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PERMIT
CITY OF EDMONDS NUMBER 7
CONSTRUCTION
PERMIT APPLICATION AFT.1
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�1' GAL DESCRIPTION CHECKI SUBDIVISION NO 11
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AILING
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY EXISTING — REGURED DEDICATION — st-1 Uw P11— ReIfd
1_01— RK.,red
PROPOSED SI-11, FINUt- 0
NAME
METER SIZE LINE 81ZE NO OF 111TURES PRV REOU111O
YES 0 NO
ADDRESS
REMARKS
CITY zip
NAME
ADDRESS ENGINEERING MEMO DATED
U
c ZIP TELEPHONE N FRE.E*M ... ED REV—U.Y
STATE I -I SE UMBER PI
VARIANCE OR CU ADB$1 SHORELINE N
Legal Description of Property - include an easements SERA REVIEW SIGN AREA HEIGHT
COMPLETE I ALLOWED JPROIOSID ALLOWED jP1O1O11D
E.1 I
ACKS PROPOS D SETBACKS (Fr.)
S E tF
ALLOWED I PROPOSED FRONT Do REAR(Fr) FRONT -,F! SIDE REA
'D LOTAREA
600 00q 00
PLANNING REVIEW BY
DATE
rTPEERD-rit 5-6P-2- -
REMARKS
NEW RESIDENTIAL PLUMBIN ISCH
[] CO PLIANCEOR
ADDITION COMMERCIAL CHAN EOFUSE
E3REMODEL APT. BLDG. SIGN
GRADING FENCE
HECKED BY c""" . 1 '7
REPNR Y.S L— x —FT)
SWI. POOL
DEMOLISH WOODSTOVE SPECIAL INSPECTOR I—LIPANT
INSERT HOTTUB/SPA REQUIREC LOAD
0 0 YES
R NING WALLI
A��IAORT [] RENEWAL R MARKS
RECTCAKIERY
PROGR ESS INSPECTIONS PER UBC 108
IS
(TYPE OF USE BUSINESS 0 C IVITY) UPLAIM
NUMBER
OF UNITS NUMBER
STORIE
DESCRIBE WORK TO BE DONE (ATTACH PLOT 1-11
FINAL INSPECTION REQUIRED
5-eo-
VALUATI
FEE
PLAN CHECK FEE
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work be one on private property ONLY
GAADINGIFLL
Any construction on the public domain (curics, s1cle—tiks,
driveways, marquees, etc�
STATE SURCHARGE
P App1,1Ca1,1,.n.,*,1 1PODity,
STORM DRA114AGE FEE
P::�l Lkh , _ Vided Work is Started Within 180 Days
"Applicant. on lbehal� ogr,��. croarnsp.un.iis its, assigns and
ENO. INSPECTION FEE
s ccessors in interest defend and hold
. a dam �he
armless the City -1 Ed, officia
h nnds to
i
a, "s,
mages
employees, and agents from any �nd"aIS1hi'-N"TiOI'd- 0
whatever nature. arising directly or indirectly from the issuance
this shall not be deemed I
PLAN CHECK DEPOSIT
of this permit. Issuance of permit
modify, wal Ve or reduce any requirement O� any city ordiria a
nor limit i� any way the City's ability to an orce any ordinance
TOTAL AMOUNT DU E
provision.
I h61:,b,0yrE11r.0n1ilEdg6 I.rW I have real Ilis application; that the
ATTENTION
APPLICATION APPROVAL
Inform "V or, I! and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
S let a laws regulating construction; and in doing thework But nor!,.
AUTHORIZES
signed by the Building Official or his/her
Ed thereby. no person Will be employed in violation of the Labor
ONLY THE
WORK NOTE 0
I �
Deputy; and fees are d and receipt is
Code of the State of Washington relating to Workmen's Compensa.
ackno ledged in spa provided.
tion Insurance ar,a/CW 18.27
it.45PECTION
C PARTMENT
OFFIC AL S GN P E
SfGNAT It T, 0.
CITY OF
EDMONDS
DATE
EL -SM .1
CALL FOR
WTTENTION
INSPECTION
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR sT .. TuRE
ORIGINAL Fo YELLOW — inspector
LJ
UN71L A FINAL INSPECTION HAS BEEN MADE AND A111101AL "'
BEEN GRANTED LED
771-0220
A CERTIFICATE OF OCCUPANCY HAS
PINK — 0.-., GOLD — A�sess.r
SECTION 109
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FINAL PRO FCT APPROYALE01M
TO:—
DATE:-
MEMO TO: PE BUILDING DIVISION
FIRE DEPARTMENT DATE---P
7TTOR,
FROM:
ENGINEERING DIVISION DATE—
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LANNING DIVISION DATE
PROJECT—v6w—s
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SITE ADD�ESS
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PERNUT# 2-226-7 ...ADB#----------DATE INSPECT
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DESCRIPTION OF WORK TO BE INSPECTED---L)
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A field inspection was conducted to determine compliance with approved plans. Final approval denotes that
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there are no objections from the above signed Department to the granting of:
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approval of the described work
_L_!!:�_Final
Performance Bonds associated with the project may be released
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e' GRANT FINAL PROJECT APPROVAL
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GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
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FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
_______L_�RE-INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL
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NOTICE: IF THE DOCUMENT IN THIS FRAME IS LESS CLEAR THAN THIS NOTICE
IT IS DUE TO THE QUALITY OF THE DOCUMENT.
USE
ZONE PERMIT
CITY OF EDMONDS V2, NUMBER
7NDS
CITY 0 'a
CONSTRUCTION PERMIT APPLICATION o. OITE/APT
ADDRESS
NA
0
WIN R MEMNART BTNE55 I
.. UBDIVIStON NO LID NO
MAILING OR �s
ESS
2;
/* . F TESCP A IF,.— 0
o ': , PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R, P., P
0
'TY E�
CITY E111 'No — 11211111D 1EDICATION — SI—t—Fl— RI,Rd 0
Pr
P
N;A M FE rOPOSE. Ild-11, R.Rui 13 5
METER SIZE I LINESIZE I NO,OFFIXTURES I PRI REQUIRED 1,�
YESO NO 0
Iroparty
tax Account
5 000
ooq
oo
RESIDENTIAL
lox�v.
El
70
Go mpLtANcF 6W
ADDITION
COMMERCIAL
LSLDG.
CHANGE OF USE
REMODEL
APT.
r_1
El
RK
SIGN
GRADING
FENCE
REPAIR
— CyDS
I_ FT)
El
WOODSTOvE
SWIMPOOL
DEMOLISH
Ej INSERT
HOT TUB/SPA
GARAGE
[] RETAINING WALLI
RENEWAL
E] CARPORT
ROOKERY
COMPLETE
EXEMPT
ALLOWED
�PROPO611
LOT COI
-
PROPOSED
FA NT SI_-
R 0
ALLOWED
LOT AREA
PLANNING REVIEW BY
.E.AAXS
;NECKED BY
ITYIE or
OCCUPANT
7�
SPECIAL JNSPECTOH
REQUIRED 0 YES
7CC-U—PANT
LOA
FE—MARKS
PROGRESS INSPECTIONS PER UBC 108
1
aI
NJM.ER NUMBER OF jAREAS—
GINELLIN.
STORIES NUMBER
�kIITS
DESCRIBE WORK TO BE D . (ATTACH PLOT PLAN)
FINAL INSPECTION
REQUIRED
ION
F E
PLAN CHECK FEE
BUILDING
V _7
HEAT SOURCE:
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property NLY.
RADI U.
dome
Any construction On the Pub In (curbs, sidewplks,
W,,�ic
driveways, marquees, require separate permission.
STATE SURCHARGE
Pernn I Application: 180 Days
STORM DRAINAGE FEE
IF.= Limit: I Year - Pr ovided Work Is Started Within 180 Days
"Ap'"c"'. on lit Of his or 'her spa se, helrs�,'assign 'and
I d I defend hot
to emn f
ENG. INSPECTION FEE
'bell
GTE ,
B CesS.,B in 1. 1, gns-a
UC SIT clals
he Imonds Wa, ton, its ,,
rMES. the City of Ed
jl�
1 clinj
a
employees and agents from any �nd a a for da a as o
city from the Issuance
whatever n6ture, arising direcIlY o.,Ln�ire if
n IT he not be deemed to
PLAIN CHECK DEPOSIT
P _
inoiiify 'waive or reduce any r.q. I�Gment I any Cry
nor lir�it in any way the City's ab ty to enforce any ordinance
TC I I
provision."
I areby aclnOw�Gdge I read thitshapplicatrlon; that the
ATTENTION
APPLICATION APPROVAL
Ind%te
thra
in formation 'Ivan or, net am a own . or the duly
h I a
I sgrsmto cinmpI.yww.1f1k, city and
THIS RMIT
IT
This is not a permit,u til
truth Go
o rIzed Gn..anD do "n
laws r:,',G.Ina'�io�flltchO�"w,.c,r,� authorlZ
AUTH.PsIzEs
THE
application
B
signed by the Building Offic al or h S/her
state
ad thereby, no person will be employed In Yiolation of the Labor
ON LY
WORK NOTED
I s
Deput ;,and fees are K1, and receip 1
Compe
Code of the State of Washington re ating to Workman's nsa
a.kn. edged in Spa provided.
Insurance
DWINE No R N, C TE SIGNED
GINSPECTION
EPA.TN1
CITY OF
OFFI ALS QNATUP rE0
ED.-N-S
CALL FOR
REL ASED By
-ATTENTION -
INSPECTION
IT IS UNLAWFUL TO USE�OR`OCCUPY A BUILDIANGDOR STRUCTURE
APPROVALUOR —1 -11-0220
ORIGINAL — F,je YELLOW — insp.clo,
UNTIL A F�NAL INSPECTI N HAS BEEN MADE
A CEPT I F CATE OF OCCUPANCY HAS BEEN GRANTED. ED
PINK — OwrGr GOLD — Assessor
SECTION III
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