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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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BE PERMIT 200087
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REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONRTROUDIRAINAGE 'V�11'
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Be DONE ON PRIVATE PROPERTY ONLY- ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
DOMAIN ICURBS, SIDEWALKS. DRIVEWAYS . MARQUEES, ETC.) WILL REQUIRE
SEPARATE PEA�ISSION.
STATE SURCHARGE
PERMIT APPLICATION: 18D DAYS
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PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
E P USE
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OR INDIRECTLY
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TOTAL AMOUNT DUE
RECEIPT
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EAD THIS APPLICATION. THAT THE INFOF.ATION
HAAVEHE
A PLICAnoN PPRUVAL
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GIVEN I=T!_�N`��T`HAATT: OWNER. OR THE DULY AUTHORIZED AGENT DI
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THE OWNER. I AGRiE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC -
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ND IN DOING THE WORK AUTHORIZED THEREBY. NO lERsoN WILL BE EMPLOYED
TION, A HINGTON RELATING TO
OF WAS
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'FOR INSPECTION
IN VIOLATION OF THE LABOR ODE OF THE STATE
. � INSURANCE AND RCW 18.27.
VIGN
-S,I,URE( WHE DA
(425)
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771 -0220
ATTENTION
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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INSPECTOR
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW -
- GOLD -ASSESSOR
A
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER
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Ttriffitratt of Mrruvaurg
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 24228 76th Ave W —Building Permit#: #200087
occupancy established by this certificate: Dwelling Units: **NIM* No. Stories: 2
A2.1 Type Construction: III 11-hour Basement: NIA
maximum occupant Load (Per U.B.C. 1002)
Room capacity signs, when remain posted at at/ times.
owner of Building: Seattle Baptist ChurcilAddretax P0 Box 12086, Mill Creek WA 98087
THE Seattle Baptist Church - HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE
1997EDITION OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE
T-OR—WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this Eleventh day of______.May--, 2000
CHIEF BUILDING OFFICIAL
BY:—
wMfuj, en,11 be p11t1d in I P11— P�blll --d-11 I., K —1-d 11--d and st,ait be maintm— iniogibl—ndedon at all ftes. Any danpad o—p,my ,,,a eq,1ne, a lb,eldlg p1mitand nm
791 1 ��y I.— ly Cily d Ed—d. 8.11ding 0111,1.1.
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MEMORANDUM
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REPORTED BY OF
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ADDRESS: e24?-Z? 7" 56119.Vn-57— C Vf
CONCERNS/ jogac
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WV-4K -TD V-eCiflj A-LL- AAC�( P44ftlT A+1� 6ZV /46r,
City of Edmonds * Fire Prevention Bureau
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FINAL PROJECT APPROVAL FORM
TO:
DATE.
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT D
NG DIVISION DATE-
DIVISIOND,"TE
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PROJECTL--���
SrIE ADDRESS--;��4�
pERNgr#_j���ADB#--,6�Q�ATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of:
________-Yinal approval ofthe described work
Bo'dd sociated with the project may be released
:as
-2L----GRA.NT FINAL PROJECT APPROVAL
__GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
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_-YAILED FINAL INSPECTION - OUTSTANDING ISSUES
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2.
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_RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall .......................... Z, l�,:
Pler/Porch .................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground _ ...........
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Rough -in ...................
Commercial Final rn
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HEATING:� C
Gas Test .............
Gas Piping ................. 0
Equipment .................
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS ZONE NUMBER
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REMARKS
PROGRESS INSPECTIONS PE13 U.0 10.11INALINSPECTION REQ,
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MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Ll BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FtLL
2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
TATE SURCHARGE
4.7D
3 MIT APPLICATION: 180 DAYS
PER
/0 /0 L7
T
P. PERMIT ILIMIT. 1 YE WORK IS STARTED WITHIN 16D DAYS
AR - PROVIDE.
ENG. REVIEW FEES
SEE BAD K OF PINK PERMIT FOR MORE INFORMATION
';APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
N NTFFIEST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EMPLOYEES, AND AGENTS FROM ANY AND
LANDSCAPING
INSPECTION FEE
EDMONDS. WASHINGTON, ITS OFFICIALS.
A CLAIMS FOR DAMAGES OF WHATEVER TURE. ARISING DIR.I.
IN
FLRLOM THE ISSUANCE OF THIS PERMIT SSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
DEEMED TO MODIFY. WAIVE 08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
TOTAL AMOUNT DUE IR
EIIT
7
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
PPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T 1, ppl,, plt .1111 ll,ld by Ihl
THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
EMPLOYED
CALL
E,I', 6, 011,1 Dly: -d FeGs a 1. P.1d. Ild
TION. ANDIIN DOI No THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE
THE STATE OF WASHINGTON RELATING To
FOR INSPECTION
110do.d -� spa.0 pov,dad.
IN VIoLAT ON OF THE LABOR C DE OF
WORKM5NS COMPENSATION INSoRANCE AND RCW IB27
OFFIC SIG DATE
(425).
771-0220
RELEASED By
ATTENTION
EXT 333
I'J 6
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW - INSPECTOR
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER - GOLD ASSESSOR