23023 75TH AVE W (2).PDF11111111111111
15047
23023 75TH PL W
E PERMIT 51L+
CITY OF EDMONDS ""' P�;, - 6 NUMBER 9`� 0
CONSTRUCTION PERMIT APPLICATION og ;UPT I
AME OF BUSINESS ICAT19ON ADDRESS C� -7 - ,,-z
0 4 LEGAL DESCRIPTION CHFCKI SUBDIVISION NO. LID NO, STREET FILE.'
%
MATING ADDRESS
;0 30 Z PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0
ELEPHONE NUMBER RW Permit Required 0
_0M OA..)p T_1 _1 _ E:iSTING - REOUIRED DEDICATION Street Use Permit ReQ'd 13
Inspection Required 0
OPOSED It
NAME Sidevralk Require 0 Z
EMARKS
J)cc,'�--5 V, U'.-') -I:W,%(-
ENGINEERING MEMO DATED REVIEWBY
Z
.4
hDDRES a
A50-7 11111, 1q +11% 5 4-15 W
METER SIZE
IBUILDING SUPPLY SIZE
NO. OF FIXTURES
ZIP
q 3_1
CCNAAWOOO 90
1 TI LEPHONE NUMBER
-1 -1 1 -33 2s-
REMARKS
STATE LICENSE NUMBER EXPIRATION DATE
12LI Io(aLIZ -q3
f)6( 1C.5 lr�
d.
SIGN AREA
ALLOWED PROPOSED
I
SEPAREVIEW
COMPLETE EXEMPT
�/
EXP
ADS NO.
Legal Description of Property - include all easements
. SHORELINE It
VARIANCE OR CU
P N;5VIEW BY
LAN
-7 D
SETBACKS — FEET
FRONT j SIDE REAR
H��7
IT COVERAGE
Ta Account
- 00q - 02 C09
P.xrcei No. 00Z
NrN. E?�ESIDENTIAL PLUMBING
EVA.DITION 0 COMMERCIAL El MECHANICAL -
4�1� /5 -17 1?2A— -
REMODEL El APT.BLDG. El SIGN
GRADING FENCE X
_
REPAIR CYOS. I FT)
CHECKED BY
""7
�RUCTION
T�YPE OF
CODE
1 511
I HEIGHT —
76
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
Z
8 ECIAL INSPECTOR
RP U RED 0 YES
A
[OCCUPANCY
GROUP �0,��
IOCACUPANT
Lo
MARKS
im —
PROGRESS INSPECTIONS PER UBC 305
FY—PEOFUSE.BUSl SORACTIVITY) EXPLAIN'
Dee, k
NUMBER OF STORIES
02 �Vjr
1A
r
NUMBER OF
WELL NO
UNITS I
DESCRIBE WORK TO BE DONE (ATT;5 PLOT PLAN)
FINAL INSPECTION REOUIRED
Aj If, W ezL
VALUATION
PLAN CHECK FEE
BUILDING
CE'
LAZING
%
PLUMBING
_HEATSO
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission..
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days -
STORM DRAINAGE FEE
I
ENO, INSPECTION FEE
x
a
dx
"Applicant, on behalf of his or her Spouse,* heirs, assigns and
A p C a n
a ccessors in interest, agrees to indemnity, defend and hold
u c c a a a 0 I
huarmless the City of Edmonds, Washington, its officials,
a r IT 0 It
employees, and agents from any and all claims for damages of
a m P 0 y a a a
whatever nature, arising directly or Indirectly from the issuance
w h I v In t
of this permit. Issuance of this permit shall not be deemed to
0 f I h I I P r m
modify, waive or reduce any requirement of any city ordinance
mo d I if y W I v
nor limit In any way the City's ability to enforce any ordinance
n r m t
0 a
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
R AL
I t V ATTENTION APPLICATION APP OV
nformation given is correct; and that I am the owner, or the duly
I
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. AUTHORIZES
a
ed thereby, no person will be employed in violation of the Labor ONLY TH E signed by the Building Official or his/her
Code of the State of Washington relating to Workman's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is
I it I , . acknowledged in space provided.
II nin , .1'\A I INSPECTION
I n nf r
gl.pg _m
SIGNATUR 0 R R GE JOATI, 51UNt!) DEPARTMENT G ATURE
CITY OF /7 f 7,
-7-3L) —lY EDMONDS
I CALL FOR TE
Iiig — V1 ); Z— —
6ENTION INSPECTION 3,1
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UJIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YkL(OW L Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC
CHAPTER 3. PINK — Owner GOLD — Assessor
_j
el
-al
PP,
NW 1/4, NW 1/4 .32-27-4
Su rl R E E T 3 FILE'
Civic CENTER
KOMON"' W4 98020
S" 3WWJ k W. 7. 06 30
'PROVED BY
LOTE Approval of this short
s su�
u division is subject to the
conditions found in City of
Edmonds File #S-37-85.
I-J,
3*2213,10"-w ---------------
ATUT 1110- �� FZI-:D
rr; rt
31-7.
SURVEYOR'S CERTIFICATE
This map correctly represents a survey
made by me or under my direction in
conformance with the requirements of
SurveFcording Act
c a r t i i i c a i a n
03
CD
20 20
20 20
.0
0
OF EDMONDS
1?T. ENCIN-ZERING DIV.
'IS
J
VOL 1946P-"'E231i