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CITY
NAME
CITY
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEIINAME OF III
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MAILING ADDRESS
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NAME
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IF PERMIT EXPIRES4_�r_
USF PERMIT
ZON B E R
Z SUI APT #
JOB
ADDRESS
TT NAMEISUBDIVISION NO. LID NO�
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LID FEE $ ved 13
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IIW p,,,,,l R.q.,11d 0
Street Use ron(mit Firiq'd C3
inspection Required 113
EXISTING — PROPOSED Sldrtalk Reqkjired E3
Underground
REQUIRED DEDICATION— winng raqUlftid 0
PRV REQUIRED
METER SIZE NO. OF FIXTURES
YESO NO
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REMARKS )t iDRAINAGE
OWNERICONTRACTOR RESPONSIBLE FOR EROSION COI z
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ENGINEERLINGREVIEWED
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ZIP TELEPHONE L:::jFIRE REVIEWED By
STATE LICENSE EXPIFATION DATE CHECKED BY
NUMBER I
RTY TAX ACCOUNT PARCEL NO�
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NEW
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MECH
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COMPLIANCE OR
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MULTIFJAMILY
11 SIGN
REPAIR
GRADING
.4 f;0 CYDS
FENCE
13 ( — X. � Fr)
DEMOLISH
TANK
11 OTHER
GARAGE
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ROCKERY
FIRE SPRINKLER
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(TYPE OF USE. Bus
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NUMBER
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NUMBER OF
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DESCRIBE WORK TO B NE
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DATE
DATE
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VARIANCE OR CU_ SHORELINE OR ADBO INSPEC�o PO
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SEPA REVIEW SIGN AREA HEIGH
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPO ED
EXP
LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED :SETBACKS I
FRONT I SIDE REAR
0
ALLOWED PROPOSED FRONT
SIDE REAR
PARKING LOT AREA
PLANNING REVIEWED BY DATE
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REO'D I PROVIDED
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CHECKED By TrYPEcw�siRuPTION PY-E, lip
SPECIAL INSPECTION JAREA � I - - -
LOAD
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REMARKS
PROGRESS INSPECTIONS PER UBC 1OB/FINAL INSPECTION REQ'D
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VESTED DATE
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A 41— 40 A/
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
cc PERMIT APPLICATION: 180 DAYS
III
CL PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
(n 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
(n
w IN INTERES11 AGREES 10 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
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2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
cc WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
ALL CLAIMS FOR DAMAGES OF
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
ABILITY TO ENFORCE ANY ORDINANCE PROVISION.4
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
WORKMEN'S Co 18.27
,�WATION INS22NCE AND I
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SIGI,MUR Ski
VALUATION
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Description
Plan Check
Building Permit
Plumbing
Mechanical
Grading
Engr. Revilew
Engr. Inspection
Fire Review
Fire inspection
FLandscapell
Recording Fee
I ,
FEE
Description FEE
State Surcharge
City Surcharge
Base Fee
CALL
FOR INSPECTION
(425)
771 _n220
S EXT 12133
AT`T ENTION TRUCTURE UNTIL
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR S
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
09!03 PRESS HARD -YOU ARE MAKING 4 Cli
Plan Chk. Depositi Z� -
Receipt N
Total Amt. Due 7 /y
Receipt III
APPLICATION APPROVAL
rhis application is not a permit until signed by the
Building Official or his/tier Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
I FICIAl NAT LWE7. DATE
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ORIGINAL - FILE YELLOW. SPECT R
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Michael Harris
Height Cales:
18709 92nd Ave. West
A = +102 RECEIVED
Edmonds, WA 98020
B = +102
425-774-4178
C = +102 FEB - 9 2004
APN: 434600003707
D = +103
Ave. Grade = +10225 PERMIT COUNTER
Actual = +125.75
Ma)dmum = +127.25
(ProDosed addition meets ex. roof line)
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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 1 FAX (425) 771-0221
Website: wwacLedmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
July 12, 2004
GARY HAAKENSON
MAYOR
Attn: R. Michael Harris
18709.92nd Ave W
Edmonds, WA 98020
Building Permit: 2004-0241
Site Address: 18709 92nd Ave W
Expiration Date: 4/2/05
Dear R. Michael Harris:
The purpose of this letter is to inform you that the last remaining inspection on your
project is a final inspection(s). The final inspection(s) determines that there are no
outstanding life -safety issues and approval allows the City to close your permit file.
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The City considers the final inspection to be one of the most impo ant inspections
conducted on a project. In order to grant final approval the following must be complete:
-close doors between garage
smoke detectors, house numbers, guardrails, handrails, self
and residence, egress from sleeping rooms, safety glazing, weather-stripping, any
Engineering department requirements etc. Of course not all of these things may
specifically apply to your project but it does give you an idea about the kinds of things
that must be complete as well as some items that do not need to be installed such as:
ar from
paint, carpet, moldings, wallpaper, etc. Please be advised permits expire one ye
lete the work, permits can be
the date of issuance. If you will need more time to comp
-nit expires without a final
renewed prior to expiration for one half fees. If the pen
approval granted by the Building Inspector, full fees are required in order to renew the
permit. This can be very costly to you and we strongly encourage you to check your
permit expiration date and call for the required final inspection(s). Note: If more than
one department is required to final your project, this is noted on your Job Card.
Please feel free to contact me at 425-771-0220 if you have any questions.
Sincerely,
Permit Coordinator
Incorporated August 11, 1890
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jwr4ous §6rram Calics:
Michael Ha A=+102 RECEIVED Ex. Roof Outline: (cOnstr- 1986) 1,820 sf
18709 92nd Ave. West Ex. DrivewaY: (c0n&- 1986) 1.890 sf
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1 (170
Edmonds, WA 98020 B = +102 x
o - +1 0 Ex. Patio: (co(v9r. 1 9N) 154 sf
425-774-4178 C=+102 FEB 9 2004
Ex. Deck: (constr- 1992) 350 sf
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[APN: 434600003707 D = +103 proposed Addition: 172 sf
Ave. Grade= +10225 PERMIT COUNTER Total Lot Coverage: 4,386 31.6%
Actual = +125.75 Lot Area: 13,881
Ma)dmum = +127.25 2%
tProDosed addition meets ex. roof -Lot Slope: i
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