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EP_ESMIT EXPIRES
CITY OF EDMONDS
PERMIT
ZONE NUMBER 2-002-33
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONST UCTION ON THE FU BLIC GRADINGIFILL
DOMAIN (CURESISIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL SEQUIRE
SEPARATE PERMISSION. STATE SURCHARGE
PERMIT APPLICATION: 115) DAYS
PERMIT LIMIT'. 1 YEAR PROVIDED WORK IS STARTED WITHIN 160 DAYS
'APPLICANT ONBEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES T INDEMNIFY, DEFEDDANDR-D HA AMLESS THE CITY OF
ST'=GT
EDMONDS.W HINGT A. ITS OFFICIALS, EMPLOYEES, AN DAGENTSFAD. ANYAAD
DAMA ESOFWHATEVERN ORE. ARISING
SSUANCE 01 THIS PERMIT SHALL NOT �.E
ALLCLAIMSFOR OFT IS PERMIM Hli"CFERN�y E'Tyo E
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a FROM THEIS ANCE Ab MINAN 6
PLAN CHECK DEPOSIT
o WAIVE OR REDUCE AN REQUIREMEI
DEEMEDTOMODIFY,
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TOTAL AMOUNT DUE
IH5RE ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION. TH,,� 1;, - INFORMATION
AT AM THE OWNER, OR THE DULY ALIT-H,ZED AGENT OF
APPLICATION APPROVAL
GIVENBYCORAICTANDT
INEO—ER t AGREETOC mPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
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TION, AND IN DOING THSWoRKAUTH RIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODEEOF THE STATE OF WASHINGTON RELATING TO
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F OR INSPECTION j, CklIldK,d i 111d
INSURANCE AND ROW 18Z7.
DATE SIGNED
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771-0220 DATE
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AEL SEER'
=TTENTIOK
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGNAL FILE YELLOVI-IN5PIC-A
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK OWNER GOLD ASSES—
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DATE:
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FROM: =...._yIRE DEPARTMENT DATE-J---2:� CJ --0
I!NGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
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)ROJECT
SITE ADDRESS S-C)
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DESCRIPTION OF WORK TO BE INSPECTEDA�L �D
Final approval denotes that
A field inspection was conducted to &tennine compliance with approved plans
ons from the above signed Department to the 9—ting Of
there are no objecti
___Yinal pproval of the described work
GRANT FINAL PROJECT APPROVAL
PROJ9CT APPROVAL WrM CONDITIONS NOTED
----jGRANT
1.
FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE-INSpF PROJECT APPROVAL
,CTED OUTSTANDING ISSUES - GRANT FINAL
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ONWR-0JECT
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�MMO TO: pERNffr COORDINATOR, 13UMDING DIVISION
FROM:
FIRE DEPARTM[ENT I
ENGINEERING DIVIS
PLANNING DIVISION
PROJECT_�)l
SITE ADDRES
PERMIT INSPEC
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance With approved P'
there am no objections from the above signed Department to the granting ol
......... yinal approval of the described work
___4��,QRANT FINAL PROJECT APPROVAL
PROJECT APPROVAL wriH CONDITIONS NOTED
I
-FAILED FINAL INSPECTION - OUTSTANDING ISSUES
1. .
2.
3.
RE
.INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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SITE U41ROVEMENT BOND RELEASWORM
To-. PERMIT COORDINATOR, BUILDING DIVISION
ENGINEERING INSPECTOR DATE-
FROM:—z2g�mak—
PLANNING DIVISION
DATE SENT TO: DUE BACK--RECEIVP
VIA,
pERMrr#___d,&ggf -J_ADB#
PROJEC
SITE ADDRES 9WNER:-&&Z'1':E
TYPE OF BOND TO BE RELEASED $ 'Ag7&"
BOND DATEPOSTED_,V,&���BOND EXPIRES
Please field Inspect at your earliest convenience for the release of the subject bond. If there
are outstanding requirements, please note In the space provided. Failure to respond by the
noted bond expiration date constitutes Department approval and automatic release of the
bond. it is each Departments responsibility to contact the developerlowner when outstanding
issues prevent the release of the bond. Please copy the Permit Coordinator on all City
correspondence sent regarding this bond.
OND IS APPROVED FOR RELEASE
OUTSTANDING REQUIREMENTS NOTED
IS NOT APPROVED
2.
3.
WORK TO BE COMPLETED WITHIN DAYS SUSPENSE TO
___gOPY TO FILE
COPY TO DEVELOPER/CONTRACrOR
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WMO TO: pERMT COORDINATOR, BUILDING DIVISION
FROM FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE—
PROJEC
SITEADDRESS
PERMIT .,,___-IATF INSPECTED__��)t�'5'4 Z
DESCRIPTION OF WORK TO BE INSPECTED____15ALffi�—_�
A field inspection was conducted to detemune compliance with approved plans, Final approval denotes that
them are no objections from the above signed Department to the granting of
—Final approval of the described work
GRANT FINAL PROJECT APPROVAL
PROJECT APPROVAL wrm CONDITIONS NOTED
FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
_____-YE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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occupancy established by this
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No. 13toilm 3
Saaament:.None
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owner of BuIldhavo
THE N an isAliodlog NITH THE REQUIREMENTS OF THE
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EDITION OF THE UNIFORM BUILDING P WND DIMSION OF OCCUPANCY AND THE USE
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FO WHICH THE PROPOSED OCCUPANCY 10 0.
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BY:
C.M.Wd Ocp.M W—d by M. CRY d Eft.d.B.Vftg�.
FEA, PROMECT -APPROVAL WRM
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TO:
1 2001
.4ANG DIVIS11'" DATE:
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W/
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'JERMT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTNIENT DATE-L--/---C-).(—
ENGINEERING DIVISION DATE -
PLANNING DIVISION DATE-
C -Y-16 2-
PROJECT=-�"'-�-
SITE ADDRESS- 9�0' Atld' S
PERMIT # (���.ADB#___---PATE INSPECTED--��
DESCRIPTION OF WORK TO BE INSPECTE -
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:
Final approval ofthe described work
____qRANT FINAL PROJECT APPROVAL
GRA NT PROJECT APPROVAL wITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
1.
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
ocaprvi.doc.l:temp:bldg:fonns6/98
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FPERMIR EXPIR ES 12 214
51 PERMIT
CITY OF EDMONDS
U ONE NUMBER Z002-33
CONSTRUCTION PERMIT APPLI CATION
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THIS PERMIT AUTHORIZES ONLY THE W RK NOT D* 11111 PERMIT COVERS WORK TO
L N-LY. AN CONSTRUCTION ON THE PUBLIC
BE DONE ON PRIVATE PROPERTY 0 Y
GRADINGIFILL ±47-
DOMAIN (CURBS,SIDEWALKS. DRIVEWAYS ARQU BS,ETC,) WILL REQUIRE
SSI
SEPARATE PER�l OWE
STATE SURCIIARGE
P M T APPLICATION! 180 DAYS
ES 11
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PERMITLIMHEI YEAR, PFQVIBEO WORK 11 STARTED WITHIN "'BAY'
;APPUCANTONSEHAL OF HIS OR HER SPOUSE, HEIRS, WSIGNS AND SUCCESORS
N NTEREST, AGREES TO INDEMNIFY, DEFEND AND HOL HARMLESS TH�. CITY OF
E
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMSFOR DAMAGESOF WHATEVER NATURE, ARISING DIRECT ORINDIRECTLY
THE ISSUA CE OF THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE
F ROM I
RIDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
OEEMEDTOMODIFYWAIVE.S
x NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE MOViSION,'
TOTAL AMOUNT DUE
on.
I HEREBY ACKNOWLIDGI THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE GUL� AUTHORIZED AGENT OF
THEOWNER. I AGREE TO COMPLY WITH CITY AN D STATE LAWS REGULATING CONSTRUC-
CALL Tl,� P—lit 4 �i�,I.d by th.
TION: AND IN 00 NO THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY D
OF THE STATE OF WASHINGTON RELATING TO
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S�"'
FOR, INSPECTION .pt" ck-wl'.d)gp —p—p-td.d�
IN VIOLATION OP THE LABOR CODE
WORKMEN'S COMPENSA,�I�IURANCE AND RCW 16.2
(425) 0 1 5 ' �URE
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REL $EDP DA
ATTENTION
OR STRUCTURE UNTIL
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ITISUNLAWFULT USE OR OCCUPY A BUILDING
AND APPROVAL OR A CERTIFI- ORIGINAL FILE Y ILL W - INSPECTOR
A FINAL INSPECTOON HAS BEEN MADE
109
PINK OWNER ILL ASSESSOR
CATE OF OCCUPAINCY HAS BEEN G RANTED. UBC SECTION
IS,