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PERMIT EXPIRES
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS
PERMIT COVER WORK TO
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIO ON THE PUBLIC
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC .)ILLREQUIRE
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SEPARATE PERMISSION.
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P MIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVID 11 WORK 11 STARTED WITHIN III DAYS
E IEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
PPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
END INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLE SS THE CITY OF
2 EDMONDS, WASHINGTON, ITSOFFIGIALS, EMPLOYEES, AND AGENTS FROM ANY A NO
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FROM THE ISSUAN OF -IS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT
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DEEMED TO MODIFYWAVE OR REDUCE ANY REQUIREMENTOF ANY CITYORDINANC
PLAN CHECK DEPOSIT
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.1 NOR LIMIT INANYWAYTHECH'Y'SABILo rY TO ENFORCEANY ORDINANCE PROVISION.
RECEIPT
TOTAL AMOUNT DUE
I EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION
IVEN IS CORRECT, AND THAT I AM THE
APP ICATION
APPROVAL
OWNER. OR THE DUILY AUTHORIZED AGENT OF
THEOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL Thl. APIXI�llle ts h0t a P-11 sIgned by the
TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPL-ED
IN VIOLAHON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
81111-g, 1,10111 Olp.t, led Fell — d.
FOR INSPECTION F.lpl I.PIPtd tF.F.. PI—d-
WORKMEN S COMPENSAtION INSURANCE AND RCW 18,27
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OF I IALS SIGNATURE DATE
SIGNATURE tOWNER
DATE SIGNED
(425)
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771-0220 /� 1&n I
ly IIATE I
ATTENTION
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EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
ORIGINAL-FILI: - YELLOW . I
FAX PINK OWNER - GOLD ASSESSOR
5198
CITY OF EDMONDS
DEVELOPMENTSERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
(425) 771-0220
ORDER TO CORRECT VIOLATION
Location of Violation (Address and Tax Account Parcel N 22716 Highway 99, Edmonds,
98026 Tax Account Parc N 0 - 021704-4038-0007
Issued To: Okbui Chung, Business Owner of Country Garden
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Address Of Person This Order Is Issued To: 22716 Highway 99, Edmon s� WA 98026
Code Section Violated:. Edmonds Community Development Code Chapter 19.45, 20. 10 & 20.60.
Description of Violatiow-iji-Cabinet Sign installed without Desijzn Review Mproval or a sign permit,
2) Numerous window signs painted without Design Review approval or a sign vermit(s).
Corrective Action Requlred:-11 Submit a complete application for Design Review for the cabinet and
window signs, contact Star Campbell, Planner for more information and 2) Submit a complete si
Permit applicatio for the window sipns including full permit fees. Note, permit al)131ication fees shall b
doubled since the signs were installed prior to pennit issuance.
Correction Is Required no later than: 5:00pm (time)__ June 14,2002 (date)
If correction is not made by the date and time specified in the Order, a Notice of
Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of
$100.00 per day, or portion of a day, during which the violation continues.
DatePosted: MaY28,2002 —DateMailed: Mav28,2002 DateServed
Issuing Part Jeannine L. Graf Title Building Official
Signature
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FINALTIkWECT APPROVAL FORM
TO:
DATE.—Wa--
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE-_
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PLANNING DIVISION DATE B
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PROJECT
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SITE ADDRESS
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PERMIT # ADB# DATE INSPECTED—
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DESCRIPTION OF WORK TO BE INSPECTED--,-�?
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A field 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
u Copy ofCONDITIONS given to owner/contractorby inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
u Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Si
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SETBACKS ................
FOUNDATION:
Footing .......... ...........
Wall ..........................
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Pler/Porch ..................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
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Underground .............
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Rough -in ...................
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Commercial Final
HEATING:
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Gas Test ....................
Gas Piping .................
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EXTERIOR SHEATHING
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NAILING .............
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INSULATION ...................
Floor Insulation
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Wall Insulation ...........
Coiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
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FINAL APPROVAL FOR
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OCCUPANCY ..................
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