20040145.pdfDATE RECEI
PERMIT EXPIRES
USE PERMIT
CITY OF EDMONDS ZONE NUMBER
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JOB suiTE/AP I ff
CONSTRUCTION PERMIT APPLICATION ADDRESS 8707 236th St SW
OWNER NAME/NAME OF BUSINESS
Russ Fritz PLAT NAMEISUBDIVISION NO LID NO�
cc MAILING ADDRESS LID FEE S
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3: 8707 236th St SW PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP fjW Pairnit Fl6quired [3
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CITY ZIP TEI. PHONE EXISTING - PROPOSED sidewalk Horitrited El
Edmonds 98026 425-778-3374 REQUIRE[) DEDICATION- FT Undorg,ound
Wiring required E3
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NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES NO
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CITY ZIP TELEPHONE A
NAME CBL#
Fast Water Heater ENGINEERING REVIEWED BY DATE
ADDRESS
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12601 132 Ave NE
F11 EVIE E DATE uj
CITY ZIP TELEPHONE
0 Obtain E.Jectrical Permit froz'i.x M
L) Kirkland 98( 425-814-3124 MMMIUMPNECTION BOND
STATE LICENSE NUMBER EXF REO'D POSTED
)IRATION DATE CHECKED BY Vt!_1!!!
FASTWHC052DF L�W_--
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PROPERTY TAX ACCOUNT PARCEL NO. CCWrn-Tr---MMPT PROPOSED
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COMPLIANCE OR E
ADDITION COMMERCIAL CHANGE OF USE r-aDC 19.30.020 (C) z
DATE
REMODEL MULTIFAMILY SIGN REQ F7A ING D BY IL
GRADING FENCE
REPAIR CYDS x FF) -REMARKS
OTHER
DEMOLISH TANK
o GARAGE RETAINING WALL FIRE SPRINKLER
z CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS De&V TY) EXOUIN: CHECKED BY ITYPE OF OCCUPANI)
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ui NUMBERA,, .4 MBER OF CRITICAL
a 9U14 SPECIAL INSPECTION JAREA OCCUPANT
M OF WELLING AREAS
ci STORIES UNITS NUMBER REQUIRED LOAD
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REmove/replace gas water heater in REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D
CF A -r;; ge 40111000 btu's
da-S P VALUATION
Description FEE Description FEE
Plan Check State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVA71 L PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
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EL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR IL40RE INFORMATION
V) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
U)
uj THE CITY OF
_j IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt It
ALI. CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIREC11YORINDIHECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF I HIS PERMIT SHALL NOT 13E
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
xi Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL
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 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 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 18 27. NFFI(;f4I_S SIGI�IATURP/
SIGNATURE (0 ER OR EN DATE SIGNED (425)
771 -0220--
A CEASIED BY VDATE
ATTENTION EX 1 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
09iO3 PRESS HARD -YOU ARE MAKING 4 COPIES
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IN
RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
S E T B A C K S' .......
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Footing ......................
Wall..........................
Pier/Porch .................
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R&tA!
..'Slab Insulation .........
PLUMBING:
Underground .............
Rough -In ..................
Com(neiplal'Firial . .....
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 ..................
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