20030800.pdfI
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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EXISTING — PROPOSED
inspection Required
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REQUIRED DEDICATION— FT
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NO. OF FIXTURES
PRV REQUIRED
YES 13 NO 13 z
REMARKS
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REMARKS
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CARPORT ROCKERY FIRE ALARM
UWE OF USE, BUSINE ACTIVITY) EXPLAIN:
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CHECKED BY OF CONSTRUCTION OCCUPANT. -
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NUMBER NUMBER OF CRITICAL
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SPECIAL INSPECTION AREA OCCUPANT
STORI ES UNITS NUMBER 42
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REMARKS
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Description FEE Descirlption FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECM VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPILICATION: 160 DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPUCANI; 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 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
Landscapelnsp. Total Amt. Due
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt # C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN 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-
I&k-4-TION;
This application Is not a permit until signed by the
CALL
AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
\\ I IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
OFFI IALS GNATURE DATE
FFICIALS GNATURE
SIG:N]�U (OWNE;�� DATE SENED
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771-0220 XRD
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ATTENTION
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ORIGINAL - FILE YELLOW - INSPECI'OR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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DEVELOPMENT SERVICES CTR.
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CITY OF EDMONDS'
SUN/FUN NORTHWEST, INC.
Swimming Pools & Pool Stmctums
P.O. Box 1333 Bothell WA 98041
(425) 885-9697
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE —
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NUMBER NUMBER OF CRITICAL
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DESCRIBE WORK TO BE DONE
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REMARKS D 12
PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION RECI` 13
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Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING
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PLAN CHEC:n VESTED DATE Plumbing,
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TO
THIS PERMIT AuTHORMES ONIY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY OHLX AM CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS. SIDEWAEP, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE Grading
3 SCIPARATE PERMISSION.
Engr. Review
PERMWAPPLICATIOW. 180 BAYS
PERUff UMM I YEAR - PROVIDED WORK 15 STAITTED WITHIN 180 DAYS on
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
So
'APPLICAW, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESCIRS -
Fire Review
Plan Chk. Deposit
' Y 0 F
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD SS THE CITY OF
W AN o
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND= FROM ANY AND
Fire Inspection
Receipt #
Y
'R E n
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARIISING DIRECTLY OR INDIRECTLY
No BE
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
I ANCE
DEEMED TO MODIFY, WAIVE daREDUCE ANY REQUIREMENT OF ANY CITY OR13INANCE
Landscapelnsp.
Total Amt. Due
ISIOrj.
NOR LRAIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION..
Recording Fee
Receipt N
3MATION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
3ENT OF
GIVEN 18 CORRE" AND THAT I AM THE OWNER, OR THE DLILY AUTHORIZED AGENT OF
STRUC
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
This application Is not a permit until signed by the
P .. YE
,NJ
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
TING To
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Building Official or his/her Deputy: and Foos are paid, and
receipt 13 acknovAefted in space provided.
WORKMEN$ COMPENSATION_!�S4RANDE AND RCW 18,27.
OFFICIALS IlIGNATURE DATE
BIG (OWNER
IDATE
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771-02201
R 0 BY
ATTEWION
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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-
ORIGINAL - FILE - YEHOW-INSPEC�.OR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSO
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04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
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