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USE PERMI
CITY OF EDMONDS ZONE NUMBT ow
CONSTRUCTION PERMIT Ajjy�q���� ER S,
OWNER NAME NAME OF BUSINESS W /WA� (,i)
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ENGNIRILG MEMO DATE
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STATE LICENSE NUMBER EXPIRATION DATE
7))4 yw-T-Alie 1144 0-4— / - 2- -d V�FIA"CEO�� SHORSLINEtI
Legal Description of Property - include all easements
SERA REVIEW EIGHT
C TF J%T"ItWAK
OMPLETS LLOWED ROPOSEI
JAPE REREG RVA YE(PRIV)
SH)LILREWNS
LOT COVERAGE - 19%Q A
N"��t PROPOSED SETS CKS (I
Pmperty -1600 500 ALLOWED I PROPOSED FRONT Up SIDE REA
Ta Accoun I- AREA ffll; A
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RESIDENTIAL REMARKS SHALL
C MPLIANCE OR
':R`K)N C.M.. CHANGE OF USE
El A. 1:1 COMMERCIAL
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REMODEL 0 LART. BLDG. SIGN
11A—G CHECKED BY I TY:p CO S RUC ON CODE,� 10
C'.. I FENCE GROCC
REPAIR _,_FR
DEMOLISH F� WO TOVE SWIM POOL SPECIAL INSPECTOR
INRO.S
EST NOTTUB/sPA OU RED 0 YES JAREA JOCCUPANT
RE LOAD
GARAGE RETAINING WALL/ E] RENEWAL REMARKS
CARPORT ROOKERY
ITYIE 01 Ltjn�aAGT�IWI�E-IL�U PROGRESS INSPECTIONS PER USC 108
INUMBER INUMBER or CRITICAL
.1 ,, t,NG AREAS
/VZ57A u- N e Z< &L/A?3—tA-' =� W
FINAL INSPECTION REOUIRED
FVALUATION
Aon= hau5C Ito- Cak M6��,
FEE
PLAN CHECK FEE
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BUILDING
HEAT SOURCE�
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PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADiNGIFILL
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission,
STATE SURCHARGE
Panno Application: 180 Days
:t
I Limit: I Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
—PeRrh
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest. agrees to indemnity, defend and hold
harmless the ity of Edmonds, Washington, its officials,
C
z employees, and agents from any and all claims for damages of
nature, arising directly or indirectly frombthe issuance
PLAN aEcK DEPOSI(j
of this permit, Issuance of this permit shall not a deemedto
KWhatever
modify, waive or reduce any requirement of any city ond—ane
nor limit i� any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision,
I hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
authorized f the owner. I agree to comply with city and
THIS PERMIT
This application is not a permit until
S late laws construction; and In doing the work authoriz-
AUT.GFIZES
ONLY THE
signed by the Bui ding Official or his/her
ed thereby, no person will be employed in violation of the Labor
WORK NOTED
Deputy; and fees are paid, and receipt is
Codeolthe tateo hington relating to Workmen's Compensa.
^RC\6L
acknowledged in space provided.
insurance aft 8.27.
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DATE 11
INSPECTION
DEPARTMENT
CITY OF
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EDMONDS
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ALL FOR
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ATTENTION
INSPECTION
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IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR T
A FINAL INSPECTION HAS BEEN MADE AND APsPll'ouv�ITLUO�E'
771-0220
V y
ORIGINAL — Fde ELLOW — Inspector
UNTIL
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED� LED
SECTION 109
PINK — 0wrer GOLD — Assess.,
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Permit Inspection Details
Permit: BLD20060090
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02/1012006 JH 0 Okay to final.
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