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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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REMARKS
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PER UBC 1081FINAL INSPECTION REQ
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PLAN CHECK 59E
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PLANOM� IVESTED DATE
MECHANICAL
THIS PERMIT AUTHORIZES ONLY I.E W.RI( NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
CHI
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMLTAPPLICATION:,,180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WOR K STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
EN INSPECTION FEE
ON BEHALF OF HIS OR HER SPOUSE HEIRS, ASSIGNS AND SUCCESORS
H S P USE
N H LF OF H' S OR `
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RE 0
mm ;APPLICANT
INP 'L'
DE F D AN
N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I TER T A GRES S To ' ND EM N"Y
FROM ANY AND
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M EDMONDS. WA HINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS
OMO WASHINGTON T, O'F' A'
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ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY
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A" CLAIMS FOR DA AGE' 0,
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
FROM T ISSUANCE OF 'HIS FE FLUT SSUANCI
PLA HECK DEPOSIT
DEEMEOTO MODIFY.WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
DEEMED To MODIFY WAIVE OR REDUCE ANY FIECU
ENFORCE ANYORDINANCE PROVISION.'
'SABILITY ENF.
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NOR LIMIT IN ANY WAY TH E CITY E A.U"'Y TO
NORLIMIT IN ANYWAYTHE CITY
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION; THAT THE INFORMATION
AV
APPLICATION APPROVAL
GIVEN CORRECT, AND THAT IA. THE OWNER. OR THE DULY AUTHORIZED AGENT OF
IS
IS � ,
ThIl apPI-a-d a-' - P-and Until all ad III 'a.
. WITH CITYAND STATE LAWS REGULATING CONSTRUC-
R I COMPLY . ,
THE OWNER. I AGREE TO .. FLY
CALL
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TION. AND IN DOING THE WORK A THORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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V, WASHINGTON RELATING TO
IN VIOLATION
FOR INSPECTION
In , .111.d1gld 11 Pa., p,111,10d
OF THE LABOR C.DEOOF THE STATE OF
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WORKMEN'S COMPENSATION INSUR�ANCE AND RCW 18.27.
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OFF ALS SIGNATURE DATE
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771-0220
ELEASED By DATE
ATTENTION /
EXT 333
ITIS UNLAWFULTO USEOR OCCUPYABUILDING OR STRUCTUREUNTIL
771-0221
�12
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk
ORIGINAL -FILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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May 30, 2001
Jeannine L. Graf, C.B.O. CITY 0; ZVONDS
City ofEdnionds
Building Division
250 — 5" Ave N.
Edmonds, Wa. 98020
Dear Ms. Graf,
We have been working on an addition to our house since August 2000. The addition
itselfhas been completed but the finishing Work; hOlddOwns, cabinets, flooring, siding'
etc. has not been completed. We have tried over the last couple ofmOnths to get Our
contractor to complete the job. Most ofthe time he will not answer our calls and when he
does he claims he willbe herein acouple ofdays but thendoes not showup. PerMr.
Snook's advice we have contacted L& 1. They inforni us his license expired 1/28/01 and
it will not be renewed because of a judgment against him, which he has not paid.
Due to the circumstances, we would like to request that his name be dropped from our
permit and our names entered as the contractor.
Also, the contractor took the bag containing the permits and plans so we will need
duplicate copies ofthose papers.
We would like to thank Michael Snook ofyour office who has been very helpful and
sympathetic. He has the details concerning our plight. Ifyou have any questions please
call. We appreciate your help and attention and hope to hear from you soon.
Yours truly,
Harley & Ruth Young
8620 — 202'd St. SW
Edmonds, Wa. 98026
776-0340
May 30, 2001
Jeannine L. Graf, C.B.O. CITY 0; ZVONDS
City ofEdnionds
Building Division
250 — 5" Ave N.
Edmonds, Wa. 98020
Dear Ms. Graf,
We have been working on an addition to our house since August 2000. The addition
itselfhas been completed but the finishing Work; hOlddOwns, cabinets, flooring, siding'
etc. has not been completed. We have tried over the last couple ofmOnths to get Our
contractor to complete the job. Most ofthe time he will not answer our calls and when he
does he claims he willbe herein acouple ofdays but thendoes not showup. PerMr.
Snook's advice we have contacted L& 1. They inforni us his license expired 1/28/01 and
it will not be renewed because of a judgment against him, which he has not paid.
Due to the circumstances, we would like to request that his name be dropped from our
permit and our names entered as the contractor.
Also, the contractor took the bag containing the permits and plans so we will need
duplicate copies ofthose papers.
We would like to thank Michael Snook ofyour office who has been very helpful and
sympathetic. He has the details concerning our plight. Ifyou have any questions please
call. We appreciate your help and attention and hope to hear from you soon.
Yours truly,
Harley & Ruth Young
8620 — 202'd St. SW
Edmonds, Wa. 98026
776-0340
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FINAL PROJECT A�PRQVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATE to 01
PLANNING DIVISION DATE—
PROJEC
SITEADDRESS—
PERMIT # ADB#
INSPECT
DESCRIPTION OF WORK TO BE INSPECTED__jrd_������
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 of the described work
GRANT FINAL PROJECT APPROVAL
e—GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
—FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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2.
3.
___RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
V"s
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
ulallon
Stela lhii
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ....................
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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VALUATION
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BUILDING
54
PLANM3,,
VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
H U
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIOCN ON T E P BLIC
GRADINGIRILL
MeROUE W
2 DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. ES. ET ILL REQUIRE
SEPARATE PERMISSION
STATE SURCHARGE
s
PERMIT APPLICATION:, UVI DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK S STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
I SEE BACK OF PINK PERMIT FOR MORE INFORMATION
EN INSPECTION FEE
ON 51HAII 01 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INLICANT.
TEREST, AGREES TO INDEMNIFY. El... AND HOLD HARMLESS THE CITY OF
AND AGENTS FROM ANY AND
A I
2
EDMONDS. WASKINGTON, ITS OFFICIALS, EMPLOYEES.
ALLCI.AIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
RECE
FROM THE ISSUANCE OF THIS PEA.IT. ISSUANCE OF THIS PERMIT SHALL NOT BE
KA HECK DEPOSI r
DEEMED TOMODIFY. WAIVEOR REDUCE ANY A EQUIREMENTOF ANYCITY ORDINANCE
ENFORCE ANYORDINANCE PROVISION.-
EIPT
0
NORLIMIT INANYWAYTHE CiTY-SABILITYTO
TOTAL AMOUNT OU
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN is CORRECT, AND THAT I AM THE OWNER OR T E DULY AUTHORIZED AGENT OF
Th., PPI111111- 11 - A P11111 �fih 1,g-d by the
THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
30-g Olk, I., NIM., Dep.11: .... .... ...
TlION AND,IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
OF WASHINGTON RE ATING TO
-,Pt i, ..khIldg.d in space provided+
FOR INSPECTION
N VIOLAT ON OF THE LABOR CODE OF THE STATE
WORKMEN I COMPEN A NSURANCE AND ACW 18,21.
_
0 IIINATIIL.Vir"k DATE
RE (OWNE E NT)
JE SIGNED
(425)
771-0220
RELEASED By DATE
ATTENTION/
EXT 333
ITIS UNLAWFULTO USEOR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI
ORIGINAL - 'ILE - YELLOW INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. U13C SECTION 109
FAX
PINK -OWNER - GOLD -ASSESSOR
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