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z MAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUESS, ETC.) WILL REQUI
Grading Recording Fee
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Engr. Review City Surcharge
PERIAMAPPLICATIOW. IRS DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STA DWITHIN ISODAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engi. inspection State Surcharge
'APPLICANT, ON BEHAL OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
11
Traffic Mitigation Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF TH S PERMIT SHALL NOT BE
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIRMAZ OF ANY CITY OROINA CE
Fire Review Receipt III
Fire Inspection Tot at Amount Due
1
ORLIMITINANYWAYTHE ITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapainsp. Receipt # 1=
I HEREBY ACKNOWLEDGE THAT I HAVE REM THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT AM THE OWN8R. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL -
T HE OWNS . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL Thl, upplitutil.. 1, net. pe'.11-11 i4gutel by We
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN WOLAT 0 " CODE OF THE STATE OF WASHINGTON RELATING TO
BuIldyti; OffieW., hiether Deputy: at,ol 1`60-1. Pete, bud
FOR INSPECTION ..Ipl I—k—leeg.dur,piu. pr.YId.d
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771-0220 _A915ASED BY DATE
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE ( - )ELLOW - INSPECTOR
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FAX PINK - OWNEII—GOLD - ASSESSOR
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MAR 18 2002 G . RMN 00—.MHO 347.63 0.00
25,00 25.00
PM cm 48 CY 177.00
DEVELO ENT SERVICES CTR, 48
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ENTRANCE REQUIRED
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HEIGH CALCULATIO S
Original
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A 348.00
7
352.00
1352.00
B 356.00
C 355.00
352.00
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D 351.00
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352.00
Average irade 352.50
__L52,00
Datum = MH #9 347-53
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Height of Struchl 25.00
25.00
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CITY OF EDMONDS
FOOTING DRAINS NOT
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DETENTION SYSTEM, ACCEPTABLF i'lGHTLINE vi .
MATERIAL
SDR 36
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Lgigit: Lot 6 Olympic View Crellt N-12
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scale: ENGINEERING
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owner. We"r
1027 W Ave. NE NING
APPROVED BY PLAN
l(camore WA 99029
Date:
426-487-2757
GEOSCIE ELINC.
Post Office 8ox 2365
Kirkland, WA 98083
Telephone (425) 827- 1064
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Height Calculation Worksheet
Address:
Date:
Inspector(s):
1. Datum Point: �A
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2. Datum Point Elevation:
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3. AverageGrade: �'&Z-S',)
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4. Maximum Elevation Allo O(average grade) + 25
5. Reference Point Elevation Shot to House:
a In
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4'7.17(datum elevation) (grade to trausit,level line shot to house)
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5'.
6. Measurements from line shot onto house to to fridge:
0
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Total
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7. Actual Elevation: 2 .'7?(reference point elevation) +�� (measurements
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S!Ti: (actual) is great thm (allowed); therefore the house is/
02 �Iss �t—
is not over the height requirement per ECDC 16.20.30 requirements
LATEMPSUILDINGWISOHeight Calculation Worksheet.doc
FINAL RR-0JECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE—
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RE -INSPECTED OUTSTANDING ISSUES - 'GRANT FINAL PROJECT APPROVAL
Date sign—
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FINAL PROJECTAPEROVAL FORM
TO: -
DATE:
M[EMO TO: PERMIT COORDINATOR, BUILDING DIVISION
'FROM: - FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE �1 ?J07-
PLANNING DIVISION DATI�--
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DESCRIPTION OF WORK TO BE INSPECTED Wo,.,6,-Lw� . . ....... ....
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
LERFORMANCE BONDS and the granting of
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITII CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u 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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DATE APPROVED
SETBACKS .....................
FOUNDATION:
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Retaining Wall
0
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EXTERIOR SHEATHING
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FRAMING ...................
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FIRST FLOOR FRA MING...
INSULATION .... ...........
Floor Insulation
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Wall Insulation ...........
Calling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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