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CITY OF EDMONDS ZONE NUMBER 2�4
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PERMIT APPLICATION JAOBRESS LP 5 3`A/
—CONSTRUCTION
OWNER NAMEINAME OF BUSIN SS 1AA (51 Wol'o
DfA+_'a__h Par-w�rs I Ll(�' P NAMEISUBDIVISION NO. I LOT NQ LION
MAILING ADDRESS )l U) --�Al - W rt1v-0AzQ LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP �'W"'.Z%Z7-
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NAME METER SIZE P V REQUIRED
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REMARKS
OWNERICONTRA TOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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CITY ZIP ITELEPHONE
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NAME
ul'�' ENGINEERING REVIEWEDIDATE
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STATE LICENSE NUMBER PHORELINE OR ADB# INSPECTION PRO G
REQI�w OSTED
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SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
171
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LOT COVERAGE REQUIRED SETBACKS (Fr.) I So IETBA
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DESCRIBE WORK TO BE DONE
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ROGRESS INSPECTIONS PER UBC 10131FINAL INSPECTION REO'D
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PLAN CHECK NO: VESTED DATE Plumbing
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THIS PEAMITAUTHORIZESONLYTHE OAK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T" PUBUC
Recording Fee
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC�) WILL REQUIRE
SEPARATE PERMISSION.
City S rcharge
PER 9 APPLICATKINL 180 DAYS
PERMIT LIMM 1 YEAR -PROVI ED WORK IS STARTIEDVIRTHIN INDAYS State Surcharge
SEE BACK OF PINK PERMIT FOR MORE INFORMATION q
'APPLICANT, ON BEHALF OF HIS OR HER 11018E, HEIRS ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit 41 N
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Review Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER, NATURE, AR SING DIRECTLY OR INDIRECTLY
FROM THE I CE OF THIS PERMT. SSUANCE OF THIS PERMIT SHALL BE
SMSOVDAIFY�
NOT
Fire Inspection Total Amount Due
DEEMED TO WA VE On REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY�S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Landscapelrep. Receipt #
HERESY ACKNOWLE BE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS COR ECT, AND THAT I AM THE OWNER. 08 THE GUY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC IN-ppIddIbs 1, d.t. rind.11-01 diod.d by In.
CALL
TOR; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 'ui, ding Offid.l., his1h., Ddpnny: and F.s. did Isfid—d
IN VIOLATIO OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION nmeipt Is Ink ... Indg,dr-p—p—Ided.
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WORKMENS COMPENS to NPU 4 1 CE AND Now 18,27. OFfG!A
S,ATURE JOWNER C?fAGEN (425) /1 JIE
[ON
(;7;1g3NATL
11-111'rew RELEASED BY DATE
ATTENTION y EXT 1333
IT
IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221 L
A
FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW, INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBG SECTION 109 FAX PINK -OWNER - GOLD - ASSESSOR
10101
(citp of Cbmonbo
OF BUILDINGi"�k
YER UNIFORM BUILDING CODE SECTION
At: 7320 21 e St SW #30 Edm4S. WA 98026 —i4odlrig Farm 2002-0906
Occupancy established by this ceftificate: Dwelling Units: **N/A** No. Stories: 3
f�i;,%Aqp-tructlon: 11,11-111 S t: Yes
prir* Baseman
maximum cu P. -B.C. 1002)
Roo es.
ag
Owner of Building: Stevens Me Ica, 98026
THE
Blue Mountain HAS BEEN IN EdttdW DIAPPRO MC 75X,1N9lW, IM tQUIREMNyTs OF THE 199_7 EDMON OF THE
Sp
PIAPPF�O
pAPPR'O
S DOPT TTH It
UNIFORM BUILDING CODE A A ED BY FOR T "OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
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2003
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Issued Is CHIEF
aulcbf 6OFFICIAL
BY:
This beafteba that be beaded In a bart;pIcons public.m. and shall yen be lainmeted. nallikhad arobwalred and shall bamintalned in legible =dftn at all ftft. Any change of —pancyar usamelulies, a building pennhiand .
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F14 PROJECT APPROVAL IORM
TO: --
DATE: —
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FIRE DEPARTMENT DA TE
FROM:
'ENGINEERING DIVISION DATE—
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PLANNING DIVISION DATE —
PROJECT 31 13Lud
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PERM[IT # 1Qo-L-_0? —ADB#_____--PATE INSPECTED —
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DESCRIPTION OF WORK TO BE INSPECTED—[�..��
A field inspection was conducted to determine final compliance with approved plans. Final approval
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denotes that there are no objections from the above signed Department to the release of
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PERFO WANCE BONDS and the granting of
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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o Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
MICROFILM
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign
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Stab Insulation ..........
PLUMBING:
Underground .............
Rough -In ................
J') �yCommerclal Final
P,
HEATING:
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Gas Test . ...................
Gas Piping ..........
Equipment ...........
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION .................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILING -
SPECIAL INSPECTION _
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