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DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION
STATE SURCHARGE
PERMIT APPLICATION: ISO DAIS
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ENG, REVIEW FEES
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION
APPLICATION APPROVAL
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771-0220
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ATTENTION
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ITISUNL FULTO USE OR OCCUPY ABUILDNG OR STRUCTURE UNTIL
AW 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE . YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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City of Edmonds (,Q Community Services
FEHRENBACHER
Dan avid Marian= reliretibachcr (425) 742-6950
6926 160th St. S.W. ftx: (206) 324-6509
Edmonds, WA 98026
FAX TRANSMISSION COVER SHEET
Date: 1/24A)i
Sender: Marianne Fehrgnbacher--...--.....
Intended For: Jena Brooks, L)evelopment Services Coor i 4.1(.)r
C ompany Name: City ofEdmonds
Fax Number! (4251771-0221
Number of Pages:
(including this cover sheet)
If there is any problem with this transmission, piease call k2lJb) 1q/-0J:)U.
Notes:
RE: Permit #200795
We have made major changes to the previously approved project. The current
project scope will be within the existing walls ofour housc. We understand that
we will need to submit new plans showing any wall removal and placement. There
are not any plans to increase the house size or make structural changes,
Thank you for coordinating a percentage refund ofthe previously paid permit,
dated 9/28/00.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing'..
Wall....................
Pier/Porch ............ ......
Retaining Wall ........... .
..
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING..........................
FRAMING ................... ....
FIRST FLOOR FRAMING
INSULATION ...................
A
Floor Insulation
Wail insulation ...........
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
Alo r
OCCUPANCY ..................
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PIL CHECK NO: 11EITED DATE'
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THIS PERMIT AUTHORIZES ONLY T* WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTYIQNLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN DEWALKS PUTVE16AYS. MARQUEES, ETC.) WILL REQUIRE
(CURBS, SI
GRADINGIFILL
RA RMISSION.
SE�Ap
STATE SURCHARGE
FE MIT APPLICATION. '100 DAYS
180 DAYS
I
FEES
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS SD�RTEO WITHIN
FOR MORE,JfORMATION
ENG. REVIEW
SEE BACK OF PINK PERMIT
.
FEE
'A
HIS OR HER SPOUSE. HEIRS. SK"'S AND EUC�--FS
;APPLICANT. ON BEHALF OF Sh
F HOLD �RMLESST`ECIIY-F
I, INTEREST. AGREES TO INDEMNIFY. GE END AN.
ANY AND
NO. NSPEqTION
Lll� I .1
M EDMONDS. WA HINGTON, ITS OFFICIALS. EMPLOYEES, AND AG TS FRO.
S Ly OR INDIRECTLY
LAIMS FOR DAMAGESOF WHATEVER NATURE. "
ALL C ARISINGOI
R. -HALL .. BE
N&Rfik�10"I!E
RECEIkT
FROM THE SUAN E OF THIS PERMIT. ISSUANCE OF THIS P
IS C
NY.RY RONA N.E
DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT 0
AN CHECK D POSIT
NOR LIMIT IN ANY WAYTHE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
IIEJE T
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE NFO�MATION
APPLICATIO1 N APPROVAL
GIVEN IS CORRECT. AND THAI I A. THE OWNER. 08 THE DULY AUTHORIZE. —�T .1
WITH CITY AND STATE LAWS REGULATING CONSTR—
CALL ld
THE OWNER. I AGREE TO COMPLY
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON ILLBEEMPLOYED
RELATING TO
Eu.' d'� ' .' D.P., , Y an.d F— 110
FOR INSPECTION 111.pt I, llkll.l.dgld �p - pr—d1d
IN VIOLATION OF THE LABOR C DE OF THE STATE OF WASHINGTON
0
WORKMEN'S COMPENSATION INSURANCE AND POW 18.21,
��.ATUFE
(425)
77l'-0220 E E ED BY DATE
ATTENTION
EXT1333
IT IS UNLAWFUL TO USE OR OCCUPY XB UILDING OR STRUCTURE UNTIL
771-0221
-
A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR AICERTIFi-
ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX PINK OWNER GOLD ASSESSOR