20060521.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEiNAME Or BUSINESS
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0 DEMOLISH
0 TANK
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NO 01 FIXTURES
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Description
FEE Description FEE
I
Plan Check
State Surcharge
? DATE
Building Permit
city Surcharge
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PLAN CHECK NO:
Plumbing
P'umb'
Base Fee
CLIP
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Mechanical
Mee
MIT COVERS WOR To
THI PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
UCT'ON ON THE PUB"'
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBI
Grading
G On
(CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC. LL REQUIRE
0 1 WI
S' TC I WILL REQUIRE
3 SONMAIN
EPARATE PERMISSION. 'a
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PERMIT APPLICATION: SEE ECDC 1100,005(A)(S)
Eng, ReView
Eng,
SEE R PERMIT LIMIT-. SEE ECDC 19.00ACS(A)(S) Engr. Inspection
OR.A"..
ACK OF PINK PERMIT FOR MORE INFORMATION
ASSIGNS AND SUCCESSORS
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESSORS
Fire Review
re R
Plan Chk.Dep sit
L. -AR.L.-S THE CITY UP
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
'No AGENTS 'Be- ANY AND
5 EDMONDS , WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM AN AND
Fire Inspection
'Do I IT
Receipt #
N I C
ALL CLAiS FOR DAMAGES F WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT N BE
CRYOR I CE
T 0
C' ' ROMANCE
Landscapeinsp.
an I
T tal Amt. Due CC
DEEMED TO MODIFY, WAIVE OR RED CEANYREOUtREMENTOFANY
A Y C P V, '0 .
NOR LIMIT IN ANY WAY THE CITY 'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee
Receipt #
I N
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLI ION APPROVAL
DO BECT; a T 0
GIVEN R A 0 THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
IS N
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'S ReGUAnN. O.STRUC,
THE OWNER. I AGR E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC,
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CALL
Suld,ro Oft,W D �I, .�d F — "id—d
Pe so WIL . EMPLOYED
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL aE EMP YED
WAS
A HINGTON
THE LABOR CODE OF THE STATE OF , SIN QTQ. RELATING TO
FOR INSPECTION
IN VIOLATION OF
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27.
I SIGNITURE (OWNER ol&36N
(425)
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RELEASEDS� DATE'
ATTENTION
EXT. 1333
IT IS UNLAWFUL TO 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. UBC1091 IBC11 0 1 IRCIII 0.
PINK -OWNER - GOLD - ASSESSOR
10104 PRESS HARD -YOU ARE MAKING 4 COPIES
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Permit Inspection Details
Permit: BLD20060521
PERMITTRAIA
ORR
07/2812006 MS 20 FINAL APPROVED
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Total Time: 20
Total Inspections:
Total Time: 20
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612312009 1:05:01 PM
Page I of i
RECORD OF WSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...............
wall..........................
p
Pier/Porch .................
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Retaining Wall ...........
0
Stab Insulation ..........
PLUMBING:
Underground.............
Rough -in ...................
C ITI
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0
Commercial Final
0
C
HEATING:
A
GasTest ................
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'Gas Piping .................
Equipment .................
0 -n
Commercial Final
EXTERIOR SHEATHING
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NAILING ..........................
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0
C.)
FRAMING ........................
a
C (j)
FIRST FLOOR FRAMING
1110
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INSULATION ...................
Floor Insulation
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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