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1122 VIEWLAND WAY
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USE PERMIT
ION �Z NUMBER
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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ADDRESS (/
NAME, NAME OF BUSIN I 1 ,
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LEGAL OESCRIPTION CHECK SUBDIVISION
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LID NO
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MAILING ADDRESS �//j ^
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP,
EXISTING___ REQUIRED DEDICATION
PROPOSED
APPROVED BY
CITY
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TELEPHONE NUMBER
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NAME
RIGHT UP WAY CONSTRUCTION PERMIT REOUIRED
STREET USE PERMIT REQUIRED:
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REVIEW By
SEE ENGINEERING MEMO DATED
CIITY/���J�.o
TELEPHONE NUMB ER
.REMARKS
NAME
ADDRESS
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METER SIZE
BUILOING SUPPLY SIZE
FIXTURE UNITS
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¢ CITY TELEPHONE NUMBER
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8 STATE LICENSE NUMBER
REMARKS
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SIGN AREA
ALLOWED I PROPOSED
ENV, REVIEW
COMPLETE I EXEMPT
ADO NO.
Le gat Description of Property - Inclu.le all easements
(show below or attach four copies)
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SHORELINE A
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VARIANCE OR CU
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Y DAT
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YARDS _
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HEIGHT LOT COVERAGE
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REMARKS
NEW 1 RESIDENTIAL PLUMBING
19 AODIAI.TER ❑ COMMERCIAL O MECHANICAL
REPAIR El RETAINING WALL 0 SIGN
EXCAVATE FENCE
DEMOLISH O OR FILL I—X—Fl)
' ❑PRE•MOVE INSPI O SWIM
REMODEL COMPLIANCE INSP. POOL
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TYPE OFaRUCTlO
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HEMI,G
SPECIAL INSPECTOR AREA OCCUPANCY
REOVtRED GROUP
❑YES NO
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OCCUPANT
LOAD
OWOOD STOVE/ ❑ ❑
INSERT APT. BLDG RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
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NUMBER OF STORIES
NUMBER OF /
DWELLING
UNITS
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NATURE OF WORK TO OE DONE (ATTACH PLOT PLAN)
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VALUATION
FEE a
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PLAN CHECK FEE
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: BUILDING
PLUMBING
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MECHANICAL
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This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, 5IdewPlks,
driveways, marquees, elC.) will requite separate permission.
STATE SURCHARGE
ENERGY CODE
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Permit Application: 180 Days
Permit Limit: 1 Year • Provided Work is Started Within 180 Days
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"Applicant, on behalf of his or her spouse, heirs, assigns and
u, Sur;D55or5 in interest, agrees to indemnify, de!end and hold
W' harmless the City of Edmonds, WRshington, Its officials,
a employees, and agents from any and all claims for damages Of
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
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modify, waive or reduce any regUlremant of any city ordinance
0. nor limit In any way the City's ability to enforce any ordinance
provision:'
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-
PLAN CHECK DEPOSIT
,
TOTAL AMOUNT DUE
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1 hereby acknowledge that I have read this application; that the - ATTENTION
Information given Is Correct; and That I am the owner, or the duly "
authorized agent of the owner. I agree to comply wl th city and THIS PERMIT
state laws regulating construction; and In doing the workhad AUTHORIZES
ad thereby, no psrson will be employed In violation of the Labor WORKNOTEDDeputy;
Code of the State of Washington relating to Workmen's Compensa•
II n InsU/ nce. INSPECTION
ZI0 VNE !Own R OR ENT) r JOA11 510NE0 DEPARTMENT
CITY OF
a �- I•C:.,_�'�•�"Z C EDMONDS
ATTENTION 771-320
IT IS UNLAWFUL 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. UBC
APPLICATION APPROVAL
This application IR not a permit until
sl ned b the Building Official OF his
end fees are paid, and receipt Is
acknowledged In spats provided.
OFFICIAL'S SI NAT E DATE
Rele oBY:
ORIGINAL — he YELLOW — Inspector
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CHAPTtH J.
10297
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CITY OF EDMONDS
250 - 5TH AVE. N. • EDMONDS. WA 98020 • (206) 771.3202
LARRY S. NAUGHTEN
MAYOR
COMMUNITY SERVICES: PETER E. HAHN
Public Works • Planning • Parks and Recreation • Engineering DIRECTOR
8 go - 1 99
December 18, 1989
Bruce Warhol
1224 6th Avenue S, #C301
Edmonds, WA 98020
RE: Address Change
1124 Olympic Avenue
Permit #890584
Per your request, the City Building Department is changing the address
of 1124 Olympic Avenue to 1122 Viewland Way. The house is currently
being built under Permit 1#890584 and the change is made upon
verification that the primary access to the property is from Viewland
Way.
Please correct any records you may have.
Thank you,
eannine Graf
Permit Coordinator
JLG/sfn
cc: Utility Department
Fire Department
Police Department
Public Works
WARHOL/TXTJLG52
• Incorporated August 11, 1890 •
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