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Description
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTR CTIONONTHEPUBLIC
DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
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15 PERMIT APPLICATION: le"DAYS
Engr. Review
City Surcharge
PERMIT LIMIT I YEAR - PROVIDE WORK 15 STARTED WITHIN IN DAYS
Engi.Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANI, ON BEHALF OF S OF HE. SPOUSE, HEIRS. ASSIGNS AND SUCCESOHS
IN INTEREST. AGREES TO IND'EMNIFY, DEFEND AND HOLD
Traffic Mitigation
Plan Chit Deposit
HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I NCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
SSUA WAVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
9 DEEMED TO MODIFY, I
Fire Inspection
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Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ T1419 APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM W ER, OR THE DULY AUTHORIZED AGENT OF
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THE OWNE" I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONISTAUC'
CALL
appi cation is net , pumit-ti$ signed by me
It..; AND IN DING TEWOR K AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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ding Officill 11 hiarter Deputy; and Fees am paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WOR%ENS COIAPENSATI�SU�ANCE
FOR INSPECTION "clon Is actuillIedged in Palo prollood.
AND RCW 18.27. P
OFFICI SIG E DATE
14251
771-0220 ell
—RnSED BY DATE
ATTEWON
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI.
771-0221
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
ORIGINAL - FILE - YELLOW - 14ECTO
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
mEmo To: PERmrr COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATF,.C--1'4—CZ—
ENGINEERING DIVISION DATE—
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A field inspection was conducted to determine flual 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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RE-ImspEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign,
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 7907 21P Street SW, Suits. 206. Edmonds WA 98-026Build ng e t#: #2002-0400.
occupancy established by this certificate: [Dwelling Units: -N/A** No. Stories: 2
0 struct! . V. Basement: No
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B Type Construction, V-1 hour
Maximum Occupant Load -5- (Per U.B.C. 1002)
Room capacity signs, when required, must re main posted at all times.
chel Construction Inc. Add s: 7907212",StreetSW. Suite 102,Edmonds,WA98026
Owner of Building: Mi res
A_Naqny For U HAS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 1997 EDITION OF THE
THE A Nan
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UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 18th -- dayof _June 2002
CHIEF BUILDING OFFICIAL
BY:
jWs aarfifimte shall he Oates In a conspicuous public aral.'al ah.11 .1 be ninaoml, aaall"'d d, at,—nadival alias be —asairted In legible —tiflon at all trials. my�hge of dncapan� a use mulms, a building pensit and
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Sales I
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ..................
FOUNDATION:
Footing ................
wall ..............
Pier/Porch .................
Retaining Wall ..........
Slab Insulation ..........
PLUMBING:
Underground
Rough -in .. .............
Commercial Final
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ............... . ........
FRAMING ........................
FIRST FLOOR FRAMING_
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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