20060454.pdfDATE RECEIVEDI_, 1,
ERMIT EXPIRES
CITY OF EDMONDS
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NUMBE
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
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ADDRES
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PLAT NAMEISITIDIVISION NO, IOTNO, I'D NO
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CITY ZIP TELEPHONE
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0
0
EXISTING, PROPOSED
NAME
METER SIZE LINE 11 PRV REQUIRED
YES E3 NO 13
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ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE
CITY ZIP
JTEIEPIO"E
NAME
INIENNI REVIEWED BY DATE
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ADDRESS
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CITY ZIP TELEPHON
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RECYCLE REVIEWED By FIRE MARSHAL DATE
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PUBLIC WORKS ReYWO My o D�E
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STATE LICENSE NUMBER EXPIRATIO C
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COMMERCIAL
ADDITION 0 MIXED USE COMPLIANCE OR
1:1 CHANGE OF USE
0
REMODEL [3 MULTIFAMILY SIGN
0 1
13 STUDY
0
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LOTCOVERAGE
ALLOWED PROPOSED
0 SETD CKS (FY
REQUI I
FRONT SIDE HEAR FRONT
SETBACKS (FT.)
LIRSIDE REAR
DING FENCE
0 REPAIR [3 GRA CYDS ( X—F',
DEMOLISH CS, TANK OTHER
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REC' PAR PROVIDED
LOTAREA
PLANNING REVIEWED By DATE
REMARKS
ciGARAGE r] RETAINING WALL F�RE SPRINKLER
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NUMBER NUMBER 0 F
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STORIES UNITS
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SPEC AL INSPECTION
REQUIRED 13 YES
CONSULTANT
OCCUPANT
LOAD
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REMARKS
GEOTECH REPORT
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STRUCTURAL DESIGN
BY
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Description
FEE
Description
FEE
State Surcharge
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HEAT SOURCE LOT SLOPE% VESTED DATE
PLAN CHECK NO:
Building Permit
City surcharge
Plumbing
Base Fee
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THIS PERMITAUTHOROES ONLY THEWORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
mechanical
PERMIT APPLICATION: SEE ECDC 19.00,005(AI(5)
PERMIT LIMIT'. SEE ECDC 19,00.005(A)(6)
T;gr R.v,.w Recor'ding Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
SEE B
P, k Spostl
Engr. Inspection Plan Chk. Deposit
'APPLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING IRECT11 OR INDIRECTLY
S
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THI PIRMI SMALL NOT BE
DEEMED T MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ... INANCE PROVISION.-
NOR UMITO
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Fire Review Receipt 0
To.. Arm
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I Receipt #
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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-
UTION; AND IN DOING THE AK A H ZED THEREBY, NO P BEEN WILL BE EMPLOYED
IN VIOLATIO OF THE L;FOR CUOTOEOROIF TIME STATE OF WASHINGTON RELATING TO
WORKMEN SNOMPENSAPON INS()IRANCE AND RCW 18:27,
(a I DATE SIGNED
-
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APPLICATION APPROVAL
CALL Th� P"".". `g
FOR INSPECTION 8"`9
(425) OFFI��URE
771-0220
RELEASED BY bATE
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-[61
EXT. 1333
TEKTION
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, LIBC1 09 / ISC1 10 / IRC11 0. PINK -OWNER - GOLD - ASSESSOR
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060454
RE:RMITTqA,
11/21/2006 MSMITH 0 APPROVED
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Total Inspections:
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615/20093:21:56PM
Page I of 1
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing ............
wall ................
Pier/Porch
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Retaining Wall
0
Slab Insulation ..........
PLUMBING:
Underground .............
:C
0 R11
C
Rough -in ...................
M
0
0
Commercial Final
C
HEATING:
M
M Z
jo --I
Gas Test
C P
Gas Piping .................
Equipment .... .............
0 -n
-4
Commercial Final
3:
M M
EXTERIOR SHEATHING
0
NAILING ...................
0
091
FRAMING ..................
C
Q 0
FIRST FLOOR FRAMING
INSULATION ...................
;a
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
M
MISCELLANEOUS
FINAL APPROVAL FOR
.2 1 a
OCCUPANCY ..................
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