315 MAIN ST.PDF11111111111111
11937
315 MAIN ST
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CITY OF EDMONDS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
COMMUNITY SERVICES
September 26th, 1986 .
Jacque Mayo
527 Northwest 196th Place South
Seattle, Washington 98177
LARRY S. INAUGHTEN
MAYOR
Enclosed is an official interpretation of the provision
of UBC Section 3306 regarding circular stairways. While
a circular stair may be used in a commerical building,
the installation in your theater which was done without
City approval, does not comply.
It will be necessary for you to provide an architectural
plan showing a conforming exit stairway, obtain a permit
for the work and bring the area into compliance as soon
as possible since the theater is in continous use.
Please contact the Building Division within 5 days date
of this letter regarding your intentions.
(,)A 0,D� 1�� ---
Harold Reeves
Building Official
Enclosure
HR: j 19
PETER E. HAHN
DIRECTOR
PUBLIC WORKS 0 PLANNING 0 PARKS ANb RECREATION 0 ENGINEERING
A
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k
THE LARGEST TREAD WIDTH
OR RISER HEIGHT WITHIN ANY
FLIGHT OF STAIRS SHALL
NOT EXCEED THE SMALLEST
BY MORE THAN 1/4 INCH.
[SECTION 3306 (c)l -------- /
. 65
PLAN VIEW
CIRCULAR STAIRWAY
[SECTION 3306 (e)]
k;l
77
Subsections 3306 (d), (e) and (f)
(d) NVindingSiairways. InGroupR, I)ivision 30ccupanciesand ill
private slairways in Group R, Division I OCCLIIM116CS, winders may be
used if the rcquired width of run is provided a( a point not more 111,111 12
inches from the side of [tic stairway where (lie [reads are [lie narrower,
but in no case shall any width ofrun be less than 6 inches at any point.
(c�, Circular �tairway.%. Circular stairways may be used as an exit,
piovided the minimum width of run is not less than 10 inches and (lie
smaller radius is not less than twice (lie width of the stairway. The
largest tread width or riser height within my night of stairs shall not
exceed the smallest by more than -Is inch.
(f) Spiral Stairways. In Group R, Division 3 Occupancies Ind in
private stairways within individual units of Group R. Division I Occu-
pancics, spiral stairways may be installed. Such stairways may be used
for required exits when dicarea served is limited to 400 square feet.
The tread must provide a clear walking area measuring at least 26
inches from the outeredge of the supporting column to the inncrcdgc of
the handrail. A run of at least 7Y2 inches is to be provided at a point 12
inches from where the tread is the narrowest. The rise must be sufficient
to provide 6-foot 6-inch headroom. The rise shall not exceed 91/2
inches.
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19 Ree>'Pe-NIAM— ", . occ-u9A#4,Lje5 . I —
CITY OF EDIVIONbs
USE PERMIT
ZONE NUMBER 95C.1-1173
CONSTRUCTION PERMIT APPLICATION
SUITE APT
J06RESS
ADD
OWNER NAME NAME OF BUSINESS
o
LEGAL DESCRIPTION CHEC K
1"
UBDIViSION NO
L-D NO
MAIUN ADDRESS
G
Z
0
, <t V
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — REOUIRED DEDICATION —
—
TESCP App,fted 0
AW Permit Required 0
Street Use Per —I R,q'd 0
Inspection Required 0
Sidewalk Required 0
CITY ZIP
�i
1
I ILLIHWI� "UMBER
j /,-nj
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
YES C3 NO 0
0
ADDRESS
REMARKS Z
Z
CITY ZIP
TELEPHONE NUMBER
a
Z
Nfla"r (C
0
ENGINEERING MEMO DATED REVIEWED BY
Z
CITY III
j I ITI
tLEPHONE NUMBER
I , -67-2
FIRE MEMO DATED REVIEWED BY
STATE LICENSE NUMBER EXPIRATION DATE
'C�o 77/
SIGN AREA
ALLOWED PROPOSED
SEPA REVIEW
COMPLETE JEXE
ADS NO
PT
SHORELINE 0
Legal Description of Property - include all easements
EXP
VARIANCE OR CU
PLANNINr REVIEW
BY DATE
SETBACKS — FEET HEIGHT
LOT COVERAGE K
0
FRONT slDL REAR
Z
Property
Tax Accoun t
Parcel No.
—
REMARKS tl
El
NFW El RESIDENTIAL PLUMBING
ADDITION E3 COMMERCIAL El MECHANICAL
ElREMODEL 0 APT. BLDG. SIGN
CHECKED BY
ITYPE OF CONSTRUCTION CODE
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9
OCC PANT
0
LL
GRADING FENCE
El REIAI CYDS. I st _FT)
F
DEMOLISH 0 WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
GARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
.�P,USINESS OR APTIVITY) EXPLAIN:
(TYPE OF�S , 'e, , .
SPO JAREA
R ECIIAL INSPECTOR
E U RED YES
OCCUPANT
LOAD
—
ATM —ARKS 0
PROGRESS INSPECTIONS PER USC 305 Z
0
a
N MBER
U
OF
STORIES "0 ,-. 2
DUMBLIR OF —7c--,
WEL No
0
TICAL
JAREAS 4�
NUMBER
DE7RIBEWORK TO BE DONE JATTrH PL OT PLAN)
FINAL INSPECTION REQUIRED
b1 3,
VALUATION
FE
FEE
E
PLAN CHECK FEE
___7LAZING
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curts, 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
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I
d
- Applicant. on behalf of his or her spouse. heirs, assigns and
d
successors in interest, agrees to indemnity. defend and hold
3
her t City of Edmonds, Washington. its officials,
mless he
0
employees. and agents from any and all claims for damages of
a
whatever nature, arising directly or indirectly from the Issuance
to
of this permit. Issuance of this permit shall not be deemed to
ENG. INSPECTION FEE
PLAN CHECK DEPOSIT
X
-a
modify. waive or reduce any requirement of any city ordinance
-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 Fam the owner. or the duly ATTENTION
Ty
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city and THIS PERMIT
5 late laws regulating construction; and in doing the work authoriz- AUTHORI ZE S
ed thereby, no person will be employed in violation of the Labor ONLY THE
Code of the State of Washington relaling to Workmen I a Compensal. WORK NOTED
tion Insurance and RCW 18.27. INSPECTION
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.
.
SIG . NATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT
CITY OF
16 61; EDMONDS
per L S70IAT��E DATE
CALL FOR
ATTENTION INSPECTION
RELEASED BY DATE
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UN71L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL,OR -0220
in, 771
_j
ORIGINAL — File YELLOVi — Inspector
315 owo�j s7.ter-*T
_coo.,. -. 0 , WA f 30-1- 0
to
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59.59 67.90
127.49
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127.49
41LIcila UIL y
contains 2 of 9
t seasou(s) of the 3
is in die floodway.
Contains a cmek 01
drl --P�JQ
is primari1r. fores
oL tandscaped Qawm
ous wedand is pre
10'. 11
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.4
viaw
dootwu
im wam I
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City of Edmonds
Critical Areas: Che.Oklist--�.
*31e 11�dist coutaiu�oid 0". a"
d& form is to be filied " by my person
preparb a Development Pffmit
Application for die City of Edmonds prior
to hisAw submittalof a development
permit to the City.
The purpose of the Checklist is to enable
City staff to determine whedier any
potential Critical Areas are or may be
present on the suldect pmpedy. *zhe
information needed to complete Me
ChadIdist diould be easily available from
observations of ft dft or data available at
City Hall (Critical Areas inventmies, maps,
or soil surveys).
An applicant, or Ws&w 11 1. 1 : � i t, - - -
1L%V&%;a1�t4UVV#
mug fill out the chwHist, sip md date it,
RECEIVED'
MAY 12 1995
FEWIT COUNMR
aid it to the Gly. -7heatk, iiii
r , — the
evim , �he�' a precursory site
NW and nudke. a ddmnination of the
t Steps io complete a
pmmk application.
.,V.rA& a signed copy of this form, the'.
SPPrWW diould also submit a vicinity map
or pid planW EUMiffTo—ts oT1Fe--p969
with enoto detail Sat City staff can find
=d Wea"y ft subject parcel(s). In
addition, the applicant shall Include
GthW PIfilent Infonution (eg. site
Pbuk t01P09MJPhY niap, etc.) or studies in
vifth this Checklist to assist:
staff In compleft their preliminary
4 4 Den of the site.
I have completed die alladied CMW Area Chcdkft=da11est dot diemwers provided are
hoUds W die bekof my lm� QM out die
4—w
Owner/,
tk,
pr f 7,
Ur" AM=
city, SWO, =P Phow
Dift
lop-,3 1 0
ofi '?To t
Dift
40
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CITY OF EDMONDS
COMMUNITY SERVICES DEPARTMENT
250 5th Ave N
771-3202
APPLIST07N!'T-- -TRFEA9 PERMIT
Name of Applicant:
DATE RECEIVED'
DATE ISS UED
PERMIT NO.
Mailing Address: j8l�� 1 ��J
Telephone Number: :a] - Date: /E7
f -1
Description of Public Place or Portion thereof desired to be used: (exhibit
may be attached)
Type of Use desired to be made of Public Place:
40 11 )&14 r) Al -I
If applicable, attach plans and specifications for any utility or structure to
be erected and/or maintained on the Public Place: 4hAcAe- W-
TEMPORARY PERMIT.: Unless otherwise designated herein, this permit is understood
by applicant to be wholly of a temporary nature, that it vests no permanent right
whatsoeverd If the permitted use becomes dangerous or such structure shall
become insecure or unsafe or shall not be constructed, maintained or used in
accordance �ith the provisions of this title, the same may be revoked and the
structure a�d obstructions ordered removed by order of the City Engineer. If this
application is for a specified period of time, the terms of said application is:
/W- Ae vie Pwd- -I- AtAo-eWy4d
INDEMNITY: Applicant understands and by.his signature to this application, agrees
to hold the City of Edmonds harmless from any injuries, damages or claims of any
kind or description whatsoever, foreseen or unforeseen, that may be made against
the applicant or the City of Edmonds, or any of its department or employees,
including but not limited to the defense or any legal proceedings including defence
costs,,court costs, and attorney fees by reason of granting this permit. In
addition, applicant understands that the City shall -be provided a certificate,of
insurance to indemnify and hold the City of Edmonds harmless from all claims
and/or property damage, naming the City of Edmonds as an also insured.
APPLICATION OF CHAPTER 18.70 OF THE COMMUNITY DEVELOPMENT CODE: Applicant warrants
that he has read, or had the opportunity to read, Chapter 18.70 o� the Community
Development Code, attached herewith, and understands that all terms of that
Ordinance are incorporated herein as if set forth in full and this application
and permit therefore are subject to the terms of that Chapt e Edmonds City
Code. ��t
Applicant's Signature
:12 42
Date
oate V I y -L U— I lma-�f� -- -
WMII�.E YOU WERE OUT
of
Phone —
Area Code Number Extension
TELEPHONED PLEASE CALL
CALLED TO SEE YOU WLL CALL AGAIN
WANTSMSEEyOU URGENT
T RouRNED YOUR CALL ,q
LUND'S OFFlUt tZ5bLN I IALZ) I I I-ZJU'4a
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'City of Edmonds, Community Services Department
APPLICATION FOR STREET USE PERMIT - - Page 2
0 Approval (and Agreement, if applicable) of Abutting Property Owners:
SIGNATURE
PRINTED NAME
ADDRESS
DATE
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
City Council Approval (i*f applAcable)(lAttach Minute. Entry): 1;114
ADB Approval (if applicable)(Attach Minute Entry): ,P06-6114-7
I .d:p � I
Building Official Approval (if applicable)
Mi g �na t u r �e��� E0
Provision for Indemnity: 60�� !9/
40 Aew _7;j44?A.,1a d 7///jQ-7
0
Terms and Provision of Perform6 i nce Bond, if applicable:
A//If
PERMIT AUTHORIZATION BY:
ature
�� & 7
ate
PERMIT NO. d7' Date Issued: Permit Fee:'-425-0-0
-/U
RELEASED BY RECEIPT NO. BUILDING PERMIT #J-705S-1*,7-
Remarks/Comments: 2,3/� emm/-'slus,-1 he lewe"d 00
It
FIRE DEPARTMENT APPROVAL_Q(,- AT
IYV1,0 d#16� 3 lIZ194 D E 4112
,/177
POLICE DEPARTMENT APPROVAL 41,14, DATE
ENGINEERING DEPARTMENT APPROVAL DATE -7
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For- AWNIIU(
SI&N TO 4AW( INX 5AM&
r=L-EVATIONJ WITH -LAJ600E-W '5FOOF
W di I . ids M.1 I
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CITY OF EOMONOS
250 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771- 3202
COMMUNITY SERVICES
August 21, 1987
J. Rowen & Associates
Post Office Box 3275
Redmond, Washington 98073-3275
ATTN:,Camille Jacobs
RE: Certificate of Insurance
Cottage Garden & Gifts
315 Mai'n Street
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City of Edmonds1s- in receipt of the Certificate of
Insurance for Cottage -Garden,& Gifts located at 815 Main,
Street. The following statem ent i*s required to be. added
as a condition to the tertifTcate:
"It is understood and agreed that the Ci'ty of -Edmonds is
named as an additional i'nsured, and held harmless from
all clai'ms and/or property damage as pertains to the
named permi't."
Please make this addition, date and intial,and return
to the City of Edmonds Buildi'ng Division, 250 Fifth
Avenue North, Edmonds, WA, 98020.-
If you have any questions pleasecall on me.
Thank you,
/eannine Graf
0 i L Graf
Permi't Coordinator
JLG:amm
PUBLIC WORKS PLANNING PARKS AND RECREATION ENGINEERING
0
0
CITY OF EDMONDS
2 50 - 5th AVE N. 9 EDMONDS, WA 98020 9 (206) 7 71-3 202
COMMUNITY SERVICES:
Public Works 9 Planning - Parks and Recreation 0 Engineering
November 15, 1988
Pam Jacobs, Cottage Gardens & Gifts
315 Main St.
Edmonds, WA 98020
RE: Street Use Permit #87-10
Yearly Renewal Fee
LARRY S. NALIGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
According to building division records, yearly street use permit fees
are again due.
This payment is for 1988, the renewal fee is $10.00, please make your
check payable to the City of Edmonds, Building Division, 250 Fifth
Avenue North, Edmonds, Washington, 98020.
Please enclose a current certificate of insurance with your payment.
If you have any questions please feel free to call me at 771-3202.
Thank you,
I?eannine 1.
Permit Coordinator
STREEUSE/TXTDMC24
* Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
` u ~
�~ J� � INC
. ` '
INSURANCE
e0. B00( 3248
RsmMONEqvmA 9803'3u48
100}8080888
FAX 106) 86zO435
Date: December 27, 1988
To:
City of Edmonds
Civic Center
Edmonds, WA. 98020
Re: Cottage Garden Gifts
Gentlemen:
We are pleased to enclose documents indicated below:
_A__Certificate of Insurance
__Memorandum of Insurance
Original Policy (As Captioned)
Copy of Policy (As Captioned)
__j-oss Payable &/or Mortgage Clause
' Cover Note &/or Binder
Reinstatement
Other
The enclosed is issued in connection with:
We trust you will find the enclosure to be entirely satisfac-
tory.
Sincerely,
0 Camille Jacobs
J. Rowen & Associates, Inc.
Enclosure
4
-1 -_ - _U �_
ISSUE -DATE (MM/DDNY)
qu 12/27/88
RODU6ER
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS
NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND,
EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
J. Rowen & Associates, Inc.
P. 0. Box 3248
COMPAMES AFFOROM COVERAGE
Redmond, WA. 98073
COMPANY
LETTER American States Insurance Co.
COMPANY
LE17ER
INSURED
COMPANY
LETTER
Cottage Garden Gifts
315 Main Street
COMPANY F2)
LETTER
Edmonds, WA. 98020
COMPANY
LETTER
THIS IS TO CERTIFY THAT POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.
NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY
BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI-
TIONS OF SUCH POLICIES.
CO
LTR
TYPE OF INSURANCE
POLICY NUMBER
POLICY EFFECTIVE
DATE (MMIDDNY)
POLICY EXPIRATION
DATE (MM/DD/YY)
LIABILITY LIMITS IN THOUSANDS
EACH
OCCURRENCE
AGGREGATE
A
GENERAL LIABILITY
X COMPREHENSIVE FORM
X PREMISES/OPERATIONS
UNDERGROUND
EXPLOSION & COLLAPSE HAZARD
PRODUCTS/COMPLETEO OPERATIONS
02BO 064875-4
BUILDING
1/27/89
1/27/90
BODILY
INJURY
$
$
PROPERTY
DAMAGE
$
$
CONTRACTUAL
INDEPENDENT CONTRACTORS
DEC 2 9 1988
Ell & PD
COMBINED
$
11000,
$
1,000,
BROAD FORM PROPERTY DAMAGE
PERSONALINJURY
PERSONAL.INJURY
$
AUTOMOBILE LIABILITY
ANY AUTO
BODILY
INJURY
(PER PERSON)
$
ALL OWNED AUTOS (PRIV. PASS.)
BODILY
ALL OWNED AUTOS (OTHER THAN)
PRIV. PASS.
INJURY
(PER ACCIDENT)
$
HIRED AUTOS
NON -OWNED AUTOS
PROPERTY
DAMAGE
$
GARAGE LIABILITY.
B" PD
COMBINED
$
EXCESS LIABILITY
UMBRELLA FORM
Ell & PCI
COMBINED
$
$
OTHER THAN UMBRELLA FORM
WORKERS' COMPENSATION
AND
EMPLOYERS' LIABILITY
STATUTORY
$ (EACH ACCIDENT)
$ (DISEASE -POLICY LIMIT)
$ (DISEASE -EACH EMPLOYEE)
OTHER
DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS
Premises 315 Main Street Edmonds, WA
00ORMTKI
rd as Addll Insured:
City of Edmonds
Civic Center
Edmonds, WA. 98020
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX--
PIRATI?M DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE
LEFT , BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATji0N OR LIABILITY
OF ANY KIND UPON T�MMPANY, ITS AGENTS OR REPRESMATIVES.
AUTHORIZED REPRESENTAXNE - _f;f� Ir - 4.
Camille
0
0
0
00or
CITY OF EDMONDS
250 - 5th AVE N. - EDMONDS, WA 98020 * (206) 771-3202
c' COMMUNITY SERVICES:
890 9 C5 Public Works * Planning e Parks and Recreation * Engineering
February 9, 1989
Pam Jacobs
Cottage Garden & Gifts
315 Main.Street
Edmonds, Washington 98020
RE: Street Use Permit #87-10
Renewal Fee
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
The City has not received your payment of renewal fees for the street
use permit.
Please be advised Chapter 18.70.060 of the Edmonds Community
Development Code states that if payment is not made the City can revoke
the permit and remove the structure at the owners expense.
Payment of $10.00 is due immediately. If payment is not received by
February 17th, 1989 the City will take steps to revoke the permit.
Thank you,
Jeannine L. Gra�-'
Permit Coordinator
cc: City Attorney
'� er 5B
14- 4?q
04 U_
t4A
" Incorporated August 11, 1890 0
Sister Cities International — Hekinan, Japan
0
0
CITY OF EDMONDS
250 - 5TH AVE. N. - EDMONDS. WA 98020 - (206) 771-3202
COMMUNITY SERVICES:
Public Works e Planning * Parks and Recreation * Engineering
8 9 0 . 19 q
November 15, 1989
Pam Jacobs, Cottage Gardens & Gifts
323 Main Street
Edmonds, WA 98020
RE: Street Use Permit #87-10
Yearly Renewal Fee
LARRY S. NAUGHTEN
MAYOR
PETER E. HAHN
DIRECTOR
According to building division records, yearly street use permit fees
are again due.
This payment is for 1989, the renewal fee is $10.00, please make your
check payable to the City of Edmonds, Building Division, 250 Fifth
Avenue North, Edmonds, Washington, 98020.
Please enclose a current certificate of insurance with your payment.
If you have any questions please feel free to call me at 771-3202.
Thank you,
j;e?annine L. Vra
Permit Coordinator
STREEUSE/TXTJLG52
a
9 Incorporated August 11. 1890 *
Sister Cities International — Hekinan, Japan
61?'LZL
10i
I
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS
— Mr. — � 1% (� L, 0.
MAILING ADORES5
Z
': _3/!� Ala.
0
�Iy ZIP TELEPHONENUMBER
/d 00
TY ZIP I TELEPHONE NUMBER
NA
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ADDRESS
CITY ZIP TELEPHONE NUMBER
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61 h, - / ( /1-T 1 "/1' T - 6 7 9
ST TE LICENSE NUMBER EXPIRATION DATE
(J� c, -
7 -.7 L t, j _ Irl t�; / C, I
Legal Description of Property - include all easements
Properly
Tax Account
Parcel No.
1/ 3 Il 1-10 0 6 ") () 10
0
E]
NEW
RESIDENTIAL
PLUMBING
2-COMMERCIAL
ADDITION
MECHANICAL
MREMODEL
APT.BLOG.
SIGN
REPAIR
GRADING
CYDS.
FENCE
El
FIDEMOLISH
—
WOODSTOVE
I x _FT)
INSERT
SWIMPOOL
HOT TUB/SPA
GARAGE
C
RETAINING WALL/
ROCKERY
RENEWAL
(TYPE OF9SE. 13USINESS OR ACTIVITY) EXPLAIN:
NUMBER
NUMBER OF
CRITICAL
OF
STORIES
DWELLING
UNITS 0 INUMBER
AREAS
-5- PC)
DESCRIBE WORK TO
BE DONE ATTACH PLOT PLAN)
ZONE
PERMIT
NUMBER
JOB
ADDRESS
SUITE APT
.EGAL DESCRIPTION CHECK SUBDIVISION NO
LID NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
13
EXISTING —
REOUIRED DEDICATION
RW Permit Required
0
Street Use Permit Req'd
Inspection Required
0
0
PROPOSED
Sidewalk Required
0
cc
LINE SIZE
NO. OF FIXTURES
___PVg—VgEOUlg�E_p
W
YES 0 No 0
1EMARKS
0
Z
cc
W
W
MEMO DATED REVIEWED By
SIGN AREA SEPA REVIEW ADEr NO
ALLOWED I PROPOSED I COMPLETE I EXEMPT 1,,, M Y'A
7LINt: 4
EXP
VAF IANCE OR CU pk
I EVIEW BY
V T 11 C E; LID T
SETBACKS — FEET H IGIT T COVERAGE
S
Ro T
rFN SIDE REAR
r
_exi, lz�., A rf4 Qjdi-
BY I TYPE OF CONSTRUCTION I CODE MorOICCUIANT
5PECIAL INSPECTOR AREA '
REOUIRED OCCUPANT
0 YES LOAD
REMARKS
1PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REOUIRED
N�Mll VA!"
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
GLAZING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (Curt$, sidewplks,
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
''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,
2
employees, and agents from any and all claims for damages of
IX
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whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
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modify, waive or reduce any requirement of any city ordinan ce
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nor 1.1mit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; tha7the
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
state laws regulating construction; and In doing the work authoriz-
THIS PERMIT
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 Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance and RCW 18.27.
I NSPECTION
acknowledged in space provided.
SIG7TURE iOWNER OR AGENT) DATE S.IGNED
DEPARTMENT
,
/ /
CITY OF
OFFICIA IGNATURE DATE
- /'-
i0i
)MONDS
,
ATTENTION
CALL OOR
RELEASED 8 Y DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION
1,
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-87
PINK — Owner GOLD — Assessor
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