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890883.pdfCITY 0 EDMO DS CONSTRUCTION PERMIT NAPPLICATION OWNER NAME/NAME OF BUSINESS n TY STATE (show below or attach Fty - Inc copies) LJ NEW ir.�l RESIDENTIAL ® ADDIALTER COMMERCIAL REPAIR APT. BLDG. EXCAVATE DEMOLISH OR FILL REMODEL CARPORT GARAGE ❑WOOD STOVE/ RETAINING WALL/ INSERT ROCKERY NATUR/EI OF STORIES NUMBER OF DWELLING UNITS )F WORK TO BE DONE (ATTACH PLOT ZONE ADDRESS HECKI SU PERMIT NUMBER _ N NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP _ EXISTING ___ REQUIRED DEDICATION--.. APPROVED BY '� PROPOSED E NUMBER easements LJ PLUMBING n� MECHANICAL L.J SIGN \ ❑FECICE ( X _FT) I —I SWIM RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED SEE ENGINEERING MEMO DATED ALLOWED PROPOSED VARIANCE OR CU SETBACKS ET FRONT Z-1 SIDE If G W PPL 14�vlavv ADO NO. COMPLETE EXEMPT / SHORELINEN PLANNING REVIEW BY DATA HEIGH LOT COVERAGE REAR 2� ` REQUIRED VUUUPANCY ❑ YES GROUP NO RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 PLAN CHECK FEE BUILDING PLUMBING MECHANICAL 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 Permit Limit: 1 Year • Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and n successors in interest, agrees to indemnify, defend and hold Eharmless 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 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 provision." TOTAL AMOUNT DUE 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 agree to comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT ed thereby, no person will be employed in violation of the Labor AUTHORIZES T ORIS HE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED ti n Insurance. SIGNATURE IOWNER OR AGENTI INSPECTION DATE SIGNED DEPARTMENT I _Jot CITY OF Liz EDMONDS ATTENTION 771-3202 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•S7 0 t // r LOAD 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. OFFICI ' SI ATURE j i?i,% �// 11/Z7%1 DATE /2%f• %7 i ORIGINAL — File YELLOW — Inspggf )r PINK — Owner GOLD — Asse It W two �_•,' :t'�I.-ram - c t+ f , I , !, 1Is I ' I ! i I I I I ! I I I i i 1 � I I ! !! ( I �1 I 0 ! �s a -,•• - . .... t .._ t.... .-,..� • u.�r.._..,, i, S•X.i'.) 4. �,tuAl,iif: .>_L wvi ..v ;ac ;.lk$��atM1 0' I i I I1 j I , I ! I i I GA�7 !DeN S Nth InT , PlA N PERMIT coUhIER! I i .I i l l I oI, ,�I�II!IIIii��! ijl!il f ! I I 1 ! ! , I I i I I I I 1 ! 'IIIIor;I ! !j! t ; ;!I IIlljlll I I Itr ►! �j I h� CAI I j I i I Ilj!Illj!Iljlll' I I 1 ! I I '!IIII!III�II ' I I ; I ! j j ! I I I , ' ! , I •i •i I I j ! I I ! ' I ill li I , i I i ! r I ! 1 ! tONDI Is I , , I 1 j I NDI I i r. 4RMCQ l N _ v' it i I WORK ; S��; Q ! Ott IADD It q i I � WNER 21IsIt I! m"s ! 1 APPF�OVfTD t�A'1"E• �)/Z 1�� I ., '' 8,Y !7Z I Q ! ! (( I ! I I I - B � I F{FI%IAL I ! EL•r Tl-►ESC STAMPED Its I, I PLANS ONJOS$iTq FpR ! .. ALL I'N,i CL";''IONS I Ji©I SHEET? s.471:� t' i, t ,'a I ent ,., Is ;, Is �..r. :5^ �1•h+, yT1Y 4Y '` �•� 4 p '• ar rr�, ;i' 'r �r ..r Sr, l Y. � 'i' �.a.4� �. ,• _ ._. '� j l �sr.. .i RECORD OF INSPECTIONS Date Passed FOUNDATIOIkI House Porch,:.s, piers Retaining walls carport RLllf:rtilP�J:� U� t�ic'rF;round R��u�;i•iri Vhter service HEAPING SYSTEM FRAMING WALLBOARD FINAL i