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PERMITEXPIRES
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CITY OF EDMONDS
UsEe PERMIT
ZON NUMBER
aL42,4
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS 4.,F- W,
OWNER NAME/NAME OF 8 SINESS
PLAT NAME/SUBOMSION NO.
I LOT NO*
LID 110,
LID FEE S
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9
MALIN ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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NO. OF FIXTURES
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ADDRESS
REMARKS
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OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAOE
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STATE LICENSE NUMBER EXP
,7TION DATE
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HEIGHT
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LOT C VERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.) PROPOSED
FRONT SIDE REAR FRONT
SETBACKS (Fr.)
L/R SIDE REAR
COMPLIANCE OR
0 ADDITION 0 COMMERCIAL 1:1 CHANGE OF USE
REMODEL MULTIFAMILY 11 SIGN
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RKING
RECf PA I PROVIDE.
LOT AREA
PLANNING REVIEWED BY DATE
[jKREPAIR GRADING CYOS E] F NCE
( X FT)
REMARKS
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
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(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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CHECKED BY
TYPE OF CONSTRUCTION
CODE
OCCUPANT
GROUP 7
NUMBER
OF
STORIES
NUMBER OF -FCR—ITICA4,
DWELL NG�
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AR AS
NUMBER
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SPECIALEINSPECTION JAREA
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OCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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VALUATION
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Description
FEE
Description
FEE
A- -WM
Plan Check
State Surcharge
E T Sod��
A GLAZING 11 LOT SLOPE 11
Building Permit City Surcharge
PLAN CHECK NO: VESTED
Mechanical
THIS ERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P BUD
DOMAIN (CURDS, SIDEWALKS. DRIVEWAYS MARQUEES. ETC.) WILL REGO UIRE Grading
SEPARATE PIERM;SSION.
Engr. Review
PERMITAPPUCATION: 180 DAYS
I
A, PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN too DAYS Engr. Inspection
SEE BACK OF PINK PERMIT R MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTERIEst, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
W
ALL CLAIMS FOR DAMAGES OF HATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
X FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. T Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CffY`S ABILITY TO ENFORCE ANY ORDINANCE1110-5101- Recording Fee Receipt N
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
IFOR
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- permit unW signecl by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL B.ij This application is nor a
ding Official er his/her Deputy: attd! Fees are paid, time
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO INSPECTION receipt is acknowledged in space iumided.
WORKMEN'S COMPENSATION INSURANCE AND RCW 16,27,
DATE
SIGNATURE��O.ArENT,,. ED (425) All
C'. RELEASED BY /bATE
A17ENTION EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL LOAl2,94
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE Y' OW.IN�PECTIR
ELL
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD . ASSESSOR
04J02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING
STREET FILE APPLICATION
for
The City of Edmonds ye i-A SME SEWER PERMT
OUTSIDE INSIDE REPAIRS
OWNER ... &�grl .......... -------------------------------------------- CONTRACTOR_� r__� ow-e-1 10_�_"
......................................................
_3 STREET
CARDNo . ......................................
EASEMENT No . ......................................
.......................... PERMIT No.
_Q/F
HOUSE No.
-- ---------- f ... ... - ---- -- ..................... AVENUE LOT No . ...................................................................... BLOCK No . ...............................................
NAMEADD . ...................................................................... . .................. ....................................................
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APPROVED
JUN 7 1966
14
Date Approved:
BACKFILL WORK ORDER -ISSUED ................................... DEPOSIT, $ ............................................. & /�
SEWER WORK ORDER ISSUED .......................................... DATE ................................................ By
... .. * .. Y . ... * ... *"** --------------
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CITY OF EDMONDS
CIVIC CENTER — WATER -SEWER DEPARTMENT Call PROsPeCt 0-1107 when work
is ready for inspection. (No impoe-
SIDE SEWER PERMIT tions Saturday, Sunday or holidays.) N2 1414
1pkce—
ADDRESS .......... Z�14 - 74th-Am644-e West
........................................... ................................................................. ........................................................................
OWNER ...... Bob Wilson
..... . .................................................................................
CONTRACTOR ......
Permission Is granted ...--JUne ... 7 ......................... for ---------------------- days, to REPAIR or CONNECT a side sewer
with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CAT-TED 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 he 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 ap-
purten&nces except to insert the pipe into the wye.
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