20060473.pdfDATE
PERMIT EXPIRES
CITY OF EDMONDS
PERMIT Z'2
NUMBER
JOB SUITEAPT.
CONSTRUCTION PERMIT APPLICATION
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MAILING ADDRESS
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NAME
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NO, OF FIXTURES
PRV REQUIRED
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ADDRESS
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OWNERICONTRACTOS RESPONSIBLE FOR EROSION CONTROUDRAIMAGE
TELEPHONE
k037,42
STAT LICENSE NUMBER EXPIRATION
UPC 6' 11
tank shall be
PROPERTY TAX ACCOUNT PARC5L NO.
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ALLOWED PROPOSED
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PROPOS D SETBACKS F'r)
FRONT 111111 BEAR
CHANGE OF USE
MIXED USE
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REPAIR X FT)
PARKING
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PLANNING 1--EO BY DATE
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REDO I PROVIDED
REMARKS
CAR ETAINING WALL FIRE SPRINKLER
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JTYPE OF USE, BUSI!!!=
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NUMBER
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STORIES UNITS
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OCCUPANT
GROUP 19,2
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Description
FEE
Description
FEE
;�fCE LOT SLOPE% VESTED DATE
Plan Check
State Surcharge
PLAN CHECK NO:
Building Permit
City Surcharge
1,5
Plumbing
Base Fee
THIS PERMITAUTHORIZESONLYTHEWORK NOTED, THISPERMITCOVER WORKTO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
110
3 BE MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
PARATF PERMISSION.
Mechanical
ts
Grading
PERMIT APPLICATION: SEE ECDC 19.0.005AB51
T PERMIT LIMIT, SEE ECDC 19.0040SUG(6)
Engr. Revie.
Recording Fee
Engr. Inspection
Plan Chk, Deposit
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
a 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
a,
IN NTEREST, AGREES TO INDEMNIFY, DEFEND AN. HOLD HARMLESS THE CITY OF
�jEDMONDS , WASHINGTON, IS OFFICIALS, EM11OY111, AND AGENTS FIROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL 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,
Fire Review
Receipt
Fire Inspection
Total Amt. Due
andSCIpe Inap.
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZE, AGENT OF
ATNNG C
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGUL ONSTEUD-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL a .P DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENe COMPENSATION INSURANCE AND HOW 18;27.
11="OWNER OR
";_3 _,C�l 1
CALL
FOR INSPECTION
(425)
771-0220
APPLICATION,A P
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EXT. 1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 I IBC110 I IRC110.
ORIGINAL FILE - YELLOW - INSPECTOR
PINK -OWNER - GOLD - ASSESSOR
6/05 PRESS HARD - YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060473
PERMIT'TRA'.,
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610212006' NOOK 30 APPROVED
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Total TIe: 30
Total Inspections: 1
Total Ti.&: 30
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Page 1 of I
W12009 4:63:34 PM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
.
wait .........................
Pier/Porch .................
z
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
=i 9
Underground .............
M
Rough -In ...................
C a
IT1 0
Commercial Final
0
C
HEATING:
M
GasTest ....................
f- -4
Gas Piping .................
Equipment .................
0 -n
-n
Commercial Final
-4
M ITI
EXTERIOR SHEATHING
0
NAILING ..........................
0
0 f7 It
FRAMING ........................
C 0)
0)
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
z
Ceiling Insulation
SHEETROCK NAILING
z
SPECIAL INSPECTION
0
TI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY
law
..................
. ........