20020331.pdfy DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
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PERMIT EXPIRES
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Recording Fee
= DOMAIN (CURES, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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Engr. Review
City Surcharge
PERMITAPPUCATION: IN DAYS
PERMIT LIMM I YEAR- PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
IN ON BEHALF OF HIS HER SPOUSE, ASSIGNS AND
CITY
Traffic Mitigation
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Plan Chk Deposit
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INTEREST,
IN INTEREST, AGREES OF
INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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ITS OFFICIALS,WHATEVER IMPUDYNATURE,
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Receipt#
CLAIM DAMAGE ARISING LY
ALL FROM TH S FOR DAMAGES THIS P WHATEVER NATURE, A F THIS
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT 8E
PERMITIRECTLY OR SHALL NOT BE
9 DEEMED TO MODIFY, WAIVE
Fire Inspection
Total Amount Du
OR REDUCE ANY REQUIREMENT OF NY CITY PORDINANCE
Ot N00. LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.•
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Receipt#
GIVEN8Y ACKNOWLEDGE THAT I 9 CORRECT. AND THAT I AMVE READTHE OWNER. OR THIS APPLICATION;ON
THE DULY THE FAGENTTIOF
APPLICATION APPR VAL
THE OWNER. I AGREE TO COMPLY WITH CITY ND STATE LAWGONBTRUC-CALL
This eppiimeon Is not a parmit until signed by the
TIUN: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PEMPLOYED
IN VIOLATION OF THE tA80fl CODE OP THE STATE OF WALATiNG TO
FOR INSPECTION
Budding OKlolal or Ms/her Deputy: and Fe9sara lute. end
caip latude wladpedinepacaWORKMEN'S
CO PENSATION INSURANCE AND RCW 18.27.AlOFFI
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(425)
310 AT YE TE
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71-0220VI.
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EAEEO BY
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION
771-0221
HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE YELLOW - INSPECTOR
law,
FAX
PINK - OWNER GOLD ASSESSOR
SENT SY: THERMATECH NW, INC.; 2580941989; AUG-12-02 3:46PM; PAOE i/i
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F
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Sent Via Fax 425-741-2449
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� Elizabeth Nelson
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C/O Peterson CustomHomes
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18318 Olympic View Drive
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Edmonds, WA 98030
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Dear Elizabeth Nelson,
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Thermatech Northwest, Inc., has Completed abatement of the asbestos-
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i containing Popcorn texture from main floor bedroom basement hail and
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bedrooms; and sheet vinyl from the utility area, as identified in the Good Faith
Asbestos Survey that was performed on May 5, 1999, by AHERA Building
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Inspector, Rober J Gulley, Certification number 98-01 i 2, expiration date
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1/27/2000.
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Sincerely,
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Sandra L. Gulley
President
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10312 Sates Road South Lakewood,wA 93499 Bellevue:425.5024M Lakeareod: 2s3.2a0-1a,e Fax: Zs39"-tam
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
- - SETBACKS ....................:
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FOUNDATION:
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Footing ......................
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Wall ........................::.
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Pier/Porch .................
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.:..Retaining Wall
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Stab insulation ..........
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PLUMBING:
Underground
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Rough -In ...... ...
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Commercial Final ..::.:
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HEATING:
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Gas Test - ..........
Gas Piping .................
Equipment .........
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Commercial Final .......
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EXTERIOR SHEATHING
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- NAILING .... ..........
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-FRAMING ......... ...
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FIRST FLOOR FRAMING...
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INSULATION ...........
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Floor Insulation .........
- Wall insulation .:.....:...
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Ceiling insulation .......
SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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-
MISCELLANEOUS ..........
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FINAL APPROVAL FOR
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