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PERMIT EXPIRES
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REQ'D
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VALUATION FEE
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PLUMBING
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MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
SEDONEONPRIVATEP OPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURIOS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
GRADINGIFILL
SEPARATE PERMISSION,
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT� I YEAR - PROVIDED WORK IS STARTED W17 PIN 480 DAYS
4
ENG REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
�AFPLICANT.ONSEHALF F HIS 08 HER SPOUSE, HEIRS, ASSIGNS AND surCESORs
N ELTEREST, AGREES INDEMNIFY. DEFEND AND HOLD 14ARMLESS THE
ENG. INSPECTION FEE
CITY OF
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, ANH AGENTSF TOM ANYAND
LANDSCAPIN G
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISM DIRECTLYOR$NDIRECTLY
_i_NS_PECTt0NFEr
Fl 11 THE ISSUANCE 01 THIS PERMIT ISSUANCE OF THIS IIRMIT SHALL NOT 01
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
IRECEIPT
PLAN CHECK DEPOSIT
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
TOTAL AMOUNT DUE In
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT TEL INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECI� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATiNr, CONSTRUO
I ION ANOIN DOING THE WORK AUTHORIZED T14CREBY NO PERSON WILL BE EMPLOY F
CALL
IN VIOLATION OF THE LABOR CODE OF I HE STATE OF WASHINGTON RELATING Too
FOR INSPECTION
WORKMEN 5 COMPENSAT=.�IANCE AND RCW 18 F7
DATE FI(GNED
OFFICIALS SIGNATURE DATE
(425)
771-0220 -REIF.11—y LAIi
-4f-rENT16N
EXT 1333
IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 . —
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CER-mi,
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE - YELLOW INSPECT I
FAX PINK OWNER - GOLD - ASSESSOR
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FILCO COMPANY INC.
R0, Box 3122S Seatth, WA SB1 03 - Ph: MOB) 54743347 FAX: 20B) 548 9352
- W�.FIICOEnvl�.00— - L10#F1Lr-010B0RU
May 1, 2002
Michael Smith
Edrn nds Fire Department
1215"' Avenue North
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Edmonds, WA 98020
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RE: Permit # 2002-0304 Garnett Ramsey @ 22314 93"' Avenue West
Dear Mr. Smith,
On April 30,2002 Filco Company, Inc. removed one 300 gallon underground beating oil
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tank from this site. A soil sample was retrieved from under the base ofthe tank. The
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sample was analyzed for Total Petroleum Hydrocarbons using Method NWTPH-Dx at
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Friedman & Bruya Environmental Chemists. Sample results detected on petroleum
hydrocarbons in the sample. A new 275 gallon above ground tank was installed in place
of the removed 300 gallon underground tank.
have o, questions please call us at (206) 547-8347.
1�fou h ve any
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Phil Suctens
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Filco Company, Inc.
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FINAL PROJECT APPROVAL F
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DATE:—
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FIRE DEPARTMENT DATE-Y=Ze---C—)?1--
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ENGINEERING DIVISION DATE—
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DIVISION DATE ----------
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DESCRIPTION OF WORK TO BE INSPECTED-W-Z
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A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that th ere are no objections from the above signed Department to the release of
LMANCE BONDS and the granting of
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL wrrH coNDrrioNs NOTED
by inspector
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Copy of CONDITIONS given to owner/contractor
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE-INSPY�TF OUTSTANDING ISSUES - GRANT F VAL
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Date: i i h Sig.
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.. . . . . .... . .
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
FOUNDATION'
Footing.......... ...........
wall ..........
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Pier/Porch .... .............
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
Underground .............
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Rough -in .............
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'Commerolel Final
HEATING:
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Gas Test ....................
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Gas Piping .................
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Equipment..............
Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
FRAMING
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION