20020776.pdfDATE RECEIVED
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CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT# _1�,
ADDRESS
OWNER NAMEINAME OF BUSINESS
9716 237th P1 SW
___W_a_'Lne/Marie Fujii
PUT NAMEISUBDIVISION NO. LOT NO. 716 NO.
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NAME
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required on fuel-burMixg appliances in I
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1_12.6,01
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Kirkland 9 34 425-814-3124
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STATE LICENSE NUMBER EXPIRATION DATE
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FASTWHC052DF 2-16-03
PROPERTY TAX ACCOUNT PARCEL NO,
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COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
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Description FEE Description FEE
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Plan Check State Surcharge
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Building Permit City Surcharge
PLAN CHECK 1EITED DATE
Plumbing
171
Mechanical
THIS PERMIT AUTHORIZES ONLY THE ING K NOTED. THIS PERMIT COVERS WORK TO
DONE ON PRIVATE PROPERTY ONLY. AM CONSTRUCTION ON THE PUBLIC
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Grading
DOE
3 OMIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
2
PERMITAPPLICATION: IN DAYS
Engr. Review
PERMIT LIMIT, I YEAR . PROVIDE WORK IS STARTED WITHIN 18. DAYS
Engr. Inspection I
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
IPPLGANT. ON -E-11 -1 -'1 on .1. SIOLIE, EIR1, AIsIG11 AND 11,11111111
Fire Review Plan Chit. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M EDMONDS , WASHINGTON. ITS OfTICIALS, EMPLOYE S, AND AGENTS FROM ANY AN
Fire Inspection Receipt #
I ALI. CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLDY
91 FI01F1I1TG=11,1 11 THIS PERMIT. ISSUANCE OF INS PERMIT SHALL NOT BE
II.E. . " wAr. OR
Landscapoinsp. Total Amt. Due
RE UCE ANY REOUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
Recording Fee #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN CORRECT.
Receipt
APPLICATION APPROVAL
IS 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-
T'le epni-itte 1. r., . patent vefli �iqn.d by Un,
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEHEBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF INS LABOR CODE OF T E STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAT"l RANCE AND now 18,27�
Sun ding ORICIII at hist'"n Dep,ty: and Foos are paid, and
FOR INSPECTION _Wet I—ke—Itag.di 1. �p plovid.d.
SIGNATURE DATE SIGNED
OFFICIALS SIGNATU#
(425)
Z���/'/_4_ 16"IOAT2� :�_:
771-0220 1 DATE
RELEASEU`BY
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ATTENTION
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 YELLOW � INSPECTOR
PINK - OWNER GOLD . ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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