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USE
CITY OF EDMONDS LONE
CONSTRUCTION PERMIT APPLICATION JOB
41AVMR NAME OF BUSINESS) ADDRESS
-ITY TELEPHONE NUMBER
—r--lDM(,F) ice; 7-)s -'3*.S/� ")
LAME .3 4-S — Cj ")0
PERMIT
NUMUER 63l_.E)4: f
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP,
EXISTING_— REQUIRED DEDICATION
PROPOSED-_ .__—
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 1 I
STREET USE PERMIT REQUIRED I
SEE ENGINEERING MEMO DATED
SEE PIW DEPT. REVIEW CHECK LIST DATED
0
)DRESS
TY TELEPHONE NUN
FATE LICENSE NUMBER CITY LICENSE NL
onal r)—rinnnn of Prooerlv- Include all easements
LJ NEW
t�l RESIDENTIAL
I�
PLUMBING
ADDIALTER
❑
NONRESIDENTIAL
❑
MECHANICAL
❑ REPAIR
❑
RETAINING WALL
❑
SIGN
❑ DE
❑
OR FILLTE
EXCAVAMOLISH
❑
; ENCE K_FT)
PFII❑
SINSP.
❑
;IMOVE
_POOL
❑ SIDE SEWER ❑
WATER LINE
❑
NUMBER OF STORIES
NUMBER —OF
DWELLING
to) 04P, -oar
UNITS
SIGN AREA ENV. REVIEW ADB ND.
ALLOWED PROPOSED I COMPLETE I EXEMPT
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oSIDE .7-6 REAR
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TYPE OF CONSTRUCTION CODE
1—_ICtNSPECTOR
HEIGHT
NOFi,C.(
AREA
OCCUPANCY
GROUP nA t
OCCUPANT
LOAD
E,C tr+spEC,In�s rzcQu
PLAN CHECK FEE
2 �j
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BUILDING
PLUMBING
_
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors In interest, 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
of this permit. Issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledge that I have read this application; that the
ATTENTION
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and In doing the work authoriz•
AUTHORIZES
ed thereby, no person will be employed in violation of the Labor
THE
H EO
Code of the State of Washington relating to Workmen's Compensa-
Wo RY
j urance,
SIG A RE 10 NER Of9 AG O�E GIN
•"7'��Gr`i""
INSPECTION
DEPARTMENT
CITY OF
3
APPLICATION APPROVAL
This application Is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and receipt is
acknowledged In space provided.
FICIAL'S SIGNATURE
THIS SITE IS LOCATED IN THE CITY EDMONDS ,JAOA,u 1 h , �'�/��%"
OF EDMONDS. LOCAL SALES TAX 775.2525 DATE
ATTENTION SHOULD BE CODED 31.04.
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. DEC 91983 PINK —Owner GOLD —Assessor
10278 ..„„ri o Eem,:•a. ,,. rns.v.
RECORD
�01NS�ppCIONS
Date pgs$2�
FOUNDATIOK.
House
P.
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R alning walls
et
Garage, carport
PLUMBING
Underground
Rough -in
LVater sprvide
HEATING Sy§tPA
�/
FRAMING
-r-77-77:
Lo
WALLBOARD,
.
FINAL
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CITY OF ED6 ONDS
250 51h AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771.3202
COMMUNITY SERVICES
May 6th, 1985
Richard Parker
18902 Olympic View Drive
Edmonds, Washington 98020
4
LARRY S. NAUGHTEN
MAYOR
;
PETER E. HAHN
DIRECTOR
yyt"
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Permit #: 830644
Job Address: 1890.2 Oly View Drr'
Type of Work: Residential Addition x
4�4
Building Division records show that you have a building
permit which has expired without a final inspection. �M3.
Section 305 of the Uniform Building Code, as adopted by the
City, states "it shall be the duty of the person doing the `1
work authorized.by a permit to notify the Building Official
that such work is ready for inspection". I_
Please notify the Building Division within 30 days to either f
schedule a final inspection or to renew your permit. IE.
If you have any questions, please contact us at 771-3202. I,<.
PUBLIC WORKS