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APPLICATION CARD No . ......................................
for
The City of Edmonds SEDE SEWER PERMT
EASEMENT No . ......................................
OUTSIDE INSIDE E] REPAIRS E]
,9 7 3,00
OWNER ---------- ILI ........ �/ � .......... A4 ......................................... CONTRACTOR ... ...... �",YeA .............. PERMIT No.
HOUSE No . ...... -? 112..& ..... . ....... 4, STREET
.... ..... :��T ...... AVENUE LOT No . ...................................................................... 13LOCK No . ...............................................
NAMEADD . .................................................................................... ........................................................................
Date
BACKFILL WORK ORDER ISSUED .........
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............... DEPOSIT, $ ...........................
Approved:
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SEWER WORK ORDER ISSUED .................
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DATE. ................................................ By ..........
CITY OF EDMONDS
USE:
.4ok E PERMIT .4
NUMBER
CO,NSTRUCTION PERMIT APPLICATIO
JOB ITE/APT #
AD . DRESS A-3 9 7, Al -t(
OWNIth NAME/NAME OF BUSINESS
4,17
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO.
MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING —REQUIRED DEDICATION —
ROPOSED
TESCP Approved 0
RW Permit Required 11
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
CITY
TELEPHONE NUMBER
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FE
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 11 NO 13
REMARKS
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CITV�, ZIP
TELEPHONE NUMBER
NAME��/
ADDRESS
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ENGINEERING MEMO DATED REVIEWED BY
ZIP
TELEPHONE NUMBER
21),/--,-
IRE MEMO DATED REVIEWEDBY
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S-PATE LICENSE NUMBER EXPIRATION DATE
jI:i Ai h-7 T 012yr
VARIANCE OR CU
ADB#
SHORELINE 0
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Legal Description of Property - include all easemen
-7 �4
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
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EXP I
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LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS. (FT.)
FRONT SIDE' REAR
PROPOSED SETBACKS (FT.)
FRONT UR SIDE REAR
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Property V
Tax Account
Parcel No. 00-7 D 0,S- — 6 0
LOT AREA
PLANNING REVIEW BY
DATE
NEW RESIDENTIAL R���EC.H
REMARKS
[:] COMPLIANCE OR
COMMERCIAL CHANGE OF USE
REMODEL APT. BLDG. SIGN
CHECKED BY
TYPE OF CONSTRUCTION
I Co�.
OCCUPANT.'1'
GRADING FENCE
REPAIR CYDS. i x_ FT)
0
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
FGARAGE RETAINING WALL/
]CARPORT ROCKERY RENEWAL
(TYPE OF USE, Bust ESSORACTIVI . )EXPLAIN:
SPECIAL INSPECTOR -1
REQUIRED 'YES
—
ARtAd
OCCUPANT.
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
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3
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICAL
AREAS
INUMBER
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DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOUIRED
VALUATION,
FEE
PLAN CHECK FEE
9
BUILDING
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HEAT SOURCE:
GLAZINGg
%
PLUMBING
Plan Check No. I?
MECHANICAL
:GRADINGIFILL
This Permit covers work t64e,1dorlef`o'h`private property ONL
Any construction on thC�ubllc domain (curbs, sidewpiks,
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
ENG. INSPECTION FEE
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heirs, asside[E(
"Applicant, on behalf of his or her §1�o� Urid
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successors in interest, agrees to ind ni y, defend and old
harmless the 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
permit. Issuance of this permit shall not be deemed to
reduce any requirement of any city ordinance
PLAN CHECK DEPOSIT
?a,
TOTAL AMOUNT DUE
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waive or
nor limit in any way the City's ability to enforce any ordinance
provision. 11
I hereby acknowledge that I have read this application; that the
,information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laws regulating construction; and in doing the work authoriz- 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 of the State of Washington relating to Workmen's dompensa- WORK NOTED Deputy; and fees are paid, andreceipt is
tion Insurance ario RCW 18.27. INSPECTION acknowledged in space provided.
.SIGNATIU1,E OWNER OR AGENT) DATE SIGNED DEPARTMENT
OFFICI L' N PATV
CITY OF
EDMONDS
121/77-
CALL FOR A: S , BY: 'dATE
'TION
ATTENTION INSPEC
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
ORIGINAL — File YELLOW — inspector
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
A CERTIFICATE OF OCC I UPANCY HAS BEEN GRANTED, UBC
SECTION 1.09 112 PINK — Owner GOLD — Assessor