20020848.pdf^` DATE RECEI DPERMIT
CITY OF EDMONDS
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NUMBERCONSTRUCTIONPERMITAPPLICATION
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❑ADDITION COMMERCIAL _1ii 10 s-'
❑ ❑ CHANGE OF USE ,v 16
❑REMODEL MULTIFAMILY PARKING LOT ARE�Ayy PLANNING REVIEWED SY DATE
❑ ❑ SIGN RE� V! 1�qV
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❑ REPAIR GRADING
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NUMBER NUMBEe OF CRITICAfAREA`e'(�� (t/
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STORIE:1 UNITS LNG NUM ER l —(0'I]:REMARKS
DESCRIBE WORK TO BE DONE ta -a
'�� 4A S INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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FEE DescriptionrFEE
tPlanCheck
State Surcharge
MEAT SOURCE 1 OlA21NG% LOTSLOPi90
City Surcharge
eSTEM DATE
Mechanical
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED,THIS CTION COVERS WORK TO
0EDONE ON ONLY ANY CONSTRUCTION)WTHE PUBLIC
Grading
9
CUPRIVATEPROPERTY
= DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
"✓
PERMIT APPLICATION: IN DAYS
PERMIT LIMIT. i YEAR • PROVIDED WORK IS STARTED WITHIN HIS DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
✓�
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIONS'ANO SUCCESORS
Fire Review
Plan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
M EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
Receipt N
ALL CLAIMS TO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
9 OEEMED'ro MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscape Insp.
Total Amt. Due
O OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt if
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT ) AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
'(his sprint wh ].-I. pormll until signed by lhs
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILT. BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Bu11dinB Olfieinlar his/MY Deputy: end Foes slopald..nd !'
recsipl is ecknewledq.YH specoprovidW.
WORKMEN'S COMPENSATI UflANCE AND RCW 1827.
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OFfIC1AL5 ATURE i�' DATE
GNA (OWNER R EN GATE BIGNED
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/ 71-0220
LA
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ATT NTIO
1UPY
EXi' 1333li-
IT IS UNLAWFUL TO USE OR A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGHAL-FILE • YELLM-INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING U
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS _....................
FOUNDATION:
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Footing ......................
Wall "
Pier/Porch ................. "
Retaining Wall .......:...
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Slab Insulation ..........
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PLUMBING
I Underground
Pns ``7
i Rough -in ............... .
Commercial Final
^Y C HEATING:, e A^
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Gas Test
Gas Piping .............. l• `�l �i'. �� ..
{ �� .Equipment _ .......
\� Commercial Final ....... _ �
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ..........--
� � :FIRST FLOOR FRAMING.:.
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
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Ceiling Insulation .......
SHEETROCK NAILING ... _
C SPECIAL INSPECTION ...
VA.) MISCELLANEOUS .......... ..
FINAL APPROVAL FOR
OCCUPANCY .................. t
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