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PERMIT EXPIRE�13
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STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
REVIEW FEV
;'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCIESORS
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ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION
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IN WOLAT ON OF TIE LABOR Co DE OF THE STATE OF
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�,�XATURE
DATE SIGNED
(425)
�NERRAGENt�l,
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771-0220
RELEA By DATE
7-FFENTIM
EXT 1333
TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
IT IS UNLAWFUL
INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
DRIGINAL FILE YELLOW - INSPECTOR
A FINAL
HAS BEEN GRANTED. USC SECTION 109
FAX
PINK-MNER GDLD-ASSESSo,
CATE OF OCCUPANCY
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
C4 Pl� W., r-d-riq WA nRn20 Buildina Permft #: #2001-0809
occupancy established by this certificate: III Its:
Stories: 12
RIM Type Construction: V-N Basement'. No
Maximum Occupant Load (Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Ines AnglonoFourno Address: ssi, Elm Way. Edmonds. WA 9W20
THE ___j1jgLe&HAS BEEN INSPECTED AND APPROVEDAS C0 ke WITH THE REQUIREMENTS OF THE 1997 EDITION OF THE UNIFORM
BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AMD DrVISION OF OCCUPANCY AND THE USE FOR WHICH THE PROPOSED
OCCUPANCY IS CLASSIFIED.
Issued this 15th day Of-Le-b-r0-% 2002
CHIEF BUILDING OFFICIAL
BY:
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall......................
Pier/Porch .................
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment ..........
r Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
Wall Insulation ...........
CallIng Insulation
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SPECIAL INSPECTION
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FINAL APPROVAL FOR
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
OR All'!"
QUIRE
DOMAIN (CURBS, SIDEVIALKS. 13RIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SUR
P RMIT APPLICATION: 180 DAYS
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PERMIT LIMIT. 1 YEAR PROVIDED WORK IS STARTED WITHIN 180DAYS
REVIEW FE
SEEBACKO PINK RMIT FOR MORE INFORMATION
' PH
NTONBE LFO HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
ALLCLAIMSFOROAMAGESOFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY
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FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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P NCHE Ko OSIT
DEOMEO TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANYCITI F.INANCE
PROVISION.-
NOR UNIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY OADIYANCE
TOTAL AMOUNT DUE
IR ulplf�
I HE REBY ACKNOWLE DOE THAT I HAVE READ THIS APPLICATION; THAT THE I NIORMATION
APPL16ATION
APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T1. .1pl—l— 1. P-1- U"`lF-'Q W
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
dlI,90IfiIllh.,ftlDoplIY:8nd
T ILL BE EMPLOY ED
ION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WI T
OF WASHINGTON RELATING 0
FOR INSPECTION
P..P,. d.d.
I N V16LATION OF THE LABOR CODE OF THE STATE
WORKMEN S COMPENSATION INSURANCE AND ACW 10.27.
OFF. AT 101,_
,7,TE
_rDATE
SIGNED
(425)
1w a oo
771-0220
FIELE DSY DATE
ATTENTION
EXT 1333
loizL- lol
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221
��L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - _YELLO� - INSPECTOR
CATE OF 0 . CCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD - ASSESSOR
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