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870011.pdf■ i =MoriUSE PERMIT CITY OF EDMONDS ZONE NUMBER 810011 CONSTRUCTION PERMIT APPLICATION JOB q r NAME (OR NAME OF BUSINESS)lyeADDRESS �� I C ��� � Vim/ E� ^/ Re Re LEGAL DESC1111RIPTION CHECK SUBDIVI ON NO. LID NO. ZMAILING ADDRESS '\' eeeft CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. �' O/ /)7U Al C7 S ~D D ' " C7 PRIS OPOSED REQUIRED DEDICATION Z NAME Cr RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ i �- STREET USE PERMIT REQUIRED ❑ W ADDRESS w T SEE ENGINEERING MEMO DATED NAME METER SIZE BUILDING SUPPLY SIZE r ixiur+t CITY TELEPHONE NUMBER MINEEME REMARKS STATE LICENSE NUMBER SIGN AREA ENV, REVIEW MW ALLOWED I PROPOSED COMPLETE I EXEMPT Legal Description of Property - Include all easements rehow below or attach four copies) VARIANCE OR CU YARDS TT / FRONT SIDE w NEW RESIDENTIAL ❑ PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR L RETAINING WALL ❑ SIGN ElEXCAVADEMOLISH OR FILLTE ❑ l ENCE x—FT) PRE-MOVE REMODEL Cl COMPLIANCE SINSP. POOL ❑ WOOINSERT ❑ APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF ' DWELLING UNITS )31 NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) *dn,This Permit covers work to n private property ONLY. 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 provision." I hereby acknowledge that I have read this application; that the 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 state laws regulating construction; and In doing the work authorize ed thereby, no person will be employed In violation of the Labor Code of the State of Washington relating to Workmen's Compensa- IATURE (OWNER OR AGENT) DATE (4% '*e* , /_0 62 4k. BY ITY REQUIRED O YES ❑ NO PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT REVIEW BY ADB NO. DATE HEIGHT JLOTCOVERAG REAR' 25 �G b iJ TXd TOTAL AMOUNT DUE ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS 771.3202 GROUP VALUATIO OCCUPANT LOAD aco 16 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, OFFICIAL'rS SIGNATURE DATE RELEASED BY: DATE ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor l �C-, IFle { 1 _ .t � "n� Pt y`syyq'�¢pa4� .n-�+�- � � ; ����;2�A �/rt..1;LYi,wie.�.nir...31s4'4•+sh :"rSae..d:w✓.�tvr3CLb=iY . } ". wt�« "`� .-*-n �`�s'"•"y`��,;'`�3 t i 'L�ial�iLu-€t.:i'•:wC:fha:i° CITY OF EDMONDS 250 51h AVE. N. EDMONDS, WASHINGTON 98020 (206) 771.3202 COMMUNITY SERVICES January 6, 1987 R. Kean 18910 Olympic View Drive Edmonds, WA 98020 PERMIT NUMBER: 850261 i LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR Building Division records Dermittwhichthat hasuexpiredbeen withoutafinal notified of your building p inspection. Section 305 of the Uniform Building Code, as adopted by the City, states, "it shall be the dutyof Officialerson athat suchthe work ork authorized by a permit to notify the Building 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 se to schedule for a final inspection• If we do matternot overetoltheelve aOfficenof from you we will be forced to turn this the City Attorney. 0000 eannine L• Graf Permit Coordinator JLG/dmc ORKS PLANNING • PARKS AND RECREATION ENGINEERING PUBLIC W Mn �iA r 71r..:• roy „� S r r- n • • -I It l It It ,y , t y � � ,RECORD OF INSPECTIONS Date Passed FOUNDATION House FINAL APPROVAL GIVEN BY: -Initials I Date Building I. Fire Dept. Planning (ADB) Engineering Porches, piers • --•- Retaining walls Garage. carport PLUMBING Underground Rough•in Water service HEATING SYSTEM FRAMING WALLBOARD FINAL.