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PERMIT EXPIRES
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-REMARKS
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THIS PMUffAUTHORPES ONINTHEW RKNOTED. THIS PERMIT COVERS WORK TO
Ic "I GONE IN 1"11 PROPIRTY ONLY All 1111110" 11411,11 PUILIC
Grading
Recording Fee
G.MJUN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMiSSION, —
Engn Review
City Surcharge
PE MITAPPLICATIOW, INDAYS
PERMIT Usum I YEAR-PROVID 0 WORK IS STARTED WITHIN INDAYS
Engr. Inspection
State Surcharge
SEE BACK Of PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHAL OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
Traffic Mitigation
.
Plan Chk Deposit
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
AULCLAIMSFO DAMAGESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT HE
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIOM'
Landscapeinsp.
Receipt #
IHERE ACKNOWLEDGE THAT I HAVE READ THIS AFFILIATION: THAT THE INFORMATION
APPLICATION APP�
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSmUO*
CALL
Thin ripplarill.ff 1. not. p—l—fl.ipual by Me
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE 0 WASHINGTON RELATING TO
FOR INSPECTION
Belding Official 11 hisihe, Offelly: and Fees are paid, and
carrial Is aek-11ridg,al in space pmvlded,
WORKMEN'S COMPENSATION INSURANCE AND RCVV 18,27.
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771-0220
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ATTENTION
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
r'/ORIGINAL, FILE - YELUOW-INSPECTOA
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER - GOLD, ASSESSOR
10/01
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certifitate of ettupantp
DEPARTMENT OF BUILDINGS
PER UNIFORM allILDING CODE SECTION 109
At: 8404 Bowdoln Way. Edmonds, WA 98026 ________Puilding Permit #: #2002-0392
occupancy established by this certificate:
Dwelling Units; -N/A**.
No. Stories: I
B
Type Construction". V-N
Basement: No
Maximum Occupant Load -22-* (Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at aff times.
Owner of Building: Five Corners PhAEMg2yjfl2._AddreSS: 8403 Main Street, Edmonds, WA 98026
THE Five C rners, Pharm BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1097
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EDITION OF THE UNIFORM BUILaRY0 E AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE OR
WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 9th day of_Aq9_ust 2002
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CHIEF BUILDING OFFICIAL
BY:
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
b,MMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: ---------FIRE DEPARTNMNT DATE
ENGINEERING DIVISION DATE
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DESCRIPTION OF WORK TO BE INSPECTED
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A fleld Inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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U-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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FINAL MOJECT APPROVAL FORM
TO: 3;�X2
-2—
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE -
ENGINEERING DIVISION DATE -
PLANNING DIVISION DATE,5/4-0�
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SITE ADDRESS
PERMIT #&V"- -----eV--ADB#______-PATE INSPECTED -
DESCRIPTION OF WORK TO BE INSPECTED--.Zd-n�����
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A field inspection was conducted to determine final compliance with approved pl as. n I pprova
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 WrIH CONDITIONS NOTED
E3 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ................
wall .......................
PledPorch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground ..........
Rill
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Rough -in ...............
0
Commercial Final
M
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HEATING;
Gas Test ....................
Gas Piping .................
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Equipment .:.*.;.4 ..........
Commercial Final
M M
EXTERIOR SHEATHING
NAILING
0
0
..........................
FRAMING ...................
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FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
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Wall Insulation% ...........
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Coiling Insulation
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SHEETROCK NAILING
0
SPECIAL INSPECTION
ITI
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MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................