930122.pdfUSE PERMIT
CITY OF EDMONDS ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION joa SUITE/APT#
OWNER NAME/NAME OF BUSINESS ADDRESS 9229 Olympic View Dr
Beryl K. Schneider LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO
ZMAILING ADDRESS
0 9229 Olympic View Dr PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCPApproved ❑
CITY ZIP TELEPHONE NUMBER RW Permit Required ❑
EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑
Edmods .98020 7 7 4 -1 2 6 5 Inspection Required El
Sidewalk Required ❑ O
NAME Z
REMARKS w
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a CITY ZIP TELEPHONE NUMBER
NAME
Kozy Heatinq
ENGINEERING MEMO DATED REVIEW BY
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8223 Sunn side AV N METER SIZE BUILDING SUPPLY SIZE NO. OF FIXTURES
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CITY ZIP TELEPHONE NUMBER ui
o Seattle98103 52 — REMARKS 3
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA SEPA REVIEW ADB NO.
KOZYH**11 0 A — — ALLOWED PROPOSED COMPLETE EXEMPT
Legal Description of Property - include all easements
SHORELINE #
Z EXP
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a VARIANCE OR CU PLANNING REVIEW BY DATE
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SETBACKS — FEET HEIGHT LOT COVERAGE Z
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Property FRONT SIDE REAR Z
Tax Account REMARKS a.
Parcel No. 1 32703-1 -01 5-0002
100111101
NEW 5Q RESIDENTIAL PLUMBING
ADDITION F COMMERCIAL MECHANICAL
REMODEL APT. BLDG. El SIGN
GRADING ❑ FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT
REPAIR CYDS. ( x __FT) L /
DEMOLISH WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT
INSERT El HOT TUB/SPA REQUIRED GROUP LOAD
GARAGE RETAINING WALL/ O YES K
CARPORT ROCKERY RENEWAL REMARKS t7
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC .905 p
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DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Install 55m btu gas furnace in FINAL INSPECTION REQUIRED
garage and 40m btu gas water heate VALUATION FEE
PLAN CHECK FEE
in garage BUILDING v�
HEAT SOURCE: GLAZING
PLUMBING ;
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Plan Check No. MECHANICAL �)
This Permit covers work to be done on private property ONLY. GRADING/FILL
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
2 harmless the City of Edmonds, Washington, its officials, .
employees, and agents from any and all claims for damages of
iwhatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed to
o 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 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/her
ed thereby, no person will be employed in violation of the Labor ONLY THE 9
Code of the State of Washington relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is
lion Insurance.
INSPECTION acknowledged in space provided.
SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT
OFFICIAVAS N R DATE
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CITY OFt
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;crra, fie-�pti� --C�- �EDMONDS
CALL FOR RELEASED BY: DATE
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE %%I-�22� ORIGINAL —File YELLOW — Inspect
IIAITII A FINAI INSPFCTION HAS BEEN MADE AND APPROVAL OR f
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A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC
CHAPTER 3.
102.87
PINK — Owner GOLD — Assess r
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