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DATE RECEIVED,5-/ [PERMIT EXPIREE
USE PERMIT
CITY OF EDMONDS ZONE NUMBER U":_'�
OB #
CONSTRUCTION PERMIT APPLICATION ADDRESS j�j_/
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OWNER NAMMAME OF 0 EBB �U�
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MAILING ADDRESS
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NAME
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NAME
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CITY ZIP
STATE LICENSE NUMBER
LID FEE $
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REMARKS
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PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
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Description
IWI A FEE Description FEE
44M4 it
T- Plan Check State Surcharge
HEAT SOURCE J % LOT SLOPE % Building Permit t -a City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC
Grading
DOLMN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
I
'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
ONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Recording Fee
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT E R CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
's COMPE I NCE AND RCW 18.27.
N E W ER AGE"
DATE SIGWD
(425)
771-0220
AWENTION Off 1333 r
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
Plan Chk. Deposit
Receipt #
Total Amt. Due
Receipt #
APPLICATION APPROVAL
ijea'Aplication is not a permit until signed by the
ig Cpcial or his/her Deputy; and Fees are paid, and
roelpt Is acknowodged In space provided.
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DATE RECEIVED
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USE' g4�_ 1,7 PERMIT
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munnor-m
CONSTRUCTION PERMIT APPLICATION
IDS
ADDRESS
#
sor
OWNER NAMENAME OF BU
RIA01
EBB
PLAT NAME/SUBDIVISION NO-
LOT NO.
LID NO.
MAILING ADDRESS
LID FEE $
PUBLIC RIGHT-61' WAY PER OFFICIAL STREET MAP
TESCP APPM-d
AW PernA Roqulf6d
RSQW
CITY
ZIP
TELEPHONE
EXISTING PROPOSED
Stmet Use Poffnk
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SidawARequked
UWKWOWW
7--�,Oeo <7,
REQOED DEDICATION Fr
Wictnoreq*md 13
NAME
METER SIZE
LINE SI
FIXTURES
PRV REQUIRED
YES 13 NO 13 z
REMARKS I
i OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 9
ADDRESS
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..
CITY
NAME
lkww -e
ADDRESS
AD, uIr It vent mint
CBL #
unheaW fflng�- UMC 815.1.7
E GINEERING REVIEWED BY !�TJE
0�v FIRE REVIEWED BY
CITY ZIP TELEPHONE
ee,4 V V C
RIANCE OR CU
ARIAN
STATE LICENSE NUMBER EXPIRATION DATE L,41`10 D 1,
PROMPT:r 7— [01q
_�JEW UMBING MECH
40�
1*�RESIDENTIAL
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
0 REMODEL MULTIFAMILY SIGN
GRADING FENCE X FT)
REPAIR CYDS
DEMOLISH 0 TANK OTHER
oGARAGE -1 RETAININGWALL FIRE SPRINKLER
CARPORT 1:1 ROCKERY FIRE ALARM
. (TYPE OF USE. BUSINESS OR ACZT
NUMBER NUMBER OF CRITICAL
OF . DWELLING AREAS
STOR ES UNITS NUMBER
DESCRIBE W&K TO BE DONE
C
Vi J s^ IA Ai e /I -.,owl I flrAf
ZIP I TELEPHONE
11" 1— "("All)e k&Cz4.::- V
HEAT SOURCE GLAZINtIf % LOT SLOPE %
PLAN CHECK NO: VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
-DOMAIN (CURBS, SIDEWALKS, DRMVAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERIMITAPPUCATION: 160 DAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
SHORELINE ORADBIIJ INSPE TION
RE2
qrr-A Qbw 13NO
DATE ul
BOND
POSTED
HEIGHT
WED . PROPOSED
LOT CfWF1hdIVnV11hVbLIME"1ftM61ft-) PROPOSED SETBACKS (Fr.)
ALLOWED PROPOEKL4CCLM REAR I FRONT LIRSIDE REAR 19
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PARKING LOT AR9_FNNING REVIEWED BY
REO'D I PROVIDED I
SPECIAL INSPECTION JAREA UCCMNT
REJ&RED r] YES LOAD I
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
bLS PER UBC 1108/FINAL INSPECTION RECtO
FEE Description FEE
State Surcharge
City Surcharge
0 R
'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
S
Fire Review
F' re
Plan Chk. Deposit
Y 0 F
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
A N D
a EDMONDS, WASHINGTON, ITS OFFICIALS, 9MPLOYEES. AND AGENTS FROM ANY AND
Fire Inspection
F re
Receipt #
-C
ARISING DIRECTLY OR INDIRECTLY
Y
I ALL CLAIMS FOR DAMAGES OF �M TL
PErRI,NATURE,
)T BE
FROM THE ISSUANCE OF THIf M rr. �4SUANCE OF THIS PERMIT SHALL NOT BE
ANCE
91 DEEMED TO MODIFY, WMVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapoinsp.
Lan,
Total Amt. Due
JION . -
2 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Recording Fee
Rec
Receipt #
ATION
I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
NT OF
GIVEN Its CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
.TRUC.
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This
11--flon Is not a permit untH signed by the
oy o
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
L4
Bullding7.lai
-r his/her Deputy: and Fees are paid, and
IN VIOLATAQN-OE-TtlE LPO%CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
01
'7\ r
elpt is acknowlgdgod In space provided.
.1
I "CE AND RCW 18.27.
'xonmaws �O�Prl". I
F
IGNATUAREj DATE
—
NATURE
"n�AGEN"T)
DATE SIG
le
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'A 35)
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a 0.2
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771-0220
E
7WStb
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN ACCOUNTING
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