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RECEIVED
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PERMIT EXPIRES
USE
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PERMIT
CITY OF EDMONDS
NUMBER 4;A1663.�'MW
CONSTRUCTION PERMIT APPLICATION
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Required
3
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street use Permit Req'd
CITY ZIP ELEPHONE
EXISTING
— PROPOSED Inspection Required
Sjde�ssr Required
VWIOWAS d Lf2A-&-7o LIS I
REQUIRED DEDICATION— FT Underorau.n.ded
13
NAME
METER SIZE
LINE SIZE -1—NO. OF FIXTURES PRV REQUIRED
YES 13 NO 13
ADDRESS
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STATE LICENSE NUMBER XPIRATION DATE EC BY
VARtANCE OR,CU RELINE OR ADB#.. -BOND
--POSTED
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PROPERTY TAX ACCOUNT PARCEL NO. —v-
SEPA REVIEW
COMPLETE EXENM
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NUMBER NUMBER OF rCRITICAL
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STORIES UNITS NUMBER
JAREAftl6tff
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iLOAD
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/1FINAL INSPECTION REO-D
CIAS MaC' �
--
VALUATION
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Description
FEE Description FEE
E4—)/qaj--")jeLricj —fb U4r1v&6W _ L
Plan Check
State Surcharge '—T5
-VEAT SOURCE GLAZING % OT SLOPE %
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Building Permit
City Surcharge
A CHECK NO: VESTE'D DATE
Plumbing or,—)
—gnu
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOURIN (CURBS, SIDEWALKS, DRIVEWAYS. WARQUEES, ETC.) WILL REQUIRE
GFPARATIE PERMISSION.
Engr. Review
PERMIT APPUCATION: ISO DAYS
PERMIT LIMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
?I NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION."
Record!
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPR OVAL
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
This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/her Deputy: and Fees era paid, and
OR INSPIE TION receipt Is acknowledged In space provided.
WORKMEN'S COMPENSATIO CE AND RCW 18.27.
IVMFICIALS SIGNAT RE D TE
SV TURE (tffl)�R VAGEND,---' DATE SIPNED
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7771 -01.�
�LASED BY 1 DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I
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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,DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
ER N
TEINAME OF BUIIN Ssa
MAILING ADDRESS
CITY,
Wlayst s ZIP TELEPHONE
—9 4w-16 42,5- tc7o I I
NAME
ADDRESS
CITY
PERMITEXPIRES
USE PERMIT
ZONE NUMBER
JOB
ADDRESS
IT
TM
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TEGCP Appla"d
RW ".' Required
Street ties Pannh Wd
EXISTING — PROPOSED
inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT
UndergrmM
Wiring required 13
METER SIZE
LINE SIZ
KTL RES
PRV REQUIRED
13 NO C1
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R
0 N
0 NAGE
Stnte Labor & lndustr�lw;
NA14E CBL 0
-7 0 RIP.,
)A E
EN '
vem a -7 DAITE
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wEnEwal.,
ADDRESS 'a
"CIIIISed ,, j"0-bnxjmngAPPHB9C2x1*
O'Lo*"*'
UM%-; I ATE
IEATjjV%ftd Spacm DATE
cc
CI ZIFU TELEPHONE
................
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VARIANCE 0 BOND
STATE LJCENSE NUMBER 5XPIR�TION DATE P POSTED
-7 1,09,
BE HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE MALLOWED PROPOSED
q -763
Z..'5CO I 1!j / C0 EXP AULFIED ,
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.)
XPLUMB
NEW RESIDENTIAL ING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR
0
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
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PARKING LOT AREA PLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY 0 SIGN REO'D I PROVIDED
I
0 REPAIR [3 GRADING CYDS FENCE X � A
FT) REMARK
0j) M TbIr "MITF
—1 U)
V . . -
.
DEMOLISH TANK OTHER
GARAGE RETAINING WALL F RE SPRINKLER
CARPORT ROCKERY F:RE ALARM
(TYPE OF USE BUSINESS OR ACTIVITY) EXPLAJN:
D P OF UCTIP �AC;OE QCCUPA
7076
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS SPECIAL INSPECTION Z-f 7 OCCUPANIVX_—
JAREA[ftCft
STORIES UNITS NUMBER REQUIRED 0 YES LOAD
DESCRIBE WORK TO BE DONE
REMARKS
J ri s-k mace PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REaD
L
UA
CIA Mo 0- %Yzb
VALUATION
V
eZ hk1F *4 +r, vi t- f e S3 $ lq 451
cccv-�c) E7k �Slkt a k00k-o Description FEE Description FEE
i Inc,
4LJ-) n
h&wW 6YIt Li Plan Check
State Surcharge
City Surcharge
EAT S�RCE
GLAZING %
LOT SLOPE %
Building Permit
VESTED DATE Plumbing
PLAW CHECK NO:
saw It
I THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
t: BE DONE ON PRIVATE PROPERTY ONLZ AM CONSTRUCTION ON THE PUBLIC Grading
DOMAIN (CUIRBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Engr. Review
PERMITAPPUCATION: IBODAYS
PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCF
Landscapelnsp.
Total Amt. Due
9:7
91 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION
I HEREBY 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-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMENS COMPENSATIOIHNSUMWCE AND RCYV 18.27.
1 <-)-/3
Recordl
Receipt #
APPLICATION APPROVAL
CALL
OR INSPECTION1
This application Is not a permit until signed by the
Building Official or his/ker Deputy: and Fees are paid, and
receipt Is acknowledged in ipace provided.
FICIALS SIGNATPRE TE
00dV.K_
I'd r_%
%4251
771-02
ALEASED BY DATE
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
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
101
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