20020819.pdfDATE RECEIVED
I PERMIT EXPIRES
PERMIT
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CONSTRUCTION PERMIT APPLICATION JOB IAPT#
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Desciription
FEE Description FEE
Plan Check
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State Surcharge
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City Surcharge
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Plumbing
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THISPERMITAUT ORIZES ONLYTHE WORK NOTED, THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTYONLY, ANY CONSTRUCTION ONTHE PUBLIC
Grading
D CHAUN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
c: SEPARATE PERMISSION.
PER ITAPPLICATION: I.DAYS
Engr. Re0ew
PERIARTUMITIVEAR PROVIDED WORK IS STARTED WITHIN -DAYS
Engr. Inspection
11111ACK F PINK PERMIT FOR MORE INFORMATION
ATION
IPPUCA T. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire 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
Fire Inspection
Receipt #
IIALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SMALL NOT BE
9 9 DEEMED TO MODIFY, WAIVE OR REDU C ANY REQUIREMENT OF ANY CITY ORDINA CE
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Total Amt. Due
0 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORD114ANCE PROVISION.
Recording Fee
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APP ICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STAT OF WASHINGTON RELATING TO
FOR INSPECTION
B Idding Official 11 histtier Deputy: and Fees are paid. and
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ORKMENS COMPENSATION INSURANCE AND ROW 10.27.
OFFIC G UBE DATE
SIGNED
(425)DATE
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771-0220
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ATTENTION eftftIE- 10 #141C_ I
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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DATE
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW, INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109
PINK - OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES BREEN - ACCOUNTING
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GARY HAAKENSON
CITY 0 F EDMONDS MAYOR
121 STH AVENUE NORT (425) 771-0220 FAX (425) 771-0221
H EDMONDS, WA 98020 Website! �.dedmonc!S.W&VS
DEVELOPM ENT SERVICES DEPARTMENT
c. Is,)", Planning Building Engineering
Letter of Transmittal
Date: August 2, 2002
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Teresa Slater
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To: 24309 871h PI W.
Edmonds, WA 98026
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Subject: Building Permit needed for structure that has been constructed
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Transmitting the Accessory structure Handout, Critical Areas Checklist, Height
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Following Materials: Calculatio n Information Handout, Sample Plot Plan Handout,
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Construction Permit Application
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Thank you for speaking with me at the rounter yesterday and on the phone today. Per our co riversations
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the structure that yo u have constructed will need to be moved, so that it may meet the required setbacks
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from the property lines. This Vill require a building permit, as the structure is over 120 square feet.
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application must include a plot plan that shows that the revised location.will meet setbacks. I have
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included the application materials that you Will need to submit for the permit.
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As I mentioned on the phone, I must give you a deadline by which you must have submitted the building.
by September 2, 2002, or you may face
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Fin CY
permit applications. You must sub mit a building permit application
additional code enforcement action. I appreciate you having taken the time to meet with me and your
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cooperation in this matter. If you have questions or need further informa ion p ease don t hesitate to give
me a call at (425) 771-0220.
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Sincerely,
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Star Campbell, Assistant Planner
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c: Jeannine Graf, Building Official
Incorporated August 11, 1890
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Sister -City - Hekinan, Japan
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing...................
Wall ..............
Pler/Porch
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.... .............
Retaining Wall ...........
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Slab Insulation ..........
PLUMBING:
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Underground ..........
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Rough -In ................. .
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Commercial Final
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HEATING:
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Gas Test ....................
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Pas.Piping ..........
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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 FRAIMING...
INSULATION ..............
Floor Insulation
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Wall Insulation ...........
Calling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ................
AM 41%
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