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NUMBER
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CITY OF EDMONDS zoN, PERMIT
NUMBER
CONSTRUCTION PERMIT APPLICATION . ...... ....... ...
'DREss 7 CJ SUITE,APT
7 0 /.
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JCENSE NUMBER EXPIRATION DATE
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CHANGE OF USE
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APT. BLDG.
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REPAIR
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(TYPE OF USE, BUSINESS OR ACTIVITY) UPLAIN:
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NUMBER
OF
STORIES
I NUMBER 11 1
DWELLING
UNITS
ICRITICAL
AREAS
NUMBER
DESCRIBE WORK TO
BE O0Nq
(ATTACH PLOT PLAN)
ECP MPLETE1 EXEMPT ALLOWED 1PROPOSED I ALLOWED 1PROPOSED I
LOT COVERAGE REQUIRED SETBACKS -) I FF�CFNOThhu bETBA -) I
ALLOWED I PROPOSED FRONT SIDE AEAA� 10 UP SJUECKASF�Z
0 YES F-
JAEMARKS
PROGRESS INSPECTIONS PER USC 108
FINAL INSPECTION REQUIRED
VALUATION A
PLAN CHECK FEE
BUILDING
LAZIN13 V1
— — — — — — —
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain Icurbs, sidewelks,
riveways. marquees, etc.) wil require separate permission.
5TA7nURCHARGE
Permit Application: 180 Days
I Permit Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
j
behalf of his or her spouse, heirs, assigns and
END. INSPECTION FEE
au"Appfcanli;,on
ccessore interest. agrees to indemn I ly, defend and hold
h a Imess monds hington, its officials,
am oyees!heidCa,enole IIE.dm any �ndWaalslclaims for damages of
Of
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify, waive or reduce requirement of any city ord!
Cany
no r limit in any Way the ty's ability to enforce any orc[Z�;'
TOTAL AMOUNT DUE
L 1,
provision," —_
7
I hereby acknowll 'he I read INS application, that the
ATTENTION
APPLICATION APPROVAL
nh,.,,.
in formation given C."Ec'! . 'at I am the owner, or the duty
authorized ge of he Owner. I ,, Is to Comply With city and
THIS PERMIT
This application is not a permit until
.,.,a laws r:guf`.'IIhg Construction; aned In doing the work authoriz-
a's ' e
AUTHOAzES
THE
signed by the Building Offici8i or his/her
Ed 'no person will be employed In violation of the Labor
WONLY
OAK NOTED
Deputy; and fees are paid, and receipt is
Code I the Stae ��gfcn relating to Workman's Compensa.
0 ' t 0
acknowledged In space provided.
Lhereby,
ion Insuran, arid
t I, I sure DO
SIG E'.,� s—ED
INSPECTION
1E1111M11T
CITY OF
OFFI��!. S SIGNATVRE DATE
EDMONDS
_TTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRU R
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPR.1 ��TuTc'
771-0220
ORIGINAL — F0. YELLOW — inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, U.0
SECTION 109
'Ma,
PINK — O—er GOLD — Assessor
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i1NAL PROJECT AP-PROVAL FORM
TO:
DATE:
MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION
FROM: C----2 —YIRE DEPARTNIENT DATE 4 -Y —13-0
ENGINEERING DIVISION DATE —
PLANNING DIVISION DATE-
1R.JECT-a —f2-PJE2f Z (ZS
SITE ADDRESS 7 7�? A-zf-
PERMrrgl:2,,I-JqL3—ADB#_____---PATEINSPECTED-A,�
DESCRIPTION OF WORK TO BE INSPECTED CIS /Pcj/"R.
A field inspection was conducted to determine final compliance With approved plans. Final approval
denotes that there are no objections from the above signed Department to the release of
pERF I ORMANCE BONDS and the granting of:
GRANT FINAL PROJECT APPROVAL
CONDITIONSNOTED
GRANT PROJECT APPROVAL WITH
u Copy of CONDITIONS given to owner/contractorby inspector
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
a Copy of CORRECTION NOTICE given to owner/contractor by inspector
2.
3.
RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
Date_ Sign—
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