880547.pdfr \.
USE
ZONE
_
OF
EDMONDS
CITY
CONSTRUCTION PERMIT APPLICATION JOB I
EADDRE:SSNAME (OR NAME OF BU�iI h S) ^'
�C�V � � Tk' c-►�
AILING ADDRESS
TI
TY
xME
D RESS /
460/ 23 T
IT file �l �� 77
IAME
ADDRESS( (�
CITY CQ � !
STATE LICENSE NUMBER
Legal De
(show be
2�e;k_ V
on of Property
attach four cop
E NUMBER
NUMBER`
ude all easements
Y
PERMIT
2 NUMBER
op
iew DI i vE
LID NO.
TESCP
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
APPROVED BY
EXISTING #GZO REQUIRED DEDICATION _ § --
PROPOSEDZ17—
RIGHT OF WAY CONSTRUCTION PERMIT REOUIREDtI
STREET USEPERMIT REQUIRED
SEE ENGINEERINGnM�p�DATED r
NEW
RESIDENTIAL U PLUMBING
ADDIALTER COMMERCIAL Cn� MECHANICAL
C� REPAIR RETAINING WALL l_ I SIGN
(�I EXCAVATE ❑ FENCE
U DEMOLISH OR FILL ( x AFT)
PRE -MOVE INSP.I ElSWIM
REMODEL COMPLIANCE INSP. POOL
❑ WOOID STOVE/
❑ APT. BLDG RENEWAL
NUMBER OF IIISTORIES NUM
WEBLLINGF
UNITS
NATURE OF WORK TO BE DONE (ATTACH PIOI
wr 2 1
METE2BUILDING SUPPLY SIZE FIXTUUNITS
REMA✓RK/ n lA
���c�j1Y� SIGN AREA ENV. REVIEW ADB N0.
ALLOWED I PROPOSED COMPLETE I EXEMPT
VARIANCE OR CU
YARDS
FRONT SIDE
"0�2
EW BY
HEIGhf
7
vI
LOT COVERAGE
HEIGHT
;NECKED BY TYPE OF CONSTRUCTION CODE 4
! !0�
SPECIAL INSPECTOR AREA OCCUPANC OCCUPANT
GROUPr3 LOAD
REQUIRED //// ��11 J.
❑ YES C NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
TIC /?o#1, IL Pot 14?& ! 1A AN6k6Y 60046
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
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
or
e issuance
owhatever nature, f this permit. Issuance of this permit rshall nrot bom e 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
state laws regulating construction; comply
uction and in doing the work authoriz-
ed
oyed in
olation of
Code of thereby,
he State of Washington rel6son will be lating to Wiorkmen's Cohmpe sar
:,b is�' DATE SI NED
ATU (OWNER OR AGE�T)
)g1;14Z- Gzumllle
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFILL
STATE SURCHARGE
ENERGY CODE
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
AmrTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL CERTIFICATE INSPECTION
OCCUPANCYHASHAS ADE N BEENGRANTAPPROVAL EED
OR
AUBC
CHAPTER 3.
102.87
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
771=32d,
�s ,77,91✓ A0h
VALUATION I FEE
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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.
DATE
WEASED BY: /-
�'
ORIGINAL — File YELLOW I pector
PINK — Owner GOLD — Assessor
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Date Sent to Engineering
ENGINEERING APPROVAL FOR OCCUPANCY
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PARCEL 2 '" '
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04,
hip
All that portion of Government Lot 1, Section 18► Beginning 27
at
North, Range 4 East, W.M., described as follows:
the northwesterly corner of said Section 18, and proceeding
thence along the west line of said
Section
Edmonds-Beverly3Park
656.58 feet to the southerly margin ofe
Road; thence along said southerly margin on a curve to the
left, having an initial course of N 54008'1311 E and a radius of
349.60 feet, a distance of 126.04 feet; thence N 33028,5011 E
58.79 feet to the intersection of the southeasterly margin of
the Edmonds -Beverly Park Roadwith
Citythe of Edmonds rly margin of
by Quit Claim
Sunset Way as was conveyed to the
Deed recorded under Auditor's File No. 1794710, records of
Snohomish County, Washingto ttg N 33028150" E,
hence
he TruePointof Beginning of
a distance of 101.12 feet to
this description; thence continuing N 33°28'50" E, along the
southeasterly margin of the Edmonds -Beverly Park Road, a
distance of 96.23 feet to the point of curve of a curve to the
right having a radius of 98.90 feet; thence northeasterly,
along the arc of said curve to the right and through a central
angle of 6804013611, a distance of 118e54 feet; thence
S 9°49'56" E, a distance of 130.96 feet* thence S 80°10'04" W,
A distance of 10900 feet to ' the Loin pIEP EN INEE ING DIV curve to
f
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oe
Xet
�tP.
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p�r t.� T
RECORD OF INSPECTIONS
_
Date Passed
FOUNDATION i
House
Porches, piers -
Retainii�g twalis
carport
Rougli-in
VJater service
HEATING SYSTEM --
FRAMING i p
WALLBOARD
FINAL.
_4 d88�