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20030144.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS 7-% - f - "n, /, . . C1 MAILING A 19 Lif CITY NAME ADDRESS CITY NAME ADDRESS CITY -SI(JAUL Wk STATE LICENSE NUMBER ZIP TELEPHONE ZIP TELEPHONE 'BL # ZIP TELEPHONE ",',a 0_0 EXPIRATION DATE CHECKED BY VIII&I (?M&L 1122=y NEW RESIDENTIAL ADDITION COMMERCIAL R1 REMODEL [3 MULTIFAMILY f11. 1:1 REPAIR 1:1 GRADING CYDS 13 DEMOLISH 1:1 TANK oGARAGE RETAINING WALL [3 CARPORT ROCKERY (ME OF USE, BUSINESS OR ACTINTM EXPLAIN: NUMBER NUMBE1,1 OF OF DWELLING STORIES U ITS UNITS DESCRIBE WORK TO BE DONE PLUMBING / MECH COMPLIANCEOR CHANGE OF USE SIGN FENCE FT) OTHER FIRE SPRINKLER FIRE ALARM a Z4. f CRITICAL AREAS N UMB R UMBER Alk PERMIT EXP11RES_?/Z7/0'L/ OSE PERMIT ZONE NUMBER g,\z ()/ q4) JOB ADDRESS r4cdc SUITE/APTO PLAT NAME/SUBDIVISION NO. T OT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCF APPMO RW Permit Required SUM Use Permit R@q`d EXISTING — PROPOSED tnapoeWn Required Sidewalk Required REQUIRED DEDICATION— FT UrAevound Wking required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED PO. YES13 NO 13 I z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE REVIEWED BY DATE FIRE REVIEWED BY DATE m VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND REO'D 113YEs POSTED 1$ ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLQWED PROPOSED ALLOWED PROWSED YA , :.Xp LOT COVERAGE REQUIRED SETBACKS (FT),, :PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED REAR F�R7 FRONT L/RSIDE REAR �SID.E 1�,:Wvn WG z 1: PARKING LOTAREA r E;ln 110 W D REO'D I PROVIDED 1PLA,11 CHECKED 13Y I TYPE OF CO RUtC N CODg_ OCCUPANT V- 7 h6j, GROUP ;S SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES I LOAD REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL 3NSPECTION REaD 2 Y' HEAT SOURCE GLAZING % PLAN CHECK NO: LOT SLOPE % VESTED DATE I 1_71f 000 - - Description � FEE Description FEE Plan Check (�qj q State Surcharge Building Permit City Surcharge Plumbf ng jr44 —,—j / t�o(, __r Mechanical THIS PERMIT AUnIORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPEFRY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRWEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: ISODAYS PERMIT UMM I WAR -PROVIDED WORK 15 STARTED WITHIN 1180DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review so Plan Chk. Deposit Al IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # R ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE - — —xi DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapoinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN is CORRECT. AND THAT I AM THE owNEn, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC- CALL This application Is not a permit until signed by the TION; 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 FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space prom4lded. WORKMEN'S COMPENSAT94AqURANCE AND RCW 18.27. OF NATURE DATE SIGNATURE (OWNER Of(AGE DATE SI NED 1425) /2--/7-OZ- 771-0220 �J�REL DATE ATTENTION M 1333 163 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEnTlFI- 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 It I I :.E IV o0?3M, 1, TI P I , k d P 'i- -P To Jeannine L. Graf, foL about the restroom at ,.Sorry r taking so long to get back to you a re waiting to be contacted by Firdale Domino's Pizza Store. We we Due to two permenant walls.and the layi,i,,out of the a contractors a a 0 0 IS L plumbing and grease trap configurationj the proper interior dimension 6 are unable to be met. Some changes.can be reached to be compliants a able. Enclosed are pictures of I. pl==ae advise if this will be accept L 10 �INV. P P L Id 4 A k % w % 4 I' fk f N I I jf, r ; -- 4 N,q r, %w k P .1 k k.- t I k L, L t s terior an of in and exterior for your review. 'A C . I�Cc Rochard W. Dreistadt -AI-I�C 3, -A k & 6 k �I OP P d L L . L f Ld 4 1 1 , d P , , I . , � , r L I P L 0 I df 4L 4f�I k P P 44, 4A d pd 0. I L k L I L Ik 4L d 47 I d k 4 CITY OF EDMONDS DEVELOPMENT SERVICES DEPARTMENT 121 5th Avenue North, Edmonds, WA 98020 (425) 771-0220 Location of Violation (Address and Tax Account Parcel No): 9695 Firdale Avenue, Edmonds, WA 98026 Tax Account Parcel No. 0044-9900-0001-00 Issued To: Richard Dreistadt, Business Owner of Dominos Pizza Address Of Person This Order Is Issued To: 9695 Firdale Avenue, Edmonds, WA 98026 Code Section Violated:. Edmonds Communily DevelORment Code Ch@Rter 19.00, WAC Amendments to the Uniform Building Code Section 1106.11 and Uniform Building Code -Section 106.3.2. Description of Violation: The business owner made gpplication for a remodeling -I?ennit that was aonroved under building vennit #2003-0144. Upon invection it wwnoted that the vlans were stock plans issued by the Dominos coMorate office and were not tenant gpecific. Barrier free toilet room ifflprovements are Mguired by the State Barrier Free code and were noted on the gRproved plans (such impMvernents have not been made at the site). Corrective Action Required: 1) Resubmit a true and accurate tenant iMprovement plan, and 2) Make Leguired barrier free toilet room improvements. Correction is Required no later than: 5:00pm _(time) April 22, 2003 _(date) If correction is not made by the date and time specified in the Order, a Notice of Civil Violation shall be issued. The Notice of Civil Violation shall assess fines of $100.00 per daL or portion of a day, during which the violation continues. Date Posted: AlLnl 8. 2003 Date Mailed: ALn1 8. 2003 Date Served Issuing Party— Jeannine L. Graf Title Building Official Signature /�AoqxmD — pf a lmumonu!�F VVIM 7OU40 Re: Barrier Free Toilet Room Dear Dreistadt, full compliance to the State Barrier The city is it, receipt of your request for relief from Free Code in the Domino's Pizza toilet room. You have cited structural CMU elements, electrical panel location, cast iron wastepiping etc..that prevent you from full code Hance. comp Given the conditions of the e)dstmg location of the toilet room it is my determination as of Edmonds, that it is structurally infeasible for full barrier Building Official for the City free toilet room code c ompliance. You are however required to meet with the City mutually agree on the Building Inspector on site within 30 days of this letter to ma)dm= extent possible that can be done to be code complaint. Sincerely, ding Official jIleannine Gr City of Edmonds 425.771.0220 p 425.771.0221 f Incorporated August 11, 1890 Sister City - Hekinan, Japan GARY HAAKENSON CITY OF EDMONDS MAYOR 121 5TH AVENUE NORTH EDMONDS. WA 9M 6 (425) 7714= FAX (425) 771-Ml - ma -us WebSfte. wwd.edmonds DEVELOPMENT SERVICES DEPARTMENT Planning Building Enginee(ing C. 89 vi March 24, 2003 Richard Dreistadt Dommo's Pizza 9695 Firdale Avenue Edmonds, Washington 98026 Barrier Free Bathroom Facilities M , Dear Mr. Dreistadt: e se the City in writing As a follow -up to our telephone conversation on March 6, 2003 pleas advi Vhen your alterations will be complete for compl iance to the required'barrier free toilet room For convemenc e, I have included a detail of a complying bathroom. your on file with the City must still be altered to show a true and accurate remo deling Lastly, the plans or all As we now know, the plans YOU originally presented are a 'corporate boilerplate' f plan. are not an accurate representation of your store which is required of all Domino's stores and tenant improvement projects. 'If you have any questions please feel free to contact me at 425 -771-0220 during C ity business hours of 9:00arn to noon and 1:00pm to 4:00pm. Thi s is also our public counter office ho urs for altering the plans. Please respond by April 7, 2003. Sincerely, Jeamiine L. Graf e Official Building Incorporated August 11, 1890 Sister Citv - Hekinan. Jat)an .1.4 C. J 891, CITY OF EDMONDS 121 STH AVENUE NORTH 9 EDMONDS. WA 98020 * (425) 7714= * FAX (425) 771-Mi Webstte: wwdedmondsma.us DEVELOPMENT SERVICES DEPARTMENT Planning 9 Building * Engineering Richard Dreistadt Domino's Pizza 9695 Firdale Avenue Edmonds, Washington 98026 RE: Pre -Treatment of Fats, Oils and Grease Dear Mr. Dreistadt: GARY HAAKENSON MAYOR February 3, 2003 Thank you for the corporate information on FOG residuals for a typical Dominos Pizza store. I have reviewed the materials and your proposal as promised. As you and I discussed over the phone it is our experience that grease traps are not properly cleaned and maintained by most food service businesses thereby creating FOG build-up in City sewer lines. Also, we have discovered undersized units and units that are incorrectly plumbed, therefore resulting in FOG passing too quickly through the trap. Another common problem is food grinders/disposals and dishwashers connected to the trap thereby flushing out the FOG before the trap can be effective. Even when traps are properly sized and installed when not adequately cleaned, significant volumes of FOG pass through the system thereby affecting the City sewer infi-astructure and costing taxpayers. However, at this time the City is willing to allow (for a trial period) continued use of the existing 35 gallon, 70 pound retention grease trap at the subject store with the following conditions: • A compliance plumbing permit shall be obtained (fee $50) to verify the trap location and fixtures that flow through the trap. If prohibited fixtures are connected to the trap a separate plumbing permit shall be required to correct the violation. You have 10 business days to obtain the compliance permit and schedule for inspection (contact Building Inspector Nfike Snook at 425-771-0220 for inspection). • The trap shall be cleaned weekly by your staff; a maintenance schedule shall be posted to attest to this required cleaning. • The trap shall be cleaned quarterly by a professional sanitation company with documentation noted on the maintenance schedule. • The City Pre -Treatment Technician (Tim Yokers, 425-672-5755) shall perform unannounced inspection(s) during normal business hours to verify the condition of the trap and the required record keeping. Violations of the code shall be noted and tracked. • Sink strainers shall be installed on all sinks. • The business shall remain single service, (i.e., all take-out, all food pre -packaged, pizza cooking pans shall not be used only disposable pans, etc.) • Captured FOG shall be kept in lidded storage containers and properly remanded to solid waste disposal or other approved rendering means. Incorporated August 11, 1890 Sir tpr 01hy - HPIcinan Janan I 40 I d. I I It it It I it, Mr. Dreistaut f 1 11 — I I I I 1 1, 1 1 1 .1 1 1 1 Februam 3, 2003 I Page TWO Id I It 1 1 it I It I It I, I to :d I ity wiffing to entertain and ec 'on schedules after your busine s The C s alternate cleaning insp ft 1 4' 4 1 4 itt erait pit, lk.. has proven (over time) that li le or no FOG is gen ed by your busmess. Any such request for It I I L r I I I ttltI ItItt an alternate schedule shall be made in writing to Mr. Yokers who will confirm in Mmuong the new A,�i I L I l I I I I I. I III 1 1. P ,lij -A' I- l i I I I I I I t I�A schedule. I- I I I k t "t tI 4 k I II� It 'I I " '. i to the above noted conditions or, Of i is (liscovered that Lastly, 1 it i your busmiess fails to adhere t. I. IZ. It- i.00; % t, It I � 0. it in 30 days of generatesFOGA excess of the capacity of a grease trap you shall be required within till instal a properly si grease interceptor, written notice or site posting, to I ized 1 0 t I I . 1 4 . . A 1% t I l I I. . r J'.' P I I L I I , I I 1 1; 1 ti; 4.1 1 -Ilk J. t 1 0 - I I It, - A . I . , I I I I j I . I I ell �Il —rittIll I. 1. 1. 1 -0.0, t ... I, �, Tf hav qlnv n1ladinns nleaSe feel free to contact at 425=77lmO220 durina normal Citv I 4A, business hours. 1 61 , :0 . I It I V . �4 1 M 4l't, AA r-I l, a Rp!. t -k I -4 1 0: , l It I ��; I it.y,s 111 0 - - li� I Sincerely, 1'� I I L I L A'. I P I I k I I It ij� I Pit 4 It It I P. Im, I eannine L. Graf l it .:I', V Aofe� A'r 1)0M1n0'3 PIUG InC. 30 Fmnk Lloyd ftht DNe p.0. Box 997 Ann Afbor, MI 4810SO997 Tejep�,one- 313- WE% R161fivrow JAN 2 12003 GREASE TRAPS PERMIT COUNTER Ba"d on the following, a Domino's Pi=2 Store doing the volume of business as indicated,, cleaning surfaces as described and empt \in e ee ying the grew trap tere ptor on a w kly basi would require the installation of a 10 - 20 1b. unit. The amount of residual grease that may find its way into the waste drains can be significantly reduced by insudling a grem trap. A grease trap will sepirate, the, grem from the waw and trap it to allow for removal and discarding, Preventing the grew from entering the drain and sewage system will reduce blockage in the drainagc symn and help protect tic caviro ritnent. Tbe following calculations ptovide a basis to demmine ft,size of gem trap ftt is suitable for your operation and how often it may need to be cleaned out. In some states, liquid grease and oils wages that are removed from a trap may not be placed direc* into the rubbish without Rig converting them to solid wastes. For small quantities of waste, this can easily be accomplished by absorbing the waste into a paper towel before placing it into the trash. Aj,L p ,QUIpNMWF, UTF ,NSILS AND COUNTERS WITH RESIDUAL GREASE OR OILS MUST BE THOROUOHLY WPM WMI A PAPER TOWEL PRIOR TO WASHING- THE RESIDUAL CALCULATIONS BELOW ARE BASED ON TMS PROCEDURE- FAILURF- To THOROUGHLY WIPE AN ITEM MAY RESULT IN GREASE RESIDUAL UP TO 10 TMES' GREATER THAN THOSE INDICATED BELOW. IV USIDUALS Pan Pizza Pans - 3.78 S=s per pan Chicken Wing Pan - 0.5 grams per I chicken wing baked Veggie Tubs - 3 grams per Ulb Pastry Brush - 6 grarns per brush Twisty Bread 1 ra,, - 2 gram per tray Other Sourm - t. 1-k,4t 50 grams per day A store producing aWut 25 Part `izza 'and 3-40 BuffWo (Chicken) Wings per day and wasbing all tubs and brushes at I -.Lst every fiDur bouts. would Of residual oikgrease-wa— siu.,one pound equal� .45-4. grams. Quality Ammoc Depament - . - .. I t I . -1 0 $ I I I I 4 � I I I I I I I I . I � I I I I I I . I . I � � i I kr .r , ; I I� , - - "et II ,I,tor , - . I � I I I I I I . I I. . I I : P I , 1, I I I I %*)� , . It It: I , - T I. . f If I-.'i`..,,II III., - 14I` O, '%-?`Ao r..,] ;. - id,� tit . -. , - I. I � . I I - I .to I I . . I I .� P, . - k i t - t I .. I ; I , I I I I I I 0 0 ( I � I I I I , , . I � I I I I I I I I I 1 I , a I � : 3 t I I I I I � I . I , � , I . � I 1. I,�. . I i I I r . I . I . � N, :i I , , a � ", 11 I I I " I : I � I 4 . 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I I i 9 ; t�- I , L' I & I. I I r 9 I I I .. I . I I . I I L I I 9 L I I !�,, t I L r � I r 9 . I . I . I tIL aI L I I - I I t r I . . ; I 1 9 ,1 I , I 1 9 1 1 1 I ; ;i I I L.I I r L I r r I I I I! t : L 1 9 I I r I I L 9 I . I I ; , � 'L I I I r I I I I I I t , I � , I . L I I r I . I 9 I I I I I I I I _ip I I I 9 I I I I L I. III I, I I* i , � , I . I . I I . i I r � , I. I I r I . I L r I I piott " 11 L I 0 . I I I I I r r 9 I L. ... , I 4 1 1 1 I I I : , I . - l I . I. t . I . t 9 t L I L It I L ' I L I r I . 9 1 1 1 O' I I I I . 4 L l . r ;' ' - I ' r ,, � ; �J 4 4 I I I I I I I - I . t. , � � 'It,p r I , I , d. � Ij . 4 4, I I I I I I , , ; . . r. , i 'r I L 9 9 I , 9 - t , I I .. - t N � t 1. . I . L � I I ! � i � I , I I I � It :, � i I . 41 t , � . 4 , O� . - q % : I I I I I .t I I L 1 4. r 7r I .. ,11 1 9 1 . , � L I I I t I L ; . L 9 I I r I . I I I It I T tIt` t I I I r 1 4 I I 4 r I I I L I I r I. r . I I I I r I I I r r I I . 0 I r I I I L I I . I . r . � I 9 I L I r . I I I r I I I I I r I I I I 9 1 I L I L 4 . i ft; l l I � I t It It L 0 4 I, . I - I , t I I I I I , I . I I fi " f.�,df , � � � � , I - 7 111 I , � L F . I I I 0 I I . r I I t I � r I I I 1 9 I I I I I r I I I I I L I I L jI r I I I t I I . L I I r I t ; I I I �t L I I r L - ' L . r L It, I I I t . I L t I I 9 1 . I 1 9 1 L "'iteeteteett"t..... .iOOttttltttttIO..fftft� 0 . QP DATE RECEIVED [PERMIT EXPIRE! 0,3 PERMIT CITY OF EDMONDS ZONE ?j NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS Set �— A4e- OWNER NAME/NAME OF BUSINESS k., FLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S 9 05 Ave- TESCP AP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FtW perff* =ad SIT" CITY ZIP JTEI�EPHONE EXISTING - PROPOSED ImpeeWn RgQWW Sidewalk Required REQUIRED DEDICATION- FT underwotm wismil required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 13 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME 6V CBLN q ENGINEERING REVIEWED BY DATE ADDRESS 0 FIRE REVIEWED BY DATE CITY 4�TE HONE % c Z_ M. I VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY I REQ'D POSTED IS e*17 13YES 13NO I SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. 3 7 7 tolrz/c/ NEW RESIDENTIAL ADDITION 4, COMMERCIAL REMODEL MULTIFAMILY 0 REPAIR 0 GRADING CYOS DEMOLIS TANK WAGE RETAINING WALL CARPORT ROCKERY (ME OF USE, BUSINESS OR ACTIVTM EXPLAIN: NUMBER OF I ti NUMBER OF I DWELLING WNZT7 IFI kORIES I -DEscrdeE WORK TO BE DONE HE :AT SOURCE GLAZIN COMPLETE EXP EXEMPT L W PR ALLOWED N/A PROYOSED 0 PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) ALLOWED PROPOSED FR IDE REAR PNJ S PROPOSED SETBACKS (Fr.) FRONT LIR SIDE REAR COMPLIANCE OR I CHANGE OF USE 0 SIGN PARKING REOD PROVIDED LOT AREA I Pr VIREVI;EE7D D I 0 FENCE REMARKS X Fn 0 OTHER -No 0 F RE SPRINKLER FIRE ALARM W-4(J65' ?, CHECKED BY J:P4EF ION 79M OCCUPA2NT FOROUP CRITICAL AREAS [NUMBER /1//I+ SPECIAL INSPECTION REQUIR ED 13 YES JAREA Ar OCCUPANT LOAD PER UBC 11061FINAL INSPECTION RECVD ej ift wrw Description FEE Description FEE Plan Check State Surcharge 416V LOT SLOPE % Building Permit City Surcharge ejw VESTED DATE Plumbing A*"Or"C4 _z__j I 1;V&% ___ I Mechanical THIS PERarT AuTHoR=s omy THE WORK NOTED. THIS PERMIT COVERS WORK TO h BE DONE ON PRIVATE PROPERTY ONLM ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALICS, DRfVEWAVS, MARQUEES, ETC.) WILL REQUIRE a SEPARATE PEWISSION. Engr. Review PERMIT APPILICATICK* 180 DAYS PERMIT LIUM I YEAR - PROVIDED WORK IS STAffMD WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT -FOR MORE INFORMATION "APPLICANIT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGFATS FROM ANY AND Fire Inspection Rereipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRL ITLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due wa DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # a I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORAECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC* CALL This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL HE EMPLJOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Oftial or Ws/Mr Deputy: and Fees are paid, and receipt is acknovAedged in space provided. WORKMERS COMPENSAT19*ftURANCE AND RCW 18.27. OF NATURE DATE SIGNATURE (OWNER AGENJ DATE SIGNED IA95) !20 771-02 DATE RE ATTENTION Off 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 YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING