20060464.pdfDATE RECEIVED
PERMIT EXPIRES -
CITY OF EDMONDS
PERMIT
-NUMBER
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAMV OF BUSINESS
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FLAT NAMEISUBDIVISION NO, IOTIO, 110 NO
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LID FEE 5
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METER SIZE NO, 01 FIkTURES PRI RIOHIRE
YES 13 NO 13
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NUMBER I NUMBER OF
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FEE Description F�
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THIS PERMITAUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
OOMAIN (CURS% SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Mechanical
Grading
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PERMIT APPLICATION: SEE ECDC 19.00,005(A)(5)
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PERMIT L MIT, SEE ECDC 19,00,005JA)(6)
Eng,. Review Recording Fee
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
En9r. Inspection Plan Chk. Deposl;
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
N NTEAEST, 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 NATUHE� ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
BE TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
EMEDT -
ON LIMI IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
Fire ReVeW Receipt 4
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Fire Inspection Total Arm, Due
pt 0
Landscape Insp, Few pt;
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONN THAT THE INFORMATION
GIVEN 15 CORfI AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNEW I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRIC"
ED
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOY j
IN VIOL ION OF THE LAGOA CODE OF THE STATE OF WASHINGTON RELATING TO
Won AT
K.EN'S CONFER I !:�SURANCE AND RCW 18:27. 1 DATESIC'N
SIGNATURE
APPLICATION APPROVAL
CALL TI,,� IPPIK-Il— I� - � —, 01 �S III, —
FOR INSPECTION Ro,UPg Offi—I 11 PU1 D.pty Ild Fe,s,,, pa,d rd
11 11kFJ1dg,d �n spn, d
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IT IS UNLA FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL On A CERTI- 081GINAL � FILE - YELLOW - INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 / IRC110. PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060464
PERMITTRAX
n N"
04126)2007 Snook 30 APPROVED
y
Total Time: 30
Total inspections:
Total Time: 30
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