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TOTAL AMOUNT DUE IR
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I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
GIVEN IS CORRECt AND THAT I AM THE OWNER. OR THE ULl AUTHORIZED A. ENT OF
PPLICATION APPROVAL
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771-0221
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MEMORANDUM
Date: IS September, 2001
To: Street file
From: Lyle Chrisman, Development Services Engineer 4w--
Subject: Pre -Storm Drainage ordinance review of sfir at 17015 Talbot Rd.
Based on available records the original application of the subject single family residence was in
for review prior to the Council adoption ofthe new storm drainage ordinance of July 6, 1977.
Since the application was in for review prior to the ordinance effective date, the original
impervious surface area is grandfathered..
City of Edmonds
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APPROVED OTHER
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FINAL PROJECT APPROVAL FORM
TO:-
DATE: -
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: -FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE k/2z-
PLANNING DIVISION DATE-
PROJECT-
SITEADDRFSS- 1 1015 INSPECTED
-21
PERMIT C��.ADB#
DESCRIPTION OF WORK TO BE INSPECTED 4dA�ZW
approval denotes that
A field inspection was conducted to determine compliance with approved plans. Final
there are no objections from the above signed Department to the granting of:
-Final approval of the described work
_)L_GRANT FINAL PROJECT APPROVAL
RANT PROJECT APPROVAL WITH CONDITIONS NOTED
_____FAILED FINAL INSPECTION - OUTSTANDING ISSUES
I
2.
3.
______RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
MOROFILM
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INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Fooling......................
wall..........................
Pier/Porch .................
7 Retaining Wall ...........
Slab Insulation .......... M
PLUMBING:
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Uncierground .............
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Rough -in ...................
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Commercial Final Z83
HEATI
NO: A
CGas Test .................... .
Gas Piping .................
Equipment ...............
Commercial Final
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
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'IiiRST FLOOR FRAMING
INSULATION ...................
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Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
M
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
DATE RECEIVED
CITTOIP EDMONDS
CONSTRUCT& PERMIT APPLICATION
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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PROGRESS INSPECTIONS PER IJ.0 10SIS
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CONSTRU ONTHEPuBUC
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t: BE DONE ON PRIVATE PROPERTY 0 LY. ANY "o
GRAC' FILL
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M DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES ETC�) WILL REG
PERMISSION.
SEPARATE
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STATE SURCHARGE
PERMIT APPLICATION: 1-B-AYS
PERMIT LIMIT. I Y FAR PFDVIDEDWoRKIS TED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OFPINK PERMIT FOR MOSRA
E INFORMATION
ENG. INSPECTION FEE
-AP LICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
p HARMLESS THE CITY F
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD
2 EDMONDS. WASHINGTON. TSOFFICtALS. EMPLOYEES. AND., 3ENTS FROM ANYAND
5 ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLY OR NDIR—
OF THIS PERMIT SHALL NOT BE
I`NS-lT-ClAl.Z"FmE
RECEI
M FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE
9 D EMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
0 .. OR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PF.VISI.N'
RICE11
TOTAL MOUNT DUE
�OT A
_j�
I HEREBY ACKNOWLEDGE THAT I HA4E READ THIS APPLICATION. THAT THE INFORMATION
.
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, On THE DULY AUTHORIZED AGENT OF
THEOWNER. IAEIREETOC MP MTN CITY AND STATE LAWS REGULATING CONSTRUC
CALL
MCI. �01 .0.1, ,d F—we p A. �d
TION. AND IN DOING THE WaORKLAYUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
OF WAS INGTON RELATING TO
FOR INSPECTION _.,pt kloll�gsd i-p— P—d.d
IN VIOLATION OF THE LABOR ;Wl THE STATE
WoR"EX4 COMPENS�11OJIN Cf AND RCW 18.27.
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425
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771-0220
_ _ ; _ '. I A
1-*dASVD 81�—,
ATTE NTION
EXT 1333
LTO
IT IS UNLAWFU U�E OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 Z21
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINA
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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