The URL can be used to link to this page

890449.pdf1 A :_.. USE CITY OF EDMONDS ONSTRUCTION PERMIT APPLICATION OF BUSINESS ZONE �!' J PERMIT NUMBER JOB ADDRESS LEGAL DES4ECKI SUBDIVISION ai Wes f NO / I ft f/•i MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP CITY TELEPHONE NUMBER APPROVED BY EXISTING VW0000 PROPOSED.,--- (rJ7 2" /V REOUIREDDEDICATION NAME RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ADDRESS STREET USE PERMIT REQUIRED SEE ENGINEERING MEMO DATED RE IEW BY CITY TELEPHONE NUMBER REMARKS aA, IrJ . Irs A< m ^ ^� METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS �J��i l//7K(` K 010400 TELEPHONE NUMBER °I'lewwoeIIYA /V 27 Z, REMARKS STATE LICENSE NUMBER /y(, &45W !z 9© SIGN AREA ENV. REVIEW ADS NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements (show below or attach two copies) SHORELINE P 07 r // 1�� Ar,// /)�.s _ VARIANCE OR C�Uj Qi/ AN EVIEW BY DATE 44k 1� 0 1 ! l� 2 / ' �J f SETT BACKS -FEET HEIGHT LOT COVERAG FRONT SIDE REAR" CC-7� EM KS Et¢, aP►� N &�4M�N1 NEW ® RESIDENTIAL F PLUMBING ADDIALTER COMMERCIAL F1 MECHANICAL ,►\\J REPAIR APT. BLDG. El SIGN D EXCAVATE G FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT DEMOLISH OR FILL 704,E I. x _FT) %��%��/✓l �� CARPORT SWIM SPECIAL INSPECTOR AREA OCCUPANCY. OCCUPANT REMODEL GARAGE F1 L REQUIRED GROUP LOAD G YES ['NO WOO INSERT a ROCKERY RETAINING WALL/ ❑ RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 NUMBER OF STORIES NUMBER OF 6y7mA 7Pr2 70 41VTAJ190t, j DWELLING �4 o UNITS &w/^ `IM 11 IVR � NATURE OF WORK TO BE GONE (ATTACH PLOT PLAN) /�J�j�j/,J ,I L � � /i /�•w,v SD Gye/-s 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 u) successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, Q employees, and agents from any and all claims for damages of a whatever nature, arising directly or indirectly from the issuance 0 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 1 am the owner, or the duly authorized agent of the owner. 1 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- tion Insurance. SIGN u ATTENTION DATE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE 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. 102.87 ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS 771=3202 Z3 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 SIGNATURE 4DATE RELEASED BY: 0ORIGINAL — File YELLOW PINK — Owner GOLD — Assessor