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880236.pdf} SIB023 USE PERMIT OF EDMONDS ZONE S`/ NUMBER FCON=STIRnUCTION PERMIT APPLICATION AOB ��� y����� ADDRESS /✓ OR F BUSINESS) , .r�^'7 _ _ .. LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING-.-- REQUIRED DEDICATION __— PROPOSED -_ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ^J f STREET USE PERMIT REQUIRED, ADDRESS ' 42� AVE `C � SEE ENGINEERING MEMO DATED CITY 1 /•l`V TfELEPHONE/N�U�M�BER r 4C=A^r'Cfl �ZEJC�iGQ� �-1, V' O REMARKS Ni�/,��rScJc.r�IN(7 C ADDRESS 06. J ( 5� / 1' d ZDR METER SIZE CITY �n y� ��?,/L` �] / TELLEEPHONE NUMBER z Ml LAX ITER9 C6 L M3 ` 10 �� �" REMARKS STATE LICENSE NUMBER /V S i% 6e ahgnaw below or attach four copies] ude all easements ElNEW RESIDENTIAL U PLUMBING VJ ADDIALTER COMMERCIAL �n MECHANICAL CJ REPAIR RETAINING WALL 1. .1 SIGN ❑ EXCAVATE DEMOLISH OR FILL ❑ PRE -MOVE INSP.1 REMODEL COMPLIANCE IN: F WOOD STOVE/ ❑ INSERT APT. BLDG NUMBER OF STORIES NATURE OF WORK TO BE 11 FENCE ( x _FT) r-I SWIM NUMBER OF DWELLING UNITS E (ATTACH PLOT PLAN) ElRENEWAL BUI SIGN AREA ALLOWED I PROPOSED VARIANCE OR CU Y SIZE IFIXTURE UNITS ENV. REVIEW COMPLETE I EXEMPT NO. 0 Z s w a REVIEW DaEj�U ( Z YARDS C �) C 'HEIGHT LOT COOVEER(�A^GyE/`'"�'�� i FRONT SIDE VC REARv`K/ `✓`-'" Y© Z (L REMARKccv:{S-k This Permit covers work to be done on 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 w 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 omodify, 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 authoriz- ed thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- OR AGENT) DATE SI NED �.� Z49 CHECK TYPEN`�T�UCTION C� E HEIGHT SPECIAL INSPECTOR AREA//^^��, OCCUPANCCYY/ OCCUPANT REQUIRED GROUP LOAD ❑ YES 'NO REMARKS Z PROGRESS INSPECTIONS PER UBC 305 0 F/�yAG. DCLuP/�rVCy ZVSf�CTlc�n�VALUATION PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE kTTENTION 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. 102.67 ATTENTION THIS PERMIT AUTH RIZES ONL THE: WOR NOTED INS E ION DEP op Cl Y OF EDMONDS 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. E DA G ZLCEASED BTDm (W,� r0 7w ORIGINAL -- File YELLOW — Inspector PINK — Owner GOLD — Assessor I .'il•Slbyea'i..'�L....�.3v • , J MANI s ...,, ..1,...., r �s 1 n a 1♦ If JJ ai tl ri fl. a L. µ h Y 1 ♦ 1 }` Y • 1 41, ..\ \R Llil ll% �?FVik'?���r 4t /'!'i •,I blt, h'SA�1L \ iY3Yrt��}S i\'1 L 1 , Il4 �y .'.f 4 J1 v: '-7 ia.Yf is.i ry.5l ,.G 41. y J 1 4, r r vs,l i 'd , c. l t t5 i i i I ` a900199_ CITY OF EDMOIVDS LARRY S. NAUGHTEN a , 250 - 5th AVE N. • EDMONDS, WA 98020 • (206) 771.3202 MAYOR y COMMUNITY SERVICES: PETER E. HAHN Public Works • Planning • Parks and Recreation • Engineering DiRecTaR March 9, 1989 Mr. Peiffle 1439 Olympic View Drive ti Edmonds, Washington 98020 RE: #880236 z: Addition O According to building division records the subject permit is due to expire on April 8th, 1989. If your work is complete please contact the tl building division for the required final inspection. If the work is not complete please renew the permit prior to the expiration date. Please contact the building division at 771-3202 with regard to your s intentions. F I Thank you, � r ;k T44- / Ll tr Jeannine L. Graf € '� Ia }ryi Permit Coordinator Yj 1 l.Zt{ • Incorporated August 11, 1890 •, Sister Cities International — Hekinan, Japan tts t - 9"i. Ate}�[ JGa•,-r+ !A' I J