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PERMIT EXPIRES
CITY OF EDMONDS
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PERMIT
NUMBER AIV-01
CONSTRUCTION PERMIT APPLICATION
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OWNER NAMEINAME OF N
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PLAT NAMEISUBDIVISION NO, LOT NO, L170 NO.
D LID FEE S
163 /0197- /&J5
PUBLIC RIGNT OF WAY PER OFFICIAL STREET MAP 7ESCP MW
A. I.- .- 1.
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EXISTING I =� F.- A
NAME
— PROPOSED--
REQUIRED DEDICATION— FT
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METER
I LINE 117E PRV REQUIR
YES 0 NO
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ZIP TE11PHO 9
FIRE REVIEWED BY
STATE UCENSE NUM88A
EXPIRATIO
AEXI
VARIANCE OR CU
PROPERTY TAX ACCOUNTPARCEI. NO.
$EPA REVIEW
COMPLETE 'xx'M
00,6-dz5-4,acoo.Q
Woo
NEW
RESIDENTIAL
0 PLUMBING / MECH
ALL LOT COVERAGE
ADDITION
COMPLANCE OR
CHANGE OF USE
0 REMODEL
El SIGN
RE" PARKING
0 REPAIR
GRADING CYCIS
0 F NCE
X _ Fit
REMARKS
DEMOLISH
TANK
OTHER
—
P1 MG
SAN ET
AGa
CARPO
"STAINING WALL
�OCKERY
RENEWAL
DATE
ALL I PROPOSED
WX N/A
I ALLOWED , PR PORED
YE51 /-;M'
REQUIRED SMACKS (FT)
FRO SIDE REAR
PROPOSED SETBACK$ (FT.)
FRONT 11A1
C
2)5''7Ys'
r�IDE
AREA� P7.9
W7
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: r- Tr'4--ffL I I mot V
-)5q'-7j1 I/ CHECKED BY ITYPE OF CONSTRUCTION CCU
INUMBEV NUM8111OF CmTAI�CAL GR
0 -T3
OF DWELLING AREAS tv SP
STORIES UNITS NUMBER ELCIALEIDNSPCCTOS
QUIR JAIIA _b I
ki I ICCLJPANT
DESCRIBE WORK TO BE DONE 00 a R 0 YES LOAD
_REMA KS
1 PROGRESS INSPECTIONS PER UBC 1108/FINAIL INSPECTION REOD
:9,0 2E rz:f, 3M La'r-jrPl"
Plan Check
RD
LOT SLOPE %
Building
PLAN CHECK NO: STED DATE
Plumbing
THIS PERMIT AUTHORIZES ONLY THE ORKNOTE0,7NIS PERMIT COVERS WORK TO
Mechanical
-
t� BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSUC
2
Grading
Recording Fee
:1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
—
En9r. Review
City Surcharge
PE MMAPPLICATION: ISODAYS
PERMITILIMMIYEUR-PROVI ED WORK 19 STARTED WITHIN 1 60 DAYS
Z4 5—D
SEE BACK OF PINK PERMIT MR MORE INFORMATION
Engr Inspection
State Surcharge
I'APPLICAhn, ON BEHALF OF )its Oil HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Traffic Mitigation
Plan Chk Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICKLS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Review
Receipt
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
!31 OEMEDLTO MODIFY WAIVE OR
Fire Inspection
Total Amount Due
REDU E ANY REQUIREMENT OF ANY CITY ORDINANCE
o G ABILITY TO ENFORCE ANY ORDINANCE PROVISION. -
NOR Mr IN ANY WAY THE CITrS
---
Landscapainsp.
I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNED. OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AORC TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
Thl, Iippllcft. I� -1. P-11.01 Wond DY Lh.
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE "Son CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
Buildi�q Offid.l., hI.,/h.1 O.PWY:.rd F.—I, piild,.�d
���lptil..kn...dg.din,pc�p,.Id�d.
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
[�LS �IGNArURE DATJ
I DATE SIGNED
[:�.IL.TU:�WT
(425)
Tumc 64uw_
b;7'1'0 '6 '�) '2-
771-0220
-8—� BY
DATE
ATTENT16N
EXr 1333
�tED
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE - YELLOW. IN;PECTOR'
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK�OWNER - COLD -ASSESSOR
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LO T COVERAGE
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10647 sq.ft.
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Tax account parcel #
00555000002400
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LOT SLOP E:
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1371 sq.ft.
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extend d.r.30 sq.ft.
prop. line
101st ave.west
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
. ..... ......
FOUNDATION:
Footing......................
Wall ..........................
Pier/Porch .................
Retaining Wall
Slab Insulation ..........
PLUMBING!
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Underground
Rough -in
rn
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Commercial Final
HEATING:
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Gas Test
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Gas Piping
La
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Equipment
3:
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Commercial Final
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Fn
EXTERIOR SHEATHING
\(y)
CA
NAILING ......................
FRAMING
M 0
........................
FIRST FLOOR FRAMING
INSULATION .............
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Floor Insulation
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Wall Insulation ...........
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Ceiling Insulation
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SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY .................