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CITY OF EDMONDS
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NUMBER I
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720 14th Way S.W.
OWNER NAMEMAME OF BUSINESS
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— Joyce Rolaf
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720 14th Way S.W.
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P.O. Box 1021
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Lynnwood 8046
425-775-6464
STATE LICENSE NUMBER EXPIMIDON DATE
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8010
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
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VALUATION
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PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE %
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PLAN CHECK NO: JVIITEDDATE PLUMBING
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PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUS UC
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SEPARATE PERMISSION.
P RMIT APPLICATION: 110 DAYS — -AWE SURC.ARGO,
PERMIT L1.11' -PROVIDED WORK IS STARTED WITHIN 180DAYS ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
50, 'PLICANTONDEHALFO HIS OR HER SPOUSE, HEIRS, ASSIGNS AID SICCIIIIS 11G INSPECTION FIE
IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD IAARMLESS THE CITY OF ANDSCAP NG
EDMONDS. WASHINGTON, ITSOFFICIALS. EMPLOYEES. ANDAGENTSFAOM ANYAND I NSPECTION FEE
ALLCI-AIMS FOR DAMAGESOF WHAT VIER NATURE.ARtSINGDiRECTLYOR INDIRECTLY
IRECEIPT
FROM THE ISSUANCE Or THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE PLAN CHECK DEPOSIT
DEEMED TO MOOTFY.WAIVEOR REDUCEANY REQUIREMENTOF ANY CITYORDINANCE
NOALIMITIN ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.'
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TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 15 CORRECT: AND T-ATT: A. THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED d..9 0111,11111 h�,Mll D—ty: 1�d F111 — Pl.d
I N VIOLATION OF THE LABOR CODE .1 THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 1111,PI 11 llkIld9l 1p.11 P11140d
I WOAKMEN'SCOMPENSAjpvtHSURANCE AND RCW 18 27 OFFICIA DATE
DATE SIGNED (425)
j 771-0220
RELEASED BY
ATTENTION EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 1
A FINAL INSPECTICCIYHAS BEEN MADE AND APPROVAL OR A CEFITIFI- ORIGINAL -FILE -. YELLOW, INSPECT R
CATE OF OCCUPAN HAS BEEN GRANTED. USC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR
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FINAL FR03ECT APPROVAL FORM
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DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
.________ENGINEERING DIVISION DATF,:]!Y-
PLANNING DIVISION DATE—
PROJE
SITE ADDRESS- 7W fIrt. K&W Ehl
PERMIT 1 —0 & 13 ADB#
INSPECTED
DESCRIPTION OF WORK To BE INSPECTED— W L—
Final
A field inspection was conducted to determine final compliance with approved plans. approva
e above signed Department to the release of
denotes that there are no objections from th
PERFORMANCE BONDS and the granting of:
--,L_GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u copy of CONDITIONS given to owner/contractor by inTector
1.
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
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3.
RE-INSpEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign____�
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SErBACKS .....................
FOUNDATION:
Footing .......................
ou............
Retaining Wall ...........
Slab Insulation ..........
0
PLUMBING:
Underground .............
It
Rough -in ...................
Commercial Final
HEATING:
0C
Gas Test ....................
IT
Gas Piping .................
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Equipment .................
Commercial Final
0
E)ITERIOR SHEATHING
NAILING ..........................
IT
FRAMING
........................
F IRST FLOOR FRAMING
0:
INSULATION ...................
Floor Insulation
wall insulation
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
f
1000e,
ATE RECEIVED
ES
CITY OF EDMONDS
USE PERMIT
.,IE NUMBER2001-0bil
CONSTRUCTION PERMIT APPLICATION
joB SPITEJAPTN
ADDRESS
720 14th Way S.W.
OWNER NIAMENAME OF BUSINESS
PLAT NAMEISUBDIVISION NO.
LOT9NO.
LID NO.
Joyce Rolof
Bell Air/ B
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LID FEE $
MAIUN ADDRESS
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720 14th Way S.W.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY zip
TELEPHONE
EXISTING - PROPOSED
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Edmonds 98020
425-770-6525
REQUIRED DEDICATION- FT
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NAME
METER SIZE
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PRV REOUIAED
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akOWNERICONTRASIVA&LPT
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Day and Nita, INC.
ENGINEERING REviiWEDIDATE
PURSUANT To UPC 605.2
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slip
ADDRESS
1081 Box 1021
FIRE PIEVIEWEDBY SHALL BE INSTALLM ORAYM
LOMAS ITENTERSTHE BUILDING
CITY zip
Lynnwood 98046
TELEPHONE
425-775-6464
VARIANCE OR CU
SHORELINE OR ADBI
INSPECTI N
0YREOQ
ES OND
6 N
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
DAYNIPHO44CM
I CHEC ED BY
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S, REVIEW
EXEMPT
EXP
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SIGN AREA
ALLOW 0 1 PROP,%
HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
00390000000900
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0 NEW RESIDENTIAL yo PLUMBING / MECH
0 ADDITION [3 COMMERCIAL o C MPLANCEOR
CHANGE OF USE
0 REMODEL 0 APARTMENT 0 SIGN
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REPAIR 0 GRADING CYGS 0 ( X FT)
0 DEMOLISH 0 TANK a OTHER
oCGARAGE 0 RETAININGWALL 0 RENEWAL
ARPORT
LOT COVERAGE
ALLOWED PROPOSED
WEQUIRED SET
FROM T =EACkl(�Al
PROPOS SETBACKS (Fr.)
FRONT UPSIDE BEAR
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-ITMARKS
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CHECKEDBY
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DESCRIBE WORK TO BE DONE t
Install new water ?h!Q_lW'c
REMARKS :C
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D
PIN CHECK FEE
P
GLAZING %
P '
LOT SLOP' I
L 0 T S L 0
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BUILDING
6 U
PLAN CHECK.!2L_______
D D A T E
IVESTED DATE
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PLUMBING
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
0 0 N T E P C
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIRIL
OR
W L L R '"E
0 OMAIN (CLASS. SIDEWALKS, ORIVEWAYS , MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION.
SURCHARG
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PERUItAPPLICATION: 1800AYS
IN A '
P 0 K 15 STARTED WITHIN 180 DAYS
PERMIT LIMIT. I YEAR * ROVIDED W R
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SEE 19ACK OF PINK PERMIT FOR MORE INFORMATION
END, REVIEW FEES
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:F
E 0, INSPECTION FEE
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ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
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2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
IN S
ITS "LY OP'N.'.EC'Ly
AULCI.AIMSFOn MAGESOFMATEVER HATURE.ARISING 01RECYLY OR INDIRECTLY
FROM THE ISSUDACE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLANCHECKDEPOSIT
PLA
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MO R
DEEMEDTO 01". WAIVEOR REDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE
Cl NOR LIMIT IN ANY VAYTHE CllY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.'
TOTAL AMOUNT DUE
TO
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPL CATION. THAT THE INFORMATION
K
IS COPPED T 0 Z D T
GIVEN AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T
LATIN. C. ST. C
THEOWNER. I AGREE TOCOMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
I P Y ED
TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EM T PLOYED
I I .
WASHINGTON RELATING TO
FOR INSPECTII
0
IN VIOLATION THE LABOR CODE OF THE STATE OF
OF
WORKMEN S COMPEN:=RANCE AND RCW 18,27.
$IONA PRE-(OWNE 0 NTJ
=.ATE SIGNED
(425)
771-0220
AtrENTION
EXT 333
IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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