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Description
FEE
Description
FEE
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Building Permit
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Plumbing
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
9 DONMAIN (CURBS, SIDEWALKS., DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Grading
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Engr. Review
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cc PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
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jL PERMIT LIMIT. SEE ECDC 19.00.005(A)(6)
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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OUSE, HEIRS, ASSIGNS AND SUCCESSOR
'APPLICANT. ON BEHALF OF HIS OR HER SP S
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-1 IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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Fire Inspection
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ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
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FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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Total Amt. Due
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
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Recording Fee
Receipt #
ION
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
OF
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
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THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
ED
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
To
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt is acknowledged in space provided
WORKMEN'S SATION INSURANCE AND RCW 18:27.
OF IALS SIGNURE DATE
SIGNATUR;E VWNER
DATE SIGNED
(425)
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771-0220
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tRSED BY dAT`Ej
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EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
ORIGINAL -FILE - YELLOW -INSPEJrCR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110.
PINK -OWNER - GOLD - ASSESSOR
10104 PRESS HARD - YOU ARE MAKING 4 COPIES
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GARY HAAKENSON
CITY OF EDMONDS MAYOR
...k. 121 5TH AVENUE NORTH EDMONDS. WA 98020 (425) 771-0220 FAX (425) 771 -0221,
Website: www6edmondsmam
DEVELOPMENT SERVICES DEPARTMENT
Planning Building Engineering
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September 26, 2006
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Tri-Star Homes,.Inc.
Post Office Box 6142
Co
Lynnwood, Washington 98036
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RE: Propane Tanks @ 24316 90"' Avenue West, Edmonds
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Dear Sir or Mad am:
It has come to the City's attention that propane tanks have been installed on property you own at 24316
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90" Avenue.West in Edmonds without first obtaining a tank pen -nit. In or der for the City to issue a
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permit the following is required:
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.(enclosed) and * ermit fee
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Scaled Plot Plan W=20') show the existing house and property lines, prop osed location
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of tank, specify above or below grade in'stallation5 call out distances to.property lines
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-or house provided for your convenience)
and house (copy of approved plot plan f
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Elevation view showing the distance from the tank to a 11 exterior wall openings,
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(windows and doors)
ension of tanks (i.e., R50), and tank size in gallons
Call out dim..
Detail or describe how the tank is seismically anchored. to prevent overturning.
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Please subn -tit for the requ ired permit approval by. October 6, 2006. If you have any q uestions about
the pen -nit submittal or review proces s please contact Theresa Umbaugh, Permit Coordinator at 425
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no pen -nit fees) shall be,
771-0220 extension 1261. Lastly, investigation fees (in addition to rmal
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assessed since the tanks were installed prior to pen -nit issuance.
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Sincerely,
Jeannine L. Graf
Building Official
Incorporat.ed August 11, 1890
Height Calculation Worksheet
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FINAL PROJECT APPROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
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A field inspection was conducted to determine compliance with -approved plans. Fina approval
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denotes that there are no objectionSL from the above signed Department to. the re eas
PERFORMANCE BONDS and the granting of:
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GRANT LFINAL PROJECT APPROVAL
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GRANT PROJECT APPROVAL WITH CONDITIONS NOTED.
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
El Copy of COR,"CTION NOTICE given to'oWner/contractor by hipector
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RE -INSPECTED OUTSTANDfNG ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
1:temp:b1dg:fbniis:Qcaprv1 3/25/04
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