20000766.pdf' '� „'( ATE R C VED • W - �
I` PERMIT EXPIRES
CITY OF EDMONDS J�EIAT
E _ NUMBER 2Vo7.�6
- SUITE/APT'
CONSTRUCTION PERMIT APPLICATIONREss ��CI PL
OWNER NAMEINAME OF BUSINESS LID NONAMEISUBOIVISION NO. LOT NO.
t� LID FEE S
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FIRE REVIEWED By DATE
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MECHANICAL
THISPERMIT LY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BEONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
REQUIRE
G DING/FILL
P DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL
SEPARATE PERMISSION.It
STATE SURCHARGE
S"D
PERMIT APPLICATION: 1BDDAYS
WITHIN 180 DAYS
SING, REVIEW FEES
PERMIT LIMIT:1 YEAR -PROVIDED WORK IS STARTED
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
r^ 'APPLICANT, ON BEHALF OF 1115 OR HER SPOVSE, HEIRS, ASSIGNSENO
CITY
ENG. INSPECTION FEE
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THE OF
bi IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Yy
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I EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
INSP@CTION
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ALL CLAIMSFOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY
OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK OEP IT
FjECEIPi �� I�
FROM THE ISSUANCE
0 DEEMED TO MODIFY. WAIVE OR REOILITYT REQUIREMENTOFANANCEYCITY ORDINANCE
i NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION:
TOTAL AMOUNT DUE
IRE P
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ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
I HEREBY
GIVEN IS CORRECT: AND THAT I AM THE OWNER. C THE DULY AUTHORIZED AGENT OF
This eppllcalipn ,s not a permit anal ei0ned by pre
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
Builpin0 Odiclal or h�alher Dapuly: end Fpop aro paid. an0
PERSON
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
RELATING TO
FOR INSPECTION recpipl Is abkn iDdged m space p Idop..
IN VIOLATION OF THE LABOR CODE OF THE STATE OF
WORKMEN'S SATION INSURANCE AND RCW 1821.
OF CIALS SIGNATURE - DAT
IGN UR 10 E 1� DATE SIGNED
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771-0220
-��4EA IED BY DATE
ATTENTION
EXTd333
UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
IT IS
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
INSP
ORIGINAL FILE YELLOW -INSPECTOR
SCR
A FINAL
HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK. OWNER coLO
Ams
CATE OF OCCUPANCY
slBe
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wail ..........................
Pier/Porch .................
Retalnirig Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ............. 1 n^ c
Rough -in
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping ................. .
Equipment ...........
Commercial Final .......
EXTERIOR SHEATHING
NAILING ....... ...... \
FRAMING ....
FIRST FLOOR FRAMING... --
INSULATION ................... 1M1 Lo 10 -OHO
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .:.....
SHEEYROCK NAILING ... -
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY .................. -
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