20000790.pdfPERMIT EXPIRES
USE PERMIT
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CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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ZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
THIS PERMIT ALITHOWITE
BE DONE ON PRIVA PROPERTY ONLY� ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFILL
DOMAIN tCURBS,SIDEWALKS, DRIVEW AYS. MAROUEES,ETC.) WILL REQUIRE
L SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
P 'F
DRAINAGE FEES
I T LIMIT I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS
P EnM YEA A
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ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS
EN INSPECTION FEE
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IN INTEREST. AGREES TO INDEMNIF
ANEDEE-�[D=LESS THE CITY Or
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ALL CLAIMSFOR DAMAGS$OFWHATEVER NATURE. ARISING DI
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SSUANCE OF THIS PERMIT SHALL NOT BE
FROM THE ISSUANCE OF THIS PER MIT.
G .0 CEANY REQUIREMENTOF ANY CITY ORDINANCE
DEEMED TO MODIFY, WAIVE OR REDO
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I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
AND STATE LAWS REGULATING CONSTRUG-
TIYl Ippill 1111 11101 a P-I dil,ignedby"d
THE OWNER. I AGREE TO C MPLY WITH CITY
THE WORK AUTHORIZED THEREBY. NO PERSON LLBEEMPLOY D
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8"1 BO,j,,N, d, 11d, Ddpuly: d�d F.—I. PAId. a'd
TION: AND IN DOING
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
TION —P-,,lk-1Idd9dd I� I —A P—d.d
IN VIOLATION
WORKMEN S COMPENSATION INSURANCE AND POW �8 21
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(425) FF ION DATE
GNATUR INNER BE
771-0220 ATE
ELEASED By
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
INSPECTION HAS BEEN fOADE AND APPROVAL OR A CERTIFk
ORIGINAL FILE YELLOW- INSPECTOR
A FINAL
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK � OWNER GOLD ASSESSOR
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FUNERAL 7- 718"
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TRES ORIGINAL DRAW S, AND 8,,rc,,,C 0.B JOB NAME: BECK'S FUNERAL HOME =A14W'NllTAL
ARE B."L, ENTIAL TO
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BERRY NEON CO. INC. (DNC)IIA D SHALL NOT BE SCALE: 31V=1�0" I DATE: 8128/00 FILE NAME:BECKSFUMALHOME
"111111EI 11 WHOLE OR 11 PART. 0. USE.
IN ANY MANNER EXCEPT IN THE COURSE OF
berr 'DOING BUSINESS' WITH SNC, WITHOUT PRIOR SPECIFICATIONS: EXTERIOR, ILLUMINATED DIF CABINET wl PAINTED GRAPHICS
WRITTEN PERMISS ON OF SNCA-) COPY IGHT- AND BARETUBE NEON wl CLEAR FLEX COVER
neo BERRY NEON Co.. INC, REGISTRATION PENDING. INSTALLED IN REPRODUCTION OF EXISTING SIGN AS PER SPECSI
21027 61st AVE. WEST R 0. BOX 5269 LYNNWOOD, WA 98046 1425) 776-8835 1800) 488-2430 FAX (425) 774-8221 E-MAIL b.lY .... dat.—f
FINAL PROJECT APPROVAL. FORM
TO:6�-
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJECT 7-
SITEADDRESS-
PERMIT #_,g6g2e
.2_ADB#_DATE INSPECTED—il—
DESCRIPTION OF WORK TO BE INSPECTED
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:
approval of the described work
ociated with the project may be released
Bonds ass
_,,V__—GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
I
_FAILED FINAL INSPECTION OUTSTANDING ISSUES
1.
2.
3.
_RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
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SETBACKS ................
FOUNDATION:
Footing ................. ...
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Retaining Visit
stab Insulation ..........
PLUMBING:
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FINAL APPROVAL FOR
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OCCUPANCY ............
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