20050416.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
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USE PERMIT
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ADDRESS
PLAT NAME/SUBDIVISION NO. LOT NO, LID NO.
LID FEE $
TESCIP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Permit ROC11100d
Street Use Permit Roq'd
EXISTING PROPOSED Inspection nequirad
Sidewalk Required
REQUIRED DEDICA1 ION Fr underground
Wiring required
METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
I I 1-_� YES 0 NO 0
REMARKS
OWNEWCONTRACIOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
FIRE REVIEWED BY
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DATE UJI
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LZL(-�-_ —cJ U !=& VARIANCE OR CU SH RELINE OR ADBN INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE HECKED BY REO'D POSTED
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SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO, COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
1:1 NEW
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RESIDENTIAL
&�kADDITION
COMMERCIAL
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MULTIFAMILY
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RETAINING WALL
CARPORT
ROCKERY
[TYPE OF USE, BUSIN5S5
OR ACTIV17 0 EXPLAR7
NUMBER
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STORIES
UNITS
DESCRIBE WOFIK TO BE
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EXP
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
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COMPLIANCE OR
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OCCUPANT
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SPECIAL INSPE :CTION
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REMARKS
PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REG-D
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VALUATION
Description
Plan Check
LOT,��qPfq& Building Permit
1 1-40
VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
2
:I DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT'l YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Grading
Engr. Review
Engr. Inspection
Fire, Review
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF IHIS PERMIT SHALL NOT HE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY ciry ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Fire Inspection
Landscapelnsp.
Recording Fee
CALL
FOR INSPECTIO
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
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 COMP:=��RANCE AND RCW 18.27.
(425)
SIGNATURE (OWNER 0
DATE SIGNED
771-0220
FEE Description FEE
9 - I . 27
State Surcharge
City Surcharge
Base Fee
Plan Chk. Deposit
�Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVALt/4;�,b�
This application is not a permit until Signed hy %
Building Official or his/tier Deputy: and Fear, are paid, and
receipt is acknowledged in space pi -)vidod.
PF I ALS SIG f� TURE DATE
� a (V i I.e" -�3 h
A17ENTION I=xI
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL-1,F,I)E YELLOW INS
PINK -OWNER GOLD -ASSESSOR
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annual basis be reviewed. They had interviewed the local architects and determined
to recommend Mr. LaFon. Councilmember Nordquist asked the City Attorney if there is
any conflict as this person is the Chairman of a City board. Mr. Tanaka responded
that there is not, in of itself, but there may be some future meetings in which he
could not participate. The two contracts totaled $14,700. COUNCILMEMBER NORDQUIST
MOT.1 ON:
MOVED, SECONDED BY COUNCILMEMBER GOULD, TO APPROVE ITEM (K) ON THE CONSENT AGENDA.
MOTION CARRIED.
APPROVAL OF MERIT ADJUSTMENT FOR PARKS AND RECREATION DIRECTOR
LItem W on Consent AgendaJ
Councilmember Jaech said there are some other items which are being held for budget
action and possible reorganization. and she asked if this should be added to that
group. Councilmember Gould said he would like to do that, adding this to the,actions
regarding the Planning Director and the Personnel Director. He added that he has
prepared proposed guidelines for organizational change which he will.submit, and he
MOTION:
thought it would be better to do it all at one time. COUNCILMEMBER KASPER MOVED.
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SECONDED BY COUNCILMEMBER JAECH, TO DEFER THIS ITEM AS STATED ABOVE. MOTION CARRIED.
DECLARATION OF VACANT COUNCIL POSITION
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Councilmember Gould read aloud the announcement published by the City Clerk inviting
submission of resumes from qualified persons who desire to be appointed to the vacant
MOTION:
Council Position. All resumes must be filed with the City Clerk no later than 5:00 p.m.,
Thursday, December
0) -4
15, 1983. COUNCILMEMBER GOULD MOVED, SECONDED BY COUNCILMEMBER
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JAECH, THAT THE.COUNCIL DECLARE A VACANCY FOR THE POSITION OF EDMONDS CITY COUNCIL
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AND SCHEDULE FOR RESUMES TO BE RECEIVED BY THE CITY CLERK NO LATER THAN 5:00 P.M.
0
DECEMBER 15, 1983, WITH INTERVIEWS OF THE CANDIDATES BEING HELD ON DECEMBER 17, li83,
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AND APPOINTMENT WILL BE CONSIDERED BEFORE THE CITY COUNCIL AT THE MEETING OF DECEMBER 20,
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1983. MOTION CARRIED. Resumes must be notarized and a Notary Public -is available 1
in
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the City Clerk's office. Councilmember Nordquist noted that there obviously will be
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another vacancy after the first of the year and he said it is his intent that resumes
received at this time will be considered only for the current vacancy and will not be
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held over for -the next vacancy, but those people can apply again at that time. There
was general agreement from the Council.
HEARING (CONTINUED FROM NOVEMBER 7) ON APPEAL FROM ADB APPROVAL OF MODIFICATION TO
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EXISTING FREESTANDING SIGN FOR DRIVE-IN RESTAURANT AT 7530 212TH ST. S.W.
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(APPELLANT: DWYER)
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Planning Di'rector Mary Lou Block explained that Lyle Olmsted, the applicant, had
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applied to the ADB:for approval of his existing sign and the ADB had denied that
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application. He then reapplied for modified signs which the ADB did appr ove. but
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that approval was.appealed by.Joe Dwyer. Two letters were provi ded to the Council.
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which had recently been received. One was from Mr. Olmsted, dated November 28, 1083,
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stating he wished to withdraw the application for the modified signs as he had made
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the proposal without consulting the franchisor (Dairy Queen) and subsequently'.was
-told that the franchisor did not want the readerboard removed, which.was part of the
modification Mr ' Olmsted had proposed. The other letter, dated November 30. 1983.
was from Arthur L. Hayes, President of Dairy Queen Stores, Inc., located in Bellevue,
Washington, which stated that Mr. Olmsted had no authority to commit to altering the
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existing sign package, and that any permanent action to alter their signage for this
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unit will place Mr. Olmsted's franchise in Jeopardy. Councilmember Gould observed
that Mr. Hayes does not want his tenant, Mr. Olmsted, to negotiate with the ADB but
the Council does not know what Mr. Hayes wants to negotiate. He thought perhaps Mr.
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Hayes should start again with an application, which would make the appeal moot. City
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Attorney Wayne Tanaka said Mr..Olmsted made the original app Ication and now he wants
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that withdrawn, so there is no application Pending before the City. Therefore, there
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is no issue and no appeal.
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HEARING ON 10-LOT PRELIMINARY SUBDIVISION AT 18123 80TH AVE. W. (P-8-83/EDMONDS
DEVELOPMENT*COMPANY)
Hearings on this proposed subdivision'were held before the Hearing Examiner on October 6,
.1983 and October 20, 1983. The Hearing Examiner recommended approval, subject to
certain conditions. Ms. Block read the conclusions of the Hearing Examiner which are
on.record in his report. His recommendation was as follows: All engineering require-
ments are to be met. It is noted that the exte nsion of the water main from 184th St.
to the subject property along 80th Ave. W. is a substantial improvement, and the
applicant should negotiate with the City of Edmonds on the extension of this water
.main
in a manner that is acceptable to both parties. However, if the applicant and
the City are unable to
reach an agreement with regard to the extension of the water MICROFILM
main, the applicant will be required to extend the water main from 184th St. to the
subject property. Setback adjustments will be: Lot 1: No setback adjustment; Lots
2'and 3: The required 25' rear setback should be reduced to a 20',rear setback; Lot
EDMONDS CITY COUNCIL MINUTES
Page 3 December 6. 1983
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annual basis be reviewed. They had interviewed the local architects and determined
to recommend Mr. LaFon. Councilmember Nordquist asked the City -Attorney if there is
any conflict as this person is the Chairman of a City board. Mr. Tanaka responded
that there is not, in of itself. but there may be some future meetings in which he
could not participate. The two contracts totaled $14,700. COUNCILMEMBER NORDQUIST
MOTION: MOVED, SECONDED BY COUNCILMEMBER GOULD, TO APPROVE ITEM (K) ON THE CONSENT AGENDA.
MOTION CARRIED.
APPROVAL OF MERIT ADJUSTMENT FOR PARKS AND RECREATION DIRECTOR
LItem (L) on Consent AgendaJ
Councilmember Jaech said there are some other items which are being held for budget
action and possible reorganization, and she asked if this should be added to that
group. Councilmember Gould said he would like to do that, adding thisto the actions
regarding the Planning Director and the Personnel Director. He added that he has
prepared proposed guidelines for organizational change which he will submit, and he
Z
MOTION: thought it would-be better to do it all at one time. COUNCILMEMBER KASPER MOVED,
0
SECONDED BY COUNCILMEMBER JAECH, TO DEFER THIS ITEM AS STATED ABOVE. MOTION CARRIED.
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DECLARATION OF VACANT COUNCIL POSITION
M
Councilmember Gould read aloud the announcement published by the City Clerk inviting
submission of resumes from qualified persons who desire to be appointed to the.vacant
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Council position. All resumes must be filed with the City Clerk no later than 5:00 p.m.,
MOTION: Thursday, December 15, 1983. COUNCILMEMBER GOULD MOVED, SECONDED BY COUNCILMEMBER
C. M
JAECH, THAT THE COUNCIL DECLARE A VACANCY FOR THE POSITION OF EDMONDS CITY COUNCIL
M 0
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AND SCHEDULE FOR RESUMES TO BE RECEIVED -BY THE CITY CLERK NO LATER THAN 5:00 P.M.,
—1 0
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DECEMBER 15, 1983, WITH INTERVIEWS OF THE CANDIDATES BEING HELD ON DECEMBER 17, 1983,
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AND APPOINTMENT WILL BE CONSIDERED BEFORE THE CITY COUNCIL AT THE MEETING OF DECEMBER 206
1983. MOTION CARRIED. Resumes must be notarized and a Notary Public is available in
M
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the City Clerk's office. Councilmember Nordquist noted that there obviously will be
10
another vacancy after the first of the year and he said it is his intent that resumes
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received at this time will be considered only for the current vacancy and will not be
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held over forthe.next vacancy. but those people can apply again at that time. There
was general agreement from the Council.
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HEARING (CONTINUED FROM NOVEMBER 7) ON APPEALFROM ADB APPROVAL OF MODIFICATION TO
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EXISTING FREESTANDING SIGN FOR DRIVE-IN RESTAURANT.AT 7530 212TH ST. S.W.
(APPELLANT: DWYER)
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Planning Director Mary Lou Block explained that Lyle Olmsted, the applicant, had
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applied to the ADB for approval of his existing sign and the ADB had denied that
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application. He then reapplied for modified signs which.the ADB did approve, but
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that approval was appealed by Joe Dwyer. Two letters were provided to the Council
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which had recently been received. One was from Mr. Olmsted, dated November 28, 1983,
Q .0
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stating he wished to withdraw the application for the modified signs as he had made
the proposal without consulting the franchis6r (Dairy Queen) and subsequently'was
-told that the franchisor did not want the readerboard removed, which.was part of the
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modification Mr. Olmsted had proposed. The other letter, dated November 30, 1983,
was from Arthur.L. Hayes, President of Dairy Queen Stores, Inc., located in Bellevue,
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Washington, which stated that Mr. Olmsted had no authority to commit to altering the
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existing sign package, and that any permanent action to alter their signage for this
unit will place Mr. Olmsted's franchise in jeopardy. Councilmember Gould observed
that Mr. Hayes does not want his tenant, Mr. Olmsted, to negotiate with the ADB but
the Council does not know what Mr. Hayes wants to negotiate. He thought perhaps Mr.
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Hayes should start again with an application, which would make the appeal moot. City
0
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Attorney Wayne Tanaka said Mr. Olmsted made the original applcation and now he wants
0
that withdrawn, so there is no application pending before the City. Therefore, there
M
is no issue and no appeal.
HEARING ON 10-LOT PRELIMINARY SUBDIVISION AT 18123 BOTH AVE. W. (P-8-83/EDMONDS
DEVELOPMENT COMPANY)
Hearings on this proposed subdivision were held before the Hearing Examiner on October 6,
1983 and October 20, 1983. The Hearing Examiner recommended approval, subject to
certain conditions. Ms. Block read the conclusions of the Hearing Examiner which are
on record in his report. His recommendation was as follows: All engineering require-
ments are to be met. It is noted that the extension of the water main from 184th St.
to the subject property along 80th Ave. W. is a substantial improvement, and the
applicant should negotiate with the City of Edmonds on the extension of this water
main ina manner that is acceptable to both parties. However, if the applicant and
the City are unable to reach an agreement with regard to the.extension of the water
M
10
RO
FILM
main. the applicant will be required to extend the water main from 184th St. to the
subject property. Setback adjustments will be: Lot 1: No setback adjustment; Lots
2 and 3: The.required 251 rear setback should be reduced to a 20' rear setback; Lot
EDMONDS CITY COUNCIL MINUTES
Page 3 December 6. 1983
FINAL PROJECT APPROVAL FORM
T04
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
PLEASE SIGN
ENGINEERING DIVISION DATE 4�00 r
'PLRASEiTGN
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PLANNING DIVISION DATE
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PLEASESIGN
PROJECT
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SITE ADDRESS-
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PERMIT ADB# DATEINSPECTED
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DESCRIPTION OF WORK TO BE INSPECTED. —,./'L 17
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A field inspection was conducted to determine compliance with -approved plans. Final Approval
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denotes that there are no -objections.. from - the above� s igned Department to the release of
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PERFORMANCE BONDS and the granting of: b
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GRANT FINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION -.OUTSTANDING ISSUES
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0 Copy of CORRECTION NOTICE given to owner,/contractor by inpector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:tenip:b1dg:fon-ns:ocaprv1 3/25/04
RECORD OF INSPECTIONS
INSPECTOR. DATE APPROVED
SETBACKS .....................
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FOUNDATION:
MIT
Footing ......................
Wall .... ......................
Pier/porch ..... ............
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Wall
Retaining . ...........
Slab Insulation ..........
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PLUMBING:
Underground ....
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Rough -In ...................
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Comm.erc ial Final .......
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HEATING:.
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Gas Test ....................
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Gas Piping ..... ...........
Equipment ..................
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Commercial Final. .......
1711.1711
EXTERIOR SHEATHING
NAILING .... ......................
055
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FRAMING ........................
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FIRST FLOOR FRAMING ...
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INSULATION ........... i .......
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Floor Insulation .........
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Wall Insulation ...........
Ceiling insulation .......
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SHEETROCK NAILING ...
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SPECIAL INSPECTION ...
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MISCELLANEOUS ..........
FINAL APPROVAL FOR
LL
OCCUPANCY ...................
Tile Initials MT are Miltoll
Thompson, a tenipo.rary contract
inspector for the City.