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CONSTRUCTION PERMIT APPLICATION
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OWNERNAME AMEOFSUSINESS
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LID FEE $
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REMARKS
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THIS PERMIT AUTHO IZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPER Y ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADINGIFLL
DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
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STAIT-SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR -PROVIDED ORK IS STARTED WITHIN 1800AY$
ENG. REVIEW FEES
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SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCC'SCRS
ENO. INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
LANDSCAPINO
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
INSPECTION FEE
�-j AULCLAIMS FOR DAMAGES OFINHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
= FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
C TOMODIFY, WAIVE OR REDUCE AMY REQUIREMENTOF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
IRECEIPT
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DEEMED
NOR LIMIT IN ANY WAY THE CITY'S ABLITYTO ENFORCE ANY ORDINANCE PROVISION.'
TOTAL AMOUNT DUE
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1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION 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
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TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMP DYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
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WORKMEN'S COMPENSATWSURA�fi27..
OFFK;, E D E
SIGNATU���� 1"�ATE S
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ENTION
771-0220
EXT/333
REL7Y DATE
IT 15 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
_bRIGINAL - PLE� - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD � ASSESSOR
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DESCRIPTION OF WORK TO BE INSPECTED
A field 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
PERFOBAM�LCE BQNDS and the granting of
T FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractorby inspector
2.
3.
RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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denotes. that there are no objections from the above signed Department to the release of
PERFORMANCE B ONDS and the granting of
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FARED FINAL INSPECTION - OUTSTANDING ISSUES
o Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
WA 98020 - 771-0220 FAX 771-0221
121 5TH AVENUE NORTH - EDMONDS. (425) (425)
WebSite: �.Ciedmonds.waus
DEVELOPMENT SERVICES DEPARTMENT
-17 Planning Building Engineering
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November 20, 2002
Snohomish County PUD
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Office Manager
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21018 Highway 99
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Edmonds, Washington 98026
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RE: Design Approval for Sign, File No. ADB 2002-167
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Dear Office Manager:
The purpose of this letter is to bring to your attention an oversight regarding your
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business signs. According to City records your business obtained design approval for
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signs under file number ADB 2002-167; unfortunately, we have no record of a sign
permit being issued to install these signs. For your convenience I ha ve enclosed the City
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handout for sign installation and a permit application form. Please submit the application
and required fees (double fees shall not be assessed) by December 6, 2002. The City will
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process your permit in a timely manner and return a copy to you for your files. If you
need assistance calculating your fees please feel free to contact a Permit Coordinator at
425-771-0220, if you have any other questions please feel free to contact me at the same
number.
SinceS*,
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Building Official
Incorporated August 11, 1890
Sister City - Hekinan, Japan
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS
FOUNDATION:
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Fooling ......................
Wall ..........................
Pier/Porch
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Retaining Wait ...........
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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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GasTest .................
Gas Piping
Equipment .................
Commercial Final
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EXTERIOR SHEATHING
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NAILING ..........................
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FRAMING ........................
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FIRST FLOOR FRAMING
INSULATION ..........
Floor Insulation
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Wall Insulation ...........
Ceiling Insulation
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SHEETROCK NAILING
IT
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................