20030792.pdfI
,' DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
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CITY ZIP [TELEPHONE
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ADDRESS
CITY ZIP I TELEPHONE
NAME CBL#
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STATE LICENSE NUMBER TE
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ROPERTY TAX ACCOUNT PARCEL NO.
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WUMBING/MECH
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GARAGE
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FIRE SPRINKLEn
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CARPORT
ROCKERY
FIRE ALARM
OWE OF USE, B40ESS OR ACTWM EXPLAIN: -
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NUMBER 14,lq NUMBER OF CR
OF ELLING AREAS
STORIES ECT. NUMBER
DESCRIBE WORK TO BE DONE
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HEAT SOURCE If LOT 01
CLAS_
PLAN CHECK NO: VESTED DATE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE GONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
DOUAIN (CURBS, SIDEWALKS, DRIVEWAYS, UARQUEES, ETC.) WILL REGUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION; 180DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
SEE BACK OF PIHK 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, EMPLOYEES. AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTI.Y 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 CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
I HEREBY AC DGE HAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
G W
IVEN IS C ECT; AN T I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
T THE OWN . aIAGREE COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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T I CO N; IN DOI E WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED
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IN VI I JJMLABOFRI CODE OF THE STATE OF WASHINGTON RELATING TO
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OWENSAITION INSURANCE AND RCW 18.27.
DATE
L PERMIT EXF IRES,
U E PERMIT
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ADDRESS kc(qk5 M &,?L-r- 2710
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
I LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Apprewed 'a
Ry' Po"" Requ:.
Street U.: Pa. fdll'd
EXISTING PROPOSED inspectionli6quked
Sidewalk R*qulrod
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REQUIRED DEDICATION— FT Wiring required X
METER SIZE LINE SIZE -1 NO. OF FIXTURES PRV REQUIRED
-;77,4- _"' NO 13
114, 15
REMARKS E
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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NGINEERING REVSWED BY DATE
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REMARKS
1 110-11-55 INSPECTIONS PER UBC 1081FINAL INSPECTION RE010
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Description
FEE
Description
FEE
Plan Check
State Surcharge
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Building Permit
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Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscape Insp.
Total Amt. Due
Recording Fee
Receipt N
161
CALL
FOR INSPECTION
771-0220
EXT 1333
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building Otficial or histher Deputy: and Fees are paid, and
receipt Is acknoModged In space provided.
OF MIAIGN DATE
'RELEASED
BY TE
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
04102 PRESS HARD -YOU ARE MAKING 5 COPIES
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CITY OF EDMONDS
121 STH AVENUE NORTH a EDMONDS, WA9WM * (425) 771-= -FAX (425) 771-=1
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning * Building 9 Engineering
April 27, 2004
Timothy and Christina Jenkins
.19918 Maplewood Dr.
Edmonds, WA 98026
Re: Building Permit: 2003-0972
Site Address: 19918 Maplewood Dr.
Expiration Date: October 10, 2004
GARY HAAKENSON
MAYOR
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) detmmnes 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 course 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 fi-om
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
permit. This can be very costly to you and we strongly encourage you to check your
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.
T ' 'Y' A
Y'
-a
enny RePadwin
Permit Coordinator
L\TvM\DST's\Mssta Lettem\SRwwnLtrSFR
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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