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[PERMIT
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAME AME OF 8
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1, ........ INSPECTIONS PER UBC I IRIFINAIL INSPECTION FlEap
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VALUATION $ :5f:�000
Description
FEE
Description
FEE
Plan Check
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THIS PERMIT AUTHOPUZES ONLY THE ORKHOTED.THIS PERMIT COVERS WORK TO
2 86 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading Recording Fee
:1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS Q -) WILL REQUIRE
It: SEPARATE PERIMISMSAIGNBEES"'T" - r 5
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PERMITAPPLICATI N: VIDDAYS
PERMIT LIMTE I V - PROVIDED WORK IS STARTED WITHIN 180DAYS SW. Inspation State Surcharge
BAR C, 50
SEE Is
aACK OF PINK PERMIT FOR MORE INFORMATION ----- --
'APPLICAMT ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigatil It Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Review
j AM CLAIMS FOR DAMA 'ES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Receipt #
91 FRO. THE I.SUA.CE COF THIS PERMIT. IS$ ANCE OF THIS PERMIT $HALL NOT BE
DEEMED TO MODIFY WAIVE Oil REDUCE ANY'REQUIREMENT OF ANY C TY ORDINANCE Fire Inspection Total Amount Due
NOR LIMIT IN ANY WAY THE CIWS ABILITY To ENFORCE ANY ORDINANCE PROVISION. -
I HEAD ACKNOWLEDGE THAT I HAVE R IE
By EAD TH S APPLICATION: THAT THE INFORMAT ON APPLICATION APPROVAL
GIVEN IS CORRECT,AND THAT I AM THE OWNEFI. OR THE DULY AUTHORIZED AGENT .1
THE R, I AGREE TO COM11Y WITH CITY AND STAT LAWS REGULATING CONSTRUC-
NO;WNE CALL
TIO AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ding OCal ormsft,ar Deputy; Ind Feas am paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELLATING To FOR INSPECTION
WORKMENB COMPEN!��CE AND RCW 11 .27. OFFI IALS 81 NATUR GAT
DATE SIGNED (425) 'h" / " a
771-0220 � ftE DATE
ATTENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL nir I I, � nrD'
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 114SPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR
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FINA PROJECT APPROVAL FORM
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MEMO TO: PERWr COORDINATOR, BUILDING DIVISION
FROM: --YIRE DEPARTNIENT DATE-1z2=J-0. 2
ENGINEERING DIVISION DATE
1—M _-PLANNING DIVISION DATE—
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DESCRIPTION OF WORK TO BE INS PECTED
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A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
EE RFORMANCE BONDS and the granting of.:
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FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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Date Sign_
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DEPARTMENT OF UILDINGS
PER UNIFORM BUILDING CODE SECTION 109
Building Permit #2002-0088
At— 9605 Firdale, enule Edmonds WA 98020
by this certificate: Dwelling Units: -NIA* No. Stories: 1
Occupancy established
Basement: No
Type Construction: V-N
an times.
Room capacity signs,
Maximum occupant Load -'6** (Per U.B.C. 1002)
st
when required, must -main �7osted
owner of Buildlng:_WPI e[R2lq12p Address- 9500 Roosev@jt, Seattle, WA 98016
SIPECTED AND APPROVED As COMPLYING WITH THE REQUIREMENTS OF THE 1997 EDITION OF
THE Hair Cu_fterSpJU� HAS BEEN IN Y AND THE USE FOR WHICH THE
ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANC
THE UNIFORM BUILOINU %;Uuc AS
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this _i2th day af_ap_ril 2002
CHIEF UILPING OFFICIAL
BY:
TNa cWd-t. MW be patad Ina Mmomms pubfic 8M and shaM not be rw—d. �—d and shall ba mffir"� In Itobta nsom ato t— Anyoonool�mr�vwunr"wmabd;dwpwTNtar4onew
Ceff�,ate of 0wjpny Iswo by " City of Ed—da wilcgq Offidel.
--- - - --- - ------ ------
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 ...............
Commercial Final
EXTERIOR SHEATHING
NAILING ....................
14 Z
FRAMING ..........
FIRST FLOOR FRAMING
INSULATION
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
07
OCCUPANCY ...............
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