880636.pdf}
USE
PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION j-QB
INIAME (OR NAME OF BUSINESS) ADDRESS 6�2 � �'1VIW tL �e� jp/,.c
�IM �%21�5' ���^�� 11 LEGAL DESCRIPTION CHECK SUBDIVISION NO. s LID NO. /•M
L
GL•1.8d4
NE NUM13EM ` PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED
E NUMBER
7 . A,40
NAME
01441UQ 4� hb/P&
DDPESS
A%3 lld�2_2A
CY.� woon , TELEPHONE X7- Y !�
STATE LICENSE NUMBER
Legal Description of Property - Include all easements
(show below or attach four copies)
NEW RESIDENTIAL El PLUMBING
ADD/ LTER COMMERCIAL� MECHANICAL
n
REPAIR RETAINING WALL LJ SIGN
EXCADEMOLISH OR FILL
I LTE (ENCE
x FT)
❑ PRE -MOVE INSPJ ❑ SWIM
REMODEL COMPLIANCE INSP. POOL
❑ WOO SERT ❑ APT. BLDG RENEWAL
N NUMBER OF STORIES NUMBER OF
o DWELLING
m C �. UNITS
o' NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED:
SEE ENGINEERING MEMO DATED
TESCP
APPROVED BY
REMARKS
Adlwl P4;ir4 d141174R /
METER SIZE BUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA
I ENV. REVIEW
ADB NO.
ALLOWED I PROPOSED
COMPLETE I EXEMPT
NEM
VARIANCE OR CU PLAN ING REVI W BY DATE
YARDS , C HEI HT LOT COVERAGE z
FRONT ZS SIDE REAR ?. 2.5 35 G%v 5
REMARKS
a
CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP n LOAD
D YES C: NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305 Z
Z
s
J
.44l 14L ..T SAIL- Ile i W,6y6041I�
VALUATION FEE
PLAN CHECK FEE
BUILDING D j
D C7 PLUMBING <L/!/���e�
MECHANICAL
i
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year- Provided Work is Started Within 180 Days ENERGY CODE
"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
cr
i whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT
omodify, 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
information given is correct; and that I am the owner, or the duly ATTENTION
authorized agent of the owner. I agf.gqe to comply with city and THIS PERMIT
state laws regulating constructior)rand in doing the work authoriz- AUTHORIzes
ed thereby, no person will rhpyed in violation of the Labor
Code of the State of Was fngto relat10ONLY THE
in t orkmen's Compensa- WORK NOTED
lion Insurance. INSPECTION
SI ry E wJIER OR AGENT) DATE SI N�EJD DEPARTMENT
TY OF
EDIMO DS
771-32Q2
ATT
ENTION
IT ISPUNLAWFUL 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•87
I / o�7soI I.l ,
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees are paid, and recelpt is
acknowledged in space provided.
FICIAL'S SIGptATURE DATE
MtEASED BY: / DA
�L;
ORIGINAL — File YELLOW — Inspector'
PINK — Owner GOLD — Assessor
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CITY OF EDMONDS LARRY S. NAUGHTEN
MAYOR
};�J 250 5TH AVE. N. • EDMONDS, WA 9E1020 • ('CG) 771.37.07.
LI
JI.
i g.,! PETER E. HAHN
INN
rI
IZ
III
IA II
oI
COMMUNITY SERVICES: DIRECTOR
Public Works • Planning • Parks and Recreation •Engineering
j89t) 19
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/1r3�v AUr 3f 't
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CtS�Fs }rhl 'J=(''�s ` ' " ` ••'�` 1989
,vx�3'+, j August 169
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R V1•iCa. Y,F'.,if� 02 ftr.f t4i! {S, ' !
' v�. 5rk, a'J y } Tom &Marie Powell !
1,.Vf �,{?�F, ' ' 18427 Olympic View Dr.
,y r�`��,tEdmonds, Wa 98020
- j
I I" j/r-Pt�� b f ipha -
�n ,� RE: Addition
1�r�` f'"f'' i 18427 Olympic View Dr.
rF„ i`;'t ' Permit #880636
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1. Ii 3F According to building division records the subject permit is due to
l 4 f,% <-rt' R expire on September 14, 1989. If the work is complete or wi 1
�_
S, „� KTr `�p, ;=;�`r, i ' p pi ration date please ease contact the building division
t a,K complete by the ex
'n `�� k'1, �itd''A'' i for the re u1red final inspection.
{ �jljFY}�K�r4 st rttt t v -
E `EEA�; j,J`/t , •. , If the work i s not complete and more time beyond the expiration date is
g t r, Jlease renew the permit by contacting
}' >,�,needed to complete the project, p
I ki F�yi:i�s qet t f.J } t ° r . -
y < the City prior to the expiration date.
A new application form is
r r,l}"}Y`t J.` ? ` required and a renewal fee will be charged.
't t iK k�Er WJ�,�Yf �l ijl�;, _ `
2" Please contact the building division prior to the permit expiration
ski t
f J' date at 771-3202 with regard to your intentions.
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>°„ ; 1 Thank you,
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IN
Jeannine Le Graf
Permit Coordinator II
No Incorporated August 11, 1890 •
Sister Cities International NNNNNNANN, Hekinan, Japan
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L House
Porches, piers
Retaining, walls
Garage, carport
PLUMBING
Underground
Rough•in
Water service
HEATING SYSTEM
FRAMING
WALLBOARD