840342.pdfCITY OF EDMONDS
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CONSTRUCTION PERMIT APPLICATION
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MECHANICAL
This Permit covers work to be done on private property ONLY. GRADwGIFIL
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 hereb acknowled Is that I have read this application that the
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information given is correct; and that i am the owner, or the duly
ATTENTION
APPLICATION APPROVAL
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authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
nurHORIZEs
This application Is not a permit until
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ed thereby, no person will be employed in vlolation of the Labor
ONLY THE
signed b the Building Official or his
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Code of the State of Washington relating to Workmen's Compensa•
WORK NOTED
Deputy; and fees are paid, and receipt is
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lion Insuran
INSPECTION
acknowledged in space provided.
ATURE 10 NER OR f ENT)
DEPARTIAEHT
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CITY OF
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OFFICIAL'S SIGNATUREper,:
EDMONDS
(j^pQ, e)
ATTENTION
771-3202
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
A N HAS BE MADEEN ANDOR
INOFE
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A
ANTIL
CERTIFICATENAL
HAS GRANTED. UBC
OCCUPANCYL
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CHAPTER 3.
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PINK — Owner GOLD — Assessortor-
102 76
CITY OF EDMONDS
250 Sth AVE. N. • EDMONDS, WASHINGTON 96020 • (206) 771-3202
COMMUNITY SERVICES
May 6th, 1985
RESIDENT
19125 Olympic View Drive
Edmonds, Washington 98020
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7'
LARRY S. NAUGHTEN
;
MAYOR
PETER E. HAHN
DIRECTOR
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Permit #: 840342
Job Address: 19125 Olympic View Drive.
Type of Work: Residential Permit
Building Division records show that you have a building
permit which has expired without a final inspection.
Section 305 of the Uniform Building. Code, as adopted by the
City states "it shall be the duty of the person doing the
work r authorized by a permit to notify the Building Official
that such work.is ready for inspection".
Please notify the Building Division within 30 days to either
schedule a final inspection or to renew your permit.
If you have any questions, please contact us at 771-3202.
Gte
annine L. Graf
Permit Coordinator
CITY OF EDMONDS
250 51h AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771.3202
COMMUNITY SERVICES
Residence
19125 Olympic View Dr.
Edmonds, Washington 98020
June 6th, 1985
PERMIT:
840342
JOB ADDRESS: 19125 Olympic View Dr,
TYPE OF PERMIT: New Residence
Within the last year you have obtained a permit from
the City of Edmonds Building Division. our records show
that your permit has not received a final evaluation and
approval from our offices. As partofthe City ordinance
and Building Codes all permits issued must be inspected
for final approval by the Building Division.
If your work was contracted you may not have been aware of
your responsibility to schedule a final inspection.
Please call 771-3202 extension 257 to schedule a final
inspection if your work is complete.
If your work is not yet completed please call the Building
Division to obtain information for renewing your expired permit..
Thank you for your assistance.