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PERMIT EXPIRES
PERMIT
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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Description FEE Description FEE
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PLANICHECK NO:
Plumbing Base Fee
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THIS PERMITALITHORIZES ONLYTHE WORK NOTE THIS PERMIT COVERS WORK To
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMITAPP LICATION: SEE ECDC IIEGG.005(Ak
ECGGjqOrarS(
PERMIT LIMIT, SEE A)B)
Eng Recording Fee
I. Review
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr, Inspection Plan Chk, Deposit
'APPLICANT. 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 #
2 1 MOND WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
LLCLAI SFORDAMAGE OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ALL DEAD
OF THIS PERMIT SHALL NOT E
Fire Inspection Total Amt. Do ae� W(
Fn M THE ISSUANCE OF THIS PERMIT, ISSUANCE
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
"OR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapeinsp. Receipt
I HERIBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
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 CONSTRUC�
BE EMPLOYED
CALL TM-PP11.11— II F... �,,
A,IV1AV.p..L..rKr
FOR INSPECTION
TtON; AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL
IN VIOLATION OF THE CODE OF THE STATE OF IN SHINGTON RELATING TO
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Won KMEN'S COME RANCE AND RCW 18:27.
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SIGNATUR OWNS OR GENTF ATE SIGNED
771-0220
P ED B DATE'
EXT. 1333
A ENT'O
,.U.LAWI LTO U BE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL E - YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. USC109 / IBC110 / IRC110.
PINK OWNER - GOLD . ASSESSOR
6fos PRESS HARD - YOU ARE MAKING 4 COPIES
FINAL PROJECT APPROVAL FORM
TO: -
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE ............ . .
-ENGINEERING DIVISION DATE -
PLANNING DIVISION DATE__L7/;7-_,'V'
PROJECT- !�J�
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PERMIT #__2,zj, ,,43s- ADB#_DATE INSPECTED--.L
DESCRIPTION OF WORK TO BE INSPECTED Ytz�q, Z, Lea
A field inspection was conducted to determine compliance with,approved plans. Final approval
denotes that there are no objections from the above signed Department to tile release of
PERFORMANCE BONDS and the granting of:
__�_,-�GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to ownericontractor by inspector
I
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy ofCORRECTION NOTICE given to owner/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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Permit Inspection Details
Permit:
BLD20060435
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0512612006 MS
0 APPROVED
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Total Time: 0
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07/2b/2006 MG
0 APPROVED
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Total Time; 0
Total Inspections:
2 Total Time: 0
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6118/2009 10:51:43 AM
Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall
Pier/Porch
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground
0
M
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Rough -In ... ................
M 0
0
Commercial Final
0
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HEATING:
IT1 M
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Gas Test ....................
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Gas Piping ..........
Equipment .................
0 -n
Commercial Final
EXTERIOR SHEATHING
IT! ITI
0
NAILING ..........................
0
0 M
FRAMING ........................
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FIRST FLOOR FRAMING_
IR 0
INSULATION ...............
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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