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Fire Review
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ALLCLAIMSFORDANAGESOFWHA7EVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE 0 THIS PERMIT ISSUANCE OF THIS PERNII SHALL NOT BE
DEEMED TO MODIFY. WAIVE R REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE
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OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENI NICE ANY ORDINANCE PROVISION.-
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I HEREBY ACKNOWLEDGE 71 READ THIS APPLICATION; THAT Th INFORMATION
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THE OWNER. I AGREE To Co PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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PLANNING DIVISION DATE 31131��
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DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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-PLANNING DIVISION DATE
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PERMIT #__kV k-6093 ADB ATE INSPECTED
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with -approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORNIANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
El Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of CORRECTION NOTICE given to owner/contractor by inpector
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Date Signature
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M
ITY OF EDMONDS
121 STH AVENUE NORTH EDMONDS,WA98020 - (425) 771-0220 FAX (425) 771-0221
Website: -dedmonds.waus
DEVELOPMENT SERVICES DEPARTMENT
Building Engineering
B913 Planning
October 14, 2005
GARY HAAKENSON
MAYOR
Frontier Bank
Norman Culbert
12507 116'b Avenue NE
Kirkland, WA 998034
Re: Restoration Frozen Fund Account #3169463274, Single Family Residence at
15917 74"' Place W, Edmonds WA
Dear Sir or Madam:
The City ofEdmonds hereby authorizes the release of$50,000 from the above referenced
Restoration Frozen Fund. All interested City departments have approved the release of
the Restoration Frozen Fund.
Sincerely,
t �7/
ane Harrison
Senior Permit Coordinator
Cc: Applicant
File
L/Temp/DST'siMasterUtmm/ReleasePerfor=nceO2lOI
Incorporated August 11, 1890
Sister City - Hekinan, Japan
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