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CITY OF EDMONDS
CONSTRUCTION PERMIT APPUCATION
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PERMIT FOR MORE INFORMATION
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SEE BACK 0 1
ENG. INSPECTION FEE
ASSIG ANDSUCC SORS
IF HIS 08 HER SPOUSE, HEIRS. I 111NIS."S TIE CITY OF
LANDSCAIIN
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INSPECTION FEE
RECTLYOR INDIRECTLY
RECEIII
60
PERMIT SHALL NOT BE
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THAT THE INFORMATION
TOTAL AMOUNT DUE
APPLICATION APPROVAL
AUTHORIZED AGENT OF
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USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL
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FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTIFI-
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PINK - OWNER - GOLD - ASSESSOR
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION
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At* 22618 Highway 99 #102&103 Building Permit #. #N2D0
Occupancy established by this certificate. Dwelling Units: -Wk* No. Stories: I
A3 Type Construction: V1hr—sprInk Basemumt:NIA
Maximum Occupant Load -- �� 3- (Per U.B.C. 1002)
Room capaclify signs, when required, must remain posted at all times
Owner of Bullding:-- Boo Han Pig& —Addmm 9122. .1AIxxnaWv.Tacoma
THE -- Sushimoto Restaurant ...HAS BEEN INSPECTED AND APPRO�91) AS COMPLYING NTH THE REQUIREMENTS OF THE
1997 EDITION OF THE UNIFORM BUILDING C5—DE AS ADOPTED BY THE CITY FOR THE GROUP AND DIMSION OF OCCUPANCY AND THE USE
FOR WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED,
Issued this Twenty-fourth do I y
2ril 2000
CHIEF BUILDING OFFICIAL
BY:
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TO.—
DATB'
MEMO TO. PERMIT COORDINATOR, BUILDING DIVISION
FROM: DEPARTMENT DATE —q—IL
�EM
____ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—
PROJE
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ADDRESS--0 7
SITE
PERMIT 0�ADB#-------DATE INSPECTED —
DESCRIPTION OF WORK
TOBEINSPECTED4��,D
A field inspection wag conducted to determine compliance with approved plans. Final approval denotes that
there are no objections from the above signed Department to the granting of
inal approval of the described work
X
erformance Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
AILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
—RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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PERMIT EXPIRES
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NUMBER
CONSTRUCTION PERMIT APPLICATION
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NAME
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YES 0 No 0
ADDRESS
REMARKS
OWNEFYCONTRACTOR RESP NSiBLS FOR EROSION CONTROUDRAINAGE
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MECHANICAL
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THIS PERMIT AUT140RIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
0 8 E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
A.,N.FL'
GRADINGIFILL
DOMAIN tCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
ARA BE
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URCHARGE
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WIT .B
T PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REV15W FEES
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SEE BACK 0 INFORMATION
B D SU B R
-A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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END, INSPECTION FEE
NO INSPECTION FEE
FS. T I 'Y
OLD HARMLESS THE CITY OF
INPNTEREST. AGREES TO INDEMNIFY, DEFEND AND HT
A G
LANDSCAPING
TE 0.
ANDA EM� FR
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM
INSPECTION FEE
1 S'ECT.
_ANYAND
'ND
ALL CLAIMS FOR DAMAGES 05WHATEVER NATURE. ARISING DIRECTLYOR IN IRECTLY
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DE OSIT
P
FIECE17
10
0 DEEMED TO MODIFY, WAIVE OR REDUCE AN REQUIREMENT OF ANYCITY ORDINANCE
'.0-.
_5
NOR LIMIT IN ANYWAY THE CITY'S ABULIT TGENFORCEANYORDINANCE PROVISION.
Y
ECEIP15 I G<'
T TAL AMOUNT DUE
IH�REB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICAMON
APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
This pp _,o, i,,,l , pjI h,ihI sig,.d by his
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
BE EMPLOYED
CALL B,,IdlAq Olftliit.' ths— Do puty: ,d F111 his pAd. a,d
1771-0220
TION: AND IN DOING THE WORK AUTHORIZ THEREBY, NO PERSON WILL
E
STATE OF WASHINGTON RELATING TO
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FOR INSPECTION ( ""Ip�i .1 1 ld9ld
IN VIOLATION OF THE LABOR CODE OF TDE
WORKMBNS COMPEN��YK�R t4URANCE AND BOW 18.27�
OF ol L. Gl;NAT E
SI NATU E NER G, I
e
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(425)
Aa
10 L.N��
AT"ON
EXT 333 WY c
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
-fl
771-0221 '
INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL - FILE -. YELL W - INSPECT R
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK -OWNER GOLD -ASSESSOR
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