20020937.pdfDATE RECEIVED
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PERMIT EXPIRES
US' PERM T
CITY OF EDMONDS ZONE NUMEIER
CONSTRUCTION PERMIT APPLICATION JOB
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ADDRESS
OWNER NAMBIN ME OF BUSINESS 7 <516r"19
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ADDRESS REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
CITY
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NAME --TCBL#
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GARAGE RETAINING WALL ci F RE SPRINKLER
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VALUATION
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Description
FEE
I'Description
Plan Check
State Surcharge
HEAT SOURCE GLAZING 1 10, 1IO'E , a City Surcharge
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PLAN CHECK NO: plumbing
"lochanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER& WORK TO
C BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS VEER, ETC.� WILL REQUIRE
MARO
SEPARATE PERM; SBION.
Enac flaview
PER ITAPPLICATION; INDAYS
PERMIT LIMIT I YEAR - PROVIDED WORK 19 STARTEDVATHIN MODAYS Enric InSpectiOn
SEE BACK OF PINK PERMIT FOR MORK INFORMAIRON
NAPPLICANT ON BEHALF OF HIS Oil HER SPOUSE, HrIH% ASSIGNS AND $11CCE601ju Fire flavl" PianChk Deposit
IN INTEREST, AGREES 10 INDEMNIFY. DEFEND AND HOLD it IIMIV54 IHr City (IF
101101411 WASHINGTON, III OFFICIALS, IMIIOYFII, AND AGENTS IRCM 'NY 41,11 File Inspection Receipt Is
ALLClA1MilFORI)AMAGESOFWHATFVFR NAlkillF,AAI.SINQDiiirctiyo,tiNt,ii�cc.ity -
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FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PFHMIf SHAII Nor sl Landscapoinsp total Arnt Duo
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OF AN' G 'Try 0 INA
DEEMED TO MODIFY, WAIVE Oil REDUCE ANY REQUIREMENT OF ANY Gj ly OGINANCI 4�
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NOR LIMIT IN ANY WAY THE CIIYS ABILITY to rNfoscr ANY OHINNAFICF PROVISION
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THERE ACKNOWLEDGE THAT I ILAVE REAL) THIBAPPLICATION. THAT IRE INfORMAIKUl APPLICATION APPROVAL.
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GIVE IS CORRECT. AND THAT I AM THE OWNER. OR TRE DUTY AUTHORIZED AGENT Of
,I I No G. S 'ou, by
THEOWNER. I AGREE TO COMPLY WILL I CITY AND STARE LAWS RECILA AT ING CONUTHLIC CALL
0 R. SoiL Ws . R, ME-00YED I., rill 11 -Y R-
DING THE WO K AUTHORIZED THEREBY. NO POISON Wit I OF F
TPON; AND IN S, R G ON HE I sio I. wp, p—id.d
IN VIOLATION OF THE LABOR DUE OF THE STATE OF WASHINGTON RELATING 10 FOR INSPECTION
WORKMEN'S COMPEN��=URANCE AND RCW is 21
of IUI!p DATE
L I ED
U NE C� ATE 81 IME11 (425) I/
771-0220 MA rG ify— OATI`
41-)
A;TTEN EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING
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PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PE7LQt BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE--) LLz 0 Z-
ENGINEERING DIVISION DATI�_
-----PLANNING DIVISION DATE
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PROJECT�--
SITE ADDRESS S,C
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pERAHT# tp2 # ----------- PATE INSPECTED— I I 12S-
'DESCRIPTION OF WORK TO BE INSPECTEP—L/'�T O(Fc A,4157s"164,t&—
A fleld inspection was conducted to determine final compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
u Copy of CONDITIONS given to owner/contractor by inspector
FAMED FINAL INSPECTION - OUTSTANDING ISSUES
E3 Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date�-- Sign
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........... .
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...................... .
Wall ......................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -in ...................
Commercial Final
HEATING:
Gas Test ...........
Gas Piping
Equipment .................
Commercial Final
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
Wall Insulation ...........
Ceiling Insulation
SHEETROCK NAILVG
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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