20030304.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEtNAME OF BUSINESS
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TESC Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street Use permit Req'd
EXISTING � PROPOSED inspection Required
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REQUIRED DEDICATION— FT Whingrequired 13
METE I SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 13
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YES[3 NO
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAW
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Description FEE
Plan Check
HEAT SOURCE GLAzING % L T SLOPE% Building Permit
VESTVD DAIE plumbing
F�CHECK NO: Mechanical
THIS PERMIT AUTHORIZES ONLV THE WORK NOTED. THIS PERMIT COVERS WORK To
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS- MARQUEES. ETC-) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMIT ApPUCATION: ISO DAYS
01f IS STARTED WITHIN 180 DAYS Engr. Inspection
Description FEE
Sta:te:Surcharg
City Surcharge
PERMIT UMM I YEAR - PROVILILVIR 0--
SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review 62 Plan Chk. Deposit C1_1
APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
;N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF nspection Receipt U145
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Ii
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Total Amt. Due 6Z
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp.
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT . OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PR - OVISION-* 9'Fee Receipt #
ft THAT THE INFORMATION APPLICATION KPPRWAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIC
GIVEN IS CORRECT: AND THAT I AM THE OWNER. OR THE DU& AUTHORIZED AGENT OF This application Is not a permit until signed by the
THE: OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building official or his/her Deputy: and Fees are paid, and
AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED receipt Is acknowiadged in space provided.
TION; AND IN DOING THE W ING TO FOR INSPECTION
IN 'VIOLATION OF THE OR E OF THE STATE OF WASHINGTON RELAT OFFICIAL NATU E AT
WORKMENS COMPEN CE AND RCW 18.27.
SIGNATURE (OVIN AGENT) DATE SIGNED (425)
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S UNLAWFUL TO USE R ccUPY A BUILDING OR STRUCTURE UNTIL ORIGIN FILE YELLOW - INSPECTOR
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CATE OF OCCUPANCY S B EN GRANTED. UBC SECTION 109 COPIES GREEN - ACCOUNTING
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MICROFILM
Synergis
Systems
'14
the future of access control
Systems
response to Plan Review Comments:
Synergis Systems is a manufacturer of hardware and software for
the access control
industry. Manufacturing is limited to final assembly of printed circuit
ar
bo ds
completed elsewhere into sheet metal enclosures.
R
d developing of
or counting an
Stored in the warehouse are electronic components f
for circuit board assembly. These kits are sent to another business for
manufacturing and returned as completed assemblies.
stored are sheet metal assemblies to complete our product line for shipping to
,id users.
riaterial other than paper or shipping boxes is non-combustible. There is no
paint , or any type of combustible material stored or used for processes in
19use space.
I
under proposed office space addition is final assembly and shipping of
dware and software for the access control industry. .5-Z_
RECejvj�:r>
MAR 3 1 20U3
PERMIT COUNTER
170 West Dayton,# 1 06A
Edmonds, WA 98020
voice: (425) 774-8717
fax: (425) 774-8736
toll free: (866) 479-6797
www.synergissystems.com
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