20000953.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
[PERMIT EXPIRES IWA,�L
US' PERMIT
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JOE UITEIAITI
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SEPARATE PERMISSION,
P..MITAPPLICATtON: 180 DAYS
STATE SURCHARGE
PERMIT LIMIT: 1 YEAR � PROVIDED ORK IS STARTED WITHIN 180 DAYS
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SEE BACK OF PINK PERMIT.FOR MORE INFORMATION
'A PLICANT. ON BEHALF 0 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOR$
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5 IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY P
2 EDMONDS, WASHINGTON, ITSOFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALLoLAIMSFORDAMA, ESOFWHATEVER NATURE. ARISING DIRECTLY oRINDIRECTLY
OF THIS PERMIT. SBUANCE 01 TRIS PERMIT SHALL HOT 6'
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FROM T-E'SSUANCE
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TOTAL AMOUNT DUE
IHERES ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOM THAT THE INFORMATION
APPLICATION
APPROVAL
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THE LABOR CODE OF HE STATE OF WASHINGTON RE ATING TO
FOR INSPECTION
,- acknowledgod In space pl-ded.
I N VIOLATION OF
WORKMEN'S COMPENSATION INSURANCE AND FEW 18.27.
oFFI: AL�SIGNATURE DATE
S�GN
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771-0220
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771-0221
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL FILE - YELLOW-INSACTO.
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�ATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
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fT-Y OF EDMONDS
No. Stories: 1
Basement. NIA
Hoom, caps"Ry 5`97%
owner of Building: Isaac Baruch SooWs- WA, 2810i
ECTEVTAM 0 1. "APPOVAD AS COMPLYING NTH THE REQUIREMENTS OF THE 1997
THE Starbucks HA#', P
[SION OF OCCUPANCY AND THE USE FOR
EDITION OF THE UNIFORM BUILDING CODE AD ADOPTED BY TI*1ClTy, FORT"' PROU"Np DIV
WHICH THE PROPOSED OCCUPANCY IS CLAS",
2000
By:— e��A, j—a!:)
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ind. badficaus shall" postod In a taunspounso public ana, and *halt hbt be —.ad, inualated r U—.d and hall In togible danditon at all 11— Any�ng0d�pamyor�MqUIMObLildi�Openitandomr,v
CaMcato, ol Occupanc,, Must by ths City of Bull Building Offidal.
FINAL PROJECT APPROYALEORM
TO-,7P-
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: — FIRE DEPARTMENT DATE —
ENGINEERING DIVISION DATE-4�x--
PLANNING DIVISION DATE -
'PROJECT
SITE ADDRESS —
PERMIT ,_ALV �J' �ADB#______DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPEC
A field inspection was conducted to determine compliance with approved plans. Final approval denotes that I
there are no objections ftom the above signed Department to the granting of:
approval ofthe described work
ciated with the project may be released
LL_L______-Pcrfbrmance Bonds asso
GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WrIH 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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CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITEIAPTN
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PLAT NAME)SUBDIVISION NO.
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
GRADING�FILL
N DOMAIN JCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
:1
SEPARATE PERMISSION.
STATE SURCHARGE
—
w PERMIT APPLICATION: 100 OAYB'�
WITHIN 160 DAYS
PERMIT LIMIT. 1 YEAR - PROVID D WORK IS STARTED
E
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
v0u*
.
ENG. iNSPECTtOVFEE
'A PLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN " INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALLCLAIMS FOR DAMAGESOFWHATEIIII,N
SSUANCE OF THIS PERMIT,SHALL NOT BE
DEPOSIT
1 FROM THE ISSUANCE OF THIS PERMIT.
REDUCE ANY REQUIREMENT OF ANY C TY ORDINANC E
PLAN CHECK
DEEMED TO MODIFY, WAIVE OR
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
7�
--
TOTAL AMOUNT DUE
I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT 'HE I.F.Ftf,11TION
APPI 'CATION
APPROVAL
GIVENS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
IS
TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
C ALL
THE DINER, I AGREE
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
RELATING TO
.Ip,,k.Idgld in $Paco acclded�
FOR INSPECTION
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON
WOFiXMEN'S COMPENSATION INSURANCE AND PCW 18.27.
OFFI ALE SIGNATURE DATE
SIGNA)VWNER -
0.9
(425) . \1
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1 f I -tJ44w REV,,11ED BY .
ATTENTION
EXT/333
ST RUCTURE UNTIL
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR 771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGIN AL - FILE YE"
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
WES
FAX PINK -OWNER GOLD ASSESSOR