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PERMIT EX RES
CITY OF EDMONDS
PERMIT V
NUMBER
CONSTRUCTION PERMIT APPLICATION
A,II1
OWNER NAMr. NAME OF IH.5iNFSS
PLAI NAME,SUBDIVISION NO LI NO
110111
UHGAD.11L�S
LID FEE
PUBLIC 01 WAY IEBOIFICIAL STREBTNAP 1,LS,2P 13
CITY ZIP TLLEPHO E
EXISTING PROPOSED
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REQUIRED DEDICATION ---- FT Ell
NAME
METER SIZE LINE 11 REV RECLINED
YES C3 No 13
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ADDRESS
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OWNERICQNTRACTOR RESPONSIBLE FOR EAOSIQN CONTROUDRAINAGE
CITY ZIP ITELIPICIE
NAIVE 11L1
E"1I1jFHjNr REVIEWED B�, DATE
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PUBLIC WORKS REVIEWED By DATE
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STATE LICENSE NUMBER EXPIRATION DATE
IRE REVIEWED SY DATE
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PROPERTYTAX 1111,11,
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MIXED USE CHANGE OF USE
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LOTCOVERAGE REQUIRED SETBACKS (M� PRO BED SETBACKS (FT)
FRONT R SIDE REAR
0
Fj REMODEL MULTIFAMILY SIGN
ALLOWED I PROPOSED FHDNT SIDE REAR
0
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REPAIR GRADING CYCE X
UOTAREA PLI KING REVIEWED BY DATE
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DEMOLISH TANK 13-07eR- W C�,
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PROVIDED
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Description FEE Description FEE
NEAT SOUR—CE LOT SLOPE-. VESTEG DATE
Plan Check State Surcharge
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Building Permit City Surcharge
2
PLAN CHECK NO:
0
Plumbing Base Fee
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THIS PERMITAUTHORMES ONLYTHE WORK NOTED. THIS PERMITCOVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS. DRIVEWAY% MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSIOW
Grading
PERMIT APPLICATION: SEE ECDC 1100.005M)(5)
T PERMIT L MIT., SEE ECDC 19.00.00(A)(6)
Engr Review Recording Fee
OF
SEE8ACK PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
ng'
IN INTEREST, AGREES To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review Receipt H
I a
IS EDMONDS' WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection Total Amt. Due
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FROM THE ISSUANCE F THIS PERMIT, ISSUANCE .1 THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
7-1
rLandscape
NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Inst, Receipt P
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATI
GIVEN IS CORRECT, A14 D THAT I AM THE OWN ER, OR THE DULY AUTHORIZED AGENT OF
,,Pv,�PPROVAL
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CALL TII..pM,o n -I VqrRV r, K�
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
BV,IdF,9 011-� D.Mul, 1— — jXFV
FOR INSPECTION
TIOW AND IN DOINGT EWCRK AUFTKOMZEDTHERESY� NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
p,—Rd
WORKMEN'S COMPENSAT! �N[ �URANCE AND How 18:27.
(425) AL I A"
SIGTA�UAE(OWN.� B I DATE SUED
771-0220
�GENTy.
11LIAVED By VATE
-VI
EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE 08 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. UBC1091 IBC110/ IRC110.
PINK -OWNER GOLD . ASSESSOR
6105 PRESS HARD - YOU
ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060392
PERMITTRAX
M,
0510812006 Bulft �5 APPROVED
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Total Time: 35
otal inspections: 1
Total Time: 35
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7/912009 9�20:56 AM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ............
FOUNDATION:
Footing ...................
Wall .......... _ .............
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Pier/Porch .................
0
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
ITI
C
M
Underground .............
0
-40
Rough -in ............
C:
IT1
Commercial Final
ITI
to
HEATING:
Gas Test ................
Gas Piping .................
0
-n
-4
Equipment .................
x
MITI
Commercial Final
0
0
0 IT
EXTERIOR SHEATHING
NAILING ....................
C Cn
C 0)
M 0
FRAMING ....................
Z
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FIRST FLOOR FRAMING
INSULATION ............. .....
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Floor Insulation
-4
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...........