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TAX ACCOUNT/PARCEL N1
BUILDING PERMIT (NEW S
COVENANTS (RECORDED)
CRITICAL AREAS DETERMINATIONNonditional Waiver FIStudyRequired []Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: —
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED-- hy� Z-5
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
LATEMKDS'Ps\Forms\Strect File Checklist.doc
BUILDING DEPARTMENT Applicant Fill
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ZO 'IERMIT
UMBER 750487
PERMIT APPLICATION
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STREET AND/OR UTILITY 0 YES
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REPAIR PR.- -V. W
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TOTAL AMOUNT DUE:
to..] hereby.ackn1,dg. that I he,. lead tell pplil.tJon; that the In-
t" "'" 's Correct : and that I
are the owner. or the duly author.
lIeld agent .1 In, I .,,. 1. core ply wit" City and late law, Mgu�
letter Coast 10
—t .; ad 1. d.l.g the work authorized thereby, no person
ATTENTION
APPLICATION
.it, be e.,lOyed in VIO'Atl^n Of the Labor Code Of tbe State of WSbjIigt.o
APPROVAL
relating to Workmen's Corap,al.tjo:, Insurance.
THIS PERMIT
AUTHORIZ:S
This application is not a permit Until
Limit 0
NOTEVP*Ormit CrPt DEMOLITIONS whIlh
ONLY TH
eignot ly the Building official or his Dep.
shelf led in BUILDIIII, .,,1 1. com.
WORK NOTED
uty; Bud fees are paid, and receipt is Be-
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pl,led - the.)
knowledged in space provided.
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INSPECT
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CITY OF
RE SIGN TUR
EDMONDS
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,VOTE., Applicant Subject to Phl, Clec
DATE
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done
775-2525
3--? s
This Permit ,cevers zork to be on private property ONLY.
Any constructou I III. public domain (curbs, sicl.�401ks, drivewa-,-i,
I
..
ORICINAL. File YELLOW Inspector
a.n
- mnr as, etc I Will require separate permission.
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CRy of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the City.
Ile purpose of the Chlecklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
subject property. The information needed to
complete the Checklist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An applicant, or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review -
the checklist, make a precursory site visit�
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner I Applicant:
I tAe',
L Z.. Z'
Narne
1111,01"' t-' if
Title
Street Address
A 1�
Ldo 0/11 4>'S' !I
City, State, ZIP Phone
*ig=6/01 Date
U�
4
Applicant Representative:
Narne
Title
Street Address
City, State, ZIP Phone
Signature Date
Ceritical Areas Checklist
Site Information
ProjectName: JA11W%a-n 0JJt7%-d-1 PermitNumber:
Site Location: 109 SKOVA-e brN J-f.4 Property Tax Account Number.
9 Z-S 0 — 060 -Nc�— 0 00 —�
Approximate Site Size (acres or square feet): 7-0500
Have you filled out a Critical Areas Checklist for a project on this site before? 6 6
General Site Conditions
1. Has the site been cleared or logged? Al Date of most recent action: 19,10e-
Soils / Topography 4ttOZA ��Vj dW))
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? jj-�6'110
3. Describe the general site topography. Check all that apply. 510pes
Ylat- less than 5 feet elevation change over entire site.
n Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
-e-,§ Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise
of 10 feet of horizontal distance.)
V) 6 Steep: grades of greater than 30% present on site.
Comments A W-D*- \v\ Q (Ae�7,1 crN
HydrologyNegetation
4. Site contains areas of year-round standing water. N\(O
5. Site contains areas of seasonal standing water. f� 0 --Approx. Depth:
6. Site is in the floodway AQ floodplain Y� Q of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? P&flows
are year-round? YW Flows are seasonal? V�Q
8., Site is primarily: forested no meadow shrubs mixed ' 110
9. Obvious wetland is present on site: Y) 0
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
OCT 2 11992
PERMIT rnI INTFR
0
City of Edmonds
Critical Areas Determination
Applicant: I Joel Tallman = Determination #: I CA-92-219
Project Name: I Tallman Addition Permit Number: F
Site Location: 1 309 Skyline Dr. Property Tax Acct #: 1 4230-000-049-00
Project Description:
Addition
Waiver Criteria (all criteria must be found to apply):
XX ' There will be no alteration of the Critical Area or its required buffers;
xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. The applicant must follow the requirements of the Building Official for
construction on steep slopes (ECDC title 19.05, 19.00-UBC chapter 70).
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Commu *ty Developq e t Code.
Stgphen F. Bullock A54-0 Aw
Name *Siature Date
1253
Critical Areas Checklist
Site Information
Project Name: Ici MOn
10)d t7d
Permit Number:
Site Location: 1001 S KO'�A-P_
bv-\ . J-f.
Property Tax Account Number:
9 Z-S 0— 060 -01c�-Ouo-?
Approximate Site Size (acres or square feet): 7-0500
Have you filled out a Critical Areas Checklist for a project on this site before? 66
General Site Conditions
1. Has the site been cleared or logged? Date of most recent action: 1900e
Soils / Topography 4ucooA (699-4 11106)
2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? ��� ltah�' jj-�Mjb
3. Describe the general site topography. Check all that apply. U 546
Ylat: less than 5 feet elevation change over entire site.
n Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet)
Y,m:!� Hilly: slopes present on site of more than 15% and less than 30% a vertical rise
of 10 feet of horizontal distance.)
n6 -Steep: grades of greater than 30% present on site.
&_
Comments R tf-o,, �v\ (Ae5�M Or-) C-\f\a\A-;"eS js"Ie.2
HydrologyNegetation
4. Site contains areas of year-round standing water:
.5. Site contains areas of seasonal standing water: f� 0 —Approx. Depth:
6. Site is in the floodway AO floodplain 'Y) Q of a watercourse.
7. Site contains a creek or an area where water flows across the grounds surface? V10 flows
are year-round? Y10 Flows are seasonal? V�O
8. Site is primarily: forested 66 meadow shrubs Cf� ;mixed
9. Obvious wetland is present on site: Y) 0
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site:
For City Use Only
STUDY REQUIRED: Critical areas'study:is required.
CONDITIONAL WAIVER: Critical areas study not required if specified conditions satisfied.
WAIVER: Critical areas study is not required.
CA -C19 -a I
.Determination Number., ewer6e
.... Revi
Planner D
:key 3R7/9.2.. .. ..... ........
FACEIVED
OCT 2 1 IS"92
PERMIT r.0IINTFR
0
is
& 90 -19',
City of Edmonds
Critical Areas Checklist
The Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the City of Edmonds prior
to his/her submittal of a development permit
to the City.
The purpose of the Checklist is to enable
City staff to determine whether any potential
Critical Areas are or may be present on the
sub ect property. The information needed to
complete the Checklist should be easily
available from observations of the site or
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An applicant, or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City. The City will review -
the checklist, make a precursory site visit,
and make a determination of the subsequent
steps necessary to complete a development
permit application.
With a signed copy of thi's form, the
applicant should also submit a vicinity map
of the parcel with enough detail that City
staff can find and identify the subject
parcel(s). In addition, the applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided are
factual, to the best of my knowledge (fill out the appropriate column below).
Owner / Applicant:
Name
Title
Street Address
A 7 ;1-1 -,� �, i,�) 1"7 �
City, State, ZIP Phone
/ / �-� Lure
igna Date
Applicant Representative:
Nwne
Title
Street Address
City, State, ZIP Phone
Signature Date
MINE
111�7- N
N NIN
City of Edmonds
Critical Areas Determination
Applicant: Joel Tallman Determination #: CA-92-219
Project Name: I Tallman Addition I Permit Number: I I
Site Location: 1 309 Skyline Dr. Property Tax Acct #: 1 4230-000-049-00
Project Description:
Addition
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
Xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance;
a;-4
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. The applicant must follow the requirements of the Building Official for
-n
construction on steep slopes (ECDC title 19.05, 19.00-UBC chapter 70).
M
2. - The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.1513. 150 (B) of the Edmonds Commu *ty Dievelopq e Code.
-1 pt
Stgphen F. Bullock
// fw -41
Name Si *ature Date f
CITY OF EDMONDS
SIDE SEWER PERMIT
WAT",SEW= DEpARTmXNT
STF?Eiz PERMIT 6341,
T FILE
Call 775-2525 for side sewer Inspections BEFORE covering any portion
of the construction.
(Inspection will be Provided within 24 hours after requst. No sal., Sun., or holiday Inspections.)
ADDRESS LOCA'MON OF CG?ift%UcnON.
............ ........ C)r.111.
...... . .. . ... ------ ------ - ----------
'**OPXRTY u*AL
................. . ............. ................. OW141M AND/OR
C01"CRACTORIS NAM & ADDRFAR-_ �_" 0
...........................
=1 no a=,
....... 19.:Z.!� for repair AW/or connection of a side sewer
of FAUnon& ordinanem to timi"efty sawtary sepio
A- �MGN 19 MLLED To THE poLLOVVING.
No" No' '—The OwnerX Of the Property May obtain a Permit to construct sewer Inside Property line. A licensed Side Sewer Contractor
side sewer in street area. Do not COTer any Portion of sewer before it been in ected�
NOTE NO, has sp must bV(?OmPloyed to cons""
2—AH work Performed In city right-Of-WaY requires an Invasion of Right-of-way permit obtainable from the City Z 8
100"NO. 341)btaln full Information regarding Ortinence 11.16.030 and Regulatio u9inearl office,
NOTIC, No. 4—Top of side sewer must have at least 30 Inches coverage at propert ns COVeMing side sewers when You get permit.
duuper than % Will be Permitted. y line and 12 inches inside Property line; mintrutun grade of 2%. No bends In gr*
No' ii—TrencheB In street must be water settled and surface of street restored to original condition. Contractors WWI
work wIddh may develop within One Tsar of completion. be respo I usible, fOr failure due to hnPrO*
NOT10 No. 6--lt Is Unlawful to alter or do any other work than is Provided for In the permlt� Or to do any work on the main sewer or Its appUrto I mances e
sort the pipe into the wye.
xcept to
DISAPPROVED 0 Date .. ...............
APPROVED
Remarks: . ........
DateL .......... . ... .
---------- - -------_-- - ---------------------------
M-ITH Permit Copies MUST Be Signed By owner of pjrm Performing Construction PRIOR To Request For lipection
------ � ......................... .... hereby certify that the side sewer installation constructed u nder this permit
er ntracting Inrm lret*tnting Construction)
%, nataned in accordance with all 96'Veirninji ordinances of the City of Edmonds.
Dated this ------- - -- - -- - ----------- dav of ......... ..
4 4 Check BEFORE you dig for: Water 0, Gm
WePhone 0, Power 0, Sewer 4
JUR .........
APPLICATION
t—
0
cn
4
:in
1711
for
T'll"a City of Edmonds SIDE SEWER PERMIT EASEMENT NO - --------- ----------- ----------------------
NEW CONSTRUCTION REPAIRS 0 LID NO.
ASM 0.--
OWNER ----------------- CONTRACTOR ------
- -- ------------------------------ ------------------------------------ PERMIT NO.
JOB ADDRESS LEGAL DESCRIPTION: LOT NO - ------- ------------- -------- ---- BLOCK NO - ------------ ---------- ------------
- ----------------------------------------------------------------------------------
------------------------------------------------------------------------------ I ---------------------------------------------------- ----------------------------
NAMEOF ADDITION ---------------------------------------------------------------------------------------------------------------------
woved:
TE ---------- feff, B y ----------
0
APPLICATION,
The City of Edmonds for
SIDE SEWER PERMff EASEMENT NO. ----------------
NEW CONSTRUCTION 0 REPAIRS 0 LID NO - ----------- ------ IASMT. NO ----------
OWNER ......... elt
-- ------------ -------- ---------------------- CONTRACTOR ------- ---------- -------- ........... ...... PERMIT NO.
JOB ADDRESS ------- -------- BLOCK NO - -------------------
------- LEGAL DESCRIPTION: LOT NO. ...... ---------- -----------------
-At
---------------------------- ................ ----------------------------------------------------------------------------- ......................................
NAME OF ADDITION ..... .........
a
a
Approved:
0
DATE-------------------------------------------- BY ------------------- ----------------------------------------
8 9 0 - 19()-
I* City of Edmon
RIGHT-OF-WAY CONST*RUCTION
PERMIT PermitNumber.
Wue Date: 9 -
A. Address or Vicinity of Construction: - 309 Skyline Dr. (9321544)
B. Type of Work (be specific): Install New Service
C. Contractor: Wqahl n g ton Nat'l. Gas Co.
MailingAddress: 815 Mercer St.Seattle,Wn
State License #: 98111
D. Building Permit # (if applicable):
Contact: Frank Swan
Phone: -994-9978
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. F] Commercial El Subdivision 0 City Project WUtility (PUD, GTE, WNG, CABLE, WATER)
F] Multi -Family F] Single Family F] Other
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: RkYes []No G. SizeofCut:(1)2 x 4Cut H. Chargq�,$
@ Gas
APPLICANT TO READ AND,01GN
INDEMNITY. Applicant understands and by his signature to this application, agrees to ho e City of Edmonds harmloor
p Wn59Q damages, 0
claims of any kind or description whatsoever, foreseen or unforeseen, that maybe m4aa ,inst the City ofEdmondd,,'or==tmentsor
employees, including or not limited to the defense of any legalproceedings including de ns osts, and attorney fees by reason ofgranting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING 1HE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE -TO THE APPfICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be ' kept clean at all times.
Traffic Control and P�blic Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shaffbe patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and understand thepermit requirements and thepink copy of thepermit willbe
available on site at all times for inspection purposes. r"
Aug. 10, 1993
Signature: Date:
(Contractor o�,Ajtent�,'
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY: RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER 19=210-U DAYS DISRUPTION FEE/FUND Ill:
SPECIAL CONDITIONS: IVA RESTORATION FEE: M
COMMENTS:
//— _2, - -/ 3 _ _
PERMIT FEE: ot)
TOTAL FEE:
RECEIPT FEE:
.0
DATE:
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMITqSSUANCE Engrg. I)iv. 1991
I
Addendum to City of.Edmonds
Right of Way
Permit Application
_Submitted by: Guyla Connors
Engineering Aide
Washington Natural Gas
521-5248
___Ir (_ &I-- P k__1
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4,
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I O-Y4) Cc�T -QP
WNG to window
Xey:
Water main depth] -w- water
k'/A unknown
-g- gas
gas main -ss- sewer
-e- water hydrant
0 water valve
815 M=cr St. (P 0. Box 1869). Scank. WA 9SI 11 (206) 622-6767
8s
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CITYOF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
51 ="U'Ng A09SS
Z
0
Z_
CITY
ZIP
NAME
5�6 /)/fv,
ADDRESS
7 7o?
<5AXY_,�
CITY
ZIP
- L xc
NXME�
0 uin
ADDRESS
0
CITY
ZIP
'21 — -7e-,,
STATE LICENSE NUMBER EXPIRATION DATE
- include all easements
Tax Account
Parce
rj .1119
-
11 NEW
FTr.FSinFNTIAL
PLUMBING
r7r
I - I ADDITION
COMMERCIAL
MECHANICAL
REMODEL
APT. B LOG.
El
SIGN
11
GRADING
11
1:1
FENCE
REPAIR
CYDS.
L_ x _FT)
DEMOLISH
WOODSTOVE
F� INSERT
SWIM POOL
HOT TUB/SPA
GARAGE
RETAINING WALL/
C
11 ROCKERY
RENEWAL
'TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
USE
ZONE PERMIT
NUMBER
JOB
ADDRESS
k, y)
LEGAL DESCRIPTION CHECKI SUBDIVISION NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING - REOUIRED DEDICATION
PROPOSED
A—
930103
�1% SUITE/APT
TESCP Approved 13
AW Permit Required 0
Street Use Permit Req'd 0
Inspection Required 0
Sidewalk Required 0
GINEERING MEMO DATED REVIEW BY
4 i_�
TER SIZE IBUILDING SUPPLY SIZE I NO. OF FIXTURES
cc
uj
REMARKS
SIGN AREA
SEPA REVIEW
AOB NO.
ALLOWED PROPOSED
COMPLETE
EXEMPT
", /L.
A
SHORELINE
EXP
WRIANCE OR CU
KANNING REVIEW BY
DATE
V,
SETBACKS — FEET
HEIGHT,
IT COVERAGE
FRONT SIDE 16) REAR,,'�_'S
4.1
Z
3
By
IPECIAL INSPECTOR AREA / If OCCUPANT
S /IWCCUPAN.C'
REQUIRED 13 YES ROUP LOAD
REMARKS
PROGRESS INSPECTIONS PER USC 305
a NUMBER OF STORIES NUMBER OF
W
13 DWELLING
100 DESCRIB UNITS
9 WORK TO BE DONE (ATTACH PLOT PLAN)
,/_S7 , -) A),O 7--' 4. - - I I
FINAL INSPECTION REQUIRED'
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
bt 6C rx
GLAZING
2-Z. %
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewpiks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
ENG. INSPECTION FEE
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
PLAN CHECK DEPOSIT
whatever nature, arising directly or Indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinan a
nor limit In any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
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
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and In doing the work authoriz-
ed thereby, no person will be employed In violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
F
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER' 3.
10247
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
CALL FOIR'
INSPECTION
1E_
�'?717- Vp�
El ZZ, _&EiD
-E XAM ir
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APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt Is
acknowledged in space provided.
E 0 BY)/ W, DATE
0
771-0220
ORIGINAL — File YELLOW — inspector
PINK — Owner GOLD — Assessor
930208
TEL.
0567
STATEMENT ON ACCESSORY DWELLING UNITS
Property Address:
309 Skyline Drive Emerald Hills, Edmonds Wa.
A INA
Legal Description I t ON F11 r
U,t�
Ty IN
r/Ir
Lot 49, Emeral ' d Hills, as per plot recorded'in Volume 31 of plats, on pages OFRcr
46 to- 49, inclusive, records of Snohomish County. Situate in the County of
Snohomish, State of Washingtion.
TOX I.D. & 4230-000-049-0007
I have read the requirements for accessory dwelling units contained In Chapter 20.21 of the
Edmonds Community Development Code and understand that an accessory dwelling unit,
Including a second kitchen, Is prohibited for two years after occupancy by the current owner Is
granted and until after a conditional use permit has been approved by the City of Edmonds
Hearing Examinen '
I also understand that approval of a conditional use permit Is subject to a public hearing, and
neither this statement' nor the Issuance of a building permit shall act to limit the discretion of
the City review In the review of any application for a conditional use permit
Burns Tallman and Pauline L. Tallman, his wife
Property Owner Name
Date a. 1-,?
STATE OF WASHINGTON
COUNTY OF SNOHOMISH
....... 400",
it S V'J
r 0.1
I certify that I know or have satisfaciory evidence that j& ra 5 7a U man atid 4Jttft I -rd-llyn a "Pu
signed this Instrument and acknowledge It to be hIsAw free and voluntary act for the uses and
purposes mentioned In this Instrument.
q3
Dated
CL Signature of
Notary Public
C lay
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Tit
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2
M appointment
y
<X CL Expires: -on
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rn
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY
AUDITOR
AMEMDOC