20030441.pdfPERMIT EXPIRES
DATE RECEIVED
CITY OF EDMONDS
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Description
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Description
FEE
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Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
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SEPARATE PERMISSION.
Engr. Review
PERMIT APPUCATION: 180 DAYS
91. PERMIT UMn! I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMXfION
-APPLICANT. 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
a EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRFCTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CI1Y8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
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Recording Fee Receipt#:��
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
IVEN IS CORRECT, 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 BE EMPLOYED
Building Official or histher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEtyT0VIg11aFt4SATION INSURANCE AND RLW 111.27.
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OFFICIALS SIGNATURE DATE
SIGNATU E WNER R AGENT) DATE SICV4ED,-
(4-25) 6001—/ 3__1 >
771-0220 C
EL BY DATE,
ATTE1jYION
M 1333 A A Ilio'AA
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 4 1 !A
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSP�ECTOK
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
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CITY OF EDMONDS
121 STH AVENUE NORTH* EDMONDS, WA9M 0 (425) 771.= *FAX (425) 771-Ml
Website: wwwdedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning e Building e Engineering
October 30, 2003
Attn: James Keith
22515 95th PL W
Edmonds, WA 98020
Building Permit: 2003-0441
Site Address: 22515 95th PL W
Expiration Date:
GARY HAAKENSON
MAYOR
Dear James Keith:
The purpose of this letter is to inform you that the last remamimig inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
The City considers the final inspection to be one of the most important inspections
conducted on a project. In order to grant final approval the following must be complete:
smoke detectors, house numbers, guardrails, handrails, self -close doors between garage
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of cours e not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one year from
the date of issuance. if you will need more time to complete the work, permits can be
renewed prior to expiration for one half fees. If the permit expires without a final
approval granted by the Building Inspector, full fees are required in order to renew the
costly to you and we strongly encourage you to check your
permit. This can be very
permit expiration date and call for the required final inspection(s). Note: if more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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NAME METER SIZE LINE STZE� NO. OF FIXTURES PAV REQUIRED
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Description
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-APPLICANI; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESCIRS Fire Review Plan Chk. Deposfta,260.
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection fReceipt #
ALL CLAIMS FOR DAM&GES OF WHATEVER NATURE, ARtSING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OFTHIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt #
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GWEN IS CORRECT: AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
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 BE EMPLOYED Building oMcW or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEVTDOMM�UTION INSURANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE
I DATE SI ED
I SIGNATUk"WNER 5� AGENT) (425)
nq) 771-0220 DATE
AIEL�AWBY
ATTEI�tION -->a J. 03 M 11.33
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GREEN - ACCOUNTING
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