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PERMIT UPIRES
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CITY OF EDMONDS
USE PERMIT
'ONE NUMBER
'RUCTION PERMIT APPLICATION
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PLAT NAMEISUSDIVISION NO. I LOT NO, LID 110,
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET A'
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REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'C
eme4 441e!��
Description
FEE
Description
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE %
Bo'
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
TMIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
It: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
2 D M'ETC-) WILL REQUIRE
:1 DAWN (CURBS' SIDEWALKS' DRIVEWAYS, MAIRGUE
SEPLUIATEPILIMISSION.
Engr. Review
City Surcharge
PE MITAPPIMCATION: ISO DAYS
1 PERMIT UJIUM I YEAR - PROVI ED WORK IS STARTED WITHIN ILKLDAYS
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
State Surcharge
'APPLICANI, 04 "'"A" OF HIS 01 MIR SPOUSE, Hloll, ASSIGNS AND SUCCISO11
Tiraffic Mitigation
Plan Chit Deposit
IS
IN INTEREST, AGREES To IND MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
Receipt #
EDMONDS, WASHINGTON, ITS OFFICALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS PO DAMAGES F WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Review
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT HE
Fire Inspection
Total Amount Due
DEEMEDTO MODIFY WAIVE OR REDUCE ANY AEGUIREMENT OF MY CITY ORDINANCE
o NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIONL'
7/000_
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Receipt #
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APP ROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
TOE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
I
not o permit urn ingned by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
STATE OF WASHINGTON RELATING TO
FOR INSPECTION
S.,Tle-pplicationle
ding Offieftnto NIVInn Berner: d Fortition Pont.
JpI i—k—ledged 1. opion, p—ided.
IN VIOLATION OF THE LABOR CODE OF THE
Wqf,KM�NS COMPENSATIO��NCE AND RCW_18.27.
ISMAILI E (OWNER 0 GEN DATE SIGNED
(425)
WNATU11
1 1 1 _11,114411i
'RELEASWY DATE
ENTIO
EXT 1333
IT IS UNLAWFUL TO DING nR STRI ICTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE - YELLOW - INSPECTOF
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK � OWNER - GOLD - ASSESSOR
10/01
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Single-family
Residences
18
Vacant Wooded Area
10d's Haven
Single-family I Day Care Center
Residences / st Village Espresso Shop/
Finials Barber
Seall
9715 Dnc
L �24301
9711-
9713 0
(fill port visible)
L "irclaze A ven
243rd Place SW
fngle_faMlly
Residences
Additional single-fis mily residence
located Farther to the south.
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Legend (approximate locations)
Developments/buildings on-s
Subject property boundary
ENVIRONMENTAI
ASSOCIATES, INC.
2122 - 112th Avenue N.F., Ste. U-10
Bellevue, Washington 98M
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Ice Southwest
iboded Hill
...........................
P arking Area
70-
tory
-4
retail building
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ig Area
20 M
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Firdale Townhornes
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complex
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Parking Area
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to
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three story
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staff building
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Parking Area
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family
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Probable direction of
shallow -seated
9 roundwater flow
MALE
SITE PLAN
Firdale Village Shopping Center
9601-9715 Firdale Avenue
Ednionds, Washington 98020
FINAL PROJECT APPROVAL FORM
TOG2,44�
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE —
W��ENGINEERING DIVISION DATE—
PLANNING DIVISION D
PRO CT
U
SITE ADDRESS
PERMIT #
�O��ADB# I ---DATE INSPECTED —
DESCRIPTION OF WORK TO BE INSPECTED —
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
o Copy of CONDITIONS given to owner/contractor by inspector
1.
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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