531 6TH AVE S.PDF111111111111
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531 6TH AVE S
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APPROVED BY ENGINEER11
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FEB 0 9 21"'I'll
LOPMENT SERVICU CTR.
CITY OF EDMO14DSI
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FED BY PLANNING
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DATE RECE,
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110,
_ I PERMIT
EXPIRES 3112/0/
CITY OF EDMONDS
USE
ZONE
PERMIT
NUMBER
CONSTRUCTION PERMIT
APPLICATION
JOB SUITE/APT,
ADDRESS
OWNER NAME/NAME OF BUSINESS
('�_'�_ �_l _
— L::: ILI
I/
PLAT NAMEISUBDIVISION NO. I
LOT NO.
LID NO.
ac MAILING ADDRESS
LID FEE 5
0 6,77.,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP APIPnnw 0
P.— 0
CITY ZF'
TELEPHONE
EXISTING — PROPOSED —
st—I U.. P.I., Rao d a
InIP ""'w" 0
REQUIRED DEDICATION— FT —
*
sid.� - 0
J.
NAME
METER SIZE
LINE S17
OF FIXTURES
PRI REQUIRED
I
YES 0 NO 0 z
ADDRESS
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
CITY
zip
HONE
ITELE
.
NAME
T0 V
C ADDRESS
�2_ I
ENGINEERING R
ZIP
TELEPHONE
-7-7(—
FIRE REVIEWED BY DATE
arl JA12
STATE LICENSE NUMBER
VARIANCE OR
CU SHORELINE OR ADBN
INS:�E�ION
I BOND
EXPIRATION b
_CHECADBY
6i�j B
YES 0 NO
q PROPERTYTAX ACCOUNT PARCEL NO.
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLOWED PROPOSED
7 152 /9
_:�
E.P
I )<
r. I
C] NEW
0
LOT COVERAGE
REQUIRED SETBACKS (FT,)t
PROPOSED SETBACKS (FT.)
)<RESIDENTIAL
PLUMBING I MECH
OW
ALL ED PROPOSED
FRONT SIDE REAR
FRONTCURSIDE REAR
0 ADDITION
0 COMMERCIAL
o COMPLIANCE OR
2-01
;e X
0 REMODEL
C:] APARTMENT
C HANGE OF USE
El SIGN
RE PARKING
LOT AREA
z
REPAIR GRADING X FENCE
CYDS I X FTI
FeN Of—s- M 06-F 6C_ OiV
0 DEMOLISH 1:1 TANK
0 OTHER
FF-6?F,9"L4NE:-- ,
WALL
G CA "AGE C]
AIRPORT
0 RENEWAL
—
IRETAI�NRING
3,C,
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U
(TYPE OF USE, BUSINE EXPLAIN:
_FCRITICAL
CHECKEDBY
YP F CONSTRUCTOW
CqE
OCC UPANT
GROUP
NUMBER
OF .:�
NUMBER 0
DWELLING
AREAS
Q_
j
SPECIAL INSPECTOR
JAREA
0 STORIES
UNITS
NU I
MBE
R EQUiRED E] YES
JOCCUPANT
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
R I— Ll _(l
so
VALUATION
FEE
PLAN CHECK FEE
HEAT SOURCE rLAZING56 LOT SLOPE %
BUILDING
PLAN CHECK NO- IVESTED DATE
PLUMBING'
E) 1 0,
MECHANICAL
THIS ERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
2 0 E U
OMAIN (CURDS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL R 0 IRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
ENG. INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITSOFFIClALS, EMPLOYEES, AND AGENTS FROM ANY AND
',
__5
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DMECTLYOR INDIRECTLY
x 'ROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY. WAIVE OR REDUC ANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
JRECEfbtf)�� I Z� OZ)
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE.
b Z)
TOTAL AMOUNT DUE
IF
Y
IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY A THORIZED AGENT OF
APPLICATION APPROVAL
T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This applicat,on is not a 001mlt Ultll signed by the
TION;ANDINDOIN THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VlOLAT, ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Buil dimg OR,—$ o, hialh., Dep.ty: and Fee. .1. Palo. no
FOR INSPECTION occipi is acknowledged in space p—ided.
WORKMEN'S CQMPENSATION INSURANCE AND ACW 18.27.
SIGNATUIR((OWNE. ORA7T) DATE SIGNED
(425)
OFFICIALS SIGNATURE DATE
�qa Q 2
771-0220
BY PATE
ATTENTION
EXT1333
VASED
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
771-022 1
L
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL-FILIE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
998
CITY of EDIVI ON D S I DE, S EV-1 R P-E R M I T-�
. . . j
NEET FILE
tktc�kol,-I,p,spection Call 771-3202 PERMIT NO.. '07908
OmWof Construction: 5-3 -Sou T74','
Mal
Property Legal Description (Include all'easem6nts):
Ownerand/or Builder: 0,11,44k act -,--
Contractor.& License No: T0,qqS -0�j LISS 12 JF
Singl:e Family Residence EDMUNDS;
T P:Q
L T
TREATMEN �NT
'Multi -Family (No. of Units
Commercial (No. of fixture Units
A 41
Invasion into City Righ�t-of-Way: No ..Yes� (If Yes, Right -of -Way
Constructi on Permi t required. . Cal 1 One -Cal 1 -Center (l -800-424 5555) before any
.excavation.)
Cross other Private Property: No Yes (If Yes,, easement required,
attach legal description and.county easement number.)
00
C)
V)
I c e et i f y tra—f -I—Fa- —ve--'F---a �da n n'ds h a 1 �Ic �pl y
with.the items listed.on the back.
Permit Fee: a0-00 Issued By: J76,
Trunk Charge: �Date.lssued: 17— 30
Assessment Fee: Receipt No.:
Date
�Bo � _81?
Partial Inspection: -
Comments 7 [Tat� Initial
Fi*nal Inspection'Approved: (t)
Yat6� Ini-tial
Rejected: R e a . son _5 i —ti a I
Date
PERMIT.MUST BE POSTED ON JOB SITE
Wh.ite Copy File Green Copy - 'Inspector Buff Copy Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Zr' REPAIRS F-1 LID NO - ---------- ------- - ASMT. NO . ..................
90
ftq!! N ----------------- CONTRACTOR
OWNER ..... C-U�A -.0- C-'!�o --------------------
------------------------------------------ ------ S ---------- -------------------------------- PERMIT NO. b7..?q3.
JOB ADDRESS .. 5.3 -1 ------- te- T . &4 ........... --------------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
------ ----- - --- --
., 1\,\\c)llT k4 <94.
PWW-0001-1 1/75 (REV.1 1/78)
-------------------------------------------------------------------- --------------------------- ------ ....................................................
EDMONDS
T.-
T- --- R- -E- T M E.
NAME OF ADDITION ......................... 9 A 9 UT..PJ-AN -------------- ----------------------------
'ST-D Z., Lf
0
4c
Approved.
DATE 1.9 .............. B3c:5----
The City *of scimonds
OWNER ...
ADDRESS ........ ...........
C-) 17
0
4/� All
Tft^ ENT PLANT I
EASEMENT No . ..........................................
NEW CONSTRUCTION REPAIRS 0
CONTRACTOR Ml.-in.15-ee .... ....... f PERMIT N�
....... ILG.,%L DESCRI]PTION: LOT No . .............................................. BLOCK No . ............................................
44
NAME OF ADDITION ...........................
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ApMved:
DATE --- :�� ----- -
..... . .... .... ......... By ----- /!� .......... ..........
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W�'WTEf�SEW% R,.-DEPA -M,E,?4.V�,.�.
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;tCall� Olt f coveiin� ih�
�e%vcr' in�p!c�!�nj
'7�70- .9�.,isjde,
hours"after. iciue'st--_N6�ss:.i:-, s
tjap�ctlon' will', be witfiln.'24 n pections..
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-ILDER ................ ........ ........................... . ............. ......................................
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-AC VIE,&
-TOW&WAI DRESS ....................................................................... ...... ............... ...................... ...........................................................
All 5.: !,-thp�:q ty s*�C'n I taiy` �`�W.er
-41oni ivi:1.21^ . 7"' edinnection bf W.
...........................
erniis' Wgidn6 .......... �19'11:.. :,WfO-, 6
-..,,system- int;a`&&dhib6, %vith -C ty.-o ',Edrri6nd9-` di
41.
TAE:'TOLLOWING.
';�h- oi�n of �p�6P'6rt'y'�m'ay'.,obtain:�ii�',"�e�mit, to);c6nst`rucu sewer- ibsid����o�ertk,'Iin'dt')�A,:,Iicensed: :Sewer.,'Contractor intisittbie em ye&,,
*OT.& No�.�T� e4 em4 slae� iiiii td.'66nstru6t
gide,sewer In 'street- area - tDo not coveriany �po -6r�bef.r6l,,It-
rtion,,of.1sew has�beeir-inspected,f
@1 No:: 2—X,W-work'�'performeid. in -:city ��'iiiht-'df-�vELy,-,,,iequire's�.an'�Iiivasioi�',-.oi�'Rlght-�i-.W a_-y-j�Pierrril . t,,.obtain-able from. the'City-,Engine6r..��office.,,
'615til. . ibill. i 1.16�030, arid�,-R!gu!p. gide
n?: nfoimad6n-r�gWrding Ordinance I tf6r�.;gove�nlnkv You get perml
1 0 T- F3 s ii � e r u t.an
�11 3�14o:,ViLLTo�,M e property,11ne' �t��i�,inche.-Iihit'de�pro�ei-ty� liiie�,,mlfiimuffi`�grade�!OC,2 -No�Ibendsl`in, �grade
shaxp�! tfian 'A '%�111: be,,perimitted'.
-t '* " -` ' ' - ' d O-h�-,�601A actors, shEOi:�be.: rcs�bns falluret duetolA
NOTY!,":N.o'l.'-'51-�T,bii'6ii�sr,tr�r street! 'must bii7.;Niter settle&iaqi&surfa�66� 6f,!street restored' Ao'forlginal con Iti r
0 _ TPTOPC
work. wh
lch filay develop: within onii-,:yearW completion.
NQTE�:No� -'AL-lt' ld.'unlawfuI to,alter,6r do ariy-,cither%N�ork th6ris'�6videJior'.Jn- �the!pe ;�Ior,to,,do�;any�:work !on the mlin sewer -'Or, its! appurt6nancewlexcd�t ltw'in.'
A
sort the' ijJpeflnto'.the-wYc.
,T�APPRO,'VED_�'.E]i ............
.................... ......... ............
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-AIPPRPVE�P�
INIV, 0 F "-VJAY- RE
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wne es
rfo
C. 6 V i e s,�,ATU S T, e igne.
mi;tallatibni coristructedWn(
i. ......... %,!� e�
len:thi�s
....... ... . . . ...... .... e
rin erforriiing' 'striuctlon:)
'(Owncr� tln-;'Ii' :Con
& �6'6�'City b �-Edmonds.,
Vit h all-, oyerning!ordinan*ces f
of;& I t I
W.Aii'ihstalkd-,Imaccordanl
k,
day" . ......... .... .. ... .. ......
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qu,'.,d1g:f6r:
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