20060380.pdfr
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CITY OF EDMONDS
PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB 911TEIAIT,
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PLAT NAME!SUBDWtStON NO. LOT IQ, LID NO,
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NAME
METER SIZE SIZE NO. OF FIXTURES PRY REQUIRED
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
NAME
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PUBLIC WORKS REVIEWED BY MAT—E
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1711
Plumbing Base Fee
THIS PERMITAUTHORIZES ONLY THEWORK NOTED. THIS PERMRCOVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 19.01005(A)(5)
PERMIT LIMIT, SEE ECDC ISBO.0051A)S)
IvIecharical
Grading
Engr, Review Recording Fee
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
-AP LICANT� ON BEHAL OF HIS OR HER SPOUSE� HERS, ASSIGNS AND SUCCESSORS
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IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAG S OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROMTHEISSUANC OFTHISPERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A NY ITY ORDINAN E
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY OROINACNCE PROVISION�
Fire Review Receipt
Fire Inspection Total Arm. Due
Landscapemsp. Receipt It
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE HE RMATION
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
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON WILL SE"E`MP`LT0`YEG
IN VIOL TION OF THE LA50R CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN's Co!�IENSATION INSURANCE AND Pew 18;27,
APPLICATION APPROVAL
CALL TbppIXnK I pelIX -,I 1,gned by -
b.�F.--n--V
FOR INSPECTION F—d.v
(1425)
771-0220 ��OFFW�L DATE
EXT. 1333
ATfENTION I
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 - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED, UBC109 / IBC110 / IRC110. PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060380
PERMITTr�,,,x
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01117/2007 SMITHM 90 SYSTEM TESTED AND �6CEPfEl)
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Total Time: 90
IF
Total Inspections:
Total Time: 90
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6/9/2009 1:33:12 PM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Fooling......................
wall .......... I ...........
Pier/Porch .................
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ... .................
Gas Piping .................
Equipment . ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING
FIRST FLOOR FRAMING
-.INSULATION .............
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........