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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLIC W. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
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Fire Review
Plan Chk, Deposit
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, IT OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY 08 INDIRECTLY
FROM THE ISSUANCE OF TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
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Total Amt. Due
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
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I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
I abrai'teall sig-d by
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATI N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
brnny� and Fees are Paid, and
FOR INSPEC-nON 1-c-'re 'a -q1A--Iadg.d I. arn., In.vidad,
WO11MINS COMPINIATION INSURANCE AND 1GW 11,11,
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ATTENTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL - FILE - YEI -INSPEdTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK - OWNER G LD�ASSESSOR
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04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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CITY OF EDMONDS
DEVELOPMENT SERVICES DEPARTMENT
121 5th Avenue North, Edmonds, WA 98020
ORDER TO CORRECT VIOLATION
Location of Violation (Address and/or description of location: 9713 Firdale Ave,.Edmonds. WA
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98026
Issued To: City KitM Adrienne Kawarnaca Business Owner
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Address Of Person This Order Is Issued To: 9713 Firdale Ave, Edmonds, WA 98026
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Code Section Violated:.Edmonds Community Development Code 20.60
Description of Violation: Simn without a Sign nennit
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Corrective Action Required: 1)Apply for a sign permit, or 2) Remove sign and call 425 771-0220 to
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inspection.
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Correction is Required no later than: 5-OOpm _(time) August 12, 2002 (date)
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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
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$100. f a day, during which the violation continues.
00 per day, or portion o
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Date Posted: July 29, 2ppt:�) Date Mailed: July 29, 2002 Date Served
Issuing Pa son P To el ot --,,Pitle Code Enforcement Officer
Signature
FINAL PROJECT APPROVAL FORM
TO:
DATE:
NMMO TO: PERWT COORDINATOR, BUILDING DIVISION
FROM: DEPARTWMNT DATE�—
A 4 ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE—,
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SITE ADDRESS —
PERMIT ___ADBk—.:�.DATE INSPECTED---,2 �O �-,
DESCRIPTION OF WORK TO BE INSPECTED�--
A field inspection was conducted to determine final compliance with approved plans., Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
1.
2.
3.
RE-114SPFCTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch
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Retaining Wall ...........
Stab Insulation ..........
PLUMBING:,
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Underground .............
Rough -in ...................
Commercial Final
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HEATING:
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Gas Test ....................
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Gas Piping .................
Equipment .................
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Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING .....................
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FIRST FLOOR FRAMING
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INSULATION ............
Floor Insulation
Wall Insulation ...........
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Ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ... ...............
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