20020727.pdf[PERMIT EXPIRES
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CONSTRUCTION PERMIT APPLICATION
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ILATNA.E/SUBDIVISIONNO. LOTNO, LID NO.41"Aj
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION R
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VALUATION $
FEE
Description
Description
FEE
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THIS PERMIT AUTHORMES ONLY THE W FIX ..ISO. THIS PERMIT COVERS WORK TO
2 JOE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
3 10MAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
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Recording Fee
SEPARATEPERMISSIOW.
Engr, Review
City Surcharge
State Surcharge
PERMITAPPLICATI N: I...
PERMIT UMIM I YEAR - PROVIO 0 WORK IS STARTED WITHIN 160 DAYS Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
*APPLICANT, ON BEHALF OF HIS On HER SPOUSE. HEIDS. ASSIGNS AND 1U1C2SORS Traffic Mitigation
PlanChkDeposit
IN INTEREST. AGREES TO INDEMNIFY, OFFEND AND HOLD HARMLESS THE CITY OF
EDMONDS,
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WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Review
ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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Total Arno umDue
F ROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMeD TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,'
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APPLICATION AiiPROVAL
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I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORM f,I
GIVEN IS CO RECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC�
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CALL
ThiappIll.fte 1. n.I. plarrit,adel signed
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TION; AND IN OING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
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IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION
WORKM S CDIAUAVINS ON INSURANCE AND ROW 18,27.
Building Offidel., td,lhor Dap,ly: and foes
scelpfla,ch ... Island Inspal,
ale paid, and
ProAded.
OFFICIALS SIGNATURE DATE
t DATE SI NED (425)
4 771-0220 DAIT�E
ATTENWON EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL -FILE YILLOWINSP, Toll
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR
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PERUNIFORM BUILDING COD....,'09
At: 23028 100" Avenue W,.Edm4, WA 98020 __BuIIdIngPermit'*;""1,, 2002- 7
Occupancy established by this ce-ifef-cate:
Dwelling Units: -N/Aili* _No.
torles: I
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Type ponstruction: V-N Sprinki§d
Basement: No
Maximum6ccupantLoad 410r (Per '63.C. 1002)
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Roor� capacity sIi stremain posted at all 'a
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Owner of Building: Bartell )r sS: 4430=;��&'Seattle��WA 98134
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THE Bartell Drugs HAS BEEN INSPECtEP,,A ��,A -'PROV
�P_0 RQW#i*q'fAi.' bIUIREMENTS OF THE 1997 EDITION OF THE
UNIFORM BUIL ING CODE AS ADOPTED BYjHE,.gjT.1Y F R5TMq,,.,'qRqUP��, Np��p! C CCUPANCY AND THE USE FOR WHICH THE
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PROPOSED OCCUPANCY IS CLASSIFIED.
Issued 1::�2� 2nnq
CHIEF BUILD N OFFICIAL
BY:
This demblicate shall be posted In a conspicuous public aw and shall not be rease,ad. mubood—b—and,nd shall be ��edlnl"ibi,c,ndit.onatallti�s. Any change of occupancy oas, requinse a building Pernit and end,
cenlridius of Occupancy Issued by the City of Edithands Building Official.
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FIN. -4 PROJECTAPPROVAL 1WRM
TO:
DATE:
mEmom: PERmrr COORDINATOR, BUIF DING DIVISION
FROM: -----FIRE DEPARTMENT DATE. —
ENGINEERING DIVISION DATE—
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PROJECT,
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A field inspection was conducted to determine foal compliance with approved plans., Final approval
denotes thqt there are no objections from the above signed Department to the release of
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FIN."� PROJECT APPROVAL &RM
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FROM: —YIRE DEPARTMENT DATE
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--PLANNING DIVISION DATE --
PROJECT
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SETBACKS .....................
FOUNDATION:
Footing . . ...................
Wall .............
Pier/Porch ...........
Retaining Wall
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Slab Insulation
PLUMBING:
Underground
Rough
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Commercial Final
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HEATING:
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Gas Test ...................
Gas Piping
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EXTERIOR SHEATHING
CP Fn
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NAILING ... .......................
FRAMING
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FIRST FLOOR FRAMING
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INSULATION .............
Floor Insulation
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Wall Insulation
Ceiling Insulation
SHE&ROCK NAILING
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SP CIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR