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Grading
DOMAIN (CURBS, SIDEWALKS, ORNMAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT
APPUCATION: ISODAYS
ERMIT 1.11111ir I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS FireReview Plan Chk, Deposit 4 '3
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IN INTEREST, AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF
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 #
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 APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL
Building Official 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.
WORKMEN'S COMPENSATION INSURANCE AND RCW 10.27.
SIGNATURE ( NER 0 DATE SIGNED 'A'35) 'WItItSIGN DATE
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771-0220
DATE
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CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
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DEPARTMENT OF BUILDINGS
PkR UNIFORM BUILDING CODE SECTION 109,
7320 21 eh Street SW Suite 2iO. Edmonds, WA 98026 Building Perm t #: #2003-0926
Occupancy established by this certificate: Dwelling Units: **N/A!* No. Stories, 3
B Typq_Cqnstruction: 11-1hr. Sprink Basement: No
Maximum Occupant Load
u (Per..U.B.C. 1002)
Rooth,' capacity signs, W Wtemain posted at afl1lives.
Owner of Building: Toutsch Partners, LU dtbss. T -§eift-WA�1§121
T E Dr. Kim Op 4
H thalmalogy HAS BM"INSPEC-TED ND� -POd"VE -d PLYINONVIA THE REQUIREMENTS OF THE 1997 EDnnON
OF THE UNIFORM BUILDING CODE AS ADOPft'I;�'8'V-'-'.':-THE 1 0' IV
1*1"ki UP AND Q ISION OF OCCUPANCY AND THE USE FOR WHICH
THE PROPOSED OCCUPANCY IS CLASSIFIED.
Issued this 7t6 day-6 I t_"nLaM 2004
CHIEF"gi.1iLbINd OFFICIAL
BY:
This certificate shall be posted In a conspicuous public area and shall not be removed, mutilated or obscured and shall be maintained In legible condition at all times. Any change of occupancy or use requires a building permit and a new
Certificate of Occupancy Issued by the City of Edmonds Building Official.
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ADDRESS
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MAILING MDRESS
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ADDITION
COMPLIANCE OR
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ROCKERY FIRE ALARM
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OF74�
CHECKE CODE OCCUPANT
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GROUP
.NUMBER
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Pt, WC kkSS INSPECTIONS PER UBC�108/FINAL INSPECTION REa?j
Description FEE Description %E�
1�1,aq Check ate Surcharge
5". 1 , - I
HEAT SOURCE GLA2fRG %I I I LOT SLOPE % V
Building Permit City Surcharge
PLAN CH19CK NO* VESTED DATE Plumbing 5!V1W, 7-,e
I
THIS PERMIT AUTHOR IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
2
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REOUIRE
GEPARATE!R!!RWO�
% - W -1
rlf�l Review
PERMITAPPLICATION: ISO DAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS
Fire Review
;57)
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 Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
Total Amt. Due
I
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."
Receipt #
Recording Fee
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROV
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPIY 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
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO_
FOR INSPECTION
Building Official or Warner Deputy: and Fees we paid, and
receipt Is acknovAodged In space provided.
WORKMENG COMPENSATION INSURANCE AND RCW 15.27.
OFF0 IGN DATE
SIGNATURE (OWNER 0 RA"
DATE SIGNED .
1A0
%-125)
n
I D 0
771-0220
A
knONTIOM
EXT 1333
REL SED BY DATE
1-4.1 K I A
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I —_14/4Z&ZaZ(4&44U 44444
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW. IA�ZCTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR
04/02 GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKING 5 COPIES