20000037.pdfUSE PERMIT
Z00037
20HE
CITY OF EDMONDS NUMBER
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CONSTRUCTION PERMIT APPLICATION JOB I SUITEIAPT
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OF BUSI-5 ADDRESS 2 - - _,;� "-)
OWNER NAME�NAME
41) 7CG—AL 6ESCRIPTION IfHtarBDIVISION NO LID NO
MAILING ADORES
J, S A-) PUBLIC RIGHT OF WAY PER O11ICIA1 STREET MAP TESCP APPI-o
CITY V62� NIT( _� RE-1111 1E1ICAT11N U,, P,11.1 RM 0 13
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NAME
IETEIIIIE INE SIZE NO, OF FIXTURES P.V REQUI-0
YES 13 No C
ADDRESS
REMARKS
F-Ty ZIP NUMBER
ITELEP"ONE
NAME
ADDRESS ENGINEERING MEMO DATED REVIEWED -
CITY W. DATED RCVI—EDBY
11(ifur-fric) 1-1
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STATE U ENSE NUMBER EXPIRATION DATE
tE&-1 is Ll I it) - 6 VARIANCE OR CU ADS. SHORELINE .
-1
0
171
Legal Description of r party - include ETI baflements —�I..AREA
ALLOWED PROPOSED ALLOWED
1PROPOSED
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SETBACKS
REQUIRED SETBACKS ("' PROPO
FRONT SIDE REAR FRONT UPSIDE REAR
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ALLOWED PROPOSED
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AREA PLANNING REVIEW 8,
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ADDITION COMMERCIAL
0 APT BUGG r__j
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0 INSPECTOR OCCUPANT
WOODST VE SWIM POOL SP LOAD
LOAD
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INSERT HOTTUBISPA A Ul YES
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RETAINING VIALLI
G.AA324 ROCKERY RENEWAL E.ARKS
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PROGRESS INSPECTIONS PER UBC 108
0 (TYPE OF USE. BUSINESS OR I ITY) EXPLAIN:
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NUMBER NUMBER 01 C IT104L
OF DWELLING AREAS
I STORIES UNITS NUMBER
ESCFUSE..FK To BE GONE JAITACH PLOT PLAN)
k9t, Af.Z7 -%,(L 1`,)AL�F- 15- FINAL INSPECTION REOUIRED
VALUATION FEE
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CHECK FEE
ING
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HEAT SOURCE: GLAZING
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6,+::, FCC W-Ai K- PLUMBING
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MECHANICAI
Plan Check No.
IT!
priv te ro arty L L
IT on the public domain I ur s, at a Pik
Any COTSISLICHO W
Sis'
driveways, marquees, etc.) will require Sao rate per Is on. RISE
Permit Application: 190 Days STORM DRAINAGE FEE
permit Limit: 1 Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heIrs, assigns andd EN INSPECTION FEE
Su.S,.GrS,,. !Cnjaest, agrees to indemnify,, defend and ho
of Edmonds, Wash g on 6,03
,Orm,e 'Y I O=si
or da
ompl�o�y:resa "Is from any and all claims In
a n'd age
f
'. , Sing directly Or Indirectly roMbthed issuance
-h In 0 PLAN CHECK DEPOSIT
of t his permit shall not a Be ad t
of this permit. Issuance
modify, waive or reduce of any c t y ordinance
Cany'requirement
nor limit in any way the Ity s ability to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read thishapplicatlon; that the ATTENTION APPLICATION APPROVAL
in formation given is correct; and that I am I a owner, or the du y
But orized agent of the own or' ' agree to comply with city and T'IS.01 Ell This application is not a piannit,until
stah eg u let I n g con st-11 on, and I n do I IT, Ih- work au t horiz. AV F,,E Signed by the Building �dffic;al or IT s/her
leaws r THE
, be emp I oyed in Violation of the Labor 0 LY
ad thereby no person will WORK NOTE. Deputy; and fees are pai . and receipt is
Washington relating t d
Code o W.,kmen'. Compensa. acknowledged in space provide
to =ateof
n aN. PIC INSPECTION
SIGNs. DE F.FT.ENT A'
1111C L GNATUFtl,,�, E
-TY OF
/ Lm
EDMONDS It ---j
FOR fLifASED �Y
ATTENTION INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
ORIGINAL — F,1� YELLOW — InSP-t-1
UNI�L A FINAL INSPECTION HAS BEEN MADE AND A PPROVAL OR 771-0220
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED UBC
O—e, GOLD Asses —
PINK —
SECTION 109