20170109102043.pdfIT'Y
1215TH AVENUE NORTH'- EDMONDS,WA 98020
PHONE: (425) 771-0220 - FAX:'(425)' 771-0221
Parcel No: 00594400005801
MICHAEL'& NANCY KATIMS UGS, LLC UGS,;LLC
8532 FREDERICK PL 763 EL GATO ST 763 EL GATO ST
EDMONDS, WA 98026 COUPEVILLE, WA 98239' COUPEVILLE, WA 98239
(206)320-7655 (206)320-7655
LICENSE #:UGS****841PI" EXP:10/21/2018
GAS'PIPINGTO GAS RANGE
VALUATION: $0.00
I AGREE TO COMPLY WITH CITY AND STATE LAW S REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED
THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION,INSS RANCE AND RCW 18:27,
'CATI N IS N'01' PERMIT UN°11,L (,-,NC BY T$E I11I1 :1; N Ot"w3AL OR HISJHER DEPUTY AND ALL FEES ARE PAID„
Print Name
ATTENTION
IT ISiUNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED, UBC109/ IBC110/ IRC11Q,
ONLINE APPLICANT ASSESSOR OTHER
STATUS: ISSUED
0170033
• Cgs pipe test must be observed by City Building Inspector, affidavits shall not be accepted.
• Final approval on aproject or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Check the job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specificallyrequested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
« Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
* Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt fromthe noise limits
of ECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10 00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all other times the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his: or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold'
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance ofthis permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
• Installation, use and maintenance of equipment and components shall be per manufacturer's specifications, installation
instructions, and applicable state codes. Provide manufacture's installation instructions on site for Building Inspector.
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY: ONLY. ANY CONSTRUCTION ON THE
PUBLIC DOMAIN (CURBS, SIDEWALKS,; DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION.
PERMIT TIME LIMIT: SEE ECDC"19.00.005(A)(6)
I' l,dll l SIC 1V0RXS, 425 771 T2,35. PRE-TREATMENT 425 672-5755 RECYCLING 425 275 111111
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
re este Contact Name and Phone Number Date Preferee' and wbether you pEefer morning or afternoon.
B-Gas Test/Pipe
B-Mechanical Final