20000691.pdfPERMIT EXPIRES
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CITY OF EDMONDS
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NUMBER 0691
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CONSTRUCTION PERMIT APPLICATION
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REMARKS
00-0— INqPPr.TInNS PER UBC 1081FINAL INSPECTION REQ
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VALUATION FEE
PLANCHECKFEE
HEAT SOURCE LOT SLOPE
B ILDING
PLAN CHECK NO: VIITE00IT6
PLUMBING
2 0 0 0
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERWISSION.
MUF.HAF..
PERMIT APPLICATION : 180 DAYS
PERMIT LIMIT. I YEAR , PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
;APPU.G.A.M.TjC.N.8GHALF OF H: OR HER SPOUSE. EIRS. ASSIGNS AND SuCCESORS
To ,G MNIFY. DEFEND AND HOLD RMLESS THE CITY OF
ENG INSPECTION FEE
LANDSCAPING
N T R E.
EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND-ENTS FRO. ANY AND
INSPECTION FEE
ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECT' OR INDIRECTLY
RECEIPT
FROM THE ISSUANCE OF TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
DEEMEDT o MODIFY.WAiVE.R REDUCE ANY REOUIREMEWOF ANY C" Y ORDINANCE
PROVISION.'
—
GIFT
o DINANCE
NOR LIMIT IN ANYWAY THE GITY'S ABILITY TO ENFORCE ANY R
TOTAL AMOUNT DUE
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THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE
GIVEN IS CORRECT. AND THAT 'AM THE -V N`N` E DULY AUTHORIZED AGENT 01
TIII�
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THE OWNER I AGRE LyWTHCITI�A 6STRATTELAW EGULATING CONSTRUC
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CALL
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TION: AND IN DOING T'HT THDRIZED THEREBY. No PERSON WILL BE EMPLOYED
T. WASHINGTON RELATING TO
FOR INSPECTION Iopt 11 IC-1-9.do II P--o.
IN VIOLATION OF THE L=CAOUDE OF HE STATE OF
WORKMENS COMPE�SATIONINSURCG AND ACVV 18,21,
S,CN=CA.E7NT�r_ DATE E
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DATE'
H� SED By
EXT 333
AfTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOR
A FINAL INSPECTION HAS BEEN MADE
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK OWNER - GOLD -ASSESSOR
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
71
DATERECEWED ES
PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION V� Atk-
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NAME
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REMARKS
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Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRAOINGIFILL
OM IN (CU . SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
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SEPARATE PERMISSION. REWSURCHARGE
PE MIT APPLICATION: 180 DAYS
R
(IRK WITHIN 1!� PAYS
IS STARTED
W �NtS. qIEVIEW FEES
PERMIT LIMIT.- I YEAR 'PROVIDED a FOR
SEE BACK OF PINK PERM MORE INFORMATION
;APPLIEC"I.N�T�.CAN.GENEALF 0 IS OR HER SPOUSE. HEIRS, ASSIGNSAND SUCCESORS ENG. INSPECTION FEE
I F
DEFEND AND ..UG HARMLESS THE C TY 0 LANDSCAPING
N NT F ST. IN".ENIN".
Al"ING IFFICI LS. EMPLOYEES. AND AGENTS FROM ANY AND
TO' T' INSPECTION FEE
2 EDMOND
LLC L' .. . W. RINDIRECTLY
A "'. F A AGE�GF ATEVER NATURE, ARISING DIRECTLY RECEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE PLAN CHECK DEPOSI
DEEMEDTO MODIFY.WAIVEOR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
LITY TO ENFORCE ANYORDINANCE PROVISION JRECEIFT
I NORLI TIN ANYWAYTHE CITY'SABI
MI
FEA.T ApRpLjHCEATJUoLNy. THAT THE INFORMATION APPLICATI APPROVAL
IHE111YA1KNOWL DOE;�HATT:HAITE IS
IS C'FFEC HE 0 E . 0 T 0 AUTHORIZED AGENT OF jN_ppji,.tI i� p.,.1l il 1,11d by,
GIVEN T'EA,D A. YYNH
CITY ONSTRUC I I I O'PutY: .�d
AND CALL F P.
THE OWNER. I AGREE TO COMPLY W'THr, TAT' LAW' REGULATING C 0
L-YE
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TON. NO 10 THEREBY N FE.S. T, FOR INSPECTION
OF WASHINGTON FELA NO TO
.4 .0 E STATE
IN V1 LAT, N OF THE LA OR CODE OF TH
WORKMEN SCOMPENSAT11 NiNSURANCE AND RCW 18.21. OFFICIA SIG
T� SI (425)
SIGNATURE (OWNER 0 ED
6- R SED BY
EXT 333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLO -INSPECTOR
A FINAL PINK b OWNER GOLD�ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX