20000028.pdf-00
VARIANCE OR CU
ADS .
SHORELINE 0
SERA REVIEW
COMPLETE EXEMPT
P
SI N AREA
ALLOWED JPROPOSIED
HEIGHT
ALLOWED
PROPOSED
LOT COVERAGE
ALLOWED PROPOSED
REOUIRED SETBACKS (".)
FRONT SIDE REAR
PROP SETBACKS tn.)
FRONT UPSIDE REAR
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LOT AREA
PLANNING REVIEW By
DATE a
REMARKS
HECKED By
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STRUCTION
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ED RED M YES
JAREA
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Lo
M RKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REG Ul RED
ATTENTION INSPECTION I
IT S UNLAWFUL. TO USE OR OCCUPY A BUILDIANNGDOR STRUCTURE
UNIIII. A FINAL INSPECTION HAS BEEN MADE APPROVAL OF, 771-0220 ORIGINAL — F.IE YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS EEN GRANTED, LEG PINK — O,-e, GOLD — Assessor
SECTION 109
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USE
USE PERMIT
F EDMONDqS
CITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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OWNER NAME/NAME OF BUSIN7ESS
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ADDITION COMMERCIAL CHANGEOFUSE
REMODEL APT, BLDG. El SIGN
GRADING PENCE
El RE.IR — L—.—F
10011 VE 0 SW
DEMOLISH HOIM POOL
INSERT TTUB/SPA
GARAGE RETAINING WALL/ RENEWAL
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NUMBER
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DESCRIBE WORK TO BE DONE JAITACH PL;FLAN)
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VARIANCE OR CU
ADS I
SHORELINE.
SEPA REVIEW
COMPLETE I EXEMPT
EXP
SIGN
ALLOWED
AREA
I PROPOSED
HEIGHT
ALLOWED
1PROPOSED
LOTCOVERAGE
ALLOWED I PROPOSED
REGUIRED SETBACKS
FRONT SIDE REAR
4
PROPOSED SETBACKS (FT.)
FRONT UP SIDE REAR
LOT AREA
HLANN,,, PIV
REMARKS
CHECKED BY ITYPE&I 'T'DITH)"
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SCR.CA3
S PECIAL IN JARE
SPECTOR
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LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
FINAL INSPECTION REQUIRED
PLAN CHECK FEE
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I
PLUMBING
Plan Check No.
P n
MECHANICAL
740
This Permit covers work to be done on private property ONLY.
T h P
GRADINGIFILL
Any construction on the Public domain (curls, sidewAks,
A n y
-
6.00
'a
driveways, marquees, etc.) -111 require separate permission.
d a
SURCHARGE
Permit Application: 180 Days 'r , , r . -
e
�a
STORM DRAINAGE FEE
Pentrilt Limit: 1 Year - Provided Work is Started Within Iiii ii.
P a
A p , heirs, assigns and
"App'lcar`��'n 'aa:�! 'g"' "loarn'"Drsay,
ENG� INSPECTION FEE
su .. sBos n,. a rees d.m if defend and hold
u
harm less I Edmonds, Washingtonj its officials,
IT a IT
emplo .. S!h.`rRdCzi,;'eno1. f or damages
"m any and 811 Claims
of
whatever nature, artain, directly Or indir-Oliv from the Issuance
of this permit. Issuance of this permit shaft not be deemed
japplication;
to
PLA N CHECK DEPOSIT
modify, waive or reduce any reculgent off any city ordinance
r orce any ordinance
nor limit in any way the City's ab fly to an
TOTAL AMOUNT DUE
�APPROVAL
p p rovision."
'ha that the
I hereby I have real this
ac'powi:dg
ATTENTION
APPLICATION
an
nformal n Ivan D.rr.Dl! that I am the owner, or he duly
I Inform ' I.
a i�ed 8 o n"' I agree to comply with city and
a I 'I'
"'ho
THIS PERMIT
This application is not a permit until
�tal.la,w�r:g,oul'.'Iio�fltlh.�-twr-. on; and In doing the work authoriz.
UT
AD '1c`7-ES
signs by tdhealulidl'Ing offficiedlor his/her
ad thereby, no person will be employed In viol Von of the Labor
a ".,E a
WORK NOTED
'd
Deputy. an . paid . eceipt is
Code of rkman's Compensa
C. B of the State of Washington relating to WO
acknoWledged in space provided.
'I.. InS rance aria RCW.0.27.
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INSPECIION
DEPA R TVENI
S T FOWNE'r!��
DATE
CITY OF
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YNj ��l
EDMONDS
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CALLIPOR
DATE
ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCC PY A BUILDING OR STRUCTURE
ASU
UNTIL A FINAL INSPECTION H BEEN MADE AND AL OR
ACPTD1
ERTIFICATE OF ANCY HAS BEEj\G 0. UBC
A C OCCUR \�
771-0220
ORIGINAL Foe YELLOW — inspector
PINK 0,�r.er GOLD Asse—r
SE T ON 109
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