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CONSTRUCTION PERMIT APPLICATION
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Description
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PLAN CHECK N222
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I. BE DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUDUC
2 n ONAIN
Grading 1tv`)J;!`X1 Recording Fee
:1 (CURES, SIDEWALKS, DRIVEWAYS MARQUEES, ETC.) WILL REQUIRE
t: SEPARATEPERGSSIOH.
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PON RrAPPLICATION: INDAYS
Review
City Surcharge
PERMIT UMM. I YEAR -PROVIDED WORK IS STARTED WITHIN INDAYS
Engr. Inspection
I%Zj� State Surcharge
SEEELACKOFPINK PERMIT MR MORE INFORMATION
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*APPUCANT ON BEHALF OF HIS OR HER SPOUSE, HEMS, ASSIGNS AND SUCCESCIRS
Traffic Mitigation tj fq(o Plan Chk Deposit
IN INTEREST, AGREES TO INOEMNIFK DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. He OFFICIALS, EMPLOYEES. -11 AGENTS FROM ANY AND
Fire Review
Receipt #
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ALL CLAIMS FDA DAMAGES OF M ATEVER NATURE, ARISINO DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF
THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
Fire Inspection
Total Amount Due
1
NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN Is CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC'
CALL
This spirticatean Is not a pernall,rall signed by ne
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR ODE OF THE STATE OF WASHINGTON RELATINGTO
FOR INSPECTION
9ui1d,ngOInsI.I.rhejhar spray: reed Fees are paid, and
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RE, DATE
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ATTENTIOA
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE LINTI L
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
771-0221
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CATE OF 0 CCUPANCY HAS BEEN GRANTED, UBC SECTION 109
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Cit? of Cbmonbl
MENTOFBUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 7320 21 Sw St SW Edmonds WA 98026 ---But I ding Permit#: 2002 08
Occupancy established by this ce4ficate: Dwelling Units: **N/A** No. Stories: 3
5' L . 6o struction:11 1 HR Sprink Basement: Yes
B Type,C n
Maximum Occup Oad --1379 (Per U.B.C. 1002)
Roon� a sioso wo at BY times,
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Owner of Building: ns Medical re d---,'- 1UA Qftfl9st
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THE Shell and Core HAS BEEN INSPECTE IN
OM TH THiEtREQUIREMENTS OF THE jL9LEDITION OF THE
t ity
UNIFORM BUILDING CODE AS ADOPTED BY TI! F09OR T I N OF'OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED. ��-,P�A_D D ISIO
2003
CHIEF
BY:
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MEMO TO: PERWr COORDINATOR, BUILDING DIVISION
FROM: —..ME DEPARTMENT DATE—
DATE�E �-7
ENGINEERING DIVISION
PLANNING DIVISION DATE
PROJEC
SITE ADDRES
PERMIT # AD]3#____--PATE INSPECTED—Wji�h—v—
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine final compliance with approved plans. Final approval,
e above signed Department to the release Of
denotes that there are no objections from th
PERFORM—ANCE BQNDS and the granting of:
-GRANT FINAL PROJECT APPROVAL
CONDITIONSNOTED,
TANTROJECT APPROVAL WITH
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opy of CONDITIONS given to owner/cOntractOr bY inTwtor
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FARM FINAL INSPECTION OUTSTANDING ISSUES
idven to owner/contractor by mspector
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OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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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 VY_� 'I) L _(Z�
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
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OCCUPANCY ................
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