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890745.pdfPERMIT CITY OF EDMONDS ZONE_ « NUMBER S907745 CONSTRUCTION PERMIT APPLICATION JOB OWNER N A F B INE ADDRESS 1 G� /O I . �, • !, , LEGAL DESCRIPTION CHECK SUBDIVISION NO. (LID JNO. MAILIN79701 J("Ly7d a,% PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP CITY TEL PHQN UMgi�� - — APPROVED BY J`/JI�J 77 �/L EXISTING __ REQUIRED DEDICATION —_ ___.—_ PROPOSED NAME i RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED m STREET USE PERMIT REQUIRED Z C ✓ `Qad � O SEE ENGINEERING MEMO DATED I REVIEW BY Z S CITYfq /*� r W vfl�tY/ I��1Kv`�� /1/II REMARKS NAME 02071 ADDRESS I7` i f METER 512E BUILDING SUPPLY SIZE FIXTURE UNITS CITY ` / TELEPHONE NUMBER W d�V' • �iI/ REMARKS 3 STATE LICENSE NUIy1gF,R N/ SIGN AREA ENV. REVIEW ADB NO. Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT (show below or attach two copies) SHORELINE VARIANCE OR CU PLANNING REVIEW BY wc;ZtA 7V ETBAC-KSS —FEET ( / HEIGHI LOT COVERA E FRONT '�l'71 SIDE 1� REAR ?� © Z TRx C {,- -y. M7�6'1 2, O�NEW RESIDENTIAL 1:1PLUMBING P'OADDIALTER 11 COMMERCIAL 1:1MECHANICAL REPAIR APT. BLDG. 11 SIGN EXCAVATE FENCE CHEC D BY TYPL2E=QQNSTRUCTION CODE HEIGHT % DEMOLISH OR FILL ( X_0031 #CW I 41000e CARPORT swim SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REMODEL 1:1GARAGE ul PO L REQUIRED GROUP LOAD WOOD STOVE RETAINING WALL/ N INSERT ROCKERY RENEWAL MARKS C PROGRESS INSPECTIONS PER UBC 305 2 9064 a NUMBER OF STORIES NUMBER OF Aj 7 DWELLING a UNITS VS 14AV 498 N&W 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 I 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 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 comply with city and state laws regulating construction; and in doing the work authoriz- ed th reby, no person will be employed in violation of the Labor C e th It of shington relating to Workmen's Compensa- n In IGNATLR ~E11MR itENTI JDATEISIGNat PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENERGY CODE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED INSPECTION DEPARTMENT CITY OF EDMONDS ATTENTION I t I% -# F-1-320t 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 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 SIGN RE DATE • C2.4 �Q•/O• DATE ORIGINAL ale YELLOW — Inspectors PINK — Owner GOLD — Assessor J rN A 11 -ff,vv j#r or r ��Illlli �i _ _. .. ��_ .._ ... .__. __, .. _ - - !Y •� \ C. •1•`�. 1 �j �1••..F a �� w��n� }i1w -: :hl li.A�y..Yx S•�9 k ..-..._...,....... �. -. . ..-+•I n7G�+1�'{ ...; � � .J.., �� Y�?• . ti t � > .',b. ,' � �T �'i .` k J�a A •�e�.� I ��7:��'tt�A �4j'` ���\M"i /��i'.;P{Tt 4WWhr�S� t!' {y� {;�fh�{ � + i lr�.,irNl' 1• • 1 1 RECORD OF INSPECTIONS FOUNDATION House Parches, pie Retaining w+ Garage, earl PLUMBING Underf;roun Sr Rou;;h is �� Waters::rvi n (� HEATING zi),Sl - { FiM41Nt; WALLBOARD "&NAL, i a