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NECIHANICAL
THISPEAMITAUTHO IZES ONLY THE WORK NOTES. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
B OMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES, ETC.� WILL REOUME
SEPARATE PERMISSION.
STATE SURCHARGE
RE MIT APPU=1014: 180 DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WfTHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ENG REVIEW FEES
-AP NIS AND SUCCESORS
FLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, A SIG
ENG, INSPECTION FEE
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD ARMLESS THE CITY OF
==INGFEE
2 E OM ANY AND
DMONDS. ASHINGTON ITS OFFICIALS. EMPLOYEES. AND AGENTS EP I LY
A ILL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDREC
NOT
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A M THE ISSUANCE OF I OF THI PERMIT SHALL BE
x F His PERMIT. ISSUANCE
)EoEMEOT MODIFY, WAIVE OR REDUCE ANY REOUMEMENT OF ANY CITY ORDINANCE
SON
0 NOR LIMIT IN ANYWAY THE CITY's ABILITY TO ENFORCE ANY ORDINANCE PROVISIO
PLAN CHECK DEPO
TOTAL AMOUNT DUE
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]HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION
APPLICATION
APPROVAL
T OF
S CORRECT. ANDTHAT I AM THEOWNER,OR THE DULY AUTHORIZED AGE�JNT.F
GIVEN I FU
THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC
CALL
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TIOVANDtN OING THE WORK AUTHORIZED THEREBY, NO IERSQN WILL BE EMP
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IN VIC I NO TO
LAT ON OF THE LABOR CODE OF T14E STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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WORKMEN S COMPENSATION INSURANCE AND ROW IS 21,
OFF iALS SIK�NATUEE DATE
-51GN-ATU 10W�NER RAGENT)
E SIGNED
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. -ASED.Y D IF
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ATTENTIbN
EXT 1333
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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-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FA).
PINK-OWt�- GOLD�ASSESSOR
5198
FMIVED
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August 12,2004
AN'1'2'200'�'
DEVELOPMENT
DEVELOPOWSthWES CTF4
C1 ry OF EDMONDS
Dear Jeannine,
In response to your letter of order to correct violation at 9216 24& Street S.W. Edmonds,
WA 98020. We are no longer building onto our garage. We do not have the finances at
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this time to go any further. Our property is in the process of being subdivided so we can
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sell off the lower half We currently only have a cement slab poured and wish it to be a
patio.
In the future if we want to build onto the garage we understand that we will have to
building We looking for bolt to cover the bolts.
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CID
obtain anew permit. are also protectors
If you have any further questions please call me at (206) 542-9566.
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Thank o
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Evelyn ElliotO�
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CITY CLERK
CITY OF EDMONDS CoNfORMEt) COPY
121 M AVENUE NO.
EDMONDS, WA 98020 200200508"
SnohOmish
002 0308 PM countY
0405/2RECORDED
P.000i
STATEMENT ON ACCESSORY DWELLING UNITS
GRANTOR:,te-,,- a-//,btt GRANTEE:a�j
Property Address: - 42Z11- ?x:�,/0154!�tsu)
Edmonds, Washington
615" Y4 � �W, I
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Legal Description: -7' 45C(1249`1 -FY 4/y
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44-r,�- .14
4—a-AZZtf- 4-4= A
Assessor's Parcel Number: �P7
I have read the requirements for accessory dwelling units contained In Chapter 20.21 of
the Edmonds Community Development Code (ECDC) and understand that an accessory
dwelling unit, including a second kitchen, as define . d in ECDC Section 21.05.015 is
prohibited until an Accessory Dwelling Unit Permit is approved.
I also uaderstaud that an Accessory Dwelling Unit Permit cannot be approved unless all
the criteria in Chapter 20.21 are met, and all the accessary Items are submitted,
including an affidavit of occupancy and a covenant to be filed with the Snohomish
County regarding the regullatu! I d ece we ing U
�qs- 111110�Pd 010 A qpgry 10) cIB
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Property Owner Siguatp4e:
Property Owner Name ted):
Date:
STATE OF WASHINGTON)
COUNTY OF SNOHOMISH)
I certify that I know or have satisfactory evidence that
signed this instrument and acknowledge it to be his/her free and voluntary act for the uses and
purposes mentioned in this instrument.
Notary's pressure seals must be smudged. Dated: CIP- 19 -00
Signature of
Notary Public: "61
CARLA RAYMOND
LA
R W
NOTARY PUBW esiding at:
U) A
STATE OF WASHINGMN y Appointment
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IFIES
COMMISSION EXPIRES
APRIL 13,2003 xpircs:
THIS DOCUMENT MUST BE RECORDED WITH THE SNOHOMISH COUNTY AUDITOR.
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IT IS DUE TO THE QUALITY OF THE DOCUMENT
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing.................
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EXTERIOR SHEATHING 9 (j) � :,
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FINAL APPROVAL FOR
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