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2 Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
PERMIT LIMIT'. SEE ECDC i9.00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION I
S Fire Review Plan Chk. Deposit
*APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSOR
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Recording Fee 1 1 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 This application is not a permit Until signed by the
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or his/her Deputy: and Fees are paid, and
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 FOR INSPECTION receipt is acknowledged in space p(ovided.
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FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110. PINK - OWNER GOLD - ASSESSOR
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
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Jul 01,2005 9:32AM WALKER SPECIALTY CONST 42.58067383 p.2
WALLKEARKIAN W
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NA-611
PERM11 CO
DATE: JuIV 1. 2005
PROJECT: Joel Hadfield Property
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506 — 6". Ave.
Edmonds, WA 98020
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Via Fax: 425-744-8448
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Joel Hadfield
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Edmonds, WA 98020
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Mr. Joel Hadfield;
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Please let this letter serve as confirmation that the following asbestos containing
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materials have been removed and disp osed of in a ccordance to all regulatory agency
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requ irements at the. project address above. Attached are co pies of waste shipment.
m an ifests and agency notifications..
Approximately 1410 Square Feet of cement asbestos roofing shingles, 60 Linear Feet
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of pipe insulation, 130 Square Feet of boiler insulation, 100 Square Feet of vinyl
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asbestos tile and one sink with undercoating.
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Sincerely,
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Erwin K. Day
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FINAL PROJECT APPROVAL FORM
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MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
'DEPARTMENT DATE.
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DESCRIPTION OF WORK TO BE INSPECTED
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A field inspection was conducted to -determine compliance with -approved plans. Final app rioval
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denotes that there are no objections from the above signed Department to the release of
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PERFORMANCE BONDS and the granting of:
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
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RE-[NSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1Acrn1):b1dg:ronns:ocaprv1 3/25/04
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