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850115.pdfUSE CITY OF EDMONDS Z°NE 5 Z CONSTRUCTION PERMIT APPLICATION aoB NAME (OR NAME OF BUSINESS) T ADDRESS C PERMIT NUMBER J" LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. MAILING (ADDRESS A% Lot - r.) "a -UMBER PUBLIC RIGHT OF,WAY PER OFFICIAL STREET MAP. / r c"�� •7 •j C - 7 % G- EXISTING _�J J REOUIREO DEDICATION PROPOSED__ NAME ' / ¢ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED l! w (� STREET USE PERMIT REQUIRED... 0 ADDRESS I rr[[ SEE ENGINEERING MEMO DATED.. CITY TELEPHONE NUMBER SEE PIW DEPT. REVIEW CHECK LIST DATED__ ,( NAME_ /'Y A .(•'G . �/ C� :. f / a•'^ �411? ,9 - ADDRESS -.p_ ,/� 1 1 1_/ /� /� L,, 1� / 1/ f ETER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS 'n ,C TELEPHONE NUMBER W CITY -7 JL " STATE LICENSE NUMBER CITY LICENSE NUMBER -^� 2 L � •- cn I - C \� '� 7 "� )} SIGN AREA ENV. REVIEW EXEMPT ADB NO. Ll Description of Properly -Include all easements (2.8wbeloworattachfourcopies) � ALLOWED PROPOSED COMPLETE SHORELINE. �- VARIANCE OR CU PLANNING REVIEW BYATE /✓a p f I u o ) YARDS Z�fL�OE ? IZ i w FRONT GIDE 1J' ,/[� / �� ("`• J / /^ L-i C I -% CC'l •- td".ra'I.1 ' CAL'! V REMARKS NEW ❑�IRESIDENTIAL PLUMBING ElADOIALTER NONRESIDENTIAL MECHANICAL WALL SIGN REPAIR RETAINING FENCE :XCAVADEMOLISH CHECKED BY TYPE OF CONSTRUCTION CUE HEIGHT El OR FILLTE ❑ -%-_FT) SP. El INSPECTOR AREA GR.UPANC -_� LOADOCCUPANT COMPLOIANCE INSP. POOL RE UIAL IRED i O El ll YES .: NO REMARKS rD ' SIDE SEWER WATER LINE c❑ ❑ ❑ 1 Z r0 re - s —t s a -1 0 9 m 5 a a i NUMBER OF STORIES NUMBER OFUNIUS I to p UWI_LLING } NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN), VALUATION FEE PLAN CHECK FEE BUILDING 17 t.- PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. ORADINGIFIL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. i 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 Indemnity, defend and hold % - w harmless the City of Edmonds, Washington, its officials, s employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance o of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance I ;,',i C nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE `s ' provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 This application is not a permit until slate laws regulating construction; and in doing the work authoriz- AUTHORIZES signed b the Building Official or his 9 Y I j ad thereby, no person will be employed in violation of the Labor ONLY THE WORK NOTED Deputy; and fees are paid, and receipt is '. Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. i tion Insurance. INSPECTION SIG,NA1VAE_t'0WNER OR AGENT, r DATES NEO DEPARTMENT OFFICIAL'S SIGNATURE _.__..7/'"�? J�-H. `,/" JCITY •i OF EDMONDS _ i 771-3202 DATE ATTENTION I?. IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE i UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC •- __._ _- a.U� PINK —Owner GOLD —Assessor JA�� 71985 CHAPTER 3. �' _ N - S� CRY ^S EL c IN Av �? I .'i iA-zmcwT eLA EL. +21 M v All � L � J�f ij I�FMW I RF-p yes I_ GRNE W..I�t'�- c��-iPIG CIeIvE. m RE;/. J/" THIS OFFICE ASSUMES NO RESPONSIBILITY AS TO PHYSICAL CHARACTERISTICS OF THE SOIL, NOR DOES IT ;l VERIFY ACCURACY OF ENGINEERING DATA SUPPLIED BY OTHERS. USE OF PLOT ACKNOWLEDGES ACCEPTANCE. r11,,AN N0. QAYE D WN qNL LK-'T��"C 77, EDMc*IDS 213 8 Mik, PLhN9 I - 7- 8 �GRICHARD R GEIGLE BUIL�DING DESG505 - 218� �v�! NIGUWT Arr--7�W'GE 7JM©ice A'S� VGA 'r. MEMO TO: Building Division FROM: Engineering Division SS : SUBJECT ADDRE/ Z/DIL New ���FE� I.PERMIT APPROVED FOR FINAL II.E] PERMIT NOT APPROVED FOR FINAL Requirements: 1. 2. 3. 4. Dear Resident: within the last year you have obtained a permit from the Citv of Fdmnds Building Division. Our records show that your permit has expired and not received a final evaluation and approval from our offices. As part of the City Ordinance and Building Code, 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 cal-1 771-3202 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 update the status of your permit. Thank you for your assistance. PLANNING • PARKS AND RECREATION ENGINEERING tohidi y permit ti Ofl ficia hizwork is ready for inspection —there shall be a final inspection and approval on all buildings and structures when completed and ready for occupancy or use." Please notify the Building Division within 15 days date of this letter to schedule for a final inspection. If we do not receive a response from you we will be forced to turn this matter over to the Planning:. Department Code Enforcement Officer. RECORD OF INSPECDC)NS y !Teets Paste FOUNDATION —BLS }' House _. Porches, piers - Retaining walls Garage, carport �I. PLUMBING Underground Rough -In Water service�. �J pvATING SYSTEM . FRAMING t 1 r INALLBOARD ----- ---'_ FINAL: --- . ��, J - SPECDONS RECORD OF INS palte Pam FOUNDATION House ----------- Porches, Piers �ls Retaining walls-3-1 Garage, rarport PLUMBING --K 6— Underground -5- Rough-in