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2-
PERMITAPPLICATION: IN DAYS
PERMIT LIMIE I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEEBACKOFPINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE* HEIRS, ASSIGNS AND SUCCESORS
Fine 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
CLAIMS FOR
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Receipt #
IALL DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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Recording Fee
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I 14EREDY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZaD AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
AND IN DOING THE WORK
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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CITY Copy
Height Calculation Worksheet
Address:
Date: I
Inspector(s): W))
1. Datum Point:
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2. Datum Point Elevation:
3, Average Grade: Ci p,h -)_5
4. Maximum Elevation Allowed- ��O-G(average grade) + 25'
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m 0
5. Reference Point Elevation Shot to House:
(datum elevation) + (grad. to t.,it,level line hot to house) '�'Zii 77
m M
6. Measurements from line shot onto house to roof ridge:
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Total
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7. Actual Blevatiow""I-I "'I (,,.fere,,. point elevation) + (measurements
from #6)
Conclusion:
jjt.._Lj (actual) Is greater / 19� (allowed); therefore the house h/
is not over the height requirement per ECDC 16.20.30 requirements
LATEheWlYDINGMSOHeight Calculation Worksheet.doc
FINAL PROJECT APPROVAL FORM
TO:
DATE:
I�MMO TO: PERNffr COORDINATOR, BUILDING DIVISION
FROM: ---FIRE DEPARTWNT DATE
----YNGINEERING DIVISION DATE-4-114-10 21
—PLANNING DIVISION DATE —
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DESCRIPTION OF WORK TO BE INSPECTED—ELV�
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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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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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VOL
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS ...................
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