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900415.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSqNESS`ru0P_ .d�iVeilI V �% ii \ O STATE LICENSE N (show below or Leal Descriptiof two copies) Tax Account Parcel No. 13oZ ACNE NUMBER 3 --q zo .3 TELEPHONE NUMBER TELEPHONE NUMBER -SM 3 —q 7.w� all easements 0 LJ NEW I RESIDENTIAL ADDIALTER COMMERCIAL REPAIR APT. BLDG. EXCAVATE, FILL DEMOLISH OR GRADE CARPORT REMODEL GARAGE ❑ WOOD STOVE/ ❑ RETAINING WALL/ INSERT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF STORI IE OF WORK TO BE C_ n rl 5+1 USE ZONE n`�I r2 NUMBIER 9 oa41.5 JOB I�J � SU ADDRESS Z ✓XX) O ��f1� p I% EWA LEGAL DRI ESCPTION CHE✓CK SUBDIVISION NO./LID NO.. -7y /6A L TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY EXISTING /REEQUU�IIRlED DEDICATION PROPOSED _ Yl ko?�' " ❑ PLUMBING 11 MECHANICAL LJ SIGN FENCE I. x _.FT) 17�1 SWIM RENEWAL NUMBER OF DWELLING UNITS STACH PLOT PLAN) F n Pam) S I r RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED O EVIE BY SEE ENGINEERING MEMO DATED y/� 0111-w7O yy� REMARKS/ F741AL i AETE 37Z to \ SIGN AREA ALLOWED I PROPOSED VARIANCE OR CU CFTRAC:K.S - FEE FRONT - l OF y By ITYPE OF pecnDIV Avib SIZE FIXTURE UNITS ENV. REVIEW ADB NO. COMPLETE EXEMPT P__7S�HORELINI PLANNING REVIEW BY � HEIGHT GE REAR Z� �L`a INSTRUCTION CODEI HEIGHT ZS EA OCCUPANCY OCCUPANT or Lv,^` ,,..., `"`. GROUP R `I LOAD REQUIRED J ❑ YES C NO REMARKS PROGRESS INSPECTIONS PER UBC 305 it/Ei�i,�/_ , SclL pfi2 /�d6 1464 , Af46Y tar FINAL INSPECTION REQUIRED VALUATION 0 Z Z 5 a PLAN CHECK FEE BUILDING OO Sao l%CfiI/No. 1O1IL /I ma /l} 4 �D 1) PLUMBING Plan CheckNo. 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 "Applicant, on behalf of his or her spouse, heirs, assigns and ,n 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 �Z21Qj 'Elwhatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT Z�U of this permit. Issuance of this permit shall not be deemed to modify, waive or reduce any requirement of any city ordinance �j,¢f.l = 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 ATTENTION APPLICATION APPROVAL 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 THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES signed by the Building Official or his ed thereby, no person will be employed in violation of the Labor and fees are ONLY Code of the State of Washington relating to Workmen's Compensa WORK NOTED Deputy; in space provided. receipt is lion Insurance. INSPECTION DATE SIGNED DEPARTMENT DATE SIGNA IOWNE AGE�o1T1 OFFICIAL'S SIG TU E 'E CITY D i EDMONDS �` • � V CALL FOR RELE SED BY: DATE ATTENTION INSPECTION S�i�-1qa IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771-3202 ORIGINAL — File YELLOW — Inspect UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC PINK — Owner GOLD — Assessor CHAPTER 3, 102.87 ti Xr % \.. - ti S'i, �!{g�rx�•lY y}�µ''°'vq�Crr�•>��yy'+ a U POP I IF IF FF IF t le f Sy4t,pfC,F-Y G Y.A t .t'... Fi- {�� 8 •u L F ti FF- 1 FF F. i I \ 1 F L pjl 9 F. t H a, 1 t !" Y FF t .1 4/ 3 J X jj l FF LFp It y �r fr F r IF OF F: y' i 41, L Fit IL k I N N •^�^• YJ MN I 00 IN C=: Q H ; 0 m I 1 JJ • � Y .- y N M l-J m ro1 M O I 0� NQQA 1#/1 pZJ� t 8lu nl4A 1 IP n a \ �\ ..F scla•a::.:.. ..t Nit 38 H 4 V* hill"? 11 j�J II (� 1\ it Pic � I \ .w.�,► mmm npc; Works l W RESIDENCE FOR y Y � f •. 'i, 4 1 , G Nit 4 , r r,se'F, t a • �i � 1 ) - . "ratkd � j . 1 to y s`VMna4 eVI t� d is I It it , Date Sent To Engineering zz IF ENGINEERING APPROVAL FOR OCCUPANCY MEMO TO: Permit Coordinator Building Division FROM: Lyle Chrisman Engineering Inspector DATE INSPECTED: SUBJECT ADDRESSID �%� ,��� © Li PERMIT HOLDER: Q PERMIT # 200 YX PERMIT APPROVED FOR FINAL PERMIT NOT APPROVED FOR FINAL, SEE REQUIREMENTS Requirements: 1. 2. 3. 4. 5. Additional Comments: �1 1+ t G�'.$ � � % �x Y �rS t �� 'a �n ((ir' N 1\ i '�....,•r ., ,...gin .,',. s r� __ •u- I ,..s.y,\ Al to, w+. .. fR r�.IrM':-M .._pt. 1.r: r....., IN 41 5 It P IV It It I L It L little. It V r .# t { , f y t w pS a i of I i'. S ,� tit ^- r Y.,''1 \.'w '•t •+ l 1`� �., • {.. r e } 'i I It4 If L It " j { .. .,. _ .. r'^ C� �!`r� iSS S �1`�'� Y�... l,1St If • i �f �ti �i' : s f { ,1 ,yt� If, �,' I i ... .: -It, I? 1.. �... _.... .. -. .. .... {\\\ .. .. i, �✓ 1. 1 , it l i 4 r• i ' ,.. r .. _ .... q ' � 7t r _f IL - a f _ , ; _ I d �� .; _.. S y ; y i a .' k if ell - Ito ri lyi t e r Y t i , n 1 • ` ' iV i ., v _ t i It RECORD OF INSPECTIONS a w; [^. t'� ti• fLk � �` LlINSPECTOR.'� DATE APPROVED T„ i — g0 ri -1� SETBACKS ............ "—�- �-� i 1 ? I i A1, FOUNDATION L i { ,'� _L Footingl 060 0 1, .`1 '�*L •a� r7 ��R'"`'2\ `�S �\'i ;�.�i Ylall ..' ,...5\+..:: ` �'+ 1 ♦ i I i• I�, t d4 Ik Pier/PorchyA ............. ?. Retaining Wail........ f t. { PLUMBING: S /% j (1T'. ; v Underground .......... tof Rough -In .............. HEATING: Gas Test. 41 a 0 4 6 0 a 0 6 4 1 0 Gas Piping ............ i Equipment ....... lilt CF.................... 3. FRAMING ............... �'� SHEETROCK NAILING':.. SPECIAL INSPECTION ... _ ' FINAL APPROVAL 9 FOR OCCUPANCY .... 3 Wreff F/le qo6q I %i' r V. '! it I '.., . ., •31 ..JJ It