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MIT APPLICATION: 180 DAYS
EARRPROVIDED OAK IS STARTED WITHIN 180 DAYS
I PERMIT LIMIT..' Y PE' W FOR MORE INFORMATION
ENO. REVIEW FEES
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APPLICATION APPROVAL
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AND STATE LAWS REGULATING CONSTRUC-
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Thil IpPlic0lim �, bbl . pJ1 ,,jiI,iQlld by thO
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THE OWNEIN IIAGREE TO C-M WtTH'CITY
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IN VIbLATKUfOF THE LABO CO E OF THE STATE OF WASHINGTON 13ELATING
DATE
WORKMV'/COM SATIlO INSU NCE AN RCW 18.27.
OFFI ALI5 SIONATU
SIG RE(( wv
5A 1 ADEN DATE SIGNE,��
(425)
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771-0220
RELEASE By
DATE
7FE-N—TION -7/1'
EXT 333
UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL
771-0221
IT IS
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
ORIGINAL -FILE
PINK -OWNER
YELLOW . INSPECTOR f
GOLD - ASSESSOR y
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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IOVAUTY ENG
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17017 102nd A�e. S.E.
Snoho�!Sh, INA 98296
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Ph—e; (360) 668-3882
Unique Construction
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Ref. Standaert Residence Addition/Remodel
Subj: GluLam beam in living room area w/ (4) bolt holes and counterbores
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Gentlemen,
I have visited the jobsite and inspected the above referenc ed beam and determined the
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loading, and subsequently performed cal culations for bending and shear stress at the
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location of the four counterbored holes, and it is my deten-nination the configuration is
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adequate as installed and no further action is required.
If there are any further questions regarding this matter please do not he sitate to call, and if
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FIN FORM'
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DATE: —
MEMO TO: PERMIT COORDINATOR� BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
���ENGINEERING DIVISION DATE
PLANNING DIVISION DATE —
PROJECT
SITE ADDRESS—
PERMIT#1qqjp,5-4, ADB#
INSPECT
DESCRIPTION OF WORK TO BE INSPEC
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
GRANT FINAL PROJECT APPROVAL
—GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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OWNER NAMEMAME OF SUSIN Ss
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LID FEE $
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VARIANCE OR CU
STATE LICENSE NUMBER
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SERA REVIEW
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CHE K Y
TYP
;NUMBER
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14UMBER
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REMARKS
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SEPARATE PERMISSION.
GRADINGIFILL
STATE SURCHARGE
PERMIT APPLICATION: ISODAYS
PERMIT LIMIT, I YEAR - F WORK ISSTARTEORIVITHION180 DAYS
SEE 13ACK OF P=IT FOR MORE INF MAT
ENG. REVIEW FEES
F HIS'OA HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
;APPLICANT. ON BEHAL OF HARMLESS THE CITY OF
N INTEREST. AGREES TO :NDEMNIFY, DEFEND AND HOLD
EDMONDSSWASHTIIMTON F YgES, AND AGENTS FROM ANY AND
IF 'L'CL"M '.R.A AGES TED 10ALS. E.ILO
OFWHATEVER NATURE, ARISING OIR�CTLYOR INDIRECTLY
PERMIT SHALL NOT BE
DF ANY CITY ORDINANCE
)RDINANCE PROVISION-�
ENG. INSPECTION FEE
14OECA� �
�O�'T
PLAN CHECK DEPOSIT
TOTAL AMOUNT D�UE
Gy� =,L�EDNG.' TTHAT; -AV E READ THI S A PPLIC ATI ON; THAT THE INFORMATION
�A AT AM THE OWNER, OR THE CULY AUTHORIZED AGENT OF
0 COM ' Y WITH CITY AND STATE LAWS REGULATING CONSTRUC-
THE OWNER� IAGR" TE 7) , TH, BY 0 F
T'.N, AN., IN. TH WORK AOT."IZE HE N EASON WILL BE EMPLOYED
CO E OF THE STATE OF HINGTON RELATING TO
"U
GI I TE SIGNED '�l
.....
f
CALL
FOR'INSPECTII
(425)
771-0220
ATTENTION EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX
UBC
DATE
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