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PLAT NAMEISUBDIVISION No. I LOT NO, I�D NO,
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REMARKS
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Description
Description FEE
Plan
[V,,AWATION
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dWURCE 1jeW
7Chock
Building
75_
PLAN CHE VESTED DATE
Plumbing
THIS PERMIT AUTHORIZES
Mechanical
ONLY THE WID K NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION
ON THE PUBLIC
D OMAIN (OURISS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
Grading
Recording Fee
SEPARATE PERMISSION.
3
Engr, Review
City Surcharge
6—
PERMITAPPLICADON; ISO DAYS
PERMIT LuMm I YEAR, - PROVIDED WORK IS STARTED WITHIN ISO DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
ON BEHALF OF HIS OR HER SPOUSE, HFIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit jo
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY Or
EDMONDS WASHINGTON. IT' OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY 'IND
Fire Review
Receipt #
ALL CLAIIIIii FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S"AIL NOT BE
DEEMED TO MODIFY' WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
—
Total Amount Due
NOR LIMIT IN ANY WAY THE CITYa ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
—--v
Landscapelnsp.
S,
HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. IAG11E TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRuc-
TI.Nj DING
CALL
Thin applicafl- ia..t. jundsl inull.19d.di by ft
AND IN THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE
Building 011illial Ot hiallun DillnuY: and Flea ace paid, and
A CODE OF THE STATE OF WASHINGTON
LARD RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 10,27.
FOR INSPECTION pl Is ackdandaidged In spa,, Wallded.
10 Mao G E SIGNED
(425)
0 C�LS ATURF DATE
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of,
�d
771-0220
'DATE
ATTEtMON
EXT 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. USC SECTION 109
FAX
ORIGINAL FILE YELLOW - INSPECT&
PINK - OWNER - GOLD - ASSESSOR
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FINAL PROJECT 10RM
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DATE:
'MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
�E DEPARTMENT DATE�i
FROM:
ENGINE ERING DIVISION DATE-
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PLANNING DIVISION DATE -
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A field inspection was conducted to determine final compliance with approve d plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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GRANT FINAL PROJECT APPROVAL
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
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RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
Date- Sign_
ocaprvl.doc.l:tenip:bldg:fomisIO/OI
Cbmonbo
UILDINGS
DEPARTMENT OF 8
PER UNIFORM BUILDING CODE SECTION 109
—2-0201
jUnionds Building
At:-- 7907 21 Stree_tS_W Su
ertlfi ate: nits: -N/A- 2
Occupancy established by this C C
B niction: N14 hour No
-20"' (Per U.B.C. 1002)
Maximum occupant Load
Room capacity signs, when required, must remain posted at all times.
Owner of Building: Michel CqratrUCftpjp9,_Addre95: 7907 ale Street SK Suite 102, Edmonds, WA 98026
THE S anttLle �Nehrol �HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997 EDITION Of
THE UNIFORM BUILDING CODE AS ADOPTED By THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued Ihis ........ 1CJtL_dsyof_,bns, 2002
CHIEF BUILDING OFFICIAL
BY:
my change of accupancy muce raquines a Wilding
t t If 011 Ift, �T " Iql (N(b It '(fi,
'T , T 10 1
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing............. . .......
wall 1. ........................
Pier/Porch ............
z
Retalning Wall
M
Slab Insulation
PLUMBING:
Underground .............
-Z,
M
M
0
0
Rough -in ............
0 C:
Commercial Final
-4 K
3: M
M z
HEATING:
10-4
-4
Gas Test ....................
Gas Piping ..........
Equipment .................
-n
Commercial Final
M M
0
EXTERIOR SHEATHING
0
NAILING ..........................
C= CJ)
M
FRAMING ........................
0
FIRST FLOOR FRAMING
INSULATION ................... vv\,s
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
0
IT!
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............