20060391.pdfI 407/d
PERMIT EXPIRE'S
CITY OF EbMONDS
/PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME QF BUSINESS i
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Description
FEE Description FEE
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HEATSOURCE LOTSL I VESTED DATE
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State Surcharge
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Base Fee
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W�`D���;;�I;T�TE PERTY ONLy. ANY GO N STAND T I ON THE'PUB
2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION,
PERMIT APPLICATION! SEE ECDC ir)BILGIIS(A)(5)
PERMIT LIMIT,. 1E11CDO
Engr. Review
Recording Fee
or PINK PERMITT
SEE A.K INFORMATION
Engr. Inspection
Plan Chk. Deposit
A A ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
P L
Fire
Receipt #
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Z EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Review
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Total Arm Due
CIA THE ISSUANCE 0 THIS PERMIT., ISSUANCE OF THIS PERMIT SHALL IN
FIT OT 59
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DEEMED TO MODIFY, WAIVE OR REDUCSANY REQUIREMENT OF ANY CITY ORDINANCE
C NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PRDvls'ON,*
Landscapeinsp.
Receipt N
I HEREBY ACKNOWLEDGE THAT I HAVE REA 0 THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
TP,� , A P-11 AIII �,gd 1,1 A.
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING T I ED THEREBY, NO PERSON WILL BE EMPLOYED
H WORK AUTHORIZ
FOR INSPECTION Buiq mkol �, N-1 OepAy - FAos - pa�d. Ild
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
A,p,,wI,dgd,n p,c, ,,o�d
W_ORKM'NS CoM PIIISATI?P"RANCE AND RCW 18:27
(425)
C N��VRE DATE
SIGN AT.FE,07N_ -EVENED
771-0220
1333
ATTENTION
ITISUNLAWFULTOUSEOROCCUOYA BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN �MADE AND APPROVAL OR A CERTI-
ORIGIN L -FILE YELLOW -INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC1101 IFIC110.
PINK -OWNER COLD ASSESSOR
BIDS PRESS HARD YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060391
REIRMITTRAX
T7,
06/1612006 MS 15 SIGN FINAL APPROVED BY BUILDING DEPT.
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Total Time: Is
Total Inspections:
Total Time: is
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0
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6/512009 9:13:08 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall . .........................
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 ..........
FINAL APPROVAL FOR
6- IC-0(o
OCCUPANCY ............
11