20060482.pdfPERMIT EXPIRES
CITY OF EDMONDS
PERMIT
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CONSTRUCTION PERMIT APPLICATION
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Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THEWORK NOTE"` THIS PERMIT COVERS WORK TO
Mechanical
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN ICURBS, SIDEWALKS. DRIVEWAYS. MARQUEE% ETC.) WILL REQUIRE
SEPAMTE PERMISSION.
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PERMIT APPLICAT ON: SEE BODO 19.00.005(A)(5)
A PERMIT LIMIT SEE ECDC 19.00 005(A)(6)
Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
T91 I-ap-cfi. Plan Chlk. Deposit
ON BEHALF 0 F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
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;APPLICANT.
N NTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
REVIEW Receipt #
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. No AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FINE Inspection I Total Amt. Due
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FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $HALL NOT 5
DEEMEDT MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMITON ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
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APPLICATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVENISCORRECT. NO THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL Th. Pr.�,Ihhh I�
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION O111d.,,q0If,h,11h11D0P,hY a,dF,pAda
TIOhh ANON DOING THE WORK AUTHORIIEDTHEREDY, NO PERSON WILL US EMPLOYED
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IN VIO LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
L l�,�URE DATE
(425) AT
ATE 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 CEFITI-
ORIGINAL FILE YELLOW INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110. PINK -OWNER GOLD - ASSESSOR
6105 PRESS HARD YOU ARE MAKING 4 COPIES
Permit Inspection Details
Permit: BLD20060482
PERMIT*rRAX
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10/2512006 me 0 APPROVED y
Total Time:
Total Inspections: 1 Total Time: 0
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6118/2009 10:51:02 AM
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall........... ..........
Pier/Porch .................
Retaining Wall ...........
Slab Insulation
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PLUMBING:
Underground .............
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Rough -in ..................
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Commercial Final
HEATING:
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Gas Test ....................
Gas Piping .................
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Equipment ............
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Commercial Final
EXTERIOR SHEATHING
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NAILING ................
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FRAMING ........................
0
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FIRST FLOOR FRAMING...
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INSULATION ...................
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Floor Insulation
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Wall Insulation
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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