20040098.pdf9
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[PERMIT EXPIRES
UsE PERMIT
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PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 13
0 15 21 6 76 Street Use Permit Req'd 0
CITY ZIP T�ELEPHONE EXISTING � PROPOSED Inspection Required 13
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wiring required 13
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VALUATION
Description FEE Description FEE
Plan Check State Surcharge
HENr s( GLAZING % LOT SLOPE %
CK NO: VESTED DATE Building Permit City Surcharge
Plumbing Base Fee
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT CON I ERS WORK TO Mechanical
I= BE DONE ON PRIVATE PROPERTY ONLY. A14Y CONSTRUCTION ON THE PUBLIC
2 DOMAIN jCURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
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ILL! PERMIT APPLICATION: 180 DAYS
9L PERMIT LIMIT., 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) APPLICAN1 ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Plan Chk. Deposit
W Fire Review
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_j IN INTERESr, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIREc ny OR INDIREC I LY
FROM THE ISSUANCE OF THIS PERMIE ISSUANCE OF [HIS PERMI1 SHALL NOT BE
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_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMEN I OF ANY CITY ORDINANCE Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I IiAVE READ THIS APPLICATION; THAT TIIE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITI1 CITY AND STATE LAWS REGULATING CONSTRUC I his 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 VIt6LATION 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 IB 27.
IALS SI,GqATURE DATE
SIGNATURE (OWNER OR;r;ENNT�] DATE SIGNED (425) V ,,
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�2- 3-011, 771-0220 RE , LEASED BY Y__
*ATE
ATTEFiTION EXT 1333
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 - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
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T-rX7 f"%C Vn1kAf-'%XTnC GARY HAAKENSON
MATUN
121 5TH AVENUE NORTH - EDMONDS, WA 98020 * (425) 771-0220 - FAX (425) 771-0221
Websile: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
C.
February 17, 2004
Mr. Dan Oliver
01h
15926 7 Avenue West
Edmonds, Washington 98020
RE: Permit to replace water service line
Dear Mr. Oliver:
As a follow-up to my telephone call to your answering machine last week, the City
Engineering Inspector has informed my office that she was unable to confirm a pressure
ed her
reduction valve (PRV) on your water service line the day that she perform
inspection (February 6, 2004). The Edmonds Community Development Code requires an
approved type regulator be installed on all residential occupancies adjacent to the water
shutoff on the interior of the building to reduce water pressure to 80psi or less. This is
required for your safety.
At your earliest convenience, please call for the required inspection by calling 425-771-
0220 extension 1333. If you do not have a PRV valve kindly inform my office as to how
soon you would be able to install one. Please call me at 425-771-0220 extension 1226 if
you have any questions.
Sincerely,
Jeannine L. Graf
Building Official
Incorporated August 11, 1890
Sister Citv - Hekinan. Janan
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FINAL pRoj�fgCT- APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
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A field inspection was conducted to determine rinal compliance with approved plans. Final approval
denotes that there are no objections from the above signed Departme , nt to the release of
the granting of
PERFORMANCE BONDS and
GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
C3 Copy of CONDITIONS given to owner/contractor by inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
(3 Copy of CORRECTION NOTICE given to owner/contractor by inspector.
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RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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SETBACKS .....................
FOUNDATION:
Footing ......................
Wall..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test ....................
Gas Piping .................
Equipment .................
commercial Final .......
EXTERIOR SHEATHING
NAILING..........................
FRAMING ........................
FIRST FLOOR FRAMING ...
INSULATION ...................
Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
INSPECTOR DATE APPROVED
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