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PERMIT EXPIRES 13
CITY OF EDMONDS
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REMARKS
OWNER,CONTRACTOR RESPONSIBLE FOR EAOSiON CONTROUDRAINAGE §
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STATE LICENSE NUMBER EXPIRATION DATE 117W
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Base Fee
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THI PERMITAUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
Mechanical
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BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURB% SIDEWALKS. DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE
SEPARATE PERMISSION,
Grading
PERMIT PPLICATION: SEE ECDC 110(LOOSIARs)
Engr. Review
Recording Fee
A. PERMIT LIMITI SEE ECDC %00.006(m(lu
— SIZE BACK OF PINK PERMIT FOR MORE INFORMATION
En9r. Inspection
Plan Chk. Deposit
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
w IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOL HARMLESS THE CITY OF
Fire Review
Receipt 0
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AN. AGENTS FRO. ANY AND
AL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTIL
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Fire Inspection
Total Amt. Due
FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT BHA L NOT BE
DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
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NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
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APPLICATION APPROVAL
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS C.FHECI ABC THAT I AM THE OWNIRF, a THE BULY AUTH.R111D AGENT .1
CALL
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T E OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
FOR INSPECTION
TION; AND IN DOING T E WORK AUTHORIZED THEREBY, NO PERSON W LL BE EMPLOYED
IN VIOLAT LAD R CODE OF THE STATE OF WASHINGTON RELATING TO
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ATTENTION
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 INSPECTOR
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110/ IRC110-
PINK -OWNER - GOLD - ASSESSOR
6105 PRESS HARD - YOU ARE MAKING 4 COPIES
FINAL PROJECT APPROVAL FORM
TO: —
DATE:
MEMO TO.: PER�IT7 DIVISION
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FROM: FIRE DEPARTMENT DATE
ENGINEERING DIVISION DATE
PLANNING DIVISION DATE
PROJECT 7*v6s.115�N/
SITE ADDRESS 1014 21( 2—IZ4 '57' 57
PER_MIT/4 0(, — 165 -ADB# DATE INSPECTED -3 04
DESCRIPTION OF WORK TO BE INSPECTED
A field inspection was conducted to determine compliance with approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
PERFORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
GRANT PROJECT APPROVAL WITH CONDITIONS NOTED
0 Copy of CONDITIONS given to owner/contractor by inspector
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
0 Copy ofCORRECTION NOTICE given to owner/contractor by inpector
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2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date Signature
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Permit: BLD20060188
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Total Time: 35
Total Inspections: I Total Time: 35
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