20060411.pdfI DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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)j��NEW �RESIDENTIAL PLUMBING MECH
ADDITION COMMERCIAL COMPLIANCE OR
REMODEL MIXED USE CHANGEOF USE
13 MULTIFAMILY. El SIGN
REPAIR 13 GRADING CYDS FENCE
DEMOLISH ( — X FT.)
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PERMIT EXPIRES
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NUMBER -04
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PLAT NAME/SUBDIVISION NO. LOT NO� LID NO. MM�
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCI'Appiroveo
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EXISTING Street Use Permit Requirect
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inspection Requirect
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S'd0i'valK Required
REQUIRED DEDICATION FT uncleirground
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METER SIZE LINE SIZE NO. 01 FIXTUREq PRV REQUIRED
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REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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VARIANC E OR CLI SHORELINECRADLIN I INSPECTION SEPA
RECO COMPLETED EXEMPT
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SIGN AREA HEIGHT
13 WAIVER� ALLOWED PROPOSED ALLOWED PROPOSED
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LOTCOVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT)
ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR
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PARKING LOTAREA- PLANNING REVIEWED BY DATE <
AEO'D I PROVIDED
REMARKS
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Description FEE Description
. . . . . . . . . . . . . . FEE
HEAT SO I 11(!� . ... .... H
AAI LOT LOPE:! ESTED DATE Plan Check St rg
L7 PRI State Surchargje
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PLAN CHECK NO: Building Permit City SuErcharge
Plumbing
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Base Fee
tj. BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Mechanical
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION. Grading
UJI PERMIT APPLICATION: SEE ECDC 19-00,005(A)(5)
PERMIT LIMIT. SEE ECDC 19-00-005(A)(6) Engr. Review Recording Fee
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Engr. Inspection Plan Chk. Deposit
in "APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
_1 IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Fire Review
a2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
4 : ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY Receipt #
FROM THE !SSUANCE OF THIS PERMIT. ISSUANC� OF THIS PERMIT SHALL NOT BE Fire Inspection
Total Amt. Due
is ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
_j DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITY
Landscapeinsp, Receipt #
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 CALL APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PFRSON WILL BE EMPLOYED FOR INSPECTION Building Official or his/her Deputy and Fees are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S 5P receipt is acknowledged in Space provided
,PPE�SATION INSURANCE AND RCW 18:27.
(425), OF ICIAILYXIATURE DAT
SIGNATUR VR 7R DATE SIGNED 771-0220
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ATTENTION EXT. 1333 AELEA§_ED 13Y DA E
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI-
FICATE OF OCCUPANCY HAS BEEN GRANTED. UB.C1 09 1 IBC110 / IRC11 0.
6/05 . P . RESS HARD - YOU ARE MAKING 4 COPIES
ORIGINAL -IFILE YELLOW -INSPECTOR
PINK -OWNER GOLD - ASSESSOR
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Permit Inspection Details:
Permit: BLD20.060411
PERMIT
1158 - B-Building Final Complete? Y
02/14/2007 Snook 20 APPROVED y
Total Time: 20
Total Inspections: Total Time: 20
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