20020510A.pdfDATE RECEIVED [PERMITEXPIRES - Z19A
USE PE
ZONE URIMT -42 02 -- 05
CITY OF EDMONDS N NIBEIR
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT#
ADDRESS 24015 96 Pl W
OWNER NAMEINAME OF BUSINESS
Jeanie Fernandez PUT NAMEISUBDIVISION NO. to NO�
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W. FMAMING ADDRESS 7IDIgEll
24015 96 Pl W PU LTyffqtvftPELOFT"tSffflk1'WrtorS L�
CITY ZIP If X
980 ITIL PHONE
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Edmonds 20 425-542-9671 .7
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CITY ZIP
ITTIEPHON1
NAME
ovit- '505
Fast Water Heater
ENGINE less of wbetim:r 11,0 o�glwr%%Ift
gard
171-1.
ADDRESS
12601 132 AVe NE
CITY
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FIRE Rti%*iffidd on all liot water taTk�; perDATE
0
ZIP
TELEPHONE
Citv Code. ECDC 1130.020 C
0
Kirkland 98034
425-814-3124
STATE UCENSE NUMBER
EXPIRATION DATE rff`,.� ly
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-APRE&SE
LOT COVERMALL 8rwA&1%%"4T.r w6pnspn Sow
ALLOWED PRbPOSE& r 7 : NT LJR SIOI
[R] ADDITION 0 COMMERCIAL
C MPLIANCE OR
0 CHANGE OF USE
0 REMODEL 0 APARTMENT
0 SIGN
PARKING LOT AREA PLANNING REVIII ED BY "AT'
REDID I PROVIDED
0 REPAIR 0 GRADING CYDR 0 F NCE
I _ X FT)
REMARKS
0 DEMOLISH 0 TANK
0 OTHER
o GARAGE o RETAINING WALL
CARPORT ROOKERY 0 RENEWAL
UWE OF USE, BUSINESS Oa��Z`:
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CRITICAL
AREA.
SPECIAL SPECT09 . r PANT
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STORIES UNITS'
NUMBER
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REQUERETO YES
DESCRIBE WORK TO BE DONE
Ep-move/rg-jalace gas water
heater ijnRE
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PRII PECTIC?
PROGRESS INSPANOW
craracte 40.000 btu's
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VALUATION $
V A L U A T N
4 4 q
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FEE
Description
FEE
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Plan Check
P C
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS `M_ S To..
T C
t OE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
r
a In.
Grading
Recording Fee
2 W I
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES, fTC.) WILL REQUIRE
fT
SEPARATE PERM;SSION.
.avrew
Engr. Review
City Surcharge
PERMIT"PLICATION: IN DAYS
P. PERMIT LIM . I YEAR - PROVIDED WORK IS STARTED WITHIN 130 DAYS
hiso.cim.
Engr. Inspection
State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
or:
-IUCANTONBIHAL 0 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
if Mitigation
Traffic Mitigation
Plan Chk Deposit
IN INTEREST. AGREES TO INDEMNIFY, OR END AND HOLD HARMLESS THE CITY OF
Receipt #
FROM Y .
EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OqR INDIRECTLY
,.v..w
Fire Review
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE
Fire Inspection
Total Amount Due
I �L
51 DEEMED TO MODIFYWAIVE OR HE UCE ANY REQUIREMENT OF ANY CITY ORDINANCE
C NOR LIMIT IN ANY W Y T CITYS ABILITY TO ENFORCE MY ORDINANCE PROVISION.-
__Vac,�
Landscapemsp.1
Receipt #
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND TMT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T14E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
11.p� WF�.igr.dbyth.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
u"This.pfftV,
., hl�jh�r D.gyt.tAnd Gp.1d,.nd
_Jpt 1—k—Ndood in sp— P—Idw.
WORKMEN'S CCRAPENSATT4�NSURANCE AND RCW 10.27.
OFFICIALS SIGNATURE DATE
SIGNATURE (OVVNE� DATE .!GNED
(425)
( /�
�4
1�
t, 4 1.1rT
771-0220
11!LEA-
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-
OFUCTNAL-FILE - YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK�OWNER - GOLD -ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SET13ACKS .....................
FOUNDATION:
Footing ....................
Wall...................
Pier/Porch .................
Retaining Wall ...........
Vab Insulation
PLUMBING:
-4
Underground
M
Rpulli ..........
rn
0
-40
0
Commercial Final
C
M
HEATING:
MZ
102
GasTest .................
Gas Piping ..............
Equipment
0 'in
V, Commercial Final
x
M M
EXTERIOR SHEATHING
NAILING
0 Fn
. ..................
C co
FRAMING ........................
C V)
Q 0
�:1
FIRST FLOOR FRAMING
INSULATION ..............
;a
Floor Insulation
z
Wall Insulation
Ceiling Insulation
z
SHEETROCK NAILING
SPECIAL INSPECTION
IT!
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .............
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