810515.pdfCITY OF EDMONDS
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BUILDING PERMIT APPLICATION
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NAM[ IOR NAME OF BV SIN [SST
ADDRESS
Peter S.
E Lewicki
LEGAL DESCRIPTION SUBDIVISION SHORT" SUH NO
Z MAILING ADDRE55
c 1610 Daon Bldg. 720 Olive Wa y
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CITY
TELEPHONE NUM BER
PUBLIC RIGHT Or WAY PER OFFICIAL STREET MAP
Seattle, Washington 624-1199
NAMC
EXISTING
PROPOSED
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The Homeland Company
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DEFICIENCY
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W ADpRE55
OF RIGHT OF WAY W
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CHECKED BY
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U 646 Richmond Beach Road
SEE ENGINEERING MEMO GATED Z
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[ CITY
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TELEPHONE NUMBER
REMARKS
Seattle Washin ton
776-6569
NAME
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t- ADDRESS
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MET ER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
W 646 Richmond Beach Road
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FCITY
TELEPHONE NUMBER
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REMARKS f
0 Seattle, Washington
776-6569
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U STATE LICENSE NUMBER
CITY LICENSE NUMBER
SIGN AREA ENV. REVIEW AD
HO-ME-LT-*2100S
Legal Description of Property (Show Below
or Attach Four GBDlesl
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ALL PROPOSED COMPLETE EXEMPT
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VARIANCE OR CU PL IN REV q E
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YARDS LOT COVERAGE L —
FRONT SIDE REAR
REMARKS
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❑ NEW
RESIDENTIAL
❑ PLUMBING
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] NON-RESIDENTIAL
❑MECHANICAL
CHECKED BY TYPE OF CONSTRUCTION CODE
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❑ ADD
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DEMOLISH
❑SIGN
REq .RED SECTOR ARAREA
OCCUPANCY
OCCUPAI
❑ ALTER
EXCAVATE
FENCE
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GROUP
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OR FILL
❑ (-- X—�)
YES ❑ ry0 ,
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REPAIR
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CO MPLIANCE SNSP.
❑ POOL
iR{EMARKS i
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Z NUMBER OF STORIES NUMBER OF
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LING 1
UNITS
�EyT ZI``rHAc:i�. C�t� 1-7I
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2 NATURE OF WORK TO BE DONE
(ATTACH PLOT PLANT
.—l) New cedar
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PLAN CHECK FEE
VALUATION
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4 Replace existing: deck
BUILDING
1%.2—
PLUMBING
This Permit
MECHANICAL
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coven work to be done on privet!proporty ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
FENCE
Permit Application: 180 Days
SIGN
Permit Limit: 1 Year -Provided Work Is Started Within 120 Days
RETAINING WALL
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"Applicant, on behall' of his or her spouse. heir:, assigm :But
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,111'ee„ei r, III Illlere,i. :I,e'ree, to indemnify, defend and hull harnllcS,
SWIMMING POOL
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the City oY 1i11no,16. Washinglon. its officials, enli layecs.:uld
agents Innn any :Ind all clainlS for d:mlages of .whatever nature.
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arising directly or indlreel y from III, issuance of IN, permit. tssu -
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:ule'of this pernnt ,hall nUl hC deemed to nlodily, lcaiec or reduce
TOTAL AMOUNT DUE
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:Illy requirement ul any ciq' ordinancC nor limit in any. \rap the
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City's ahiliq to enforce any ordin:mcC provision.•.
I hereby' acknowledgC that I have read this application: that the fit-
ATTENTION
APPLICATION APPROVAL
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Iotlll"ion gteen I, corje,l; lld that I JtB ilia• .,\.'tier, nt dll' dllh" awhor.
ILcd
THIS PERMIT
1111\ .l )1)1111 i1111i1 is illll a
agent ,,f the oN'ne'I. I :I(;I ee to coo,ldy' N'fill ill)' ;Intl ,late la', regu.
filling con, I ruction; and ill doilll; the
AUTHORIZES
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ll111ll 11l;Iled I)y the 1)ll ll,llll); ()fllel:Il 111
v„irk ailihorlled llll•re•h}', It,, pe11011
will be etllpio)'ed fit .iolatl.l fl of the Labor l ode of tile of Wil,h111):I.nt
ONLY THE
IIIS 0011111\'; ;II1Ll fet'S are ll;lid. alld
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IeIaIII1E I\I lyofkllle•n', (',fillpemall.nl In%urance•
WORK NOTED
lecelpt I, :ICIiIIU.e'�L•d�,e•ll III \.tail' )1111•
SIGN RE OW OR GENTI
DATE SIGNED
INSPECTION
.ILICLI.
7.
8/2D/81
DEPARTMENT
DIRECT R'S SIGNATURE
,
I,%S'Li2 �r'
IS SITE IS LOCATED
IN THE CITY
EDIMONDS
DATE
F EDMONDS. LOCAL SALES TAX
775-2525
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SHOULD BE CODED 31.04.
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ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
ORIGINAL FIh• YELLOW In,i mi lot
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
PINK — Dwnwl GOLD — A„r of
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
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THE HOMELAND COMPANY
1047 SPRUCE ST.
EDI ONDS, WA 98020
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PH. 776-6569
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THE HOMELAND COMPANY
1047 SPRUCE sr.
wIIUNDB, WA "020
PH. 7764M
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THE PLANNING DEPARTMENT OF THE CITY OF EDMONDS HAS MADE THE FOLLOWING
DETERMINATION:
TO GRANT, PREL,IMIMARY_ APPROVAL ,FOR, A, S,ITB4GK., OV)US,TMT.T0. Al -I ON .A....... .
FOOT, FRONTYARD SETBACK, RATHER THAN. TNT .�T0PARR Z .FQ0T, FRONTYARD.....
SETBACK. THIS DECISION WILL BECOME FINAL ON OCTOBER 6,, 1981 UNLESS
.................................................................................
A FORMAL APPEAL IS FILED BY OCTOBER 5, 1981.
.................................................................................
...................................................................................
PROPERTY ADDRESS OR DESCRIPTION:..15615 75TH UE AVENWEST, . _ ..... . .
.................................................................................
.................................................................................
FILE #.. N/A .....:... POSTED... s�FTEMBER .24, 1981
I
ANY PERSON WISHING TO APPEAL THIS DECISION MUST DO SO IN WRITING, CITING
REASONS, TO THE PLANNING DEPARTMENT BY _ OCTOBER 5. 1981 (10 DAYS
FROM POSTING DATE)'
ADDITIONAL INFORMATION IS AVAILABLE FROM THE PLANNING DEPARTMENT AT 505
BELL STREET. (775-2525)
THIS POSTER MAY BE REMOVED AFTER OCTOBER 6,...198.
The removal, mutilation, destruction, or
concealment of this notice prior to the
date above is a misdemeanor punishable by
W'ARNINGM'
fine and Imprisonment.
All that portion of Tract 24, Plat of %le-adovodale Beach, according to plat thereof
recorded in Volume 5 of Plats, page 38, records of Snonomish County, described as
follows: Beginning at the Southwest corner of th�it portion of Tract 24 lying East
of County road; thence in a Northerly direction along the Easterly margin of said
road 82 feet to the true point of beginning; thence continue Northerly along c"
Easterly margin of said road for 60 feet; thence Easter' parallel to South
boundary line of Tract 24 a distance of 120 feet; t1nenee Souther_y parallel to the
County Road 60 feet; thence ' easterly coxal_el to the South boundary line of Tract
24 for 120 feet to + poLzt of begin.-isituate in the County of Sn0_lo'RLSh,
S ,:ate of Washington
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�EW M M7o WZ`i G�41 M tJ ��' WAS GoVr=R.ED
3-Zq-83 Fir►AL ►N,�PP6c.Tl,oN .
ND %AhZAr205-
AFMOvEp ' T� ( FOUNDATION:
V �� House
Porclies, piers
Retaininc; walls
Garage, carport
PLUMBING
Underground
Rough -in
Water service
HEATING SYST�P.o
FRAMING
WALLBOARD
RECORD OF INSPECTIONS_
Date Passed
FINAL — Zq $ 3