20010887.pdfPERMIT EXPIRES
CITY OF EDMONDS
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PERMIT APPLICATION
JOB SUITEAPT-
CONSTRUCTION
AODRE�S 806 Cary Rd
OWNER NAMEMAME OF BUS NESS
LEGAL DESCRIPTION CHECK I SUBDIVISION NO LID 11
MAILING ADDRESS
806 Cary Rd
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NAME
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ENGINE
Fast Water Heater
ADDRESS
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Kirkland 96034 1 8 114-3124
FIANCE OR CUT ADS. SHORELINE N
—EX—PIRKTTON—DATE Y
P URSUAW TO UK 605.2
STATE LICENSE NUMBER
2-16-02
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THIS PERMIT ALIT ... DES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LIC
GR�DI.GIIILL
DOMAIN (CURDS.SIDEWALKS. DRIVEWAYS- MARQUCESETC.) WILL REQUIRE
SEPARATE PERMISSION.
S�EURCHAFGE
PERMIT APPLICATI N: 180 DAYS
PERMIT LIMIT. I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, FTEIRS ASSIGNS AND SUCCESORS
ENG, INSPECTION FEE
IN NTEREST AGREES TO INDEMN IFY. DEFEND AND HOLD HARMLESS IIIE CITY 01
EDMONDS, WASHINGTON. ITS OFFICIAL& EMPLOYEES. —D AGENTS FROM ANYAND
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE. AF15INGDIRECTLYOR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERK"' ISSUANCE OF THIS PERMITISHALL NOT BE
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PLAN CHECK DEPOSIT
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANYC TYORDINANC
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NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORIGIN ICEPROVISION
70TALAVOUN7 DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. TI,- NIORVITGN
'ED
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY ALI I �, AGENT OF
CITY AND STATE LAWS REGUL,'01IG CONSTRUC
CALL T PPI—t— -1 1--1 11"1' "g by 1h'
THE OWNER I AGREE TO COMPLY WITH
DOING THE WO RK AUTHORIZ E D TH ERE BY. NO PE ASON WILL BE EMPLOY ED
0 D.F11I1 -b P."d
TIDN, AND IN
OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
IN VIOLATION
ANCE AND RCW 18 21
SIGNATURE (OWNIXCEeNT CA I SIGNED
(425)
AL� M.'Fa�
11-29-01
771-02—
F ASE 0 AIL
ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
AND APPROVAL OR A CERTIFI.
A FINAL INSPECTION HAS BEEN MADE
HAS BEEN GRANTED. UBC SECTION 109
CATE OF OCCUPANCY
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
...............
Pier/Parch .................
Retaining Wall ...........
Slab Insulation ............ .
PLUMBING:
Underground .............
kough-In ...................
Commercial Final
'HEATING:
Gas Test ....................
? iGa3 PIPIng ...... . ...........
Eciul Me ................
commen;Iatfinall
MITERIOR SHEATHING
MAILING ...... . ...................
FRAMING ..; ................
INSULATION ...................
Floor Insulation
'We 11 Insulation ...........
Coiling insulation
SHEETROCK NAILING
SPECIAL INSPECTIO N
MISCELLANEOUS ..........
FINAL APPROVAL FOR
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OCCUPANCY ..................
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[PERMIT EXPIRES A2&
CITY OF EDMONDS
PERMIT
ZON NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SULTVAPT.
OGRESS
806 Cary I�d
OWNER NAMENAME OF BUS NESS
GAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
Sabina
-�AJLJNG ADDRESS
806 Ca
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXIS71NG � REQUIRED DEDICATION
PROPOSED
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CITY ZIP
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NAME
ENGINEERING MEMO DATED REVIEWED By
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ADDRESS
12601 132 Ave NE
FIRE MEMO DATED REVIEWEDSY
CITY ZIP
Kirkland 98034
TELE "ONE
4255-814-3124
VARIANCE OR CU
ADD.
SHORELINE 4
STATE LICENSE NUMBER EXPIRATION DATE
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COM SERA REVIEW
PLITE EXEMPA
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ON
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7 -LErAL DESCRIPTION OF PROPERTY INCLUDE ALL EASEMENTS
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LOT COVERA
ALLOWED PROPOSED
`RW6ftTHTBACKS
FRONT SIDE REAR
(FT.)
FRONT UR SIDE REAR
;i PROPERTY TAX ACCOUNT PARCEL NO.
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LOT AREA
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v&DC 19.30 .0jdTE
11REREGULAMEYALMIM0—
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REMARKS
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REQUIRED 0 YES
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REMARKS
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--"nemer
NUMBER
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NUMBER-
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UNITS
CRITICAL
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NUEMABSER 41111--h
%nuq'd'l-u R' the water system
pansion tanks In
required on all hot water tanks,
DESCRIBE WORK TO BE DONE IF
Chy Code. ECDC 19.30.020(c)
g,m_ /-pi ... Qgg- -Ritpr h--*-, ill
16,06n btuls
FINALIN5I'ftt;tI
VALUATION
FEE
PLAN CHECK FEE
HEATSOU
LOT SLOPE %
BUILDING
PLUMBING
PLAN CHECIIIII10V 1'4 r I C DATE
MECHANICAL
T.I�IERMIT.UTHORIZESO.IT.�Wo.��OTE.. THIS PERMIT COVERS WORK TO
BE .. E ON PRIVATE PROPERTY ONLY, ANY CONSTRUCnON ON THE PUSUC
Nj!gE��E.TG.
DOMAIN jqfBSSIP�%!ALKS, DRIVEMAY4, MADO I
SEPARATE PtRMISSIO
GRADINGIFILL
ETAT . SURCHARGE
PERMIT APPLICATION: Ill)-AYS
PERMIT LIMIT: I YEAR . PROVIDED WORK IS STARTED WITHIN 180 DAYS
ST RM DRAINAGE FEES
;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE
N INTEREST. AGREES TO INDEMN IFY. DEFEND AND HOLD HARMLESS THE CITY OF
E MONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
ALLCLAIMSFORD MAGESOIWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
F BE LAI 11: 1 Cl� 1:
ROM THE ISSUANCE OF THIS PERMIT. ISS ANCE OF THIS PERMIT SHALL NOT
DEEMEDTO MODIFY. WAIVE OR REDUCE ANY R all'REMENT OF ANY CITY ORDINANCE
x NOR LIMIT IN ANYWAYTHE CITY SABILITY TO ENFORCE ANYORDINANCE PROVIS'ON." TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AUTHORIZED AGENT OF CALL APkICATION APPROVAL
T E OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CO.STRUC- T�1�0101�-- 11 - A P-4 -11
TH WILL BE EMPLOYED 9 IIc I �, I,-, D�Puly ��d F- - PAI.
I [ON. AND,IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON �NG TO FOR INSPECTION B" ",11I.Phl 1-�Ildal- cl pl-ded
N VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELAT
WORKMEN S COMPENSATION INSURANCE AND RCW 18 21. D TE
IALS T RE
I= - I U
-,NATURE (OWNER 9�14AGENTY ID TE SIGNED (425)
1 1-9 9 _ 0 1 A/I�
7711-0220
a�L� RELE26 By
ATTENTION OR STRUCTURE UNTIL )<
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING W INSPECTOR
HAS BEEN MADE AND APPROVAL OR A CERTIFI- OAIGSNAL FILE - YELLO
A FINAL INSPECTION
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 Pll� OWNER I-LO -ES111-
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