19810244.pdfZONE
P E R M 11
N U M B E 14
CITY OF EDMONDS
RMH
BUILDING PERMIT
APPLICATION
JOB
ADDRESS
1115 4th Avenue S.
NAME (OR NAME OF BUSINESS)
Jabil Development Corp
LEGAL DESCRIPTION
SUBDIVISION
SHORT SU13 NO.
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MAILING ADDRESS
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P.O. Box 1582
PUBLIC RIGHT
OF WAY PER OFFICIAL STREET MAP
601
0 CITY
TELEPHONE NUMBER
EXISTING
Lynnwood WA
778-4511
PROPOSED
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— NAME
John Sanford
DEFICIENCY OF RIGHT OF WAY
CHECKED BY
6-12-79
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ADDRESS
SEE ENGINEERING MEMO DATED�
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P.O. Box 1582
REMARKS
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TELEPHONE NUMBER
Lynnwood
778-4511
NAME
or
METER SIZE
LY SIZE
FIXTO RE UNITS
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ADDRESS
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REA ENV. REVIEW
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ADB NO.
WISTATE LICENSE NUMBER
CITY LICENSE NUMBER
Legal Description of Property (Show Below or Attach Four Copies)
W 150' Lot 6 Block I
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0 South Park Addition to
U Edmonds
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ALLOWED PROP
VARI E OR CU
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,REMARKS
LFTE1 EXEMPT I SHORELINE
IPLANNING REVIEW By DATE
SIDE REA RILOT COVERAGE
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CHECKED By
TYPE OF CONSTRUCTION
CODE
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V-1 hour
197
3 st bri
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ADD
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AREA
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REMARKS
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REPAIR
PRE -MOVE INSP./
El SWIM
POOL
COMPLIANCE INSP.
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NUMBER OF STORIES-71UMBER
OF
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DWELLING
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12
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N A RE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks driveways, FENCE
marquees, etc.) will require separate permission.
SIGN
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 120 Days RETAINING WALL
%pplicallt, oil bellalt' (it' his or lier spouse, heirs, assigns and SWIMMING POOL
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successors ill interest, agrees to indelill'ify, defend and hold harniless
's tile City of I'dilloilds, Washington, its officials, employees, and
a: agents from allN, and all claillls for daillages of whatever nature.
3: arising directly or indirectly froin the issuance of this permit. Issu TOTAL AMOUNT DUE 616.00
a ance of this permit shall lot be deenled to tilodify, waive or reduce
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0 any requirement of 11115, city ordiliallce nor hillit ill any Way the,
I City's ability to enforce any ordinance provision." ATTENTION APPLICATION APPROVAL
I hereby acknowledge that I have read this application; that tile ill- THIS PERMIT 'I'llis application is il0t a Per"lit
forniation given is correct-, and that I an, tile owner, or the duly author-
ized agent of the owner. I agree to coilli)l%l witil city and state laws regil- AUTHORIZES Lilltil signed by the Building Official or
lating construction; and in doing tile work atithorized thereby, no person ONLY THE his Deputy; and fees are paid, and
will be employed in violation of the Labor Code of the State of Washington WORK NOTED receipt is acknowledged in space pro.
relating to Workillen,.s Collipensation Insurance. INSPECTION vided.
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SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT DIRECTIOIR'S SIG�NATURE
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CITY OF cu, -
EDMONDS PDATE
jW9'SITE IS LOCATED IN THE CITY 775-2525
4%r-DMONDS. LOCAL SALES TAX
-r)F 6LD BE CODED 31.04. �Ml� KIAI rilo vr-i I nw - insofcior
ATTENTION FISTRUCTURE PINK — Owner GOLD — Assessor
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 0
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
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RECORD OF INSPECTIONS
Date Passed
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FOUNDATION.
House
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Porclics, piers
Retaining walls
Garapo, carport
P L U "'p, 0! N G,
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Rou—h-in
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HEATING SYSTC-IA
FRAMING
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WALLBOARD
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FINAL
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