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CONSTRUCTION PERMIT APPLICATION At? di
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J� REMARKS
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PROGRESS INSPECTIONS PER UBC 305
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Permit Application: 180 Days il�
flit Permit Limit: I Year" Provided Work Is Started Within 180 Days
ENG. INSPECTION FEE
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I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
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 THIS PERMIT This application is not a permit until
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
ed thereby, no pb(sgn will be employed, in violation of the Labor ONLY THE signed by the Building Official or. his/her
Code of the State'of WaIh' to relating to Workmen's Compens6 woRrc NOTED Deputy; and fees are paid, and receipt is
tion Insurance. i INSPECTION acknowledged in space provided.
SIG NATU -,,{ AGENT) DATE SIGNED DEPARTMENT
` �, p'`� CITY OF OFFICIAL'S SIGNATURE DATE
frl EDMONDS
It CALL FOR RELEASE BY: DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202
ORIGINAL — File YELLOW — Inspector
.• . OA CERTIFICATE F OCCUPANCY
CHAPTER 3.
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PINK — Owner GOLD — Assessor
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CITY OF EDMONDS
250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-0220 •FAX (206) 771-0221
COMMUNITY SERVICES DEEP ParksRand Recreation •Engineering
Public Works • Planning
r890 19"
December 18, 1992
t
LAURA M. HALL
MAYOR
Ron Griffith
9102 Olympic View Drive
Edmonds, WA 98020
RE: Permit #911004
Addition permit
Division records indicate that you have a building
The
Building D 19g2 without final inspectiOno issuance. ;
which expired on Decmeber 5,
initial permrmi
it is valid for one year from the date of p Code, as
It
Oil of the person doing
Section 305 of the 1988 edition of
belthemdutylding official that
adopted by the City, states, the building
the work authorized by a permit to notify
for inspection."
A final inspection is required in
such work is ready ermit file with the City*
order to close your p permit for 1/2 the
� renew the p
year of expiration you may It
Within one y r. The
if there are no changes to the plans.
original permit fee ($166) Perm t with th ea artmpermit numt
ent o P1 eases be advised
will require issuance of a new p
permit may be obtained from the Building D p
ins ections can take place until the permit is renewed.
that no further p
' Please contact the building
division within 10 days date of this letter
or the required final inspection or
a finalrenew the ein pectirmi on
to schedule f in the structure Code.
Please be aware that occupy g
is a violation of Section 307 of the Uniform Building
our final inspection.
Contact the building division at 771-0220 for y
j Thank your
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Sharon Fe Nolan
Permit Coordinator
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a Incorporated August 11, 1890
Hekinan, Japan
Sister Cities International — ,
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LAURA M. HALL
MAYOR
Ron Griffith
9102 Olympic View Drive
Edmonds, WA 98020
RE: Permit #911004
Addition permit
Division records indicate that you have a building
The
Building D 19g2 without final inspectiOno issuance. ;
which expired on Decmeber 5,
initial permrmi
it is valid for one year from the date of p Code, as
It
Oil of the person doing
Section 305 of the 1988 edition of
belthemdutylding official that
adopted by the City, states, the building
the work authorized by a permit to notify
for inspection."
A final inspection is required in
such work is ready ermit file with the City*
order to close your p permit for 1/2 the
� renew the p
year of expiration you may It
Within one y r. The
if there are no changes to the plans.
original permit fee ($166) Perm t with th ea artmpermit numt
ent o P1 eases be advised
will require issuance of a new p
permit may be obtained from the Building D p
ins ections can take place until the permit is renewed.
that no further p
' Please contact the building
division within 10 days date of this letter
or the required final inspection or
a finalrenew the ein pectirmi on
to schedule f in the structure Code.
Please be aware that occupy g
is a violation of Section 307 of the Uniform Building
our final inspection.
Contact the building division at 771-0220 for y
j Thank your
It
tot
Sharon Fe Nolan
Permit Coordinator
I11
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a Incorporated August 11, 1890
Hekinan, Japan
Sister Cities International — ,
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CITY OF EDMONDS
250 - 5TH AVE. N• • EDMONDS, WA 96020 • (206) 771-0220 •FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENTnd ation • Engineering
Public Works • Planning
� 8 9 0 - 09 ,
December 7, 1992
Ron Griffith
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LAURA.M. HALL `
MAYOR
9102 SuJI��
Edmonds, WA 98020 45
RE: Permit #911004
Addition permit
Building Division records indicate
thout final at you einspection, g The
which expired on Decmeber 5, perm
issuance*
initial permit is valid for one year from the date of p Code, as
Section 305 of the 1988 edition of the Uniform Building person doing
the City, states, It shall be the duty of the p.
ermit to notify
adopted by the building official that
thorized by a p 1 inspection is required in
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the work au for in A fins
such work is ready
order to close your permit file with the City.
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You may renewa new the permit for 1/2 the original perm rm t number,• The
will require issuance of a new permit Withepartment. Please be advised
permit may be obtained from the Building
can take place until the permit is renewedo
that no further inspections
s date
this
Please contact
the building division within 10 darenew the permitletter
to schedule for the requirednfihe inspectiostructurenwithout a final inspection
Please be aware that occupying Code*
is a violation of Section 307 of the Uniform Building
Contact the building division at M7 0220 for your final inspec ion.
Thank YOU2
Sharon F• Nolan
Permit Coordinator
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
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LAURA M. HALL
O o t MAYOR s
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=" official that
is required in
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e ($166)o It
r� number. The
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ermit is renewed. At
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9 N ; final inspection
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• Incorporated August 11, 1890 •
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890.Ioc1
CITY OF EDMONDS
LAURA M. HALL
250 - 5TH AVE. N. EDMONDS, WA 98020 (206) 771-0220 FAX (206) 771-0221 MAYOR
COMMUNITY SERVICES DEPARTMENT i
Public Works Planning Parks and Recreation Engineering
December 7, 1992
Ron Griffith
9102 Sunset Way
Edmonds, WA 98020
RE: Permit #911004
Addition
Building Division records indicate that you have a building permit
which expired on Decmeber 5, 1992 without final inspection. The
initial permit is valid for one year from the date of permit issuance.
Section 305 of the 1988 edition of the Uniform Building Code, as
adopted by the City, states, "It shall be the duty of the person doing
the work authorized by a permit to notify the building official that
such work is ready for inspection." A final inspection is required in
order to close your permit file with the City,
You may renew the permit for 1/2 the original permit fee ($166). It
will require issuance of a new permit with a new permit number. The
permit may be obtained from the Building Department. Please be advised
that no further inspections can take place until the permit is renewed.
Please contact the building division within 10 days date of this letter
to schedule for the required final inspection or renew the permit.
Please be aware that occupying the structure without a final inspection
is a violation of Section 307 of the Uniform Building Code.
Contact the building division at 771-0220 for your final inspection.
Thank you,
Sharon F. Nolan
Permit Coordinator
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OWNER NAME/NAME OF BUSINESS
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ADDRESSMAILING
tf' //� r. PUBLIC RIGHTOF
I EXISTING . REQUIRED DEDICATION
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NAME
CITY ZIP I TELEPHONE NUMBER
STATE LICENSE NUMBER
Legal Description of Property - include all easements
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ADDIALTER COMMERCIAL MECHANICAL
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GRADING FENCE
4'REPAIR El SIGN
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ElF"I WOOD STOVE I RETAINING WALL/
REMODEL GARAGE El POOL
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INSERT I I ROCKERY El RENEWAL 0;
NUMBER OF STORIES I NUMBER OF
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
ENGINEERING MEMO DATED
REVIEW BY
METER SIZE (BUILDING SUPPLY SIZE I NO. OF FIXTURES
REMARKS
SIGN AREA SEPA REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE#
EXP '1�Y
VARIANCE OR CU PLANNING REVIEW BY DATE
SETBACKS -FEET HEIGHT LOT COVERAGE FRONT F 1 SIDE /n REAR / MAI II � 3 J Z>
ECKED BY I TYPE OF Cot
SPECIAL REQUIRED SPECT:1 1 AREA 1 GROUPOCCUPAz I""
REMARKS
PROGRESS INSPECTIONS PER UBC 305
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MECHANICAL
' GRADINGIFILL
This Permit It
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-1JAny constructionon public • •sidewalks,driveways, marquees, etc.) will require separate permission.
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STATE SURCHARGE
iJPermit Application: 1: 1 Days
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nor limit in any way the City's ability to enforce any J ordinance -
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APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGNATURE DATE
RELEASE I BY: DATE
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ORIGINAL — File YELLOW — Inspect0
PINK — Owner GOLD — Assessor