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DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMENAME OF BUSINESS
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TION, A E, T .
CODE OF TH A E F WASHINGTON RELATING TO FOR SPECTIO
IN VIOLATION OF THE LABOR DATE
WORKMEN S COMPENSATION INSURANCE AND PON 18.27. OFFICI SIG T RE
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771-0220 RELEASED Y
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ATTENTION EXT 333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL -PILE - YELUOW-tNSPEC R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER - GOLD - ASSESSOR
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(Urfifiraft of
DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 22618 HighWay 99 #107 Building PermIt#. #200208
Occupancy established by this certificate: Dwelling Units: **N/A** No. Stories: 1
M Type Construction: VN-sprink Basement: WA
Maximum Occupant Load "29- (Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at alf times.
Owner of Building: Boo Han Plaza Address: 9122 So. Tacoma Wy. Taccrna
THE My Life Nutrition HAS BEEN INSPECTED AND APPROVED AS COMPLYING NTH THE REQUIREMENTS OF THE 1997
EDITION OF THE UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR
WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this Seventh day of_____ Apdl 2000
CHIEF BUILDING OFFICIAL
BY:
a and shall net be hanNed. haublatedar ebstused and shall be maintained in legible weditian at all tates. Any change of oacupancy orass mqulm a building pubtaftauld a Miss
C,Mmi, a Occalusicy Issued by Me City of EaMonds Building Midd.
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pECTED OUTSTANDING ISSUES -GRANT FINALPROJECT APPROVAL
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A,& LEE'S CONTRACTINGe L.L.C.
7608 Pacific Ave. Tacoma, WA 98408
Tel & Fax (253)475-3908 L
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Mobile (253) 229-2165
P OPOSAL
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To- Tel.: a-1-7-
lo;jL— Zip Code:
Address� t price$ -'7--1 4 00,
herein describe d as For the sum of - contrac
offers to perform the improvements
sales tax $
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Specifications upon the lands and buildings located at:
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total$
SPECIFICATIONS:
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a to us set out hereunder:
PAYMENT: The contract price plus s8jr tax shall be payabl upon signing
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1. Down: $ ------------ on completion
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2. Balance: $
shall bO payable to us on
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It is e%pmaly agreed muu,stp,eak at Ine,ste I per month
Payments
d our Control. =luding but sot
GENERAL CONDITIONS: perturmanc,,ege o= causes of any kind., be�mi beyod' s a,d—ld.11s.
le for belAlmor of any kind,m, tion
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The contractor shall not be fMossib 't ,m b,asionedor.r.,latoona.,
limited to embargoes s1longoes of labor lis� me s- transpor o .* ddf-ju-
in work
Work shrill be pe,.,,, so d,619 regul,r o",'d by o..Ad 4ou ag,,, in numish no acuoszory 119K —Wiflu�,*11 onad mtndfd—
to e,uppli., by �ania w wirs and i - a
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a", no o.n spl,,PWstbgd1d1sh, be s. bralseen.sa—tall b-a
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Thslo mo. be ..'-led -jost's sub to
i,uim e,ecuiors, succcni onds$29 s.
I hall 'am"" e �l d='u
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or oa a'acills.111babu,
accept the ab ove offer upon the term s and conditions therein set out,
I(We) the undersigned
WA this day of
DATEDat
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RECORD OF INSPECTIONS
2
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing................
wall..........................
Pier/Porch .................
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Retaming Wall ........... .
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Stela Insulation
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PLUMBING:
AUnderground
.............
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Rough -in ..................
Commercial Final
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HEATING:
0
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0
Gas Test ....................
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Gas Piping .................
Equipment.
Commercial Final
0
EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING, - ......................
0
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FIRST FLOOR FRAMING...
INSULATION ...........
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Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
IT
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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CITY OF EDMONDS
CONSTRUCT[O-N PERMIT APPLICATION
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ADDRESS —4/0-7—
PLAT NAMEISUBDIVISION NO. LOT�O. L D NO.
LID FEE 5
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PUBLIC RIGHT OF WAY PER OFFICIAL STRf
EXISTING — PROPOSED
REQUIRED DEDICATION— FT . . .......
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METER SIZE I LINE SIZE NO- 01 FIXTURES PIIV EQUIRED
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STATE LICENSE NUMBE EXpIR ION DATE
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CHECKED By
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OPERTY TAX ACCOUNT PARCEL o q 47
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L__"NEW 0 RESIDENTIAL LUMBING/MECH
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
ODEL APARTMENT 0 SIGN
RE.' F, F NICE
REPAIR E] GRADING CYSS (E— X FT)
DEMOLISH TANK Ef oTHEl- I
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CARPORT C3 RETAINING WALL,
LOT COVERAGE
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(TYPE OF �d
cHECKEDBY T OF o
NUMBER NUMBER OF
OF
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NUMBER
SPECIAL INSPECT 'R
REQUIRED C] YES
ARE
DESCRIBE WO�K TO BE DONE
REMARKS
PROGRESS INSPECTI
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Ai.d
PLAIN CHECK FEE
HEAT SOURCE GLAZING %
LOT SLOPE %
BUILDING
PLAN CHECK NO:
VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
0 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGtFILL
BE . REQUIRE
OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC) WILL
SEP�A!�TE PERMTSI
-
STATE SURCHARGE
PERM�T APPLICATION: DAYS
1180
PERMIT LIMIT I YEAR � PROVIDED WORK S STARTED WITHIN 180 DAYS
S
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
DIFEND AND HARMLESS THE CITY OF
;A HOLD
ENG. INSPECTION FEE
LANDSCAPING
N'NTERCS�.AGS ICES T :NDEMNIlY,
E
T FFtCIAlS EMPLOYEES, AND AG NIS FROM ANY AND
11 SPECTION FEE
RE TLYORINDIRECTLY
H"
PERMIT SHALL NOT BE
CITYORDINANCE
PLAN CHECK DEPOSIT
F ANY
RDINAN-
RE,
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVEqEA TH ' APPLICATION THAT THCNFORMATIONI
AGENT 01
IS CORRECT AM TH OWNER, OR THE ULy AUTHORIZED
GIVEN . AMD THAT I WTH C, 'TATE LAWS REGULATING CONSTRUC-
COMPLY I I TYAND ,
CALL
'ER 'ASPECT.
THEOW T -R"-TH BE EMPLOYE
FC.Y NO PERSON WILL
TION; AN" �� DOING L
RE MIND TOD
FOR INSPECTION.
IN VIOLATION 0, TITH`L=COG7 .1 THE SETATC OF WASHINGTON
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
ME SIGNED
(425)
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771 -0220
EXT 333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
A
HAS BEEN GRANTED, UBC SECTION 109
FAX
CATE OF OCCUPANCY
SKIS
REVIEW901DATE
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NE OR ADS# I INSMPEEOTION', ! BOND
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4 AREA
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ORIGINAL FILE YELLOW . INSPECT A
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