20000474.pdfDATE RECEIVED
CITY OF EDMONDS
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;APPLI�C�AE�T�ON.BEHALTOO' HIS OR HER SPOUSE. HEIRS. ASSIONS AND SUCCESORS
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a Y ACKNOWLEDGE THAT I HAVE RE �.ADTIIIAF�FUOATICN; THAT THE INFORMATION
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SI TU NE N I DATE
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771-0220
RELEAS By AT9
EXT 333
A r TION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
FILE YELLOW INSPECTOR
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERETIFI-
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City ofEdrnonds
planning DPPMIMeat
Attn: Suzie
Permit #2004714
Re: Telephone ConveTsation Today ce at the mdeliffo House Apartmentg,
We wish to extend our building Permit for a fen, to conflicts with relandscaping and
7829 196" St. SW- The project was delayed due rM thework. We eXpect to be able to
�ujty in finding a contraLtor who could perfo
diffic, -Mach of ne)ct year. Please let us knOW ifthere's
complete the fence in February
;mytiiing further to do on our part.
much for your consideration.
Thank You vcq
fferson
S'
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5 V03 "d Av
Everett, WA 99203
FINAL PROJECT APPROVAL FORM
TO:
-DATE:
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -IRE DEPARTMENT DATE
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE. '1//7/;!—
PROJEC !Fen&
SITE ADDRESS —
PERMIT 2.000c)474
_ADB#_L2�q �DATE INSPECT
DESCRIPTION OF WORK TO BE INSPECTED— Fe4a
A field inspection was conducted to determine compliance with approved plans. Final approval, deno . tes that
there are no objections from the above signed Department to the granting of:
approval of the described work
Bonds associated with the project may be released
GRANT FINAL PROJECT APPROVAL
GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
______FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
_______RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
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DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL RECLINE
SEPARATE,PIERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. RE�IEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. A SIGNS AND SUCCESORS
NPINT R ST, AGREES TO DEFEND AND HOLD HARMLESS THE CITY OF
ENG. INSPECTION FEE
LANDSCAPING
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�NDEMNIFY.
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PLAN CHECK DEPOSIT
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NOR
TOTAL AMOUNT DUE
HERLE ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION: THAT THE INFORMATION
AGENT OF
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APPLICATION APPROVAL
GIVEN CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED
WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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THE OWNER. I AGREE TO COMPLY
AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
B.,ldmo O'bli-I -1 ll�lh-1 D-1, P.
1� paco p,ovidod.
TION, AND IN DOING THE WORK
IN VI OIPT CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTIO
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ROLATIIN 'BO N�U^CE AND RCW I B.27.
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KMENSCOM T�Nl
(425)
OFFICIALS SIGNATURE ATE
DATE SIG
771-0220
RELEASE BY 'CAT
ATT61ITION
EXT 333
(b
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGMAL-FILE YELLO -INSPECTOR
ASSESS-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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