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PERMIT
CITY OF EDMONDS
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NUMBER
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CONSTRUCTION PERMIT APPLICATION
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ADORE55
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OWNER NAME NAME OF BUSINESS
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DE CR PTION CHECK
SUBDIVIS N
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LEGAL
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP APPIoved u
Permit Repulrod ❑
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GUY 21P
TELEPHONE NUMBER
EXISTING.. REQUIRED DEDICATION__—
RW
Slreel Uee Permll Raga ❑
nepeellan A--d ❑
A' Div 2
PROPOSED --
Sld...Ik Repaired ❑
NAME
METER 512E
LINE 512E
NO OF FIXTURES
PRV REQUIRED
YES ❑ NO ❑
�)IIIAJAII-- 70 /3 ' 12-14Ee-4
ENSE NUMBER EXPIRATION DATE
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ascription of Property -include all easements SslG
1 .T COMPLLOWED
C / /_ f— EXP
Pt. ,,d LOQUIREDALLOWFRONT
parcel ND. .3 l " U J -- uL.i r o v v
NEW RESIDENTIAL ILUMBIN EC
ADDITION � COMMERCIAL
CHANGE OF USE
,REMODEL APT.BLDG. El SIGN
❑ GRADING CVOS ❑ FENCE
REPAIR
POOL
DEMOLISH NSERTTOVE HOT TU9 SPA
GARAGE RETAINING
CARPORT ROCKERY WALL/ ❑ RENEWAL
ALLOWED
91
11 YES
REMARKS
PROGRESS INSPECTIONS PER UBC 108
UR SIDE
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ryi NUMBER OF CRITIGAI
NUMBER AREAS
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O OF DWELLING
m0 RIES S/N� UNITS NUMBER
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DESCRIBE WORK TO BE DONE ATTACH PLOT PLAN)
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FINAL INSPECTION
REQUIRED
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VALUATION
FEE
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PLAN CHECK FEE
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HEAT SOURCE: ^ GLAZING e/d
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PLUMBING
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Plan Check No.
MECHANICAL
This Permit covers work to be one on private property ONLY.
GRADINGIFILL
I Any construction on the public domain (curbe. sidewalks,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
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Permit Application: 180 Days
STORM DRAINAGE FEE '
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or (Ter spouse, heirs, assigns and
END, INSPECTION FEE
in interest, agrees to indemnify, defend and hold
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successors
w harmless the City of Edmonds, Washington, its officials,
from any and all claims for damages of
-
employees, and agents
< whatever nature, arising directly or indirectly from the Issuance
this shall not be deemed to
PLAN CHECK DEPOSIT
//
I of this permit. Issuance of permit
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the CUy's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision"
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
the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
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authorized agent of
laws regulating construction; and in doing the work authoriz•
AUTHORIZEONLY S
signed by the Building Official or his/her
state
ed thereby, no person will be employed In violation of the Labor
WORK NOTED
Deputy; and fees are paid, and receipt is
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Code of the State of Washington relating to Workmen's Compensa
acknowledged in space provided.
tion Insurance arlo RCW 18.27.
INSPECTION
OFFI A S SIGNATURE DATE
R PGENTI DATE SIGNED DEPARTMENT
r CITY OF
3- EDMONDS
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DY D TE
CALL FOR
RELEASED
ATTENTION
INSPECTION
ORIGINAL — File YELLOW — Inspector
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE AA
NOFE T ION HAS BEENABDE OR 771 -oL`o
UNTIL A
HAS EENN GAANTEOA UBC
CERTIFICNAL ATE CUPANCY
PINK — Owner GOLD — Assessor
SECTION 109
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CITY OF EDMONDS BARBARA FAHEY
121 STH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771.0221 MAYOR
COMMUNITY SERVICES DEPARTMENT
Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant
Inc
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August 31, 1998.
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Terrance Marcell
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PO Box 1863
Edmonds WA 98020
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Re: Permit #970873/Mechanical
off.
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Our records show that no final inspection has been completed on the above
oreferenced
permit. Per the Uniform Building Code, mechanical permits are
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valid for 180 days of permit issuance or renewal. Please call for your
inspection within 30 days of receiving this letter. If our records our
incorrect, please call the Building Inspector, Jerry Satterlie, so that he may
verify the job was completed. Thank you for your cooperation. The
inspection hot-line # is 771-0220 X333.
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Sincerely,
Oda, ( _-" -
Lara Knaak
®
Permit Coordinator
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
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RECORD OF INSPECTIONS
INSPECTOR- DATE APPROVED
SETBACKS ...................
FOUNDATION:
.. .......:, '" .,
..
.. _. -Footing.............. ..:.
.
Pler/Porch................
.. -
Retaining Well...........
... Slabinsulation.......... ...
PLUMBING: - -
Underground... .......:
_
....:.':.
_., . , ... Rough -In ......... .. ......
. Commercial Final...::...
._ .:. ..-. ..:..
HEATING:...
Gas Test .................
..... Gas Piping ...... .......
" Equipment ...... ........
Commercial Finer.-........
EXTERIOR SHEATHING
' NAILING ......-...........:
FRAMING '.. - . '-
._-. INSULATION:.
_ "... .:.
- Floorinsulation........... ^^
•. ` Wall Insulation . ......'.
Ceiling Insulation.........
SHEETROCK NAILING.....
• `' --
SPECIAL INSPECTION......
t�
MISCELLANEOUS
FINALAPPROVyy��Q4We2
A-w.y/k/Jwell
FOR OCCUPANCY..........
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