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PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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FEE
Description
FEE
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Plan Check
State Surcharge
VESTED DATE
City Surcharge
PLAN CHECK NO:
Base Fee
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THIS PERMITAUTHOWES ONLYTHE WORK NOTED. THIS PERMIT COVERS WORK TO
BE 00 IS ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Mechanical
Go MAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE EC.. 19.0.01IS(A (5)
EBgr. Review
Recording Fee
PERMIT LIMIT. SEE ECDC 19.00.1105(A)(fi)
Engr. inspection
Plan Chk. Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
Receipt #
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
E E MONDE , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND
Fire Review
Fire inspection
Total Amt. Due
I, ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT Of ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CtTY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,*
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APPLICATION AP
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
AUTHORIZED AGENT OF CALL Th,F --pr,
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY
TY AND STATE LAWS REGULATING CONSTRUE -
THE OWNER I AGREE TO COMPLY WITH Cl r.- UI, d E.—I. p.,,,Id
FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED v,A.PA,H,.wg..P ... P .
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
DATE
WORKMENB=SATIO INSURANCE AND RCW IS:21. (425)
SIGN.jT RVENERr NTtYV SIGNED q lip kc
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TENTION
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, UBC1091 IBC110 / IRC110. PINK -OWNER GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060443
PERMITTRAX
0711012006 Ha�klns 30 ok to grant Engineering final. Fence locatilon ok
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Total Time: 30
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Total Time: 30
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Page I of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing .................
Wall ..........................
Pier/Porch ..........
Retaining Wall ...........
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Slab Insulation
PLUMBING:
Underground .............
Rough -in
Commercial Final
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HEATING:
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Gas Test
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Gas Piping ...............
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Equipment .................
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EXTERIOR SHEATHING
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NAILING ...........
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FRAMING ..............
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FIRST FLOOR FRAMING_
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INSULATION ................
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Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ..................
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