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920426.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS , r .�- ZIP TELEPHONE NUMBEI 04 1 Auk 4? =- e,iA14-- / 1%77YY q -IJZZZ 3 I Ilion of Property - include all easements or attach two copies) , I A,i L Tax Account Parcel No ' �� •-..l. Gam, arL1 KINEW I�-7-,/�� IA! RESIDENTIAL PLUMBING ElADD/ALTER D COMMERCIAL 4e�n-�11 MECHANICAL REPAIR APT. BLDG. L, SIGN DEMOLISH ® OR GRADE FILL ❑ 1 ENCE K—FT) REMODEL E] CAR GARAGET El wim S00 ❑ WOO SERTTDSTOVEI ROCKERY r--j RETAINING WALL/ ❑ RENEWAL (TYPE OF USE.BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF STORIES (d_ 'NUMBER OF ( DWELLING I PERMIT 4. NUMBER SUITE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP 2— APPROVED BY Al EXISTING O REQUIRED DEDICATION !o PROPOSED *0 RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED O STREET USE PERMIT REQUIRED ❑ SEE ENGIN E�NG E���� M0� � Z REV! dlq'f REMARKS f,1 �- U 16 • w (I— I W,��Qli I Irdl l'�I%1 fC f7IIJ4 �4105? iS �✓r I?EDIu EvN METER SIZE BUILDING SUPPLY SIZE IFIXTURE UNITS varr I %" I SIGN AREA ENV. REVIEW ADS ALLOWED PROPOSED COMPLETE EXEMPT — /^�SHOR ✓ALL. v / / mv FFRONT — FEET /'' , HEI,ONH LOT C,O,V.E(RyA SIDE �'J REAR PAI �IL �tv 5r`7�� CH)r.CKED Y TYPE OF CONSTHuc 110ry �11 —' r• SPECIAL INSPECTOR E IRED AREA OCCUPANCY GROUP f%� OCCUPANT LOAD YES L"NO 1"\ EMARKS PROGRESS INSPECTIONS PER UBC 305 0 m ",JI UNITS t NATURE OF WORK TO BE DO E (ATTACH PLOT PLAN)4,7 ICJ •. ID 7-1,V FINAL INSPECTION REQUIRED �„j VALUATION FEE VF� p J. GC/ M IeasS PLAN CHECK FEE S�G> rgPGGs LiY IJ1cTt�z K14t.sFJ JOE BUILDING / �/ Z /-113 PLUMBING S Plan Check No. h ? MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, Ar�� driveways, marquees, etc.) will require separate permission. STATE SURCHARGE f Permit Application: 180 Days���� u_p?� Permit Limit: 1 Year •Provided Work is Started Within 180 Days !J1'tMIS - t2i ` "Applicant, on behalf of his or her spouse, heirs, assigns and v f { L N successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, �� df /� 12 employees, and agents from any and all claims for damages of a whatever nature, arising directly or indirectly from the Issuance PLAN CHECK DEPOSIT of this permit. Issuance of this permit shall not be deemed to j modify, waive or reduce any requirement of any city ordinance i 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. 1 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- AUTHORIZE$ signed by the Building Official or his 9 e thereby, no p son will be employed in violation of the Labor ONLY THE WORK NOTED Deputy; and fees are paid, and receipt is Co of the S o Washington relating to Workmen's Compensa- acknowledged in space provided. lion suthe a SI T RE (OWN R GENT) DATE SIGNED INSPECTION DEPARTMENTJ OF I RYE ` CITY OF EDMONDS !' CALL FOR RELEA O a DATE ATTE TION INSPECTION IT IS FINAL I TO EGTION HBE OR OAS BEEN MADE CCUPY A IANDNG OAPPROVALUOR 771-3202 UNTIL A RE ORIGINAL — File YELLOW — Inspect( A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC f©�7��i9� / -7 7 PINK — Owner GOLD — Assesso✓ CHAPTER 3. %% 102.87 ..- ,,.. ! 'r~;,' L�.,.>.�, �. .'T,'cu.,�♦ '^�v.=sneuVa w,wn..�;7'�:'Z:..a .,_r»ss. .s-.N--:,,..._.- ,...�,.. � 1, i itlI i '•ti 'itf Y F' �I�e� ax! � fry , f Li'7.�►�1". ' Gott loL�t+b7� ? a�� w� ram' ��'� 1'�r�•'e „�' ti � �, ,. t' a 3 r � 1 i RECORD OF INSPECTIONS j s ICY • ,4�,j ,.INSPECTOR DATE APPROVED i f�r •�;;, f i gr SETBACKS .............. FOUNDATION • f f"� ` y t s Footing ............... , yy Wall. hot. fle4Ue{�' Pier/Porch . Retainingri PLUMBING: /ti3 a Underground .......... Rough in OF ........... ........ , i:�\. � .. , .. C��°iC�ft`r�C� {• t, HEATING: Gas Test.'... 1 ` . ........ Gas Piping.........,. .. o inr+ 1 f+� Equipment ............. ;• !'1q x lirYt,9 OF ............... . .... t I a i 1 t rni�'l; FRAMING ............ u , _ t � SHEET -ROCK NAILING, i. SPECIAL INSPECTION �� „'.�� ,...� } ry tI ?om ?., ;r-nil. n{ tan>. C, j FINAL APPROVAL FOR OCCUPANCY .. vltr iialfrn oinl . , :,1 , II :ti 4f1 Ater