20020936.pdfDATE RECEIVED '[FERMIT EXPIRES
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CITY OF EDMONDS N MBIER:202—
CONSTRUCTION PERMIT APPLICATION JO SUITEIAPT#
OWNER NAMEINAME OF BUSINESS ADDRESS 515 Olympic Ave
Charles Jenson PLAT NAMEISUBDiVtSION N!�� LID NO.
MAILING ADDRESS LID FEE $
515 Olympic Ave PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP `111 1 11 1
a -
CITY ITELEPTIONE EXISTING — PROPOSED— ag—an., 13
zip 1ran 13
Edmonds 98020 425-776-8688 REQUIRED DEDICATION— Ln.—,
NAME METER SIZE I LINE SIZE I NO. OF FIXTURES PRV REQUITAL D
YES [3 NO 0 x
ADDRESS REMARKS
NE Type B or L vent connectors
reqWrM on fuell-burining appliffffe—es in
....... —
NAME ---HMRING
Fast Water Heater 771��_
E.N. REVIMED By DATE
ADDRESS
12601 132 AVe NE
FIRE REVIEWED BY DATE
CITY ZIP TELEPHONE
Kirkland 9 8034 1425-814-3124
STATE LICENSE NUMUFA EXPIRATION DATE
4 BOND.
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00556000200900
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NEW RESIDENTIAL PLUMBING
PROPOSED REAR
0
COMPLIANCE OR
Ej ADDITION 0 COMMERCIAL CHANGE OF USE
REMODEL MULTIFAMILY SIGN
RE., PARKING LTI 11" Y DATE
DEB 1 0."*( f," 5.2
D PROVI , , T,"T &
A WAT3. SERVICE SHUY01-+
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0 REPAIR GRADING
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REMARKS IN,'�JALLLU �,N I Hh
M DEMOLISH 0 T&NK OTHER
AS ;�; EN;F-R84'I% PI�4i;,ilii !6
GARAGE C] RETAINING WALL SPRINKLE
E] FFIRS
CARPORT i ROCKEAY RE ALARM
(TYPE OF USE� BUSINESS OR ACTIVIN) EXPIL��
CHECKEDBY COUPANT
NUMBER N
JTY� �NN
OF 0%
SPECIAL INS OCCUPANT
STORIES Ut I
REQUIRED ECTION JAREA LOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRt-W T&C ItO�Fll SPECTION REOD
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Description
FEE
Description
FEE
Plan Check
State Surcharge
GLAZING %
Building Permit
City Surcharge C. �_.
PLAN CHECK NOI
Plumbing
_60z 36,
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
0, DONI ON PRIVATE PROPERTY ONLY, A" CONSTRUCTION ON THE FUND
DOMAIN (CUARS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
Grading
SEPARATE PERMISSION.
Engr, REVIEW,
PE MIT APPLICATION: Up DAYS
PERMIT LIMB I VE AN - PROVIDED WORK IS STARTED WITHIN 1.0 DAYS
Engr. inspection
get EAC 9 OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT. ON RENATE OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCFSORS
Fire Revierat
PlarChk.Depoaft
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, He OFFIC AA11, EMILOY111, AND AGENTS FROM ANY AND
'LLCIMMSFO DAMAGESOFWHATIAIER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt
FIT M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT "'ALL NOT B
CE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF AN' CITY CADMAN E
Landscapelnsp.
Total Amt. Due
NOR LIMIT 1-4 ANY WAY THE CITYS ABILITY 70 ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
1 HEREEN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTRORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC�
CALL
a no, a pannitwil rigorni by am
HON, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
LoaThi-plpficatan
""I 01ficiat or hialher Dop,ay: and Poor am paid, and
FOR INSPECTION mtnript ]a oka.,T.d,T.d in.p .. F—fidad.
WORKMEN S COMPENSeURANCE AND HCW 18 27,
OFFICI�LS TLIRE DATE
SIGNATURE TO )ATE SIGNED
(425)
/87
1111WEI-A
771-02020
-RELEASED .1
ATTENTION I I
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-
ORIGINAL -FILE - YELLM-tNSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PiNK-OWNER - GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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Retaining , Walt . ............
Stab insulation ..........
PLUMBING:
Underground � ............
Rough -in ...................
Commercial Final
HEATING:
Gas Test .............
Gas Piping . ................
Equipment ... ..............
Commercial Final
EXTERIOR SHEATHING
NAILING ..................
FRAMING *;.'J'.� ................ .
FIRST FLOOR FRAMING
INSULATION ...........
Floor Insulation
Wall Insulation ...........
Coiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................
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