880439.pdff
USE PERMIT
CITY OF EDMONDS TIONB
�.� NUMBER
-- CONSTRUCTION PERMIT APPLICATJOBR
�NAME OR NAME OF BUSINESS) ( (`'�/ }/SS i�2/��
IC GLII� C , Evr / 1DESCRIPTIONCCHHE(CCK SUBDIVISIONNo, LID NO.W MAILING ADDRECS�SO / �� O / O� /rf /G Eil (i f� d� TESCP
CITY TELEPHONE NUMBERC RIGHT OF WAY PER OFFICIAL STREET MAP.APPROVED BY
�`/��7 7/ / 7NG _ REQUIRED DEDICATIONNAME OSED
At
ADDRESS,,� �! Ifl /•k) /
CITY �� / ,r, T PHONE NUMBER
NAME ���•� �' ` � �SO
ADDRESS hJ '
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CITY TELEPHONE NUMBER
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STATE LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach four copies)
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NEW RESIDENTIAL LJ PLUMBING
ADDI TER El COMMERCIAL MECHANICAL
REPAIR RETAINING WALL
EXCAVATE
DEMOLISH F OR FILL
PRE -MOVE INSP.I
REMODEL F1 COMPLIANCE INS
WOOD STOVE/ ❑
INSERT APT. BLDG
LJ SIGN
❑FENCE
( x _FT)
r i SWIM
ElRENEWAL
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) j
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED
SEE ENGINEERING MEMO DATED
METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE
VARIANCE OR CU PLANNING REV EW BY DATE
YARDS H IGHT LOT COVERAGE
i
FRONT SIDE 1.() REAR z S '
JHECKED BY TYPE OF CONSTRUCTION uuut Rtron r
INJEW
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP v]/)_—) LOAD
YES L NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
14% 41 dStcrly) FDA, A uoc
PLAN CHECK FEE
BUILDING
�T PLUMBING
l / MECHANICAL
hour �=---
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
Permit Application: 180 Days
ENERGY CODE
Permit Limit: 1 Year- Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
cn 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
a whatever nature, arising directly or indirectly from the issuance
= of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
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 hereby acknowledge that I have read this application; that the ATTENTION
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
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
ed thereby, no +son will be employed in violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED
tionInsurance, INSPECTION
SIGNAIl1RE OWNER�FlR-AGE1Q DATE SIGNED DEPARTMENT
_—� r CITY OF
EDMONDS
;
ATTENTION %711;
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•B7
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8843
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'S SIGNAD DATE
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ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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CITY OF EDMONDS
250 - 5th AVE N. • EDMONDS, WA 98020 • 12C9f 771 •3202
COMMUNITY SERVICES:
Public Works • Planning • Parks and Recreation • Engineering
May 18, 1989
Steve Stoddard
19309 Olympic View Drive
Edmonds, Washington 98020
RE. Alteration and Addition
Permit #880439
LARRY S. NAUGHTEN
MAYC-
PETER E. HAHN
DiRECTCR
n
I;
According to building division records the subject permit is due to
expire on June 30, 1989. If your work is complete or will be complete
by the expiration date please contact the building division for the
required final inspection.
If the work is not complete and you feel that you need more time beyond
the expiration date to complete the work please renew the permit by
contacting the City prior to the expiration date. A new application
will have to be completed and a renewal fee charged.
Please contact the building division at 771-3202 with regard to your
intentions.
Thank you,
4W Aff
Jeannine L. Graf
Permit Coordinator
• Incorporated August 11, 1890 •
Sister Cities International — Hekinan, Japan
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FOUNDATIOR
House
Porches, piers
Retaining wills
G �ruge, carport
PLUM'1�0NG
Under; ►o:ind
Rough -in
Water service
HEATING SYSTEM.
FRAMING
WALLBOARD
FINAL
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