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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
gqQ1 PHONE: (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 04/07/2017 Permit if: BLD20170471
Expiration Date: 10/06/2017
Parcel No: 00679800010100
Protect Addtrss: 21615 80TH AVE W, EDMONDS
GOLDEN LEAVES ENERGY WORKS ENERGY WORKS
21615 8OTH AVE W UNIT 101 7034 220TH ST SW 7034 220TH ST SW
EDMONDS, WA 98026-7804 MOUNTLAKE TERRACE, WA 98043 MOUNTLAKE TERRACE, WA 98043
(425)409-5661 (425)409-5661
LICENSE #. ENERGWL880KS EXP:05/14/2018
REPLACE ELECTRIC FURNACE LIKE FOR LIKE
VALUATION: $0.00
PERMIT TYPE: Commercial
PERMIT GROUP: 40 - Mechanical
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY
OCCUPANT GROUP.
OCCUPANT LOAD
FENCE: 0 X 0 FT.)
CODE: 2015
OTHER: ------- OTHERDESC:
ZONE:
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
3RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
BEDROOMS:0 BATHROOMS:O
BEDROOMS:0 BATHROOMS:0
REQUIRED: PROPOSED: REQUIRED: PROPOSED: REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O REQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION 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
h /� WORKMEN'SCOMPENSf TI* INSURANCE AND RCW 18:27.
I'lll ' LIC:A I( ISNOT J1 1IERMIT UNTkIL Sl(iNED BY Till: 13111 .DING OFFICIAL ORHIS(HER D1;PIITY AND ALL FEI:SARE PAID,
111 N
1\. rer►2rc,
Signature Print Name Date Released By Date
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC109/ IBC110/ IRCI 10.
ONLINE APPLICANT ASSESSOROTfIFdi
STATUS: ISSUED BLD20170471
• Final approval on a project or final occupancy approval must be granted by the Building Official prior to use or occupancy of
the building or structure. Checkthe job card for all required City inspections including final project approval and final
occupancy inspections.
• Any request for alternate design, modification, variance or other administrative deviation (hereinafter "variance") from
adopted codes, ordinances or policies must be specifically requested in writing and be called out and identified. Processing
fees for such request shall be established by Council and shall be paid upon submittal and are non-refundable.
• Approval of any plat or plan containing provisions which do not comply with city code and for which a variance has not been
specifically identified, requested and considered by the appropriate city official in accordance with the appropriate provision
of city code or state law does not approve any items not to code specification.
• Sound/Noise originating fromtemporary construction sites as a result of construction activity are exempt from the noise limits
ofECC Chapter 5.30 only during the hours of 7:00amto 6:00pm on weekdays and 10:00am and 6:00pm on Saturdays, excluding
Sundays and Federal Holidays. At all othertimes the noise originating from construction sites/activities must comply with the
noise limits of Chapter 5.30, unless a variance has been granted pursuant to ECC 5.30.120.
• Applicant, on behalf of his or her spouse, heirs, assigns, and successors in interests, agrees to indemnify defend and hold
harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance for this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirements of any City ordinance nor limit in any way the City's ability to enforce any ordinance
provision.
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.
PERMITTIME LIMIT. SEE ECDC 19.00.005(A)(6)
BUILDING 425 771-0220 EXT. 1333 INGINEERING 425 771-0220 EXT. 1326 FIRE 425 775-7720
PUBLIC WORKS (425) 771-0235 1 PRE-TREATMENT (425) 672-5755 T RECYCLING (425) 275-4801
When calling for an inspection please leave the following information: Permit Number, Job Site Address, Type of Inspection being
requested, Contact Name andPhone Number. Date Prefereed, and whether you prefer morning or afternoon.
• B-Mechanical Final