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900862.pdf■ t � r :" . ..: A.1.J �hS SC1 A N 1 V`, • "a.. 1 uln Nhn ...r _J .. ,•. _ � a , I _ � f ? USE PERMIT ZONE NUMBER CITY OF EDMO bS CONSTRUCTION PERMIT APPLICATION JOB ADDRESS 18824 Olympic view Dr OWNER NAME/NAME OF BUSINESS LID NO. LEGAL DESCRIPTION CHECK SUBDIVISION N0. Mary Porter Z MAILING ADDRESS TESCP lc View Dr PUBLIC RIGHT OF7WAY OFFICIAL STREET MAP. APPROVED BY O 18824 Olymp TELEPHONE NUMBER CITY EXISTING IRED DEDICATION _ _-- 9 E, 7 7 8- 4 6 6 0 PROPOSED Z Edmonds Z a W NAME w RIGHT OF WAY CONSTRUCTION PERMIT REQUIREDZ STREET USE PERMIT REQUIRED. a F REVIEW BY Z w 8 ADDRESS r SEE ENGINEERING MEMO DATED U TELEPHONE NUMBER CITY REMARKS NAME Koz Heatin ADDRESS METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS ° 8223 Sunn side Av N U TELEPHONE NUMBER 3 CITY 2 � REMARKS o Seattle 98103 ADB NO. U STATE LICENSE NUMBER SIGN AREA ENV. REVIEW KOZYH**110NA ALLOWED PROPOSED COMPLETE EXEMPT (showDescription elow or attach two copiesjlude all easements SHORELINEq Z � VARIANCE OR CU PLANNING REVIEW BY DATE ' ©" U NEW EFO ESIDENTIAL ADDIALTEROMMERCIAL PT.BLDG• C� REPAIR ❑ EXCAVATE DEMOLISH OR FILL LC� REMODEL GARAGEARPORT WOOD STOVE/ ❑ RETAINING WALL/ INSERT ROCKERY LJ PLUMBING On MECHANICAL ElSIGN ❑FENCE —_� 1 x I� l SWIM 11 RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) Install 75m btu as furnace SETBACKS - FEET FRONT SIDE TYPE OF REAR HEIGHT LOT COVERAGE SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP �3 LOAD 11 YES NO REMARKS PROGRESS INSPECTIONS PER UBC 305 PLAN CHECK FEE BUILDING PLUMBING MECHANICAL low V p eft ONLY. GRADINGIFILL is e t cover work to be done on private property Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc,) will require separate permission. STATE SURCHARGE Permit Application:180 Days ENERGY CODE Permit Limit: 1 Year • Provided WorlS 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 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 PLAN CHECK DEPOSIT L permit, Issuance of this permit shall not be deemed to waive or reduce any requirement of any city ordinance in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE ." I hereby acknowledge that I have read this application; that the ATTENTION information given is correct; and that I am the ownel,itn t t and THIS PERMIT duly authorized agent of the owner, I agree to comply Y on; and in doing the work authoriz• AUTHORIZES state laws regulating constructi ed thereby, no person will be employed o violation of the Labor WORK NOTED Code of the State of Washington relating to Workmen's Compensa INSPECTION lion Insurance, PATE SIGNED DEPARTMENT SIG TURE (OW ER�ORQAGENT/ q CITY OF `�_� 77 I I ' I EDMONDS 0111 771-3202 �S APPLICATION APPROVAL This application is not a permit until signed by the uilding and feesare paidtiandl al or his Deputy; receipt is acknowledged in space provided. OFF/ PDIS3 NATURERELEA 4, ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTILL OR CERTIFICATE INSPECTION OFECOCOCUPANCYE HAS EN MADE BEENN GRANTED. AUBC CHAPTER 3, 102.87 ORIGINAL — File YELLOW — Inspecto U PINK — Owner GOLD — Assessor --•n--� r. t �ili,{t f. Y '... `tom y t:. k i I, i f A .�' R•,. _ i J 11 It I rf i •: €0.4 .. <s It It, Itt � iiMas. y t7 +tY 1 1' rl y r I � l i i a aY�3i _ h 4;aff r IL •5, lei�' 'i t ` w ❑ - r 1�54n1�•Ittlf�4t ! ty a �a R paF iar11i.a `. 4 r Ar It l t%a�� C y! i+•SI Y .� t i I I{ rL - ib•^�'�I 3�a,S�f 7 Y.#Tin i t t i+a srl trh s y.-•114, tr I �x =i5 .+1 +�' I {• 4; { .. sk•�i, � 3F a i ,` tt;l ` ; r . ' t • Y it C �� • T� S *t 1 IL' v ttt,.-. s1t ` s YxrY Syr rIfiL tt It .e. ,!• —•f It 02 r 3F 4 �tl V f lr JT�iiSC++ dlYe rr Ir. a 11 4 C *�"}TYs}Y'r r1 1 14 1 r k I I ta u1+i % (�M at e � '� T •,f y r' Iti 1. t. T .J t �_�" " ii t•.. ' RECORD Of INSPECTIONS ; Date Passed FOUNDATION. House Porches, piers Retaining wrills GilraQe, carport PLUMBING Underground Rough•in Water service HEATING SYSTEM. FRAMING WALLBOARD ITINAL .,rww"U40