20000296.pdfCITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER N�MEINAME OF BUSINESS
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r7 COMPLIANCE OR
ADDITIO
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L-i GE OF USE
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SIGN
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NUMBER
NUMB F
it
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110 100
!SE PERMIT
200296
ON NUMBER
— ILITEIAI
08
DDRESS -z I Li PL
TG—AL DEStRIPTION CHECKI SUDDIVISJON No
---------------
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP ApproNed
C
RW P—R R-R-
EXISTING — PREOURED DEDICATION --
SRRR U1. P.-I FIR d 0
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PROPOSED
sid-RIX RX1.1-
METER SIZE
LINE 512. N OF FIXTURES
RRY RECUIRED
YES 0 NOE]
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EXP
LOAD
0 YES
REM FIRS IS
PROGRESS INSPECTIONS PER USC 108 Eli.
-------
FINAL INSPECTION REWIRED
VALUATION
IVA-111re- 00L
PUN CHECK FEE
i MIR
BUILDING
HEAT SO RCE:
GLAZING
too
PLUMBING
nr�
Plan Check No.
MECHANICAL
This Permit covers work to be done on private pro erty L .
GRADINGIFILL
Any construction on the public domain (cur s, SIdeWPIRs,,
per Issill R.
SURCMARCIE
driveways. marquees, etc I -Itl require separate
permit Applicall0w, 180 DOYS
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work is Started Within 180 Days
"App cant, on beha� I is r her spou- hers, aS.ig s and
inde n! defend and hold
ENG INSPECTION FEE
successors in 'in. r B , B to
the t n S, asht cit,cits official si
I
harmless
employees, and nt f' n and all cl - r damages of
risin IT ctl or indirectly from the Issua�nce
r nature t
S1.11 not be dee a
ILAN CHECK DEPOSIT
a I is permit
R
9 modify, w8lVe Or mdu . n r I any city ordma ce
of this Permit. I ' ui�e ente)
0. nor limit in any way I it s bi Ity to Rforce any ordinance
TOTAL AMOUNT DUE
provis on.
acknowledge I at I have read this application; that the
- *;f`,VSn
ATTENTION
APPL A N APPROVAL
I hereby
Information , l�dgert of; and that I am the owner, or the dul y
cingmtply with city and
THIS PERMIT
This aPPi1C--liT0'n0iS a permit until
ar
�uthorized agent of the 0 C"�.R..a.,ireerfo -
d do he work authoriz
AUTHORIZES
.Rldr�ot
,end , ,,,,.u, in Official Or hjS11.r
late laws regulating constr
will oyed in violation of the Labor
no person.. 0
WO LY I HE
ORR NOTED
. P.,Y�,.Rd a S are paid. and receipt is
act
n relating to Workmen's Compensa.
Cothereby,
de of the State of Was ilngl
pn.w'iZdged i It space provided.
11- InS.I.-c- -Idi .27
I ATU.F N
INSPECTION
DEPARTMENT
ICIA�11.lyl
I
CITY OF
NATURE
EDMONDS
CALL FOR
ATTENTION ki-�tm) lXU0�-i)Z:0 �'116 t-'C'
INSPECTION
BU L DING OR STRUCTU RE 7
IT S UNLAWFUL TO USE OR OCCUPY A AID 1 71-0220
INSPECTION HAS BEEN M E AND APPROVAL 0
ORIGINAL Fit. YELLOW - inspector
UNTIL A FINAL
A CERTIFICATE OF OCC-1 -1. RANTEO. UBC
PINK - C.-.,er GOLD - ASSESS.,
SECTION 109
102-87
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To: Alecia Cox
From: Susie Read
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2WO19
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CITY OF EDMONDS
Z
PER;1T . I
I
200296
CONSTRUCTION PERMIT APPLICATION
jos
S
ADD.
JOWNI� N�MEINAME OF BUSINES
E. 0a rn A.
E.
c K
ISUBDIVISION NO
1110
No
I I I
—7 irb A vir PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, T"cP A�
z 7jE :�: E STING _ REOUIRE. DEDICATION -w P—It
IF P P R_'d
?
".A R:7
/K C3 Aj PROPOSED S,d-11, S.4.1,.d
METE�'�INE SIZE I NO. OF FIXTURES I PHY
H"i d ES Cl
oc—
'12
iW._A;Zount
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Parcel IND.
RES'D'N'
FIESIDEN L
PI.M.IN—E..
::ITI.N
CO PLIANCEOR
-.711
El ....E:AIAI
EC]APT
CHANGE OF USE
REMODEL
L.
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SIGN
GRADING
[j FENCE
REPAIR
eyes
'. E I MOLISH
El woo DSTOVE
INSERT
SWIMPOOL
HOT TUBISPA
GOAFIANET
F_j ETAININ13 -LLI
F�
ROOKERY
RENEWAL_
IPE-IU....�.�IIESSOIA-IVITYI-PL4":
NUMBER
NUMBER OF
CRITICAL
OF
DWELLING
A EAR
ST ORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
COMPLETE"J"INEMPT ALLOW66 '�W6-POSED
EXP I
LOT COVERAGE REGUIRED SET QKS L)
ALLOWED I PROPOSED FRONT SIDEM REAR(F
191MARKS
PROGRESS INSPECTIONS PER LIBC 108
FINAL INSPECTION REOUIRED
—VALUATION
q pLA X
PLAN CHECK FEE
I
We"Nc. or -
BUILDING
HEAT SOURCE:
6L11I1G
PLUMBING
fM
Plan Check No.
MECHANICAL
This Permit covers we k to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curtbs� pidewelks,
I I
SURCHARGE
driveways, marquees, emnls.on
1p App,,.,.�,,,,0.",*,1.8P0rDa,8
STORY DRAINAGE FEE
, ". I . vIded Work is Started Within 180 Day$
P:_.�,
"Appl In, I of his or her spouse, hot s. assigns and
� tend and hold
Ind.mnl 1.
C"!�'tDa. I d
n !
ENG. INSPECTION FEE
,A SU CIS n a agrees to
as ng on, Its officials
W h
harmless the C!',�Gnot.'
IEod.monnda�nd .11 Claims for damages Oi
Wh. n ILI a, ed IsSuanc
e'P�.0vy:re5'aanrd'.raI,g directly or Indirectly from th
of this permit shall not be earned to
x of this permit. Issuance
modify, waive or re Uce any.requIrement of any city ordinance
nor limit In any way the Ci ty s ability to enforce any ordlnance
TOTAL AMOUNT
r)j,� L.LLIU
provision."
__!�Ej
' hereby a""Ow�:dge '.he I have read this application; that it's
ATTENTION
APP L A N APPROVAL
. I he duty
in Mallon ,v.h Corr t! no that I am the owner, or
Uororized Of 1. owner. I agree to comply With elty and
THIS PERMIT
This Eippiic-OT-7- not a permit until
agent
a h -
ata laws regulating constriuction; and In doing the wofrk authoriz
AUTHORIZES
ONLY,THE
". ElLi'dr If Official or his/her
signed I "" " "
y
to I ad in violation 0 the Labor
hereby, no person will a amp OY
ad t Washington relating to Workmen's Compensa
WORK 40TED
.P.fy, r paid, and receipt is
, I - nd less - .
no. ad,." in Space provided.
127
SIGNED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
CALL FOR
ATTENTION
INSPECTION
IT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220
-NAL "I' YELLOW — "Spe"O'
UNITSIL A,F:NAL
A CERT F CATE OF OCCUPANCY HAS BEEN GRANTED. UBC
PINK — Owner GOLD — As5essor
SECTION 109
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