20060509.pdfGA'. RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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ENGINEERING REVIEWED BY
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STATE LICENSE NUMBER
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EXPIRATION NAI E C E E By
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SHORELINE OR ADB# It,
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FIRE SPRINKLER
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REMARKS
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STORIES UNITS
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I De.c6tlon I FEE I DescHption I FEE I I
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Building Permit
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THI PERMITAUTHORIZES ONLY THEWORK NOTED. THISPERMITCOV R WORKTO
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Mechanical
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION 0 THE PUBLIC
Grading
LL RE '"R.
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. ETC I W'
PERMIT APPLICATION: SEE ECDC 19.00,005(A)(5)
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Recording Fee
PERMIT LIMIT. SEE ECDC 1940.006ANIR
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ASSIGN. AN. BUD ..B.O.-
'A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESSORS
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Recejoll #
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IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ED WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
MONDS.
Fire eview
Fire InSpectiOn
Total Aml, Due
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INNE Y 0 BURN T
ALL CLAIMS FDA DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
R M THE SSUANCE OF THIS PERMIT, SUAN E of THIS 0 PERMIT SHALL NOT BE
F 0 IS C , N
I , Y CITY OF., N
DEEMED TO MODIFY, WAIVE ON REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
ORDINANCE PROVISION.-
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Receipt If
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY
APPLICATION APPROVAL
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CALL
TI,,1 �' - 111 I�I �19 III I-
GIVEN IS CORRECT. AND THAT
T E OWNER, I AGREE TO COMPLY WITH BIT AND STATE LAWS, REGULATING CONSTRUC-
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FOR INSPECTION
I., D�pl, R F a,. pL,,,Xs
r AIZEY THEREBY, NO PERSON WILL BE EMPLOYED
TION; AND IN DOING THE WORK AUTHO 0
IN VIOLATION OF THE LABOR CODE OF TH E STATE OF WASHINGTON RELATING TO
S SIGN AID E
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WORKMENE CoMpENSATIMMSURANCE AND RGW JIL27.
(425)
SIGNATURE (OWNER DATE SIGNED
771-0220�
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EXT. 1333
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ATTENTION
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
0 AL FILE *
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC1091 IBC110 I IRCI10-
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OWNER - GOLD - ASSESSOR
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Permit Inspection Details
Permit: BLD20060509
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0612112006 SETBACKS PPROVED
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MS 20 MONO POUR FOOTING AND FOUNDATION APPROVED
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Page 1 of I
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
6 1 vy\0
Footing ......................
wall......................
Pler/Porch ...............
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Retaining Wall ...........
Slab Insulation ..........
0
PLUMBING:
A CH
Underground . ............
-4
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Rough -in .................
M
0
Commercial Final
0
HEATING:
M
M Z
Gas Test ...............
0
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Gas Piping .................
Equipment
O"n
Commercial Final
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EXTERIOR SHEATHING
ITIM
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NAILING ..........................
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FRAMING ...................
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FIRST FLOOR FRAMING
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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