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CONSTRUCTION PERMIT APPLICATION
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OR SON THE ORK NOTED. THIS PERMIT COVERS WORK TO
ft "I GORE 11111110111 ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
Recording Fee
DOMAIN JCURSS. SIDEWALKS. DRIVEWAYS E
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Engr. Review
City Surcharge
PE MITAPPLICATION: INDAY.
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PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN IN DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection
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State Surcharge
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'APPLICANT, ON RENAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AID AGENTS FROM ANY AND
Fire Review
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
9 FROM THE I SUANCE OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL HOT BE
DEEMED TO MODIFY� WAIVE 08 REDUCE
Fire Inspection
Total Amount us
ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE My ORDINANCE PROVISION.-
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Receipt #
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1 HERE ACKNOWLEDGE THAT I HAVE REM THIS APPLICATION: THAT THE INFORMATION
APPLICATION
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APPROVAL
GIVE" IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. IAGRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Title appIteral- [,note pentiltudil signed by Me
TION; AND IN DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE PLOYED
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IN VIOLATI N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Circlet It his"If Deputy: and Fees are paid. and
"celptisac�nowledgedl,sp,cep,o,lded.
W ORKMENTS COMPENSATION INSURANCE AND RCW 18.27.
OPTIC DATE
SIGNATURE (0 ER
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7711-0220
ED By
RE a I DATE
ATTENTION
EXT 1333
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
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ORIGINAL�FILE - YEU4.
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 22510 76" Avenue W, Edmonds. WA 9802
--Building Permit#:_ 2002-1006
occupancy established by this certificate:
Dwelling Units: -N/A**
No. Stories: I
B
Type Construction: V-N
Basement: No
Maximum Occupant Load Per U.B.C. 1002)
Room capacity signs, when required, must remain posted at aff times -
Owner of Building: Shurgard Storage ddress: 1155 Valley Street Suite 400, Seattle, VIA 98122
THE S orage AS BEEN INSPECTED AND APPROVED AS COMPLYING WITH THE REQUIREMENTS OF THE 199_7 EDITION OF
THE UN9=51ING CODE AS ADUPTFED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR WHICH THE
PROPOSED OCCUPANCY IS CLASSIFIED.
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Issued this Sth day of_A2fil 2003
CHIEF BUILDING OFFICIAL
BY:
This annifibate Shall be Soared In. —Slaku-s PubliC ""and Shall not be ne—ed, an,histed or otbacunulvd.na bearahn.herei in legible boadition area tures. Any change ofoccupancy or use requires a building pretest and . a-
cavereuth, or oauparear issued by the Cuyd Ednand, Building Offirnil.
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FINAL"�'IQJECT APPROVAL F
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MEMO TO: tc&R, BUILDING DIVISION
FROM: —FIRE DEPARTMENT DATE-
—ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
PROJEC
SITEADDRESS— -7&T,-- Ary f�o
PERMIT# 122 - 120() ADB#-------DATE INSPECTED—AL5 /03—
DESCRIPTION OF WORK TO 13E INSPECTED--E —I /-A61-�, Q�I-C14IC-mW
A field inspection was conducted to determine compliance with approved plans. Final approval denotes. that
there are no objections from the above signed Department to the granting of
Final approval of the described work
per rmance Bonds associated with the project may be released
ln�GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
FAILED FINAL INSPECTION -OUTSTANDING ISSUES
2.
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_RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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PLAICZNG DIVISION DATE-----:—
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A fleld Inspection was conducted to determine rwal compliance with approved plans. Fluid aporovid,
re no objections from the above signed Department to die release of
that there a
PERFORAUNCE _BONDS and the granting of:
'RANT FINAL PROJECT APPROVAL
GRAM PROJECT APPROVAL WITH CONDITIONS NOTED
a Copy of CONDITIONS given to owner/contractorby inspector
FARM FINAL INSPECTION - OUTSTANDING ISSUES
,3 Copy of CORRECTION NOTICE given to owner/contractor bY invectOr
2.
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RE-INSPECTEI) OUTSTANDING ISSUES - GRAM IFINAL PROJECT APPROVAL
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ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE
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PERMIT #_ AT) # DATE INSPECTED
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denotes that there are no objections from the above signed Department to the release of
PERFOR�MCE-ROMNILS and the granting of:
_L��GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WYM CONDITIONS NOTED
o Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign_
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...........
FOUNDATION:
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Wall ........................ .
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Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
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EXTERIOR SHEATHING
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NAILING .......................
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FRAMING ..................
FIRST FLOOR FRAMING
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INSULATION ...................
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Ceiling Insulation
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SHEETROCK NAILING
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SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ...............
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Datelssued
Amount Receipt
Date Purch=qad