20040192.pdfDATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
,ER NAME/NAME QF BUSINESS
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STATF 1 11 IURFR EXPIR�TION PATE CHECKED BY
PROPERT1 TAX ACCO NT PARCEL NO.
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NEW Ill"ia-
L63- RESIDENTIAL 5ir..PLUMBING / MECH
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY SIGN
REPAI GRADING FENCE
A CYDS ( X FT)
DEMOLISH TANK OTHER
EiGARAGE RETAINING WALL FIRE SPRINKLER
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE. BUSINE
OR ACTIVITY) EXPLAIN:
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBE WORK TO BE DONE
0�7 rco--l- e, ID A0P
HEAT SOURCE GLAZING % I LOT SLOPE %
PLAN CHECK NO: I VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Lu PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Uj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
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ALL. CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
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-4 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
1 0 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 AGENI OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION AND IN DOING TXiE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN Vi6LATION OF TIJEILA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMF_N'S COMPEISSATION INSURANCE AND RCW 18,27.
SIGN
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ADDRESS
PLAT NAME/SUBDIVISION NO
PERMIT EXPIRES
PERMIT
N U M B E R
LOT NO
PUBHC RIGHT OF WAY PER OFFICIAL STREET MAP
EXISTING — PROPOSED —
REQUIRED DEDICATION— F1
METER SIZE I LINE SIZE I NO. OF FIXTURES
SUITE/APT#
LID NO,
LID FEE $
I ESCP Approved
RW Pomil Requited
Street Use Permit Hoq'd
Inspection Required
Sidewalk Roquifed
Underground
Wiring taquired
PRV REQUIRED
YES IJ NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
ERING REVIEWED BY DATE
FIRE REVIEWED BY DATE W
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ALLOWED PROPOSED
ALLOWED PROPOSED
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REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (FF.)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LJR SIDE REAR
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PARKING
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PLANNING REVIEWED BY DATE
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REMARKS
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REQUIRED LOAD
REMARKS
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VALUATION
Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
FEE Description FEE
State Surcharge
City Surcharge
Base Fee
Y
Fire Review Plan Chk. Deposit
Fire Inspection Receipt #
Landscapelnsp. Total Amt. Due
Recording Fee Receipt #
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building Olficial or his/tier Deputy: and Fees are paid, and
FOR INSPECTION // receipt is acknowledged in space provided
OFtl�7X SIGnT RE DATE
(425
e 11
771-Or-jav RFtFASED BY I - _� PXT E
GK EXT 1333'---
� T IS N WFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
AtNUALkSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
1
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
ORIGINAL - FILE YELLOW - INSPECTOR
PINK - OWNER GOLD � ASSESSOR
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GARY HAAKENSON
(-1TV nF ED� ONDS MAYOR
121 5TH AVENUE NORTH - EDMONDS, WA 98020 1 (425) 771-0220 - FAX (425) 771-0221
Website: www.d.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
112 C. 9QJ Planning Building Engineering
April 19, 2004
Megan Garton
8715 Bowdoin Way
Edmonds, WA 98026
Re: Address Change Due Subdivision
Dear Ms. Garton:
Recently the City of Edmonds changed your address due to a recent subdivision in your
area. This is so that your address is in accordance to the City grid for Fire and Police.
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Since that change, we have received a request from the property owner to ch, ge your
address back to the original address. Your address has been changed from 8723
Bowdoin Way back to 8715 Bowdoin Way. I will inform'all City Divisions including
Fire, Police, Utility Billing, Public Works and Building.
Sincerely,
larrison
a ie I
Permit Coordinator
cc: Rob Michel
Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
Snohomish County Assessor
L\Temp\DST's\M aster Letters\Address Change
Incorporated August 11, 1890
Sister Citv - Hekinan. Jat)an
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch .................
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
Underground .............
Rough -In ...................
Commercial Final ......
HEATING:
Gas Test .................... VM
GasPiping .................
Equipment.................
Commercial Final .......
EXTERIOR SHEATHING
NAILING ..........................
FRAMING ........................
FIRST FLOOR FRAMING...
-INSULATION ...................
'Floor Insulation .........
Wall Insulation ...........
Ceiling Insulation .......
SHEETROCK NAILING ...
SPECIAL INSPECTION ...
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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