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22907 75TH AVE W.PDFIIIIIIIIIIII 5989 22907 75TH AVE W 6 RECEIVED 0 C T 1 1 1995 PERMITCOUNTER cir , r1r P.L. 105.00' 7 5' 12.5' setback Asphalt D rive set back Garage . Deck 15.01 25.0' P.L 70.71f P.1L. 70.00' setback 24' House setback 69 7.5' P.L. 115.001 9, 119, "M A , 21(o I 1 !1210 "07mi"M A i 690 I CITY OF EDMONDS ZONE OIC—Q CONSTRUCTION PERMIT APPLICtATIO]N,G. ' one Z7 OWNER NAME NAME OF BUSINESS ADDRESS C2 1P 4?6) h AM "qz,4 LEGAL DESCRIPTION CHEC MAILING DRESS 0 PERMIT NUMBER A 06- 7 rivc- Vj PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, EXISTING — REQUIRED DEDICATION — PROPOSED TESCP Approved 0 RW Pe -it Rqu,,Sd 0 Street Use Pe'.4 Req*d 0 Zpftfion Reqwed 11 Sid...Ik Requaed 0 — CITY ZIP 6 61DA(CWLS 'I TELEPHO HE NUL48ER NAME METER SIZE LINE SIZE NO. OF FIXTURES PRY REQUIRED ------- I I YES 0 NO 1) I STATE LICENSE NUMBER EXPIRATION DATE A.A e- �.- A A I I /I I _* :, - e?l- ALLOWED PROPOSED COMPLETE JEXEMP' I Pop;R�Finclucl. .11 ...t.ments IEXP V VARIANCE OR CU Y !EW T. SETBACK FEET HEIGHT S .0 A - I ��v [FRONT / SIDE ) REA. t:�2 I Prop"' Tax Accouril - Co Force] No. C0,0 ElNEW EiRESIDENTIA PLUMBING [:1 ADDITION COMMERCIAL MECHANICAL &REMODEL APT. BLDG. SIGN EhEPAI. GRADING CYOS. FENCE I X WOODSTOVE sw OOL DEMOLISH INSERT HOTIMTPUMPA GARAGE r7 RETAINING WALL/ CARPORT L_j ROCKERY RENEWAL JTYPE� UU, BZESS OR ACTIVITY) EXPLAIN: F i5.,s NUM13ER OF NUMBER OF DWELLING CRITICAL AREAS I ffil STORIES UNITS NUMBE R DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) LOT I - A SPECIAL INSPECTOR E P REQUIRED C3 YES f t?_5 2Z M M ARKS P P ROGRESS INSPECTIONS PER UBC 305 ADD F241CSH (161t6bit, 10 C4 -:;,Cf FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING % PLUMBING Plan Check No. 9�7 /7c/— MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (CurLs, sidewpike. driveways, marquess. etc.) will require separate permission. STATESURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant. on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE successors in interest, agrees to Indemnity. defend and hold harmless t he 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 x of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance -7 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I 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 authorized agent of the owner. I agree to comply With city and THIS PERMIT This application Is not a permit until state laws regulating construction; and In doing the work authoriz- ed thereby, no person will be employed in violation of the Labor AUTHORIZES I 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. a.nd receipt is acknowledged in space proyped. ( tion Insurance and'A—CW18.27. INSPECTION -!9 & SIGNATURE OWNER OR AGENT>1 ""?r] DEPARTMENT TE a t. f �� ' /0 CITY OF EDMONDS I CALL FOR &ELEATED V E ATT 0 N INSPECTION IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE it UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPRO VAL OR 771-0220 ORIGINAL — Fae YELLOW — Insoector �.CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC —1.0 1 PINK — Ov.�,e, GOLD — Assessor USE CITY OF EDMO"NDMS"ffib`1'—M4?O.,iE CONSTRUCTION PERMIT APPLICATION OV040! NAME "AI-11 OF SU'I'IN7L:S�l DRESI A, E_ sc MAILING AU(1HLSS A- ��J, --)i 7— #06.- o D .L�-bn(od,bs I� 11A CITY ZIP NA M'E----- Iiq5= 'S e6 7, ADD ps�g Cy Legil 00scription of Pro�—Crtylr PERMIT NUMBER 56057Z ,,-7;70-;7E -NUMBER —IC RIGHT OF WAY PER OrFICIAL STREET MAP TESCIP AVV�00 0 17 " A-- "., EM'JING -- PECUIRE 0 DELICA,,O, � Aw Pelmd nm—,d 10 SI1-- UW P—t A, a 0 PROPOSED I'Wftt*, Rm�; 0 P.Q- 01 L-L SIZL I --Q 01' FI � I U;IES 'Ry REQUIRE M YES 0 NO 0 ,..NE N. R -.E t -N u 77,-,,-, EXF`iRArj(1N DATE .2 3 - ql, alf T,1 I A T)"' N11, �J-j Eh!- I bf�-RESIDtNTIAL PLUMBINO 17 All 1 11 COMMERCIAL MECHANICAL 0"'. �N APT, BLDG. SIGN OFIADING CYOS FENCE GOOSIOVE IWNSERt 11 SW M POOL Hot OARAGE CARPOR T RETAINING WALL/ El TUDISDA ROCKERY RENEWAL NUNH�r'P NUMBER OF OF 0- -` No CRI I ICAIL STOF1 'IELLI AIR 'S _j AS N'LDES 'BER 18E W— I U ERE DONE IAITACH P* OT PLAN) le CO F: DA SIGN AREA . — SZPAPEVI,'.W - ADP:.-j - ;;OPOSED CC E,,Vp, ALLOWED PROPOSED COMPLETE EXEMPT S-OREL"il EAP VARIANCE OR Cu 0 PLANNING REVIEW 13- DATE SET`3ACKS - �EET Lot COVERAGE SIDE BY REOUIRED C3 YES I - -.C." -411MARKS -- — -------- — JL PROGRESS INSPECTIONS PER UBC 305 7 I -A INSPECTION REQUIRED - MeWCK rEE VALUATION FEE HEAT SOURCE' GLAZING PLUMBING Plan Check No. MECHANICAL This Permit CoveTS to be d a On —011vatO Pro—p—erty ONLY. Any construction on the Public domain GRADINGWILL (curts. sidewplks, driveways, marquees. etc.) will reQuire separate Permission. Permit Application: 180 Days STATE SURCHARGE Permit Limit: I Year - Provided Work Is Sladed Within 180 Days STORM DRAINAGE FEE "Ap !cant. behalf his or h spo �eheirs. assipns and successors in interest. agrees to inde us mnify defend and hold ENO, INSPECTION FEE harmless the City of, Edmonds. ashington. its officials. W CmPloyees, and agents from any and all Claims for damages of 5 whatever nature, arising directly or Indirectly from the issuance of this ermit. Issuance of this permit shall not be deemed to modify.twaive or reduce any requirement of any city ordinance PLI�N --HECK DEPOSIT norvlimit in any way the City's ability to enforce any ordinance pro ision.- TOTAL AMOUNT DUE I hereby acknowledge that I have read this app!ic h Inf 0 rmation given is cor ation; t at the rect; and that I am the owner. or the duly authorized agent of the owner. I agree to comply with city and ATTENTION APPL:CATION APPROVAL St a e laws regulating construction: and in doing the workaUthoriz. ed �h r b Person will be Employed In violation t-IS PERMIT AUTHORIZES This application is not a permit until of the Labor 4 St Co flh shington relating to Workmen s Compensa. A ate 5R"^' 18.27. t 10 �Is' U r i n crIon n ONLY T.E WORK NOTED signed by the Building Official Or his,/her Deputy: and fees are Paid. and receipt /,� 51 1IJ-E OVINE SIGNED INSPECTION is acknowledged in SPacf- provided. UW JDATE C)EPARTIVEN7 CITY OF I U-F -7 E EDMONDS � TTENTRF— CALL FOR EAS-L TIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. 771-0220 ORIGINAL — F,je YELLOVI US CHAPTER 3. C — lnscector PINK 0----ner GOLD — Assesso, -qING -DEPART MENT Appllant Fill In3lde Healy Lines APPLICATION NAM (OR NAWJC OF BUSINESS) 'Al A&On, V FE—LEP116NE _NUXB— ,!girl 2-4 %4Y TFL�LPHONE NUMBER I L CLt-li e4e— TELEPHONE NUMBER UMBER CITY LICENSE NUMF�FR of pe, ty (Show Below a, All.. Four Copies) �OSTED ON KROLL M" NO.: P lnRMIT 700364 NULMM FB—ADDRESS ca 9 0 7 - UDE YARD SETBACK STREET SETBACK RE Y D SETBACK USE ZONE LOT AREA VACANT SITE r) YES �tNo Z 4EIGHT I BUILDING AREA VARIANCE NUMBER [�LOT PLAN APPR6VED STREET R/W EX187ING STREET I EFICIENCY T PROPERTY COMP. PLAN ST. I REMARKS &iopee_imt-to_etteeed v e way Z 14 CHECKED BY METER SIZE SERVICE SIZE CLEARANCE BY I ICHECKED REM—ARRS O.K. to connect into sanitary sewers mt with line than 211. �gojarger TYPE CONNE N VERIFIED BY s5w PERC. TEST PER9 cc REMARKS N FIRE ZONE TYPE OF CONSTRUCTION STREET IMPROVED A 0 YES 13 SPECIAL INSPECTOR REQUIRED OCCUPANCY OROUP C] YES [XNO 0 SIDE�MAL I L_j LINE PLAN CHECKED BY NEW AD. NON-RESIDENTIAL RETAI NG REMARKS WALL 0 DEMOLISH M rx E FENCE FMI- (Pl5g4gar z_ 1AIEr ALTER CAVAT ED OR FILL Ft RE -AIR PRE-11OVE swill El INSP. POOL LIS. or Pea- 4� 0MAfr-A-fe%JT NOST 61-T DWELLING )e&-,W9kr146'A)75 Of 09191&Z 9W UNITS NATURE OF WORK TO 33E BONE Valuation Fee Receipt Nom Plan Cbe,ck No .. ................ Z BUILDING PROPOSED USE PLUMBING 'LOT PLAN (Indicate Building etbaCto, abutting streets) HEAT & GAS LINE FENCE P11 0 SIGN ; RETAINING WALL NI SWIMMING POOL — I . _. . I .. — - I DEMOLITION PRE -MOVE INSPECTION EXCAVATION OR FILL TOT AL AMOVNT DUE I hereby BC]CDOwledga that I have read this application; that the In. formation given is co.rrect: and that I am the owner, or the duly au thor. J.ed agent of I owner. I agree to comply with city and state laws "gu- A=N-TION APPLICATION APPROVAL laung construction; and In doing the work authorized thereby. no person will be employed In violation of the Labor Code of the State Of WMbl.gt.t T1fIq PERMIT This application Is not a permit until njailng to Workmen' . Corapenaatlon loxurance. AVTIIORIZES signed by the Building Official or his Dep- NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY TILE WORK NOTED uty; and fees are paid, find receipt is ac- s completed in ninety days; MOVFD.I-'? BUILDINGS shall be com- knowledged in space provided. t ned six months.) 0, ED INSPECTION DI C GNA DEPARTMENT CITY OF 'AT W tn,�: 00 '7� RECORD OF INSPECTIONS. Date Passed' 1 't "i: Foundativi Plumbing G (Rough) 17 Frame Final R[fC0 RD�OFINSF�ql Date, Passed:,:. Dr�;inagcc Sewer Pa�W4_ 'Landscapin�,*.,,;,�i�."-Il�-�LL�� F -Dept.l. ire RECEIVED 0 C T 1 1 1995 PERMIT COUNTER P.L. 105.001 1* 7 5f 12.5' setback Asphalt Drive. 1. 15.0,- set back 25.0' Garage Deck P L 70.71f P.- 70.00f setback 24' House setback 60 7.5' P.L. 115.001 G=�N, - emm n EEE� fu T FILE 0 APPLICATION CARD No . ...................... for The City of Edmandso"TREEmi" FILE SEDE SEWER PERMIT OUTSIDE )K INSIDE 0 REPAIRS 0 EASEMENT No . ..... �160 08 OWNER ... ...... ff .......... ..... . . 601 .................................................... CONTRACTOR I .... ........ C� ............................ ... I .......... .. PERMIT No.(�L� HOUSE No . ...... 2-.2 -�- 0 -7 - 7-57 - 0 - STREET T No . ....... ?� .............................................. A ............................................................... AVENUE LO ...................................................................... BLOCK No. ..................... ............ . .... Ole - NAME ADD ........... 00?. W- . ........... 7 ......... 'e 75 -l0q E L 40 Q-"-"LA: J�i 44 jg�al-:4 l';15 - Date BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ................. SEWER WORK ORDER ISSUED ....... ......................................... 7,r - X) c% Approved:_ .................. ..... DATE. ... BY ................ I .......................... RECEIVED D 10 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION USE PERMIT ZONE NUMBER FADDRESS JOB SUITE�APT#' At4. OWNER NAME/NAME OF BUSINESS , � A V' r�'_ i.) f - I PLAT NAM E/SUBDI VISION NO. LOT NO. LID NO. . - I — cc MAILING ADDRESS W z 30: 7 -7 5- 71, CITY ZIP TELEPHONE 7 7 Y 7 NAME ADDRESS CITY ZIP I TELEPHONE NAME ZIP I TELEPHONE LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pamir Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Require Sidewalk Required REQUIRED DEDICATION FT �. Underground Wiring required METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES C1 NO 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0,PV1Vf'--L 7'� i&'., rb A thV lh) M/0 ENGINEERI FIRE REVIEWED BY STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SEPA REVIEW PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT �/ 1-./ / 5 - 0 0 -1 ". 6 1' 2; — 0 0 ! : , I - - ---- C-] NEW RESIDENTIAL D PLUMBING / MECH r�j ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE Ej REMODEC E] APARTMENT SIGN REPAIR CD GRADING E] FENCE CYDS X I FT) DEMOLISH 0 TANK O� OA4? oGARAGE CARPORT 0 11 OETA' NING WALL R CKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: <-F NUMBER N UM BER OF f CRITICAL OF z- DWELLING Tpu,, AREAS N04 TORIES S 4tU__)G NUMBER DESCRIBE WORK TO BE DONE HEAT SOURCE GLAZING % LOT SLOPE; PLAN CAECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPIERTNr ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE D SEPARATE PERMISSION. t PERMIT APPLICATION: 180 DAYS W IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT-FdR MORE INFORMA*ION 01 "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS U) W IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF i 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE _3 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HEREBY ACKNOWLEDGE THAT.1 HAVE READ THIS APPLICATION; T14AT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGVURE4fW�19WOR AGENT) DATE SIGNED rr, IVII-4141 /19A C3 9 cc Ui z REVIEWED/DATE DATE Lu SHORELINE 08 ADB# SIGN AREA ALLOWED , PROPOSED INSPECTION BOND 09%<1 I POSTED - HEIGHT ALLOWED PROPOSED - —/I I LOT COVERAGE REOUI RED SETBACKS (FT.) PROPOSED SETBACKS (*� ALLOWED PROPOSED FRONT SIT REAR FRONT URSIDE REAR Ez�' I — I q)�' it z I " 77n, 0"- __' z AARKING JVLOT AREA PLANNING REVIEWED BY DAT REO'D IC PFOVIDED ATTENTION' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 CHZI& I TYPE OF CON5�TRUCTIQN SPECIAL INSPECTOR JAREA REQUIRED 0 YES REMARKS PROGRESS INSPECTIONS PEJ� VALUATION PLAN CHECK FEE BUILDING PLUMBING MECHANICAL Gf*&+N64"h+ STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LA*e9exPrmF. 2wPovs T1,27W, INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT GROUP^ OCCUPANT LOAD </4D C3 z 1FINALAySPfqfl1jD.y R�PQ'D a 47) t-c* L) /0' FEE Lo TOTAL AMOUNT DUE R CEIPTAri3 3 lo I J5, APPLICATION APPR.OVAL CALL This application is not a permit until signed by the Building Official or histher Deputy: and Fees are paid. and FOR INSPECTION receipt is acknowledged in space provided. ICIALS SIGNATURE KYE chk 771-0220 "-14�EASED BY 1 r EXT1333 &—�7 V, Y21 4 It 771-0221 F�' Irr ORIGINAL - FILE - YELLOW - INSPECT04 FAX I PINK - OWNER - GOLD - ASSESSOR