERS WORK TO
0
BE DO IS ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
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00 (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL
SEPMAARJANTE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECOG 19,00.005(A)(5)
PERMIT LIMIT. SEE ECDC 19.00.00SAIII)
Engr. Revie.
Recording Fee
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Ergr. Inspection
Plan Chk. DepoSit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
I.N.I.N.T.E.R:S.T AGFIEES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
I'D REVIEW
Receipt IT
TIN, ITS FIFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ASH '. 0
ALLCLAI MAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
PER OR
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Fire Inspection
Total
D EMED TO MODIFY, WAIVE OR REDUCE ANY REOUMEMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PSOVISION.-
Landscapeinsp.
Receipt 0
IHERE ACKNOWLEDGE THAT t HAVE READ THIS APPLICATION; THAT THE INFORMATION
By
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I Am THE OWNER, A THE DULY AUTHORIZED AGENT OF
CALL
THE OWNER. I AGREE TO COMPLY WITH 01 Y AND STATE LAWS REGULATING CONSTRUC�
FOR INSPECTION
Sulldl�g 011KI.I., U�1 D.P.iY: Z., P.K.
TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMP DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEWS COMPENSATION INSURANCE AND RCW 18:27.
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(425)
DATE SIGNED
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771-0220
EXT. 1333
IN17ENTION
IT IS UNLAWFULITO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITI-
ORIGINAL - FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I ISC110 / IRC110.
PINK - OWNER - GOLD ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060365
PERMITTRAx
. ..........
09/15/2006 MS 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 .....................
FOUNDATION:
Footing ............
wait_ ......................
Pier/Porch .................
Retaining Wall
0
Slab Insulation ..........
PLUMBING:
Underground ............. x
a ITI
Rough -In . .................. C
IT 0
0
Commercial Final 0
C
HEATING: M
ITI z
GasTest ....................
Gas Piping .................
Equipment .................
It
Commercial Final
M M
EXTER OR SHEATHING
1 0
NAILING .......................... 0
0
FRAMING ................
FIRST FLOOR FRAMING Q 0
Z
q
INSULATION ...................
;XI
Floor Insulation x
Wall Insulation ........... Z
Ceiling insulation 0)
z
SHEETROCK NAILING
SPECIAL INSPECTION 0
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR Ct
OCCUPANCY ..................
loco 0 50.5