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18825 94TH AVE W
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APR A 5 1992
PERMIT COUNTER
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USE PERMIT
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CITY OF EDMONDS zo NUMBER 9 IP DAV,
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CONSTRUCTION .-PERMIT APPLICATIO7 CB
OWNER NA?61E/NAME OF BUSINESS [ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. T ESCP APP10160 11
I R. P.,mi.R.,uied C3
EXISTING — REQUIRED DEDICATION Street Use Permit Reit'd 0
PROPOSED InsPection Required 0
Sidewalk Required D
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All
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ZIP
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HONE NUMBER
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NA AP —
ENGINEERING MEMO DATED
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METER SIZE
BUILDING SUPPLY SIZE
NO. OF FIXTURES
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CITY ZIP
TELEPHONE NUMBER
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REMARKS
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STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPAREVIEW
ADB NO.
Onclude
ALLOWED PROPOSED
COMPLETE EXEMPT
1-�
&.-gm e..—Cr;v,-.A0f Pn�opirtyi--,
all easements
' SHORELINE11
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VARIANCE OR CU
NING REVIEW BY
DATE
SETBACKS - FEET
FRONT
rb
P perty
Tax Acco 1 44,3" 6 00 4
REM R
Parcel No.
_A,, ep.,21: I QA % Q j9; C AP-2o#?-T 4d A)t
NEW RESIDENTIAL PLUMBING
BIF //V 56—T Pj lick -
ADDITION COMMERCIAL MECHANICAL
REMODEL APT.BLDG. El SIGN
H T = 157 F
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
GRADING E] FENCE
FIEPAIR CYDS. t x —FT)
I —
R�q
DEMOLISH WOODSTOVE SWIM POOL
INS ERT HOT TUB/SPA
GARAGE r7 RETAINING WALL/
'Cl,tlt. INSPECTOR
SPEOU
!- 20
"A�EA OCCUPANCY
GROUP
�e 4
OCCUPANT'
LOAD
R MARKS
CARPORT L-J ROCKERY RENEWAL
0
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER LIBC 305
—7NI OF
NUMBYR OF STORIES UMBER
DWELLING
U,
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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Ae a-44L---AjFAA/ ( le-� p7a- da���
INSPECTION
REOUIRED
- f
VALUATION
rFINAL
LAN CHECK FEE
P PLA C
7_
BUILDING
e) e
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No. (0
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curts, sidewalks,,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work IS Started Within 180 Days
STORM DRAINAGE FEE
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"Applicant. on behalf of his or her spouse, heirs, assigns and
successors in interest, 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
of this permit. Issuance of this permit shall not be deemed to
modify. waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereb- acknowlod-e that I hav"Isad this a-Dlication& that the
information given is correct; and that'l am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. i agree to comply with city 1nd'-
THIS PERMIT
laws regulating construction; and in doing the work authoriz.
AUTHORIZES
This application is not a permit until
:tate
d thereby, no person will be employed in violation.of the Labor
ONLY THE
signed by the Building Official or his/her
Code Of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
la
Ii,n In.0 , nce.
INSPECTION
acknowledged in space provided.
SIGNATU N T DATE SIGNED
DEPARTMENT
OFFIPIAL-S S1114NATURE DATE
CITY OF
I �,.JJLI I -��Al 00 EDMONDS
CALL FOR
T 4�Z_
ATTEN UL TO JA BUILDING OR STRUCTURE INSPECTION V/177
IT IS UNLAWF ION \`JC'
USE OR UP 771-0220 CRir
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR N YEL(OW'-/ Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK - Owner GOLD - Assessor
10247
FILE
I . NOTICE:
0. acu-ura-u
No"Wa -r a n t. y... o
The information shown on the attached
for use by the City of
map(s) was c0M ' Piled
Edmonds, its Empl.oyees and Consultants.
Th,.e City of 'Edrn.onds does ' n ot. warrant the
accuracy of anything set for.th on these
r entity -requesting a
Map(s"). Any person o I
copy should conduct an independent
t'on shown-o
inquiry regard*ng the infi rma i
t p�� -m a p (s), including, but not hmited to,
c ion of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may not e.xist and maY
or may not exist at the location shown.
r"ity of Edmoin%ds nor
Neitheir the t its
e m p I- o-y e e-s 0 r o ffi -c e -r s s h. a I- I b e a.
I n on this map(5), nor for
information g ve d
any one representation provided base
upon said map(s'.
The City of EdmM FU
APPLICATION
for
S11DE SEWER PERM"
NEW CONSTRUCTION E] REPAIRS rl
EASEMENT No.
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OWNER----------------------------------------------------------------- .................. CONTRACTOR ....................................... . ......................................................... PERMIT No
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ADDRESS ......... ...................................................... ........ LEGAL DESCRIPTION: LOT No. ----- (20BLOCK No - ------------------------------------
16 0 A1,0 5 SEA vtE kt-- 7—le4
NAMEOF ADDrrION ..................................................................................................................................
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Approved:
DATE ..... By
CITY OF EDMONDS
Coil FIFlospect 6-1107 when work
�,,CJVIC CENTER — WATER -SEWER DEPARTMENT
Is ready for inspection. (No inspec-
tions Saturday, Sunday or holidays.) N2 2854
SIDE SEWER PERMIT
ADDRESS ................... 18825 - 94th Avenue Webt
_ ..................................................................................................................................................................................
OWNER ... 5.c.AiRst.o.n ... Q.ari.s_on ........................................... CONTRACTOR .............. Owner
. .. .... .. .. .. .. .... .. .... .. .......................... : .......................................
Perinission is granted .... M.arc.h ... 2.5 ................. 19. 68
.. ....... .. .. ........ for ........................ days to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on Me and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer Inside Property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected.
NOTE No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 3—Top of side sewer must have at least 30 inches coverage at property line and 12 Inches Inside property line; minimum grade of 2%.
No bends in grade sharper than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to Improper work which may develop within one year of completion.
NOTE No. 5—It is unlawful to alter or do any other work than Is provided for In the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.