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THIS PERMITALITHORMS OdHyjHEW0 KNITTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIC14 CH THE PUBLIC
iINFORMATION
Grading
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Recording Fee
is LLR
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SEE 0 ACK OF PINK PERMIT MR MORE INFORMATION
'APPLICANT' ON REHAIF 01 HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS. WASHINGTON, ITS OFFICIALS,FMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. AR SING DIRECTLY OR INDIRECTLY
FBOM THE `SSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED To MODIFY. WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
TotalAmountDu- 111)6.
0 NOR LIMIT IN ANY WAY THE CITYrt ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This applicaft, I, ect a perenitenfil signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WAS14INGTON RELATING TO
FOR INSPECTION
8,11 ding Official cr hisihe, Replay: ad Fee, .1. Paid, ad
1-1pli-sinl-ladpodlaspas, P—ided.
WORKMEN'5A,4WF,,NSATIOI,INSURANCE;AND RCVV 18-21. _1
OFF!CtALS SIONAT; DA
sit A HER R 7) ATE
(425)
771-0220
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RhEASED By
ATTENTION
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-
OFIRGINAL-FiLE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER GOLD -ASSESSOR
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Sunquist Residenoe 2020155
Agency Calic No.
Ap.y U" 041,
PUGB7,�0IJND CLEANAIR AGENCY
110 Ui.. S—' Sen. SOO
Seatflis. WA 98101-2038
%,ww,WIeammr.org P""dP
NOTICE OF INTENT
Dair Rocrived
MAP 2�1 ?002.
4..y 0. 0.k�
A. I. a Ast-- Real= R—1
B. owCer: Eric Sunquist "one: 425-67G-2711
Mailing Add,em PO BOX 1034
city; Lynnwood
B046
C Asbestim;
Coft"-.Cto'. L 0-,.,.ICEO! John Fisher
Mililin -234
i� Add—: 21414 68th South Phone. 263 -8060
job.N...
12020155
tia: Kent
stol_ WA J_,I,. 98032 2-53-234-0034
0. Sift
Address: 9014 240th SW Edmonds 98206
ZSl
ager. Sean craici
L W Asbagos So-ey or
Q Mat'l Presmitied
No"f
rVurcs:
Date Asbestos Survey
was Conduc d:
3114102tt
Was Ymblo Aliblunce Idintifitc!" UY03 mNo
Wu Nonfirlitillis Aebeaniii Identified? ZYcs QN.
Anach a copy ofthe �—ey.ff -offi,bic a�bcstos
1, identified or ifno asbestos is idwifiti! onsurvey.
AHERA Building -Fecl- William Kane
Certification No.: 999384
4/1/02 1 'sCrL',,irc, 2 :'Cj' Jrditn 8 Fin: (Lt. Fire Dpt.)
"d "'o " f0idcr)
I No
dfttiid;ZF�
c-nm-=- Cric, Su-ngWgL mastic Soo 2
Asbesto PTV-1c"
Daw. 03/28/200
-- S,
'$5:-VAWV
Total Qy to be Removed, Lincir Fl, Square Fl,
Will:11 finabic asbcsics V yc�
.1121s be twigvedl No
i. iNctinc UPI L's I O'h".
Ll Plit"er IW Taaw�� C7201`91 I O'h.r
-='—F.bI,noonNorRWfi-.JM-t*I
I 01h"
IL Asb"l-LIDIEDOH00- ft-J'a Cliteg-rivs:
1. Singlc-Family Residence; (Chmk box A& Bforasbcstoi—nval &dersolition)
A, D Asbestos Kerooval Project
B, W Deril.Ittion PToiccl
dwLbzw
A' Pir'.. Notice
B, 10 D., —
5 25 Nom-RefundaCle
Fee CC, cIS Asbe,it-
P—.1 & D—til--
Demolitions With N.Aslbesms Rm ... I Projeel
SM
3. Lf ?: 10 - z!9 rinear feet or?: 48 - 159 squU4 feel 0j`&%bc5l*L, (,ee back,
10 Day,
S150
4 -a 260 999 linr jec, ., 160 - 4."9 sq.., flat or "basic,
If Davt
S3M
5. U 1.000 - 9.999 Vm.0 fect., 5.000-49.999 sq%are fell ofallb-st-1
10 NVI
S150
6, U > I 0,UOO line- feet ., � $0.000 !2— feet of be
Slow
I U Entergona2�s_bcsiosProlec, or
T-ce Isn't:t Fee
L g ly
.y Long Services 03/22/20012 -1
J
31
MAR-25-2002 14:04 FROM LONG PAINTING/SERVICES TO PSCAP NOTICE P.02
sunqui. 2020155
it He-sidenn e� a bestos project
_I,aa Air Agcoy requires advuwe notification before any PCISO triable as
projects (regardless of
ulaticm III, Article 4). All
Aft" removal
1 to all other reautrements or
i red asbestos ad demolition
ving a complete notification
demolition cenbactor by mail.
reTum your inadfication.
Eric SunqUist
Eric Sunquist
jet",.
711
425-670-1 011
MalingAdhn,55: PO BOX 1034
GUIDELINES FOR SUSMIMNG AN AssEsTOS%0SMOLITION NOTIFICATION
Step 11. Check *M 3PP-Pt- Pmj-t tyr- in Be.% A-
owmr mf==d0n irl BOx R.
Step 2.* E=cr prOPMV
pmpcny 0asrW iliforrIlad(ItIL if the propem owner is "conducting a single-ftrilily
Step 3. Exi= tha: AsbesbW c0aurae= of
prirg c1cady. do is yow reu= ffobng label
residwtial projeLt, in BOs C
(include an
address for all ao4flcarianx in Sent D. Fat. malli.weelue, projeets. attach supplemental S�ect with a site map
SUP 4. EnladIciatit
)and* list ofthc type and amonat offrAble asbalos to be removed from each structure
4 address for each site
Step S. Check cllhcr asbestos survey or miturnal presumed in Ou Z All dcatolitiomi require that an Asbastols Hazard Emergency Res - Ponse
Act (AKERA) asbestos �urty be conducted by a cortifl.ed AHERA building Inspector.
xubmi
orilcmal dcrattlition, (a copy of the oflicial order must be attached) if
SUP 6. Enter the Project mfemeanon in Boj� Jr. and check the Mi Am Or fun requirements — omam.d in
-dueling a training fire. Additional training
appropriate. All asbcst0s must be removed prior to a
Regulation 4 Sccaon 8.09. 11 stry nonM&blc nbcocas neaten &h, will be left in place during demoli tion, check Yes and I ist the type and quantity
0(macrial.
Step 7. Enter ajbe3tos Project information in Be% Q
;ation pmjmts� BOX HIS fondcat0jition, projects with .. moeses
Sbap L For Stng*ftadly Hooldn" prajws� chock BOX HIA for rents' ly an roi 2,
removal and BOX MIA and HIS far asbestos removal and demolition prejecm. The total PrOitct fee Jan' single'Iarm msid "&'P "ts'sS �
ragardless of category or cAlcgories 0oun. Asbestos removal may be conducted after a complete radficiniiare is received, but dcraoliti0ft
gm on the 10, day after the entifIcalign I$ received.
activides can only be ble sla, ho 11 a a a Th
F.rcamatercialasbestasprojecwt; check the project category H2 - 6 that marches theAmOun' Offii asb t wi b r m ved. c
mc,al at,.' To fil- f�-r or
_itca oh—h the
jmt _jagary f.. mulu,l.� Lclo
........ ... 1. am eacy be
Step 9. pfinsc certify the acculacy and gompletenem of the information provided by signing tho, notifl-rim in Box L
Mandatory amendments 10 the rounC41,104 00 required r1o, abuse$ that increase the Project category. clumsiq the types of ssbwos material%
to be removed -,I work schedule ch;tn;ts. So fee It required for work schedule changes If the carilts.re, is p I antomating in the Ag—CY WOrK
xbodul. fox program. A flfty�dojje pmc"Smg fee is required for all other amendments.
ulations and forms can downloaded from the Agency Web Page 31 WWW,PSCICanuir.org. For,
Isugg, Sound Clean Air Agency asbestos Mg for administrative i-quirict.ontset (206) 689-4090.
"hnial amg,,cc, 4orlact (21)6) 6894051 and
PSA.?CAF0aAN-; 66.�6utRd9n,C)DIAM
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'RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
S9TSACKS .....................
FOUNDATION:
Footing .................
Wall ..........................
z
Pier/Porch ..............
0
Retaining Wall ...........
Slab Insulation ..........
It
PLUMBING:
3:
M
C
Underground .............
IT! a
0
Rough -in ...................
0
Commercial Final
x M
jo
HEATING:
C
GasTest ....................
co
Gas Piping .................
0
Equipment ..............
Commercial Final
M rn
0 r
EXTERIOR SHEATHING
0 ITI
NAILING .........................
C 0)
C ca
FRAMING _; .....................
ITI 0
FIRST FLOOR FRAMING
;13
INSULATION ...................
Floor Insulation
Wall Insulation ..........
W
Coiling Insulation
z
0
SHEETROCK NAILING
ITI
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
k
1AAt
OCCUPANCY .............