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USE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
William Keegan
MAILING ADDRESS
7806 Olympic View Dr
CITY ZIP TELEPHONENUMBER
Edmonds 98020 1 775-2117
NAME
IIIIIIII` I ADDRESS
ZIP
NAME
Kozy Heating
ADDRESS8223 Sunnyside Av N
CITY ZIP
Seattle 98103
STATE LICENSE NUMBER
KOZYH**110NA
Legal Description of Property - inCIL
(show below or attach two copies)
TELEPHONE NUMBER
NUMBER
all easements
Tax Account Parcel No.
NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR 1:1APT. BLDG. LJ SIGN
DEMOLISH OR GRADE FILL F1 PENCE x—FT)
CARPORT SWIM
REMODEL EJ GARAGE El POOL
❑ WOO INSERT
❑ RETAROCKERYIG WALL/ RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN
NUMBER OF OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
Install 80m btu gas furnace
Location: basement
r) 0015773
ADDRESS 7806 Olympic View Dr
LEGAL DESCRIPTION CHECKI SUBDIVISION NO. ILID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
APPROVED BY
EXISTING REQUIRED DEDICATION
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑
STREET USE PERMIT REQUIRED ❑
SEE ENGINEERING MEMO DATED
REMARKS
METER SIZE
SIGN
AREA
ENV.
REVIEW
ALLOWED
I PROPOSED I
COMPLETE
I EXEMPT
VARIANCE OR CU
SETBACKS —FEET
FRONT SIDE
Ilri
REAR
REVIEW BY
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REVIEW BY w
.�.a1
UNITS
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ADB NO.
SHORELINE M
DATE
HEIGHT I LOT COVERAGE
SPECIALINSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP LOAD
n YES L: NO
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
Notes. House hard to find.'.' BUILDING
Number on house is 1 8030 ! '. PLUMBING
Plan Check No. 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
a whatever nature, arising directly or indirectly from the issuance
z 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 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 agree to comply with city and THIS PERMIT
state laws regulating construction; and in doing the work authoriz• AUTHORIZES
ad thereby, no person will be employed In violation of the Labor ONLY THE
Code of the State of Washington relating to Workmen's Compensa• WORK NOTED
t' Insurance. L INSPECTION
KSGN TU (OWNER OR AGENT) DATE SIGN
EDDEPARTMENT
TY OF
DIMON S
CALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771=3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102.87
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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.
MW
RE���D ��
LEASED BY: V DATE
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ORIGINAL — File YELLOW — Inspector/ U
PINK — Owner GOLD — Assessor
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Wall ............ • t,r1
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Pier/Porch .............
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Gas Test ••••••••••1.1•. 41
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FRAMING .......... •
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SPECIAL INSPECTION .. .
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