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MMUMMOMMEMO� I�
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/
Kru a ME OF BUSINESS
pr g r 8A1, IC LLP c/o
.0)ert �I�r
I y 'agement Northwest
MAILING ADDRESS
P.O. Box 3579
CITY __"TT____TTELEPHONE
Redmond, WA_ 980.73 1425-883-4955
NAME
Architectural Werks Inc.
I
425-823-2244
ADDRESS
PC' v� 0
CITY ZIP
PTS� 1"ollUeLA qI;f1qtCe
TELEPHONE
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?TATE LICENSE NUMBER EXPIRATION DATE
1XLE C I a r I �l C -L f_1 4_ 6 Lf
PROPERTY TAX ACCOUNT PAPICIL NO-
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5807-000-029-0001
NEW 10 PLUMBINGIMECH
COMPLIANCE OR
0 ADDITION 0 CHANGE OF USE
REMODEL 11 SIGN
REPAIR 0 GRADRIG
'Yos [3 FENCE
X_ Fri
rl DEMOLISH TANK F-i OTHER
[3 GARAGE C] RETAININGWALL r-1 FIRE SPRINKLER
CARPORT ROCKERY L_J FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPMAk
Medical Off4ce
NUMBER
0
OF
STOR ES 2
DESCRIBE WORK TO BE DONE
Interior tena t improvement of a medical
office. No structural or exterior work
10� PERMIT EXPIRES to
USEE PERMIT
ZON CG2 N
7_D21_6_0_0HT,;_hway 99 SUITE/APT.IPI
ADDRESS Edmonds, WA 98206 240
FLAT NAMEISUBDIVISION NO. I LOT NO NO
L 0 EES
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ra., sa-1
EXISTING __ PROPOSED
.REQUIRED DEDICATION- Ft
METER SIZE I LINE 51ZE NO. 01 11-RES PRV 11OU11111
-A YES 13 No IN
FI ED By
DATE
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VARIANCE OR CU
SHOREL
INSFECTION
BOND
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POSTED
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SERA REVIEW
SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
ALLOWED PROPOSED
P ,
Ala
Lo COVERAGE
REQUIRED SETBACKS IFT.)
PROPOSED 6ETBAO9V(FT.i
ALLOWED ZiSOPOSED
FRONT SIDE REAR
FRONT URSIDE BEAR
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PARKIt�LOT
AREA 1,PLANNING REVIEWED
BY _ DATE
CHECKED BY I j_jPk0F N 1 Cq_7 1 00 P,
GROUP
SPECIAL INSPECTION IAIIA,,,,,,
_� OCCUR
REQUIRED LOAD
YES
UBC 1081FINAL INSPECTION
s
Description
FEE Description FEE
I
Plan Check
lumbing
State Surcharge
7�
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LOT SLOPE %
Building P.Hret
City Surcharge
PLAN CHECK NO:
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Mechanical
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THIS PERMITAUTHORGES ONLY THE ORKNOTED. THIS PERMIT COVERS WORK TO
9 DOME ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC
Grading
:1
DOMAIN JCURBS. SIDEWALKS. DRIVEWAYS MARCILIEES. E`fC.) WILL REQUIRE
SEPARATE PERM;SSION.
PERMITAPPLICATI N: 180DAYS
i Review
PERMIT LIMIT. I YEAR PROVIDED WORK IS STARTED WITHIN 180DAYS Engr. Inspection
SEEBACKOFPINK PERMIT FOR MORE INFORMATION
%PPLICAW, ON BEHALF OF HIS OR HER SPOUSE, HEIRS�ASSIGNS AND SUCCESOns
Fire Review
Plan Chk. Deposit
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HO G HARMLESS THE CITY OF
EDMONDS, WASHINGTON, III OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt # Of
"a
FO
ALL CLAMS DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
SEEMED
Landscape Insp.
a2
Totel Amt. [.)us
To MODIFY' WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
L ]E
Recording Fee
C pt #
Receipt # zm
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT PHE INFORMATION
GIVE IS CORRECT, AND THAT I AM THE OWNER, On THE DULY AUTHORIZED AGENT OF
NOWNER.
APPLICATION AP PROVAL
THE I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
I his application Is not a potash ha it signed by did
TION; AND,IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO
WORKMEN'$ COMPENSATION INSURANCE AND RCW 18.27,
FOR INSPECTION
Building Offtial , Wallis, Dop,ty: and Food aid paid. t
-ahill-kh.sanig.al 1.ap.ca p-ldini,
SIGNATURE (OWNER 08 DATE SIGNED
-
(425)
F L GNAT DAT.
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771-0220
'ATTENTION
D TE
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
ORIGINAL -FILE YE14ON.1 PECTO
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
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FINAL PROJECT APPROVAL FORM
TO:
DATE._
'NMMO TO: Pttt R, UILDINGDIVISION
DAT
FROM: -FIRE DEPARTAM E
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJECT 1�&66ZL ctodlc—
SITE ADDRESS�
PERMIT # 0 0-7 & # ATFINSPECTED
DESCRIPTION OF WORK TO BE INSPECTED— 7-1
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:
_4��GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE_]NSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Sign_
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing......................
wait ..............
Pier/Porch .................
Retaining Wall ...........
�Slab Insulation
PLUMBING:
Underground .............
0M
0
W4
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Rough -in ...................
Commercial Final
HEATING:
Z-
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Gas Test ...........
>
Gas Piping ................
fA
Equipment .............
Commercial Final
M M
0
EXTERIOR'SHEATHING
0
0
MAILING � .....................
X— 02-
C:
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FRAMING .....................
Q 0
FIRST FLOOR FRAMING
INSULATION ...................
—4
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
ID 173
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SHEETROCK NAILING
171
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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