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22619 93RD PL W
SEP-26-1996 10150 206 742 1591 P.02
Li oepvc anc craintigic
a CRIN=eda to proposed building
p rty dimens mg 9�ewer lines . t size
F'=g bulldin � i ETSOtbaCks of Proposed and evation of pmparty
Fsed buildg, ;
E Axisfing buildings leg of water
Esae am Main road With name oorplan
Job Name: Job Site Address: W.
Leoal Description ji
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TOTAL P.02
SEP-03-1996 12:42- 206 742 1691 P.02
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SEP-03-1996 12:43 206 742 1691 P.03
1-l"" Una0i Atter going alte Plan C) §eptic and aralntleia glAwess to proposed building
[FP.mparty dirnansione R�ewer lines ff(I ot size
ff,lxistino buildings CYSethacks of proposad, and ovetion of peop"
a7roposed building jxiSting buildinas oclies of water
0 Sase e EfMain road with name g:Floorolan
Job Nafne: 1 I�f j -3 =2 . �
JOO 31te Aclaress:
Legal Descriptan
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TOTAL P.03
SEP-03-1996 12:42
20G 742 1691 P.01
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A. M"?
CUKDMONAL WAIM
WArIE&L-,
pta"m
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMBER
%069-13
CONSTRUCTION PERMIT APPLICATION
jos
ADDRESS
SUITEiAPT
A�
OWNER NAME NAME F LISINESS
LEGAL DESCRIPTION
CHECK SUBDIVISION NO.
LID NO
MAILING ADDRESS
PUBLIC RIGHT OF WAY
EXISTING —
PER OFFICIAL STREET
REQUIRED DEDICATION
MAP.
TESCP Approved
RW Permit Required
Street Use Permit Req'd
0
0
0
0
22-10, q3vJ
CITY �kzlp ITELEPH
_jDrX
t )Jod4 20
ONE NUMBER
6 _�2
�7 -74-
0
PROPOSED
Inspection Required
Sidewalk Required
0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 NO 0
ADDRESS
REMARKS
/17 -5 /X'�/
W
CITY ZIP
TELEPHONE NUMBER
NAME
4j;�:,J&ffA (.4 �
--r (0 q 14
opvkf !Wff772-44
4,v Ax,
0
�_
ADDRESS
LI& 1; 1 I-WLI
ENGINEERING MEMO DATED
REVIEWED BY
6
CITY 1 NUMBER
Pk
4TELEPHONE
11
13 00 -r2
L
FIRE ME 0 DATED
M
REVIEWED 13Y
8
4 id-(20
STATE l!IC9NS9 NUMBER TION DATE
ro 7 -2-
SIGN AREA
SEPARE_ 'EW
ADS NO.
I
Le6al Description of Property - include all easements
ALLOW 0
PROPOSED
COMPLET�
EXEMPT
L ov 6
SHORELINE N
Z
EXP
VARIANCE OR CU
NINO REVIEW BY
DATE
W
dt!6EIGHT
SETBAdKS — FEET
LOT COVERAGE
FRONT ilDE REAR
3CO7
0
.j
=1nI 14 10 0 ID 0 7-
REMARKS
Parcel No. _5-
DINEW
20"RESIDENTIAL
PLUMBINGRAECH
DADDITION
COMPLIANCEOR
COMMERCIAL
CHANGE OF USE
APT.BLI��
SIGN
REMODEL
421IADI�f t-09r— FENCE
CHECKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
EIREPAIR YDS. x _FT)
DEMOLISH WOODS SWIM POOL
INSERT HOT TUB/SPA
.
SPECIAL INSPECTOR
REQUIRED
0
OCCUPANT
LOAD
AGE RETAI NING WALL/
Ej?ARPORT
E2r—
ROCKERY RENEWAL
(TYPE OF USE _SS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS
PER.UBC 108
..,BUSINF
c7
NUMBER.. * 'I NUMBER OF CRITICA
LA Zukhq
0
OF
DWELLING
e
AREAS
I
cc
0
STORIES
UNITS
NUMBE P
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
fOL 6
FINAL INSPECTION
REOUIRED
AX Fa 6V 5 1E
VALUATION
FEE
EE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No. 4762 /45P61
MECHANICAL
GRADINGIFILL
-This Permit covers work to be done on private property ONLY.
Any construction. on the public domain (curbs, sidewpike,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
I "Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors In interest, agrees to Indemnify, defend and hold
'LOU
harmless the City of Edmonds, Washington, its officials,
5
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
PLAN CHECK DEPOSIT
0
modify, waive or reduce any requirement of any city ordinance
x
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
c7,
provision."
I hereby acknowledge that I have read this application; that the
AT=
APPLIC N APPROVAL
Information given Is correct; and that I am the owner, or th.e duly
authorized agent of the owner. I agree to comply with city and
state.laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
This application Is not a permit until
ed thereby, no person will be employed In violation of the Labor
ONLY THE
signed by the Building Official or his/her
-Code qt the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid. and receipt is
. n Insurance and RC30IMN.
INSPECTION
acknowledged In space provided.
SI RE (OWNER DATE SIGNED
DEPARTMENT
r
CITY OF
OFFICIA IG DATE
EDMONDS
A ENTION
CALL FOR
INSPECTION
RELEASED BY: TE
IT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
NITIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
SECTION 109
10247
911 �174 �
PINK — Owner GOLD — Assessor