20060465.pdfPERMIT EXPIRE
CITY OF EDMONDS
PERMIT
NUMBER C5-
CONSTRUCTION PERMIT APPLICATION
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PLAT NAME,SUBDIVIStON NO Or 10, 110 N
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Plumbing Base Fee
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THIS PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To
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Mechanical
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8E DO E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN tCURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
S EPARATE PERMISSION.
Grading
PERMIT APPLICATION: SEE ECDC 19,0D.005(A)(5)
PERMIT LIMIT.- SEE ECDC 19,00.005(A)(6)
Engr, Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
-APPLICANT, ON BEHALF OF HIS QR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY 01
Fire Review Receipt #
EDMONDS. WASHINGTON, ITS OFFICIALS� EMPLOYEES, AND AGENTS FROM ANY AND
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
R 1IT SHALL N B
-MIT' ISSUANCE OF THIS RE M Or E
Total Amt. Due
Fire Inspection _y�
FIR M THE ISSUANCE OF THIS PE
DEEMED TO MODIFY, WAIVEOR REDUCEANY REQUIREMENT OFANY C ITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Receipt If
Landscapemsic. &AN
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
PLICATION APPROVAL
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GIVEN is CORRECT, AND THAT I M THE OWNER. OR THE DULY AUTHORIZED AGENT OF
CALL '.1 .1t1t 119,10 by
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CO"STRUC,
FOR INSPECTION B"'d`9 ol"" P"b" D""'I P`Ib`�
TION; AND 11 DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOL TI A OF TH L A CODE OF THE STATE OF WASHINGTON RELATING TO
Wo RKMEWS COMP�, SA INSURANCEANDACIN 18:27.
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IT IS UNLAWrULTO 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. UBC109 I IBC110/ IRC110.
PINK -OWNER GOLD � ASSESSOR
610 PRESS HARD - YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060465
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Total Time: 30
Total Inspections:
Total Time: 30
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall
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Retaining Wall ...........
Slab Insulation
PLUMBING:
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Underground .............
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Rough -in . .............
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Commercial Final
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Equipment
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EXTERIOR SHEATHING
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NAILING .......... ...........
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FRAMING .................
FIRST FLOOR FRAMING
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INSULATION ...................
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Floor Insulation
Wall Insulation
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
67
OCCUPANCY ..................