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? I I PERMIT EXPIRES
CITY OF EDMONDS N
CONSTRUCTION PERMIT APPLICATION A
OWNER NAMEMAME OF BUSINESS
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THIS PERMIT AUTHORIZES ONLY THEWORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2-
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: SEE ECDC 1-0.005(A)(5i
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PERMIT L MIT, SEE 5COC 19,00.005(AI(B)
SEEBACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESSOR$
IN INTEREST, AGREES TO INDCMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS* EMPLOYEES, AND AGENTS IRGM ANY AND
ALL CLAIMS FOR DAMAGES 01 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S ALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT,, NO THAT I AM THE OWNER� OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I GRES TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE 'Mo OY60
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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771-0220
EXT. 1333
APPLICATION APPROVAL
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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 - INSPECTO
_-ICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110. PINK � OWNER GOLD � ASSESSOR
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Permit Inspection Details
Permit: BLD20060455
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1112012006 WESTFALL 30 Fireapproveswork.
Total Time: 30
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3 Total Time: 60
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ....................
Pier/Porch ..........
Retaining Wall ...........
Slab Insulation ..........
0
PLUMBING:
=i 51
Underground .............
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3:
Rough -in
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............
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Commercial Final
0
C
HEATING:
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A z
Gas Test ..........
jo j
Gas Piping ...........
ca
Equipment ..........
Commercial Final
EXTERIOR SHEATHING
M M
NAILING ...........
FRAMING ........................
0
C 0)
FIRST FLOOR FRAMING...
M 0
INSULATION ............
Z
;0
Floor insulation
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Wall Insulation ...........
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-4
Ceiling Insulation
V)
SHEETROCK NAILING
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0
SPECIAL INSPECTION
0
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ................