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T"r-L AeOMIAL I I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
M-7-7-77-7-77
OWNER NAMEINAME OF BUSINEssp/i/e777.7
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PLAT NAMEISUBDIVISION NO,
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP ApWoved
RW Permit Required
EXISTING --- PROPOSED
street Uge Permit Req'd
Inspection Required
Sidewalk Required
REQUIRED DEDICATION — FT
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METER SIZE
LINE SIZE
NO. OF FIXTURES
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(TYPE OF USE. BUSINESS OR rMY) EXPLAIN:
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NUMBER OF
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UNITS
DESCRIBE WORK TO BE DONE
HEAT SOURCE GLAZING % LOT SLOPE %
PLAN CHECK NO: 1A -7 .2,,�-i VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
E DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
OMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 160DAYS
PERMIT LlMrP 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, EMPLOYEES. 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 $HALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS 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 OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRLIC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LWa.VODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S CQMPENS6M*^RANCE AND RCW 18.27.
DATE SIG)ED /47
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DRnr.A E-AbS INSPECTIONS PER USC I 061FINAL INSPECTION REG-0
Description
Plan Check
Building permit
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Plumbing
Mechanical
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Engr. Review
Engr. Inspection
Fire Review
[F�ire Inspection
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LandscapeInsp.
Recording Fee
FEE Description
7 .0
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City Surcharge_
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CALL
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(A0
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771-0220
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PlanChk.Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
Building Official or his/tAr Deputy; and Fees are paid, and
receipt Is acknowledged in space provided.
1XIMAI 9f.911hNATUIV) - DATE
ATTENTION i M 1333
IT IS UNLAWFUL TO C A, A, ZOR STRUCTURE IJNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
BY f NMI lz
ORIGINAL -FILE YELLOW . INSPEc7b
PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
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DEPARTMENT OF BUILDINGS
PER UNIFORM BUILDING CODE SECTION 109
At: 23830 Hiahway 9 # 121, Edmonds WA Building Permit #2003-0038
Occupancy established by this certificate: Dwelling Units: N/A No. Stories: 1
B Type Construction: V-N Basement: NIA
Maximum Occupant Load. ***50!*� tPer U.B.C. 1002)
Room capacity signs, whin- reFu-IR;W, must remain posted at all times.
Owner of Building: Minh Nguyen Address: :2,3830 Hjjhway 99 #121
THE Pho-Dag, Restaurapj -HAS BEEN INSPECTED AND APPROVED As COMPLYING WITH THE REQUIREMENTS OF THE 1997
Edition of the UNIFORM BUILDING CODE AS ADOPTED BY THE CITY FOR THE GROUP AND DIVISION OF OCCUPANCY AND THE USE FOR
WHICH THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this Fogrteenth day of January 2004
CHIEF BUILDING OFFICIAL
BY: r4A�!!
1W9 ceffleateshall be posted Ina consplaxxo public area and sUl not be removed. mutitated orch-cu-4 r4ln nod In legit9a condition at all times. Any change of occupancy or use requires a building perrwt and a now
Certificate of Occupancy Issued by ft CJty of Edmonds Building Official.
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FINAL PROJECT APPROVAL FORM
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Property Tax Account Parcel No. �2/�A�2 9 42�2 Z020
Attach copies of all access and utility easements Verified and Approved
owner and/or Contractor: J?o To
OZ 7
10
oTo Building Permit iffeom-g — g s3-T:r—
Contractor 1 Icense
1/7
0 Single.family ,tnV-hsion into City *Right -of Way: 0 . Yes GeNo.
O'Multi-Family (No. otUnits *RW Construction Permit
ommercial (No. of Units,,&�) cross other "Private Property: Yes gNo
"Attach legal desciiption and copy of recorded easement.
Cj Public
14 -
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Owner o(contractor signature and acknowledgement statement: Date
ity' s public handout entitled
By signing for. this permit I certify that I have read the C!
fications, and shall comply with all City requir6ents outlined therein.
AWide Sewer Speci
9 CALL DIAL -A -DIG (1-800-429-5555) BEFORE ANY EXCAVATION
FOR INSPECTION CALL 42.5-771-0220 extension
TION REQUESTS
24 IROUR NOTICE REQUIRED FOR ALL INSPE!g
%_7 F L-MVIN I NVOW %v 6 a-ro—
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USE PERMIT
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CITY OF EDMONDS T NUMBER CVJ�
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CONSTRUCTION PERMIT APPLICATION ADDRESS 0
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OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
f.ql MAILING ADDRESS LID FEE S
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NAME
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Ar-- 12-1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RVI Pennit RoWired
Street Use Permit RWd
TELEPHONE EXISTING �L PROPOSED Inspection Retluirad
Sidawatit RequM
REQUIRED DEDICATION � Fr Undertywo
METER SIZE LINE SIZE I NO. OF FIXTURE PRV REQUIRED
YES 13 NO
REMARKS
OWNER/CON ACTOR RESPONSIBLE FOR EROSION CON OLIDRAINAGE
ZIP TELEPHONE (D
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STATE LICENSE NUMBER
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NUMBER OF 7
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NUMBER
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REMARKS
PROGR . ESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
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Deacription
FEE Descriptloni FEE
PIP n Check
State Surch arge
HEAT.SourCE
Building Permit
City Surcharge
PLAN CHECK NO:
VESTED DATE
Plumbing
.
Mechanical
THIS PERMfT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO
BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS,,,SIDEWALKS, DRINWAYS, MAMUEES, ETC.) WILL RECQIUIRE
SEPARATE PERMISSION.
Engr. Review
PERMITAPPIUICATIOft .180 DAYS
PZRVIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
E qr...Inspection
is
SEE BACK OF PINK PERMIT FOR MORE INFOWATION
'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
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire In'spec.tion
-Receipt #
7YXI
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECRY OR INDIRECTLY
I-
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT S E
Landscapoinsp.:
T&AI Amt Due
ell
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
U ,)II.
NOR LIMIT IN ANY WAY THEcnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee
Receipt q
I HEREBY ACKNOW! EDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN 18 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 13 ricot a permit until signed by the
TION; AND 114 DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Officiall or Nsftw Deputy: and Fees are paid, apd
IN VIOLATION OF THE LN99kPODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKME 8 COMPENr AND RCW 10,27.
- _2!29YRANCE
OFVFIL bNATL DATE
RE E
DATE SIGNED
1A0
%425)
VM4
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771-0220
REifEAhED BY E
ATTENTION K fjOkYq
L4WCfUVA MI
Off 1333
IT IS UNLAWFUL 1 0 0 OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW INSPEc-r6R
CAfE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02
PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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