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L ERMIT EXPIRES
7' PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITEIAP
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OWNER NAMENAME OF BUSI14ESS
PLAT NAMEISUBDIVISION NO. T No LID NO.
F'
ZAI ;N. A DREES
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
IT ZIP TELEPHONE EXISTING — PROPOSED--
3 1 REQUIRED DEDICATION— FT —
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7] NO. 01 1IXTUFI11 9- IECIIIR D
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'ADDRESS
REMARKS
OWNER/CONTRACTON RESP.HB1.1B PON EROSION C.NT..LrDFAINA.E
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NAME _FC8L - _�
'460 5 6� ENGMEERIN. REVIEWED BY DATE
ADDRESS
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FIRE REVIEWED BY DATE
REVEII
TEL, IONE —/ -)I
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CEORCU SHORELINE RADSil INSPECTION IS PBOND
VAN"N...
E ATE AEOG OSTED
tEX"RE
13YES 13NO
SERA REVIEW SIGN AREA HEIGHT
.PA .
EXEMPT
PR.IEF17 0 1A COMPLETE ALLOW ALLOWED PROPOSED
COMPLETE
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EXP I
LOT COVERAGE REQUIRED SETBACKS IT PROPOSED SETBACKS (Fr.)
171 Nl,.w f-I R71111WIAL rl PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPI SIDE BEAR
COMPL ANCE OR
ADDITION COMMERCIAL ri CHANGE OF USE
PARKING LOT AREA PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REGO I PROVIDED
REPAIR an .... .. S PENCE
Fn REMARKS
DEMOLISH rj TANK n OTHER
GAS AGE .—INING—L
C R FICONS
A FORT BY
CHECKED BY ITYPE OF CONSTRUCT' N JPANT,
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4G AREAS SPECIAL INSPECTION OCADUPANT
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JAREA
NUMBER REQUIRED YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
VALUATION
$
Description
FEE
Description
FEE
Plan Check
state Surcharge
HEAT SOURCE LOT SLOPE % Building Permit City Surcharge
PLAN CHEC VESTED DATE Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKYO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
a LL11EQU
OMAUN (CURDS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WI IRE
SEPARATEPERMISSION. Engr. Review
PE MITAPPLICATION: 1813DAVS
PERMIT LIMIT. I YEAR - PROW ED WORK IS STARTED WITHIN ' .0 DAYS Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
a G D RECTLY On INDIRECTLY
I ALLCLAIMSFORCAMA ESOFWHATEVER NATURE.ARISIN RECTLY 08 INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp. Total Amt. Due
9 D EMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE
0 NOR LIMIT IN ANY WAY THE ITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
i
_-- Recording Fee Receipt
I HEREBY ACKNOWLEDGE THAT I HAVE DEAD THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
To Cc appiftine'n is nal a permit until signed by the
THE OWNER. I AGREE PLY W17H CITY AND STATE LAWS REGULATING CONSTnUC- CALL
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TION: AND IN DOING T E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ding011icialorh fine ap,ty� and Foos ale paid, all
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IN VIOLATION OF TH LABOR CODE OF THE STATE OF WASHINGTON RELATING T FOR INSPECTION .... In, N.ckn.wI.d1sd 1. spina, p—ldtxL
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WORKMEN'S COMPENSATION IN URANCE AND RCW 18.27, DATE
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SIGNATURE (425)
Le�E.
-rE 'DATEf
771-0220 LEA Y
ATTENT161W EXT 1333
R 70�
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- INAL - FI
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES BREEN - ACCOUNTING
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FINAL PROJECT APPROVAL FORM
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DATE:
MEMOTO: 0 A 14, BUILDING DIVISION
FROM: -FIRE DEPARTNIENT DATE
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ENGINEERING DIVISIONDATT�_
G DIVISION DATE—
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DESCRIPTION OF WORK TO BE INSPECTEP_ r-7
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A field inspection was conducted to determine Hnal 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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PER_FORMANCE BONDS and the granting of
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GRANT FINAL PROJECT APPROVAL
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GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
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c3 Copy of COMMONS given to own-kontractor by —Tector
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FAnED FINAL INSPECTION - OUTSTANDING ISSUES
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a Copy of CORRECTION NOTTCE given to owner/contmetor by inspector
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RE_INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date— Si
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wall ............
01
Pier/Porch .................
0
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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0
Underground
0
('02
Rough -in . ..................
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Commercial Final
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HEATING;
Gas Test ....................
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0
Gas Piping
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-4
Equipment ...............
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Commeicial Final
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0
EXTERIOR SHEATHING
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NAILING .. ........................
ITI 0
FRAMING
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_ ....................
FIRST FLOOR FRAMING...
INSULATION ...................
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Floor Insulation
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Wall Insulation ...........
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Ceiling lnsulat!on
0
SHEETROCK NAILING
IT
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ............