20020129.pdfDATE RECEI
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NUMB
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CONSTRUCTION PERMIT APPLICATION JOB 22 SUITEIAPT#
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REMARKS
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STATE LICENSE NUMBER EXPIRATION
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SEPA REVIEW
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SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED , PROPOSED
NEW XRESIDENTIAL 0 PLUMBING I MECH
ADDITION 0 COMMERCIAL o C MPLIANCE OR
CHANGE OF USE
[3 REMODEL 0 APARTMENT [__1 SIGN
13 REPAIR GRADING DYBE [] F NCE
( _ X FT)
DEMOLISH 0 TANK 0 OTHER
o GARAGE o RETAINING WALL
CARPORT ROCKERY 0 RENEWAL
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE BEAR
PROPOSED SUBAC S F
FRONT UPSIDE KREA(ar)
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REMARKS
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VESTED DATE
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THIS PERMIT AUTHORIZED ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO
—
Grading
t: HE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
a LKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
DOMAIN (CURn'SIDEWASEPARATEPERM;SSION.
Engr. Review
PIS MITAPPLICATION: HERIDAYS
PERMIT LIMM. I YEAR - PROVID D WORK IS STARTED WITHIN INDAYS
Engr. Inspection
SEE BACK OF PINK PERMM FOR MORE INFORMATION
*APPLIC . (IN BEHALF OF His OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
X EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
Fire Review
is ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE REBA CE 0 THIS PEANUT. ISSUANCE OF THIS PERMIT SHALL NOT as
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
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NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIO ..
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN 15 CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
TION; AND IN DOING THE WORK AUTHORIZED THERE�, NO PERSON WILL BE EMPLOYED
IN VIOLATIO OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTU
WORKMENG COMPENSATI N INSURANCE AND RCW 18.27�
Si OR A71K T—.AT7 SIGNED
(425)
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AVENTION
Bff 1333
IT IS UNLAWFUL TO 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. LED SECTION 109
FAX
Recording Fee
City Surcharge
State Surcharge
Plan Chk Deposit
Receipt #
TotalAmountDue
ipt #
APPLICATION APPROVAL
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GARY HAAKENSON
CITY OF EDMONDS
MAYOR
I �1 — -EN11. ..R1. - 12...N.S, - M. - (425) 771-0220 FAX (425) 771 -022
Web�lte: —,d.edMonds,.a,us
DEVELOPMENT SERVICES DEPARTMENT
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4JI sc)z Planning Building Engineering
All,
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July 3, 2003
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First Mutual Bank
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400 108t' Ave NE
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Bellevue, WA 98004
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Re: Performance Frozen Fund account #095 150088 09/608-618 Bell Street, Edmonds WA./Garbe-Weller
Construction
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Dear Mr. Rex Walters,
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The City of Edmonds hereby authorizes the partial release of the above referenced Site Performance
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Frozen Fund account. A balance of $13,192 must be held as a maintanence bond. All interested City
Divisions have inspected the required public improvements and have granted fund release.
The remaining funds may be used as the required Site Maintenance Frozen Fund account which is
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required to be held for a period of two years to ensure that the site improvements and landscaping are
maintained. Prior to the expiration of this account the City shall conduct a site inspection to determine
whether or not corrections or repairs are needed. As with the performance frozen fund account, only
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written City authorization may release Maintenance Frozen Funds.
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Please be advised, the owner may replace these funds at any time with a bonding company bond. if there
are any questions, please call feel free to contact our office at 425-771-0220.
S, I
Lara Pal Wtier
Permit Coordinator
Cc: Applicant
File
Chron File
UTEMP/DST/Perf, bond partial releasefrozen.doc 10/00
Incorporated August 11, 1890
Sister City - Hekinan, Japan
F11 L PRQACT,�PMOVAL',ORM
TO:
DATE:
MEMO TO: PERM[IT COORDINATOR, BUILDING DIVISION
FROM: —Esm FIRE DEPARTMENT DATE
DIVISION DATE S114102-
PLANNING DIVISION DATE
PROJECT J'Ohrl
SITEADDRESS
00 —01-) C)
PER MIT # ADBk---DATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTEE(��
A field inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Facing.............
Wall ...........
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Pler/Porch .............
Roaming Wall
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Stab Insulation
PLUMBING:
3:
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Underground
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Rough -In ..........
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Commercial Final
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HEATING:
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Gas Test .............
Gas Piping ............
Equipment ...........
Commercial Final
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EXTERIOR SHEATHING
0
0 Fn
NAILING ..........................
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FRAMING .......... .............
FIRST FLOOR FRAMING...
0
INSULATION ...................
Floor Insulation
Wall Insulation ...........