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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PERMIT EXPIRES
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Description
FEE
Description
FEE
Plan Check
State Surcharge
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Building Permit
�Ity Surcharge
PLAN CHECK NO:
Fee
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Plumbing
Base
THIS PERMIT AUTHORIZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO
Mechanical
Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES� ETC�) WILL REQUIRE
SEPARATE PERMISSION,
PERMIT APPLICATION: SEE ED.0 19.00.005(A)(5)
Engr. Review
Recording Fee
PERMIT LIMIT', SEE ECDC 19.00.005(.)(61
Engf. Inspection
Plan Chk. Deposil
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
L ;CANTONEIEHALFO HIS OR HER SPOUSE, EmS, ASSIGNS AND SUCCESSORS
Fire Review
Receipt IT
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;ARP
IN NTEREST, AGREES TO INDEMNIFY, DE FEND AND HOLD HARMLESS THE CITY OF
AN.
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ED ONDS, WASHINGTON� ITS FFICALS, EMPLOYEES. AND AGENTS I... ANY
NATURE, ARISING DIRECTLY OR INDIRECTLY
Due
ZAC
ILLMCLAIMS FOR DAMAGES OF WHATEVER
F ROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
File Inspection
Landscapeinsp.
DEEMED TO MODIFY� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
ORDINANCE PROVISI N..
NOR LIMIT IN ANY WAY THE CITYE ABILITY TO ENFORCE ANY
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
OR THE DULY AUTHORIZED AGENT OF CALL Th, I,- 11911d by th,
IS Cc
GIVEN RAECT; AND THAT I AM THE OWNER' STATE LAWS REGULATING CONSTRUC- au,d, O,,,R ,K, DI,pu,, ��d F
THE OWNER, I AGREE 10 COMPLY WITH CITY AND FOR INSPECTION
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED ,t 1100-d9ld �n IP,111 P d1d
To
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING
LINE OATL
WORK.EHIft ANCE AND RCW 18:27. 425
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OMPENSA��R ty, P,�
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SIGAII�wl kTE SIGNED - -
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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- ORIGINAL01 FILE - YELLOW - SISPECI OR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110, PINK WNER - COLD - ASSESSOR
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Detailed Written Scope of MICROFILM
Work Worksheet
owner: Mall QKk05' z 61 hl-1/11�
Address-
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Plan Check It-
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Provide a complete detailed written scope of work for the proposed project.
Additions (additional square footage): Specify room use,- floor level and square footage
and direction if applicable (i.e. 545 square foot master bedroom/bathroom addition on tile
second floor with 140 square foot deck and 245 square foot kitchen addition on the main
floor, South side ofhouse).
Remodels (interior renovations): Specify room uses and floor levels (i.e. combine
b drooms I and 2 on the main floor to create new master bedroom/bathroom; replace
dinning room sliding glass door with new French doors, reconfigure kitchen with new
island prep counter and install new gas fireplace in the living room).
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Permit Inspection Details
Permit: BLD20060472
PERMITTPAX
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08/0412006 MS 20 SHEETROCK APPROVED
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Total Time: 20
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6i/i42006 'MS 20 FRAMINGAPPROVED
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Total Time: 20
11/29/2006 Snook 20 APPRO��D
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Total Time: 20
Total Inspections; 3
Total Time: 60
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page 1 of I
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall .......................
Pier/Porch .................
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Retaining Wall ...........
0
Stab Insulation ..........
0
PLUMBING:
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Underground .............
Rough -in
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-4 0
Commercial Final
0 0
HEATING:
C
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M
Gas Test ..................
Gas Piping .................
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0)
Equipment .................
0 -n
Commercial Final
EXTERIOR SHEATHING
M M
NAILING ..........................
-7
0
FRAMING ........................
C
FIRST FLOOR FRAMING_
M 0
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
0
171
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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