810416.pdftr \
CITY OF EDMONDS ZONE {�NV MBIEN 810416
BUILDING PERMIT APPLICATION DB
HAM! IOR NAME OF BUSINESS) ADDlt E55
I' LEGAL OE CRIPTION SUBDIVISIO SHORT S,
pl M 1 G AD RESS
O _ {Fl PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
--- ii NUMBER
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NAME
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EL MONIs
J' EXISTING
PROPOSED
OLFICILNCY OF RIGHT OF WAY
CMI:CNE❑ RY
SEE ENGINEERING MEMO DATE
ELEPHONE NUMBER REMARKS
SE NILM1tBER CIT LICENSE NUM ERV,R..T
on of Property (Show Below or Attach Four Copies)
65
ENV. REVIEW Aou N
COMPLETE EXEMPT
SHORELINE
�I r� �
PLANNING REVIEW BY DATE
LOT COVERAGE
/
SIDE REAR
h!L'EN T1AL
F-1 PLUMBING
CHECKED BY TYPE OF CONSTRUCTION CODE
❑ NON-RESIDENTIAL
I �U MECHANICAL
�— " 1 qi 9
❑ ADO
�111{—�IIT
SPECIAL INSPECTOR
AREA
OCCUPANCY P
❑ DEMOLISH
SIGN
REQUIRED
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GROUP
❑ ALTER
❑ EXCAVATER FILL
❑FENCE %—�)
YES
REMARKS Lr3,NO
❑
❑PRE MOVE INSP./
E 5 SPGGMO S C
REPAIR
COMPLIANCE INSP.
❑SWIM
POOL
Z NUMBER OF STORIES
NUMBER OF
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DWELLING
H
L NATURE OF WORK TO Be DONE
UNITS
tA7TAC1H PLOTPLAN)
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PLAN CHECK FEE VALUATION FEE
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UILDING
PLUMBINGMECHANICALThis
Permit covers work to be done on private pty ONLY.Any
construction on the public domain (curbs, side, driveways,
FENCEmarquees,
ete.l will require separate perm.sIGNPermit
Application: 180 Days
T.d
Permit Limit:) Year• Provided Work is Started With0 Days
RETAINING WALL"Applicant,
I'll behalf t'l Ill\'It hit tipt'lKe, h:1\slglls alit))
SWIMMING POOLW
succello's ill interest. agrees to illlferin l)', defend aid hatnilessJ
) 11 a,41ill• )the Cif of Edmonds. gnm, its ul(ici;ds,o 'ccs. andE
agents irt'llI :III)' alid :di CIATIls for (13111,Iges Ilf"et nature,
Rising directly ut indirectly' from thi inu:nlee of ermit. IssB-
TOTAL AMOUNT DUEJ
o :mice ofIllis perlmil shall nut he deemed to modifyve or reduce
ally requirement ofally eity ordinance nut limitry a'ay filei
C'ify'c ahiliq' In enforce any ordinance provision.ATTENTION
APPLICATION APPROVAL
Ill-
I hereby aeknoWledge that I Ease lead Illi, arigI.ATE
THIS PERMIT
This application llication Is IIUt •1 erinit
i I I F
formation given Is correct; and ilia, I all) tile owneauthor.
AUTHORIZES
tintll signed by the Building Official or
ILc'd agent of Ille t'W'net, 1 agree to it'111{+I}' W'll ll cIiandlefill•
ONLY THE
his Deputy; and fees are paid, and
lathlg L•onstruclion; and In doing ,he \work alllhorilnorson
he employed in violation of the Labor Cade tit th(Ifton
d._.
WORK NOTED
Ieceipi Is acknowledged Ill space pro -
Will
relating to 11'orknlen's Compensation In+ur3nce,
INSPECTION
\'filed.
gIGMURE WNAGENTI
OCPARTMlNT
DIRECTOR'S SIGNATURE
/
CITY OF
C�_QQV•_ y
EDMONDS
DATE
O
Z
THIS SITE IS LOCATED N THE CITY 775.2525 q -I •�jl 1
OF EDMONOS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
ATTENTION ORIGINAL FIh• YELLOW Inspuelnl
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE PINK — Ownol GOLD —UNTAssossal
DE AND
OR
A CEIRTIFICATE OFFINAL SOCCU OCCUPANCY HAS BEEN PECTION HAS BEEN AGRAN ED. UBC 304`300.
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04S469
POLY PAK (50 Sets) V 469
0
SEND PARTS I AND 3 WITH CARBON INTACT.
PART 3 WILL BE RETURNED WITH REPLY.
IL
4 (
THREE MILLION
DOLLAR CLUB '
PROPERTIES INC. SALESMAN OF YEAR --r-- V
a �-
JAMES "COACH" SMITH
Residential 6 Investment
620 Edmonds Way Office: J200)771.1000
4 Edmonds, WA 98020 Res.: 778.5131
1 f
i'
Expired d tip y= Asti`'
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7 h F.C4 1 d[� °QM ytia
• rf, ,l y. -. r�,r rr �R.? sC,.l�,`n . b, :.
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r , a'
Name
Address:
S� i] 0� V • I�
•
I
Permit #
Please check most appropriate box:
t
I
My work is ready for a final inspection. I will call the
Building Division at 771-3202 to schedule for an inspection. R•
_ I have abandoned my project and do not intend to car>plete the
work my permit covered.
I will renew my permit within 10 days for a fee.
(/ other, please specify.
Please fold this form, use our enclosed mailing label, stamp anc�_ _r
return to:C
City of Edmonds
Building Division
250 Bell Street
Ectnonds, WA 98020 � �=G,�• � /��,�� ,
�A4
P
CITY OF E®10/1®NOs
?^�'�� ^:•e^ • r. 250 Sth AVE. N. • EDMONDS. WASHINGTON 98020 • (206) 771.3202
PLANNING DEPARTMENT
Resident
18500 Olympic View Drive
Edmonds, Washington 98020
LARRY S. NAUGHTEN
MAYOR
June 20, 1985
PERMIT: 800482
JOB ADDRESS: 18500 Olympic View Drive
PERMIT ISSUED: New Residence
The City of Edmonds Building Division is interested in updating the
status of your expired building permit. Our department issued you a
permit which had an active period of 365 days. The Building Division
has contacted you or attempted to contact you previously regarding
your expired permit and requesting an update of your project.
Section 305 of the Uniform Building Code as adopted by the City
requires that the holder of a building permit notify the Building
Department for a final inspection.
We are requesting that you fill-in the attached form to update the
status of your permit and return it within 10 days date of this
letter. Section 19.00.080 of the City Code provides that "any
person, firm, corporation or other organization violating any of the
provisions of the Uniform Building Code as adopted herein shall be
guilty of a misdemeanor, and shall be deemed guilty of a separate
offense for each and every day or portion thereof during which any
violation of any of the provisions of this Chapter or the Uniform
Building Code adopted herein is committed, continued or permitted,
and upon the conviction thereof of such violation, and each violation
thereof such person, firm, corporation, or other organization, and
the officers, directors and managers thereof, shall be punishable as
set forth in Section 5.45.020 of the Edmonds City Code."
If you choose to renew your permit, to actively re-establish your
file, please call the Building Division at 771-3202 for information.
annine L. Graf'
Permit Coordinator