20060417.pdf0 ATE RECEIVED
FP�IRMIT
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PERMIT
CITY OF EDMONDS
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Description FEE
Description FEE
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HEATSOURCE LET I-P",, VESTEDDATE
Plan Check
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THI PERMITAUTHORIZESONLY THEWORK NOTED, THISPERMIT OVERSWORKTO
Mechanical
T. PUS,
tz BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE
Mn DOMAIN (CURB% SIDEWALKS, DRIVEWAYS, MARQUEES. ETC,� WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION; SEE ECOC 19,00.005A)S�
Grading
Fee
T PERMIT LIMIT, SEE ECDC 19.0D.005(A)(6)
Engr. Review
Recording
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection
Plan Chk. Deposit
'APPCICANT� ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Fire Review
Receipt It
2
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR OAMAGIS 01 WHATEVER NATURE, ARISING OI111TLY OR INDIRECTLY
F OM THE ISSUANCE I THIS PERMIT ISSUANCE .1 THIS PERMIT S.ALL NOT BE
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DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Landscapeinsp.
Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GRENISCORAECT� NO THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
Th�
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION
.1.1Z Otd-1 o, Nsftl Olp.ty Ind F d1d p,dadcl
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
dnd,',XB_�.dpd � spr" P101-d0d
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wo Ne COMPENS URANCE AND RCW 18:27.
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Sr ATE SIGNED
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771-0220
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EXT. 1333
RECEAS By
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ATTE14TION
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. uBClug I ISC110 / IRC110.
PINK -OWNER GOLD - ASSESSOR
6106 PRESS HARD - YOU ARE MAKING 4 COPIES
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ................
Retaining Wall ...........
Slab insulation ..........
0
M
PLUMBING:
Underground
3:
0
M
C
Rough -in _ ................
0
0
Commercial Final
0
C
HEATING:
M
M z
Gas Test ....................
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r- -4
Gas Piping
Equipment .................
0 -n
Commercial Final
EXTERIOR SHEATHING
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NAILING ..........................
0
FRAMING ........................
0
a co
9 co
IR
FIRST FLOOR FRAMING
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INSULATION ...............
Floor Insulation
-4
x
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
0
IT!
MISCELLANEOUS ..........
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OGGIif"ey ..............