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PERMITEXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
JOB TZITE
OWNER NAME/NAME OF ED INES$
Hartford Contracting, Inc.
PLAT NAMEISUBDIVISION NO.
LOT NO,
LID NO,
LID FEE S
MAILING ADDRESS
C 13256 Northup Way 010
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED—
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CITY ZIP
TELEP ONE
Bellevue, WA
425-643-8580
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NAME
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PRV REQUIRED U
YES 0 NO 0
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 20
CITY ZIP
TELEPHONE
NAME
Hartford Contracting, Inc.
REY19WEDIDATE
IF ADDRESS
13256 Northuoik way, #10
FIRE REVIEWED By DATE
CITY ZIP
TELEPHONE
Bellevue, WA
425-643-8580
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STATE LICENSE NUMBER EXPIRATION DATE
HARTFC1088LP 6/15/02
I CHECKED BY
VARIANCE OR CU
SHORELINE OR ADSe
INSPECTION
REGO
0 YES ONO
PBOND
OSTED
SEPA REVIEW
COMPLETE EXEMPT
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SIGN AREA
SY i 147Z
HEIGHT
ALLOWED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO.
0043242-121-016-00
0 NEW A ESMENTAL PLUMBING / NEC
0 ADDITION COMMERCIAL C MPLIANCE OR
CHANGE OF USE
0 REMODEL APARTMENT SIGN
REPAIR GRADING C, FENCE
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DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REQ'D
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lots 16 & 17, block 121.
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2 DOMAIN (CURBS, SIDEWALKS� DRIVEWAYS, MARQUEES, ETC.I WILL REQUIRE
GRADINGIFILL
�TMTE"SURCHARGE
Z SEPARATE PERMISSION.
P MIT APPLICATI.N: 180 DAYS
PERMIT LIMIT: 1 YEAR - PROVID D WORK IS STARTED WITHIN 180 DAYS
ENG, REVIEW FEES
SEE SACK OF PINK PERMIT FOR MORE INFORMATION
ENG. INSPECTION FEE
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A LICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
A
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPING
2 EDMONDS. WASHINGTON, ITSOFFICIALS. EMPLOYEES. AND AGENTS 'ROM ANYAND
INSPECTION FEE
ALLCLAIMS FOR DAMAGE OFWHATEVERNATURE,AR,SING DIRECTLY OR INDIRECTLY
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE 01 TH S PERMIT SHALL NOT BE
DEOMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
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TOTAL AMOUNT DUE
I HERE Y ACKNOWLEDGE THAT � HAVE READ THIS APPLICATION; THAT THE INFORMATION
—1
APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
REGULATING CONSTRU ,
T annhe U101 AII-a a' 'he
THE OWNER, I AGREE TO COM-LY WITH CITY AND STATE LAWS
0 EMPLOYC'
OING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE 0
CALL
CALL
sn" h1h he, H! and Fee, 11, and, and
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IN VIO;;nO.F THE LABOR OE F WASHINGTON RELATING TO
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FOR INSPECTION
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IN;RAN! hTSCrWATIESOF
WORK S, 0 PCNEATI.N C� AD 27
OF LS SiGNAT RE DIP
DATE SIG�ED
(425)
771-0220
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RELEASED BY PIE/
EXT 1333
ITIS UNLAWFULTOUSEOR OCCUPYABUILDING OR STRUCTURE UNTIL
771-0221
1
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW. INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
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FINAL PROJECT APPROVAL FORM
TO
DATE:
MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATTL_
W(M b G ENGINEERING DIVISION DATE
PLANNING DIVISION DATE—
srrEADDREss :Mej!�-Totj S�
PERMWrr C&A-au ADB# DATEINSPECTED 1-911-7 102-
DESCRIPTION OF WORK TO BE INSPECTED__VJ&80 fj(yft�_
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
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDIIIONS given to owner/contmctorby fiWector
FARM FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contmctor by inspector
2.
3.,
RE -INSPECTED OUTSTANDING ISSUES -GRANT FINAL PROJECT APPROVAL
Date_ Sip,
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ................
Pier/Porch . ................
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Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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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 ......... . .... r
Gas Piping .................
Equipment ...............
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Commercial Final
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EXTERIOR SHEATHING
NAILING ..........................
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FRAMING ..............
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FIRST FLOOR FRAMING...
INSULATION ...................
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
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SREETROCK NAILING
SPECIAL INSPECTION
I'D
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................