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City of Edmonds Building Division
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Pool Demolition Requirements
n•C: 18 �b f. r rr1 .��•. .y
• De -chlorinated water shall be dumped directly into a sanitary sewer cleanout. Pool water is NOT permitted to
be dumped into yards or storm drains unless specifically approved in advance by the Public Works Director.
• Pool slab and walls shall be reduced down to pieces less than 12" in diameter.
• All rebar shall be removed from the concrete and the site.
• Piping shall be removed completely (cannot be abandoned in place).
• Mechanical equipment shall be removed from the site.
• Vinyl, fiberglass, and other linings cannot be used for fill and shall be removed from the site.
• Wood cannot be used for fill.
• All fill shall be clean fill and free draining, and areas supporting a structure be compacted to 90% proctor
(verified by Special Inspection).
• Use of any other unusual materials for fill must be approved by the Building Official.
Nothing in this permit approval
process shall be interpreted as
allowing or permitting the
maintenance of any currently existing
illegal, nonconforming, or
unpermitted building, structure, or
site condition which is outside the
scope of the permit application;
regardless of whether such building,
structure, or condition is shown on the
site plan or drawing. Such building,
structure, or, condition may : be the
subject , f a 'separate enforcement �t� }
action`. i
A
ALL WORK SUBJECT
TO FIELD
INSPECTION FOR
CODE COMPLIANCE
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USE
CITY OF EDMONDS ZONE
BUILDING PERMIT APPLICATION JOB
NAME (OR NAME OF BUSINESS) ADDRESS
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STATE LICENSE NUMBER ICITY
LICENSE NUM EI
escription of Property (Show Below or Attach Four Copies)
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NUMBER
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SHORT SUB NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING U'
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PROPOSED C
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DEFICIENCY OF RIGHT OF WAY
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CHECKED BV
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SEE ENGINEERING MEMO DATED W
REMARKS
METER SIZE
I BUILDING SUPPLY SIZE
I FIXTURE UNITS
REMARKS
SIGN AREA
ENV. REVIEW
ADS NO.
ALLOWED
PROPOSED
COMPLETE
EXEMPT
SHORELINE
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS N///- ILOT COVERAGE
FRONT SIDE REAR
REMARKS
❑
NEW
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RESIDENTIAL
❑
10
PLUMBING
CHECKED BY
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NON-RESIDENTIAL
MECHANICAL
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ADD
DEMOLISH
El
SPECIAL INSPECTOR
DREQUIRED
EXCAVATE
OR FILL
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FENCE
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El YES ❑ NO
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Jtssts-------������______
REPAIR
PRE -MOVE INP./
SNSP.
r7
SWIM
RE ARKS
COMPLIANCE
POOL
Z NUMBER OF STORIES
NUMBER OF
DWELLING
F
ITS
LL NATUR F WORK T
(ATTACH PLOT PLAN)
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PLAN CHECK FEE
i BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways, FENCE
marquees, etc.) will require separate permission.
SIGN
Permit Application: 180 Days
OF CONSTRUCTION CODE
AREA JOCCUPANCY
VALUATION
Permit Limit:1 Year- Provided Work Is Started Within 120 Days RETAINING WALL
"Applicant, on behalf of his or her spouse, heirs, assigns and SWIMMING POOL
successors in interest, agrees to indemnify, defend and hold harmless
i the City of Edmonds, Washington, its officials, employees, and
1 z agents front any and all claims for damages of whatever nature, Q
< < i arising directly or indirectly from the issuance of this permit. Issu-
r 0 ance of this permit shall not be deemed to modify waive or reduce TOTAL AMOUNT DUE
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HEIGHT
OCCUPANT
LOAD
Men
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FEE _
i J any requirement of any city ordinance nor limit in any way the
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Z City's ability to enforce any ordinance provision." ATTENTION APPLICATION APPROVAL
!" I hereby acknowledge that I have read this application; that the in-
formation given is correct; and that I am the owner, or the duty author- THIS PERMIT This application is not a permit
ized agent of the owner. I agree to comply with city and state laws regu- AUTHORIZES until signed by the Building Official or
lating construction; and in doing the work authorized thereby, no person ONLY THE his Deputy; and fees are paid, and
will be employed in violation of the Labor Code of the State of Washington WORK NOTED receipt is acknowledged in Space pro -
relating to'Workmen's Compensation Insurance. sided.
INSPECTION
SIGNATURE (OWNER OR/AGENT) DATE SIGNED
(%f DEPARTMENT DIR TOR'S SIGNeTURE
CITY OF
EDM
THIS SITE IS LOCATED IN THE CITY � �1/E® OA /a
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04. 1�01
ATTENTION DEC, 8 1 CJl ORIGINAL — File YELLOW — Inspector
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE PINK — Owner GOLD — Assessor
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306. Dir. Ot Public Works
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