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800204.pdfBUILDING DIVISION Applicant Fill USE PERMIT ZONE p("� ^10171 I/''� �� /� NUM BF.R 8 ,1 l PERMIT APPLICATION Inside Heavy Lines ou NAM[ IOR NAME OF BU IN[SS) ADORI 'S ' I 1 iL LEGAL DESCRIPTION SUBDIV ION SHORT SUB NO. Is M ILt NV A OR[ff l ` O CITY " ELCPH NE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Ilb PH '(, �1I I•' be► UI'OSEU C 1 I'. ( •'�4� DEFICIENCY OF RIGHT OF WAY W W F ADDRESS + PUBLIC IMPROVEMENTS REQUIRED ❑ a: H(+y�r7'(- /� [ Uu it( `,j�( IL IG� �({(Z DRAINAGE IMPROVEMENTS REOUIR EO El It < CITY TELEPHONE NUMBER DRAINAGE PLAN REQUIRED ❑ U VV: ,••O�W ���` 'lO NAME UNDERGROUND WIRING REQUIRED ❑ CONNECTION TO SANITARY SEWER ❑ m 6 J 1 r(SKI ( SEPTIC TANK PERMIr REO'D ❑ NO. 0: I- I- ADDRESS ELEVATION OF PROPERTY CORNERS ❑ < n [ii IJ �i_I.V 0 V 8 FOOTINGS HEO'D F 0 CITY �I�•A.: f —77 TELEPHONE NUMBER -P O' SEE ENGINEERING MEMO DATED ,l IL U A LICENSE SE UMBER CITY LICENSENUMBERCHECKED BY -e�,cp A (Z ATE- - EMI V FU — — vJap-1c I Fu6L,tc (L Legal Description Of Property (Show Below cr Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE 1 E W F 0 00—w 3s Er kstg�xlsr►u� REMARKS �,�R���E < L SIGN Aq EA ENV. REVIEW All NO. [ U ALLOWED PROPOSED COM PLET EXEMPT N o SHORELINE IN Ni2 — J REMARKS 0 W J VARIANCE OR CU PLANNING REVIEW BY GATE YARDS I 1 r LOT COVERAGE FRONT 1O SIDE 25 REA RI 0 st., L ❑ LASFIRE ❑ NEW K.: ZONE TYPE OAF/C-ONSTRUCTION COD! HEIGHT -q ESIDEN TIAL ❑SIGN �/ - it��/ � 0'1A ADO •Y 10 SPECIAL INSPECTOR S`�1 ❑ RETAINING ❑ OIMOLISH AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD ❑WALL ALTER ❑ EXCAVATE FENCE OR FILL 1_ x FTI ❑ YES ❑ NO � REPAIR IRE-. SSWIM POOL INSP PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. = NUMBER OF STORIES NUMBER OF ,,`` A` REMARI(S L�r tlrnY A1N ItVE G F O UNITSLING ' �\ t l C.1 �1� ( t t W I- a NATUR[ OF WO H TO ■[ DONEIx f r N �/, art ki e_trtL ALL- ]F Q A G %>IE I F, C-- Z' [ u t m ifs- Cb�Q.C' �AYY��Ii� Ci. O{'4N ly 1 1 I�l/i�1z-�S� ��151EC.11l.'fy5 K-F�ih W O }m'I S PLAN HECK FEE C G � PLOT PAN VA LUATION FEE —_-- t $ 000 3o -- -- W BUILDING I 2_7 PLUMBING I 00 W __.. MECHANICAL W O FENCE t- t _ Z 'Applicant, on behalf of his or her spouse, heirs, assigns and SIGN p i successors in interest, agrees to indemnify, defend and hold ha unless --=- i the City of Edmonds, Washington, its officials, employees, and RETAINING WALL o [ agents from any and all claims for damages of whatever name, u iarising directly or indirectly from the issuance of this permit. Issu- SWIMMING POOL o ante of this permit shall not be deemed to modify, waive or reduce J any requirement of any city ordinance nor limit in any way the i city 's ability to enforce any ordinance provision." 1 hereby acknowledge that I have read this application; that the in. TOTAL AMOUNT DUE I• formation given is correct; and that I am the owner, or the duly author• ized agent of the owner. I agree to compiy with city and state laws regu- lating construction; and in doing the work authorized thereby, no person will be employed In violation of the Labor Code of the State of Washington THIS PERMIT 'this application is not a permit relating to Workmen's Compensation Insurance, AUTHORIZES until signed by the ©wilding Official or NOTE: Permit UTIt One Yoar(Evicepi DEMOLITIONS and PILL ONLY THE his Deputy; and fees are paid, and PERMITS without co itional use pertnit, which shall be cumplrn'd m 9U WORK NOTED receipt is acknowledged in space pro. day M VEI IN B LDINGS shall he completed in I\ mmuhs.I vided. al A R[ O R OR -A N I DATE SIGNED INSP[CTION DEPARTMENT DIRECTTOR'S SIGNATURE CITY OF' t Ia �uzI- Al nVL.-:J— EDMONDS DATE This Permit covers work to be done on private property ONLY, Any construction on the publle domain (curbs , sidewalks, driveways, . 7]52525 .h - Z> -v marquee, ate.) will require separate permission. ATTENTION ORIGINAL - Flle YELLOW - Inspector IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE PINK - Owner GOLD - Assessor UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 30G. I o1-re I A r r/o JLot elo. ��`~!: 10 het ele• • 135 -------��..� ----- a Edmonds Ser UlewTrAcis 61k 000 D D� — W 135 FT loT '13 i r '1 I A t/ zE4 1e5ozc-,8 wAvo- � I E�lyliri(a �oNc 3 I � ply >,EVs F161GNT VAQ.165) S, t Y ILI gtpptAT6 pEv McT READ kom vwltx Yoe/C V 91mJ 21(1)1 � �?s LOT DRAINAGE Pam- OMD 1114 r �Y i''�, 1:1 a ..etr .. ... ..., .. .�i..•.:•s Ctea; aa_:.+.-a:.�.... . r �, is RECORD OF INSPECTIONS Date Passed FOUNDATION House Porches, piers Retaining walls Garage, carport PLUMBING Underground Rough -in Water service HEATING SYSTEM FRAMING WALLBOARD FINAL