20170518112117.pdfCITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE- (425) 771-0220 - FAX: (425) 771-0221
STATUS: ISSUED 05/18/2017
ExpirationDate: 11/18/2017
Parcel No: 00582000300403
* BLD,20170'679
Pvtoject k(ldress: 1045 2ND AVE S. EDNIONDS
JULIE HANSON-LYNN
SOULE MECHANICAL
SOULE MECHANICAL
1045 2ND AVE S
C/O JEFFREY SOULE
C/O JEFFREY SOULE
EDMONDS, WA 98020
2005 EAST GRAND AVE
2005 EAST GRAND AVE
EVERETT, WA 98201
EVERETT, WA 98201
(206) 437-2277
(206) 719-0243
(206) 719-0243
LICENSE #: soulem*915oi EXP.09/11/2017
CHANG[NG FROM PROPANE TOGAS ADD PIPE FROM EXISTING TO THE NEW METER. APPROX 34'FEET.
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 47 - Plumbing
GRADING: N CYDS- 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY-
OCCUPANT GROUP
OCCUPANT LOAD:
FENCE: OXO FT)
CODE: 2015
OTHER: ------- OTHER DESC:
ZONE
NUMBER OF STORIES: 0
VESTED DATE:
NUMBER OF DWELLING UNIT S: 0
LOT 4
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: 0
BEDROOMS: 0 BATHROOMS: 0
FRONTS17BACK
REQUIRED: PROPOSED: ��REQUIRED:
SIDESETRACK REAR SETBACK
PROPOSED: MFIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:0
IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOINGTHE WORK AUTHORIZED
THEREBY, NO PERSOZNILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATINGTO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27
THIS ANO-ICATR A PERMIT UNTIL Sl(4NI:D BY THE BUILIJING OFFICIAL OR 111.+1 Iffi IJEPUTY AND ALL FEES ARE PAID
S1 I q1r)
j —Sig-natLW v Print Narne Date Released By Date
ATTENTION
ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF
OCCUPANCY HAS BEEN GRANTED. UBC1091 IBCI 10/ IRCI 10.
ONLINE APPLICANT = ASSESSOR E��FOTHER
DEVELOPMENT SERVICES
PLUMBING, MECHANICAL, TANK, & DEMOLITION
PERMIT APPLICATION
121 5h Avenue N Edmonds, WA 98020
I
Phone 425.771.0220 ft Fax 425.771.0221
City of Edmonds
PLEASE REFER TO THE PLUMBING & MECHANICAL CHECKLIST FOR SUBMITTAL REQUIREMENTS
PROJECT ADDRESS (Street, Suite #, City State, Zip):
Parcel #:
4 AL�e-S- 9in-wo
�? o(-Y), -3()0L1o,3
.
IS THIS WORK ASSOCIATED WITH ANOTHER PROJECT? Yes [—] N o
Associated Permit #:
APPLICANT: ke,4n 0 (�;Ouk
Phone:
Address (Street, City, State, Zip):
I -Mail Address:
PROPERTY OWNER:
Phone:
- W!T-,52.2 7 7
Fax:
o?61,
Address (Street, City, State, Zip
0 a
E-Mail Address:
10 14 5 0� 400- CS. Wcz2c)
LENDING AGENCY:
Phone:
Fax:
Address (Street, City, State, Zip):
E-Mail Address:
CONTRACTOR:*
k9l,'ChCU21
Phone: -a
�bb - '719
Fax:
�_9Qtk_bZ_
Address (Street, City, State, Zip):
E-Mail Address:
WA State License #/Exp. Date:
*Contractor must have a valid City of Edmonds business license prior to doing work
q)Lk,/Eff 7
_ql5b�
City Business License #/Exp. Date:
I q /// /a co -1
in the City. Contact the City Clerk's Office at 425.775.2525
PLUMBING MECHANICAL TANKI
I DEMOLITION
FDETFAILTHE
SCOPE OF WORK:.
—14,11
_bj1_n,0_4 4u&
T-1 V!
I declare underpenally ofpejjury laws that the information I have provided on this formlapplication is true, correct and complete,
and that I am the property owner or duly authorized agent of the property owner to submit a permit application to the City of
Edmonds. j
Print Name: je_4� e_ Owner Agent/Other (specify):
Signature: Date:
FORM C LABuilding New Folder 2010\DONE & x-ferred to L-Building-New driveTorin C 2014.docx Updated: 1/17/2014