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860678 (2).pdfi _ !.. CITY OF EDfVIONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) j3b� I I Q P /t S 1*4p CITE0 / ,(//�J� Q ►2 LCQvfto%�,D N&4S NAME f ,oa ADDRESS _I g40 t CITY NAME 3aII.� ADDRESS I tO 1rw, ��..✓tvz STATE V"% .D .J L or .J L TELEPHONE ON NUMBER N >_ ONE NUMBER 1 C. az ZO Piption of Property. Include all easements v or attach four CODies) USE `, PERMIT C� ZONE NUMBER JOB / ADDRESS D/ym�/�yJ rn e: .EGAL DESCRIPTI✓OP SUBDIVISION NO. LID NO. PUBLIC RIGHT,,QFW�AY PER OFFICIAL STREET MAP, EXISTING SE REQUIRED DEDICATION PROPOSED_./,r�_ — RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED L7 STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED 3EMARKS OF GG AETER §IZE BUILDING SUPPLY SIZE FIXTURE UNITS ��'V �PCi Gl/ice SIGN AREA ALLOWED I PROPOSED ENV. REVIEW I ADB COMPLETE i EXEMPT ccI w a �a VARIANCE OR CU PLANNING REVIEW YARD % to n�CS lam —HEIGHTS LOT COVERAGE Z FRONT" SIDE REAR REMARKS g a LA NEW I & RESIDENTIAL PLUMBING �ADD/ALTER COMMERCIAL MECHANICAL ❑ REPAIR Ll RETAINING WALL CJ SIGN DEMOLISH OR FILL EXCAVATE ❑ (ENCE X_FT) CHECKED TY`P�E'O'�F/CONSTRUCTION CO%DEC% p HEIGHT / ..LT-�/�O � .L� i Y / L O 2S ❑ PRE -MOVE INSP./ ❑ SWIM REMODEL SPECIAL INSPECTOR AREA OCCUPA COMPLIANCE INSP. POOL REQUIRED OCCUPANT C�WOOD STOVE/F�j ❑ YES NO GROUP LOAD INSERT APT. BLDG RENEWAL REMARKS c �L tlG R 1?ej S*k NUMBER OF STORIES NUMBER F 1 DWELLIN UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) RI DC�GLP/}/YCY. Z7YSPK770/✓!�'ED A VALUATION FEE PLAN CHECK FEE BUILDING Q 0 �� it Admoms 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. STATE SURCHARGE d� ,So Permit Application: 180 Days Permit Limit: 1 Year- Provided Work is Started Within 180 Days ENERGY CODE 7f S "Applicant, on behalf of his or her spouse, heirs, assigns and, u) successors in interest, agrees to Indemnify, defend and hold w harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages of ir whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT o modify, waive or reduce any requirement of any city ordinance x nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE 70,Sofcj� I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT This application is not a ermit until AUTHORIZES PP P ad thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington relating t0 Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is ti su.. nce. INSPECTION acknowledged in space provided. GNATUR (OWNER AGEN DATE SIGNED DEPARTMENT CITY OF OFFICIAL'S SI ATURE DATE 8 EDMONDS , AT ENTION 771.3202 REL ASED6`, DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE�E�/Z� 1 id UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL O ORIGINAL —File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102ae wdoaz T. �.�,�•.,�. .. .•f�•a,•' � �titi+ 4"� _--A"A we.+x�r��)�r•�.•. - +�. I+V�e+•�••v_•.+ .�.._� , _ ^^'!"�•` .. 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NT."r-�f f'1s { {{y � , +i r r ; - _ i ✓ 'r. �\wr f Y�.J5 � •Vi1rVa��' ?w "f � 1 t 1' i S i i r '`S l _ ♦i{n •J'N�y ¢�rY' �1?� �i M1ALiJ TI rE Yid (�J rS3•.�, Ve��, °1 �' a`.,,(d .F i4 •L±y� ..T1Lt.a:1T...b!.t�J!�t'hl\3u<.Iill..nl...r..AY..L4r�J.�..ek...`Lr.;:il�.w•.al.I�L+�[�.i.�u�'.#ia��itf,��9aE.�.�1�:yi'.l.SaiW �i+�t���.ipal r:r.t. li f. � t CATC>j BASIM: WUUAL TEE w/ 4"Low. LEGS TKCNCN LSCWGTH SYSTEM CROSS-SECTION C>K UI\/EF� L' TO 5 LA%%, ED C wA.sL>=:D KOZO< T RE NCH 3/4• - 1 ��2 WASufiD GPUWEL r 4 oIAM FEttF PI TRENCH CROSS-SECTION f ice' t t t \ 't 1' t' t c e K r �) . . �.a.u:..Jn�.f _..e _aa_ k i._._... ..... r t .............J ..... r ... .... .n_. .. t .. .� .J r STANDARD DRAINAGE'PLAN' INFILTRATION SYSTEM DESIGN PAGE I OF 2 r Imperm sq.ft. j4rea AFAM NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2T Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice per year. ke 46�/t&6 (CITY OF EDMONDS Y � x � � }tr } � �fF '. f l ,�II � .+ .r'�•. ','Y ± �1 t J , � I � � •.� ,,: S t ..?jI d� 1 r z '., 1 r,�..,:(y:• I R•L• ,K+C;Yt},y °.. "YFu�I � hI � C+ y( 1 hf. .i 1 � � 1 9 ,'• i 4 7 . �,p�'M�'"[I•.F uyli ,}.,s" `gy�rt�i qi�. ��.lyt'i� � �:% 1�. � i?.:.; � f ifr:; xrS { / � .?,T ,5u, ' �, i �, i. }7 >,,�y .4 x+ 4 e, • . •� 4' '� ' �� 1 � f y ^�T� . � y�.by1' '��ly+ l ���j.t�+�•x� ,!^�". S}F .,Si�pi i�15f�ya$ }��` vy1 9f41 •+{{i•�. z��dy�• ...�, t.� �T4� �Y..> 5� ♦es�l. � r� t �1_y pi Jt� 11� ed}.N a �d}c •�' U'1" l jY�i �'� � � V 'T , S•I N� �f��,R�t+ �•1Y�'1 , 1w M1s � LL R.1�•' .0 �..: YI'..YYIIi�i1S I i 3 _ . IHi�W,..{YTJ11d.� .....� 3A0 s -- COMMUNITY SERVICES r ENGINEERING/BUILDING FINAL FORM MEMO TO: Building Division FROM: Engineering Division . .SUBJECT ADDRESS: I. PERMIT APPROVED FOR FINAL lie El PERMIT NOT APPROVED FOR FINAL Requirements: 2 3. 4. 4. rt BUILDING MAR 101987 t F S. VZ. .. lk rf y. ryV f t'. A..�Vt ��C i 4•ti: :.t�4 t • .'}i. M4•fi-: U''t >'(,') Lti.,fL!)1' i. 4�1•aY{.:1 1 i, tt1• �. ti 1, `4� L� P-• i. F�.. i'C:h b .rl• •-. r„�..�-.� �__. ..ter •+-�-�+.r ..� a ,.•r'.rrry •'-.... n t{>$'.-'aln"?";........a.,r��••,...�,.�++—^ _. _. - i'i°�. lip )•AIN i p j :! , 1 � 1...-. .. r l 1 ;ll • t , lL • t • ittill ,...I I'll -... .. • , , _.. kI II I I P r ll. l f rw\ L 1 A ... , .. , I } k . ,. r, i, ' REC )RDL OF INSPECTIONS , •' , .L l Date Passed fit _ 1. 1�•� _. 0TLit '• .�_. _._ ... �O1,1NDATION j House P pier s rs �. { .:a `•.,,, FINAL APPROVAL GIVEN BY: Retaining walls .. 1 d 1.. Initials Date Garage, carport _.l d I I I ... i ,Buildin¢; a J. a `, l BItJG SUM , Fire Dept. �. Underground. Planning (ADB) Roughein it Engineering Water service 'ATING SYSTEM FRAMING ='� • .3Q � '`� �. WALLBOARD . •.. _ -, FINAL S i jl• 2S •�S� .GongcfkwM 49"Ab Qcacao oVsn. C�f�OUNDINeOMk . QA104% ol Y eeVes 06 r , r J..