20030980.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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PLAN CHECK NO:
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: 160DAYS
PERMrT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICAN7; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND 14OLD 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 SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
EEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
OR 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 CORRECr 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-
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
WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27.
SIGNAIWE (6&_Ejj0& PGVR�7 I DATE SIGNED
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE U
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CER
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02 PRESS HARD -YOU
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METER SIZE
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NO. OF FIXTURES
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771-0220
EXT 1333
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building Official or his/her Deputy: and roes are paid. and
receipt Is acknowledged In space provided.
OFFICIALS SIGNATURE DATE
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RELEASE /B 'I ATE
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CITY OF EDMONDS
121 5TH AVENUE NORTH 9 EDMONDS, WA 98020 - (425) 771 FAX (425) 771-0221
Website: wwadedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning, Building @ Engineering
February 5, 2004
Pat mid Leigh Philbin
7811 N.E. 205'h
Kenmore, WA 98028
Re: Building Permit: 2003-0980
Site Address: 24315 91st Ave. W.
Expiration Date: December 159 2004
GARY HAAKENSON
MAYOR
The purpose of this letter is to infonn you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines 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 from
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.
Imcerely,
ly'
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Rea
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't Coord'
nm oordinator
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Incorporated August 11, 1890 0
Sister City - Hekinan, Japan
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RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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PERMIT EXPIRES 17 IL
CITY OF EDMONDS
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NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT
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sidawark Requirec!
REQUIRED DEDICATION FT 1 underground
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NAME
METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED
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YES13 NO 13
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REMARKS
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THIS P9WIT AUTHORMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
L, BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATIOW IeODAYS-'��
PERMIT UMM I YEAR - PROVIII)ED, WORK IS STARTED "IN 180 DAYS
Engr. Inspection
SEEjIlACK 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 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EOMONDS,WAS INGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
1 1 '
Fire Inspection Recel pt #
ALI. CLAIMS AGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
MM
1ANCE
FRI I C OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL
Ij# NOT BE
DE_ ODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
F . M
Doi Y
Landscape Insp. Total Amt. Due Z_
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee LiRecelpt #
I HEREBY ACKNOWLEDGE 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 Is not a permit until signed by the
TION; AND IN IDOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
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.
WORKMEf* COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
BIG DATE SIGNED
1A
VTA-
13
1 C)3
771-0220
RELEASE7 By /DATE
AWRTION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR�GINA=11.1 yr_,jOW &qpr-cTO'R
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
S
PN ER GOLD -ASSES OR
1\
GREEN - ACCOUNTING
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
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