20020325.pdfPERMITEXPIRES Z4ZL
List
CITY OF EDMONDS IONE
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS
OWNER NAMEINAME OF BUSINESS 7709 233 PIQW
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7709 233 P1 SW PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T11C —
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CITY z" ]TELEPHONE ----------------- A EXISTIVQ 91— UP. P— F�,
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oil fad burning appl, rWemin . c3
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ESPONSIBLE FOR EROSIO_�01./DRAINAGE
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TELEPHONE
Fast Water Heater
EFIGINIFfRITIN 1189 41 1.�MeVbm
ADDRESS
Is QIV , 1 ' Or CIMICD, Ev)lrv�ion tanks are
12601 132 Ave NE
CITY ZIP
TEUIPHONE
F tilt DATE
I
111
1 0. CDC 19.30.020(c)
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--YCi rk1 And 9 '34
STATE LICENSE NUMBER
1112S-814-4124
EXPIRATION DATE I G�J�Ty
VARIANCE 09 CU SHORELINE OR ADB# INSPECTION PBOND
REaD OSTED
FASTWHC052DF
2-16-03
13YES ONO
___
PROPERTY TAX ACCOUNT PARCEL NO,
SFPA REVI . � � iA 114 ;, Slap; MA 9 3 T
COMPLETE I "Opo"D
(PR
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00500
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NEW BE AL
uUMBINGiMECH
LOT COVERAGE ETBACKS (FT.)
ff"RWPjrE4S%WFfROPDEEDs
R1
ALLOWED PROPOSETT FIT UR SIDE REAR
ADDITION ME TAL
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[3 C MPLIANCE 00
CHANGE OF USE
T. T
[3 REMODEL E3 PA. EN
[3 SIGN
PARKING g A kj. P' MMMEVI qD1BY DATE
Arco PROVIDE, , ff , st —
[:I REPAIR [3 GRADING
[3 FENCE
I ATATER S RVICE SIIUTOFI�
CYOS
( _ IT FIT
REMARKS SlIA!,L BE IM'ZrALLED GN
DEMOLISH TANK
[3 OTHER
A" I I EN I 1!tts 1 It
o GARAGE Ej RETAIRING WALL
Lmw! CARPORT ROCK Fly
[3 RENEWAL
OWE OF USE, BUSINESS
2XPLAIN:
CHIECKE By TYPE OCCUFAII)Q17)
`1 GROUP
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��NSTR
SPECIAL INSPECTOR �AREA OCCUPANT
An
REOVINEDO LOAD
DESCRIBE WORK TO BE DONE
YES
REMARKS
111PROGRESS INSPECTIONS PER UBC 108111FINAL INSPECTION REDID
irili'girandup cp1l.rif 40.000 hin'
IPPI'lan
ALUATION $
Description
FEE Description FEE
Check
IIIAI 1010111 UP "Put I
PtAN CHECK NO:
unbunill
THIS P Badly AUTHOMIZXS 004LY THE WORN NOTNO. IIIIII PERMIT COVER$ WORK 10
Bt= OR PRIVATE PROPgfffv ONLY. ANY comsin4jelloN
*W,'
DOMAIN JCUROO. SIDEWALKS, DAWWWAVII INAGUIPICA, ETC , R' AEQUSP`,F`,
Recording Fee
SEPARATE peamifilioN
—
Eliot Roynow
City Surcharge
P MITAPPLICAII W IWOWRI
a"
PERMIT LIMIT. I WHIR - PROVIDED WORK 10 STARTED WITHIN I&I DAYS
Enot. inspection
State Surcharge
Adicia Of PINK PERMIT PON NONE INFORMATION
;APPtjC4 1. [it Hit I, OF Pilo 001 HIN NPutnif, HfIHII. I3,1111FIn AND NUCCI 1.10H.H.
T(arfic Mitigation
Plan Chk Deposit
VNI PON
N IN EPP R, ACORES 0 INDfMNIFY IMPYNO AND Hot(] HAHMitni,1 Hit CHY Of
FUMONDS, WASHINQtOhC It" OPFICIALU, III ttlyffil. AND AOtNIS THOM ANY ANII
File ROVIOW
Receipt At
41, Ci AM8fOffOAMAGfSOl`WHAftVfIi
FROM lilt Ifif1UANCf OF IHISPtIIMII 135UANC;f of iflnif'"IMI 8 Ali NOI
INFINITI TO -1111y WAIVI IN'
Fire inspection
TotalAnnournQue
N G 0
"'OU"If Mi NJ I" 'NY' .1l'y' IIIIINARG"
ORLIMITIMANYWAY IHFCIIVIIAIdHIY 10 fNf0HCF ANY OHIIINANCI PlYMNION'
Landscape Insp.
Receipt #
1 HETIEW ACKNOWLEDGE THAT I HAVE MAD IIANIPPOCATION, THAT HIF INFORMATION
GIVEN 10 CORRECT. THAT I
APPLICATION APPROVAL
AND AM lilt OWNIT, UP He Duty AUTHOHIZED AGENT OF
THE OWNER I AGREE TO COMPLY WHIP City AND STATE LAWS REGUIAHNO CONITHUC
CALL
Isrul.p.1.1i.innsionedbyth.
RON, AND IN DOING flit WORK AtJQIOHVFR Helittly 40 pffloor, Witt HE EMpHOYCH
IN VIOL I N F THE LA rMWIDE, OF THE STATE OF WASHINGTON RELATING to
FOR INSPECTION
ToPeTin-ppich.
ding Offiti ornin/hor Deputy: and Fees am paid, and
lIC1Pt 11 81in—Walmd 1, sp— pevided.
WORPMENS COMPt PISAII FARCE AND PCW 10 21
OFFICIALS SIGNATURE DATE
SIGNATURE (OW DATE SIGNED
,!41�T
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(425)
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ITEIFASID BY DAIFE
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�
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
FAX
ORIGINAL - FILE YELLOW, INSPECTOR
PINK - OWNER GOLD � ASSESSOR
10/01
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ....................
FOUNDATION:
Footing ............
Wall ........................
z
Pier/Potch .................
Retaining Wall ...........
C)
Slab,Insulailon
PLUMBING:
Underg round .............
fill
MO
Rough -In ................
Commercial Final
M
1711
HEATING:
C: z
GasTest ....................
Gas Piping .................
In
Equipment
Commercial Final
M IT1
EXTERIOR SHEATHING
M
NAILING .................
to
FRAMING ........................
M 0
Z 17,
FIRST FLOOR FIRAMING.-
;D
INSULATION ...................
Floor Insulation
z
Wall Insulation ...........
Ceiling Insulation
z
SHEETROCK NAILING
I'D
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................