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CONSTRUCTION PERMIT APPLICA
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PERMIT
NUMBER Z009Z7
f SUITE/APT #
EGAL U—B-ION 1-111 SUBDIVISION NO
LID NO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — REOUIRED DEDICATION —
PROPOSED
TEsCP App,—d C!
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St— We P11111 R� A 0
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PRV 1EQUIRED
YES . Noo
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ENGINEERING MEMO OAT ED
AEVIEwED BY
----------
_M"PAR'WEW ALLOWED.17REA HEIGHT
PI ETE I EXEMPT PROPOSED ALLOWED 1PROPOSED
EXP
LOT z
ALLOWED
ftiA.�.0 00
P.mel No. Of
q �1.0 B 3 eb I
— 11
1
1
New
CK RESIDENTIAL
PLUMBINGIMECH
REM RKS
D
COMPLIA CE OR
El ADDITION
COMMERCIAL
CHANGE OF USE
APT. BLDG.
SIGN
REMODEL
UNSTRUCTION
C HECKED BY TYPE OF C CODE 0
FA.ING
FENCE
:P
I ? 7 CA
REPAIR
CY.S
(—.—FT)
0
WO DSTOVE
SWtMPOOL
INSPECTO R 00
DEMOLISH
INSERT
HOT TUB/SPA
LO
REQUIRED 0 YE S JAHhA
G RAGE
ARPORT
E'A
WA
RETAINING LIJ
r RENEWAL
REMARKS
ROCKERY
PROGRESS INSPECTIONS PER UBC 108
(TV
IMESS 0 ACTIVITY) EXPLAIN:
NUMBER
IFI�TICAL
ooxI
OF I
DWELLING
An S
3, 1,- 5 10- Y M a d 0 0 7 0, C,0 hy t
FINAL INSPECTION REOUIRED
t-51,-k gh, 6 6 flro
VAL XTION
FEE
17,- Wd4l fl<J
PLAN CHECK FEE
BUILDING
(,—�
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be one on private property ONLY,
GRADINGiFILL
Any construction on the public domain (curbs, side.olks,
riveways. marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: I Year - Provided Work is Started Within 180 Days
-Appffc3nj,non boh.,j! of.hi or he, spouSe, heirs, assigns and
ENG. INSPECTION FEE
.geaora nee . S hold
SU lees to indemnitylodnefand an
h fICIBIB,
is Ofq
g
harmless the City of Edmonds EUmE
�n;Wal �n for damages Of
1;r7 644t4e-
mployeas IT agents from any
whatever ature, arising directly or Indirectly from the lssu�dnce
this permit sha�l not be deems to
PLAN CHECK DEPOSIT
of, this Permit. ISS-dance of
modify, waive or TO uDo any requirement o any city o3nan a
nor limit 1 any way the City s ability to enforce any ord nance
TOTAL AMOUNT DUE
provision.
I hol:t�y a0kr.Onv�:Oge Ina 1 0 lead this application; the in
ATTENTION
APPLICATION APPROVAL
0 h,ldule
inform 'on "Y C.riacf� and that I am the owner, ' I y
agent of the 0 -nor. I agree to w! in city an
—s PERMIT
This pplication is not a permit until
,uth.,iz.d ld
late laws regulating constri. C,,On.,.nd In dom9mip"NOrk author
AUTM
ONLORT'HIS
Eigneda by the Bui ding Official or his/her
ad thereby, no person w 11 be employed in violation of the Label
WORK NOTED
Deputy; and fees are paid, and receipt is
Code of the State of Washington relating to Workmen's Compensa.
acknowledged in space proVided.
tion Ins.,anc. aUO R 7.
E S—Eo
I-S'EC"O"
DEPARTMENT
IIGNATI�11E' 01 GE"
CITY OF
EONJONDS
OFFICIAL S SIGNATURE DATE
CALL FOR
—ATTENTION
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING " 'T""Tuff"
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL -
771-0220
ORIGINAL I'de YELLIDW — -,e�lo,
A CERTI FICATE OF OCCUPANCY HAS SEEN GRANTED, UBC
SECTION 109
PINK — 0,-, GOLD — Al--Ol
RECORD'OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .........
FOUNDATION:
i
Footing....................
Wall.......... ............
Pier/Porch ................
R�
RetalningWall ............
Z'
Slabinsuiation.
PLUMBING:
Underground .....
Rough -in .............
M,
rn
0
Commercial Final ........
HEATING:
M;
rn z�
Gas`Test__;� ............
C
Gas Piping......
Equipment ................
0
n
Commercial Final ......... j
EXTERIOR SHEATHING
M M
I_ .
NAILING ....................
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N",
.
0
FRAMING ....................
0
C
INSULATION:
Floor Insulation ...........
Wall Insulation � ..........
Z!
Ceiling Insulation .........
p
SHEETROCKNAILING ......
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SPECIAL INSPECTION
0
d,
1
MISCELLANEOUS
FINAL APPROVAL yyINS
FOR OCCUPANCY ......
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VARIANCE OR CU
AD. I
SHOAELINE I
SERA REVIEW
SIGN
AREA
HEIQK�
coMP111E 11EMP
ALL ED
1PROPOSID
ALLOWED jPFO101EO
.P I
'ERAGE
REMIREDSETBACKS(FT-)
PAoPoS sET-IFT)
ALLOWED PRO OSED
FRONT SIDE REAR
FRONT R SIDE REAR 0
LOT AREA
I G A IEW BY
DATE
REMARK$
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ATTENTIO!q INSPECTION 1 —
11 11 UNLAWIU USE OR OCCUPY A BUILGIN ' OR s 'E YELLOW
U TL A FINAL " TO NO APPTouv'�,T,"'o- 771-0220 ORIGINAL — FOe — I-pe�tc
N INSPECTION HAS BEEN ADE A
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTEM LEG PINK — 0,-, GOLD — AlleSS-1
SECTION 109
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