920430.pdfff
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS S(
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w MAILING ADDRESS
CITY �ZIP TELEPHONE NUMBER
�C1 t',t vF q OS 17L�.u%
NAME Z
ADDRE3
U CITY ZIP ITELEPH E NUMBER
�J Jn"I&I?a1611
NAME
Gcc ,���- Gv.1-I
ADDRESS
10 .Sod �S 7&
CITY ZIP TELEPHONE NUMBER
0 Id te,�D 1 �� _ ny\ �
STKTE LICENSE NUMBER EXPIRATION DATE
C� �E—
Legal Description of Property - include all easements
ZONE
!✓
ADDRESS
PERMIT
NUMBER
Hot
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
DDnonccn
REMARKS
DA 4000J 4
SUITE/APT q
TESCP Approved ❑
RW Permit Required ❑ 1
Street Use Permit Req'd ❑
Inspection Required ❑
Sidewalk Required ❑ a
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All
ENGINEERING • DATED I
BUILDINGMETER SIZE • OF
17
I'.
SIGN AREA
•
ALLOWED a PROPOSED
rrupeny
Tax Account eoc)4d
Parcel No. /
NEW RESIDENTIAL PLUMBING
ADDITION L� COMMERCIAL MECHANICAL
REMODEL APT. BLDG. LJ SIGN
Gir�pIG� ❑ FENCE
REPAIR CYDS. ( X_FT)
SWIMPOOL
DEMOLISH NSERTTOVE ❑ HOT TUBSPA
GARAGE RETAINING
CARPORT ROCKERY WALL/ ❑ RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) _ •
s19le
VARIANCE OR CU
SETBACKS — FEET
FRONT SIDE
m
Y912:1
EXP
PLANNING REVIEW BY DATE
REAR
HEIGHT I LOT COVERAGE
LI
SPECIALINSPECTOR AREA OCCUPANCY OCCUPANT
REQUIRED GROUP D LOAD
❑ YES h
REMARKS
PROGRESS INSPECTIONS PER UBC 305
44 / / Jam/ j� PLAN CHECK FEE
v��� "" BUILDING
HEAT SOURCE: GLAZING 0/06 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
STORM DRAINAGE FEE
Permit Limit:1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE
,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
=
whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed to
0
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 ATTENTION
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
state laws regulating construction; and in doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed in violation of the Labor ONLY THE
Code ofthe State of Washington relating to Workmen's Compensa- WORK NOTED
tl n In rance. INSPECTION
SIG A RE IOWrEOR A T) DAY GNED DEPARTMENT
r CITY OF
C�✓ }� Y EDMONDS
firCALL FOR
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 771=0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102.87
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
I£IAL'S SIGNATURE DAZE
ELEA IIIDAT
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ORIGINAL — File YELLOW — Inspp9ctor
PINK — Owner GOLD — Assp Sor
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11
8344 Olympic view Drive, Edmonds, VA 98M
�IN`iEi SUS
ENGINEERING
• SURVEYING
/ / PO (206rTS62 (�2003)��
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j LEGAL DESCRIPTION
Tax Parcel # 182704-1-009-0004
8344 Olympic View Drive
The north 202 feet of the following described tract:
j All of vacated Block 15, First Addition to the City of Edmonds together
{ with the south 1/2 of vacated Belmont Ave, the north 1/2 of vacated
f Elwood Ave, and the west 1/2 of vacated Exeter St between the
centerlines of Belmont and Elwood Avenues vacated adJacent to said Block
15, and the vacated alley through said Block 15.
13/LGL.18.2704.01
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I" = 200,
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