20020878.pdfDATE RECEIVED
PERMIT EXPIRES 9
CITY OF EDMONDS
US' ERMIT
ZONE NUMBER At"J" 0
CONSTRUCTION PERMIT APPLICATION
SUITE/APT#
OWNER NAMEINAME OF BUSINESS
FMAILING
ADDRESS
8605 182 P1 SW
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PLAT NAME/SUBDIVISION NO. LOT NO. L�D NO,
se GRESS
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. ADDRESS
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8605 182 P1 SW
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ZIP TELEPHONE
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Edmonds 980261425-775-3629
REQUIRED DE' ,' ' FT 13
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NAME
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REMARKS
OWNER(CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE
s ZIP ITELEPHONE
NAME JCBLI
Ilk "Onnectors
pe ADDRESS Fast Water Heater 505
ENGjliWEjiEV&6B1a' ' - I 3q'V.1h`M""YATE
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14-2124
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STATE LICENSE NUMBER EXPIRATION
VARIANCEORCU SHOREL11,1111SA081 111PEOTION BOND
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FASTWHCO52DF 2-1
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I MYES 13NO S
1.
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NUMBER I NUMBER OF j GRtTCAL
OF DWELLING
GROUP
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STORIES UNITS NUMBER
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DESCRIBE WORK TO BE DONE
Remove/replace gas water heater REMARKS
2
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in gara2e on stand
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40,000 btu's
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VALUATION
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$ _4A2_-U
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Description FEE Description FEE
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Plan Check State Surcharg
HEAT SOURCE NIS % LOT SLOPE %
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Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
_�2,0,
IT1
Mechanical �2q
THIS PERMIT AUTHORRIES ONLY I.. Won. NOTED. THIS PERMIT COVERS WORK TO
BE DONEON PRIVATE PR PERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN
Grading
(CURBS'SIOMALKS , DRIVEWAYS i MARQUEES, ETC.) WILL REQUIRE
L SEPARATE PERM SSIO&
Engr. fhe�lew
RUIT APPLICATION: IN DAYS
PERMIT UNIT 1 YEAPRE RK IS STARTED WITHIN I.DAYS
Engr. Inspection
SEE BACK O;P`NK`P'GR'D1WT0FOR MORE INFORMATION
'APPUCAN . ON 11-LF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire ReView Plan Chlk, Deposit
IN INTEREST, AGREES I. INOIMNII. DEFEND AID HOLD HARMLESS 1.1 CITY OF
EDMONDS, WASHINGTON, as OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISS NOE OF THIS PERMIT SHALL NOT BE
9 DEEMEDT0 MODIFY, WAIVE OR REDUCE ANYURAQUIREMENT OF ANY CITY ORRINANC
Landscapelusp. Total Amt. Due 1�y
NOR LIMIT IN ANY WAY THE CITYS ABILITY To ENFORCE ANY ORDINANCE PROVISION,'
I _ —
K
Recording Fee I
LL
I RE. ACKNOWLEDGE THAT I HAVE II.A. -1. APPLICATION: I.- III INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE ONNEIL a THE DULY AGENT OF
APPLICATION APPROVAL
I ME OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS RAUTHORIZED
I EGULATING CONSTRUC.
CALL application Is not, peanniturfil signed by ffi.
0
TION; AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED
ReaThes
ding Ol It his/her Depany: and roe, am paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSAT19RDlISURANCE AND RG H1127.
FOR INSPECTION .... in Is d.�I.dgtid In ap ... P—ld.d.
I. SIGNED
(425) OFF7 8
Lls_�Ipz_
771-0220 RELEASED BY 1
ATTENTION
ot
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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL FILE YELLOW, INSPECTO
04102
PINK -OWNER GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
RECORD OF INSPECTIONS