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DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PLAT NAME/SUBDIVISION NO. LV6. -7 LID NO.
LID FEE $
TESCP APP"NOd
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required
Street We P#rTnh Reqj
EXISTING -I'- PROPOSED Inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT Undergrmmd
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MET�� LINE SIZE I NO. OF FIXTURES PRV REQUIRED
YES13 NO 13 LE
REMARKS I
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
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11 CITY ZIP I TELEPHONE I
STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY
NEW
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PLAN CHECK NO:— I VESTED DATE
THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY OHLX ANY CONSTRUCTION ON THE PUBLIC
DO&WN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMITAPPLICATION: ISO DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLCiYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT Or
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE E OF THE STATE OF WASHINGTON RELATING TO
WORKMEN��SA!# E AND RCW 18.27.
SIGNJAA
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VALUATION
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Description
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
City Surcharge
Plumbing
Mechanical
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Engr. Review
Engr. Inspection
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Fire Inspection
Receipt 6
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Total Amt. Due
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CALL
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(425)
771-0220
APPLICATION APPROVAL
This appileatioi),"ot a permit until signed by the
Buoft'offlcial 05,hiy4or Deputy: and Foos are paid, And
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
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
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CITY OF EDMONDS
121 STHAVENUE NORTH* EDMONDS.WAgm 0 (425) 771-M *FAX (425) 771-=1
1 . Websfte: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
C. 1 BC)%5 Planning * Building 0 h-1 pill —"w
February 13, 2004
Attn: Richard Albright
826 Olympic Ave
Edmonds, WA 98020
GARY HAAKENSON
MAYOR
Re: Building Permit: 2003-0580 / Fence Permit
Site Address: 826 Olympic Ave
Expiration Date: 2/4/04
Dear Richard Albright:
According to City of Edmonds Building Division records, the above referenced building
permit expired on 2/4/04 without obtaining the required fmal inspections- Final
inspections are required pursuant to Uniform Building Code Section 108 and include both
Engineering and Building Division Inspections. Since the permit has expired YOU Must
obtain a new permit and Pay permit fees of $65.00 in order to complete the work and call
for your required final inspection(s).
Tf City records are incorrect and the job card indicates final inspection approval, please
provide a copy of the job card for City Records. If your records concur that no final
inspections have been grant4 you must fffl out a new permit application and remit
fees on or before February 27, 2004. Failure to respond shall result in this matter being
turned over to Code Enforcement for resolution and possible legal action.
if you have any questions please feel free to call our offices at 425-771-0220.
Sincerely,
Theresa Umbaugh
Permit Coordinator
L\Temps\DST1sWwter Lettm\Expired Prmitdoc 7/01
0 Incorporated August 11, 1890
Sister City - Hekinan, Japan
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CONSTRUCTION -PERMIT APPLICATION
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EXISTING PROPOSED inspection Required
Sitlewalk Required
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REQUIRED DEDICATION- FT
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YES 13 NO 13
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REMARKS
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STATE LJCENSE NUMBER EXPIRATION DATE ECKED BY
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CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT
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NUMBER-. N6MBER OF' RITICAL
OF DWELLING REAS
SPECIAL INSPECTION JAREA PANT
STORIES UNITS NUMBE�
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Description FEE Description 'FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit Ity Surcharge
PLAN CHECK iJO: VESTED DATE
Plumbing
Mechanical
THis Pmurr AuTHonme ONLY TH1[ WORK NO'TED. THIS PERMIT COVERS WORK TO
I= . BE DOME ON PRIVATE PR0130M ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MMUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEM B= OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE C17Y OF
EDMONDS. WASHINOTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
FIre Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT $HALL NOT BE
Landscape Insp. Total Amt. Due
DEEMED TO MODIFY, 'WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMKi ION
APPLICATION A
GIVEN IS COARE" 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 15 'a OZ� until signed by the
Up
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Bu' 'w . wd Fee* are paid, and
IN VIOLATION OF THE LA40R CQPE OF THE STATE OF WASHINGTON RELATING TO
F 1pI1sfck)oVdgedIn5p&ceprovIded.
FOR INSPECTION rl�g
WORXMEN`�.�ENSATRI�41�"CE AND RCW 18.27.
OFF�IJ SIGN R"_
A
DATE#1IGN)ED
FBIGNA
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771-0220
RZELEr BY" DkAE
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ATTENTION
imvir 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;
04/02 GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKING,5 COPIES