Loading...
930721.pdf1 usE ram} CITY OF EDMONDS ZONE PERMIT NUMBER e' /�.. CONSTRUCTION PERMIT APPLICATION JOB SUITE/APTa OWNER NAME NAME OF BUSINESS ADDRESS kip,L _ M i9okk LA A� 3TL /.j 5O/) LEGAL DESCRIPTION CHECK SUBDIVISIONNO � LID NO w MAILING ADDRESS //�'�' O Jl OVjfK" 1C PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER �r) n n ed n EXISTING (49 REQUIRED DEDICATION. RW Permit Permit R M IJJ 1 hM iry� i LG � 71 3- 9` 2 l Street Use Permit Req'd ❑ I ME / Inspection Required PROPOSED Sidewalk Required ❑ NAME �i F 'T V44 Pj 0 VRA METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED c; ADDRESS 3 U I �"( I S'}' �Z�/1I% �� REMARKS YES ❑ NO ❑ FE CITY ZIP TELEPHONE NU BER ` W 5i8A GT.-1.= 19 S�IQ�f Zz3.5�to�`�G'7 r;'�'3G= OOF Z NAME � Cr ADDR� O ENGINEERING MEMO DATED RE IEWED BY CIR TELEPHONE NUMBER Z �2 Lf eI _ y w Z FIRE MEMO DATED REVIEWED BY W U0- krt ✓✓ STAT ICENSE NUMBER EX IRA � A E u- * 3/ SIGN AREA SEPA REVIEW A NO. Legal Description of Property - include all easements ALLOWE/, /� ,,D / PROPOSED COMPLETE EXEMPT l� / /L Z S i Af6- L-� �i4, tM 1E_ �� SHO ELINE 4 O VVV EXP X a. a U VARIANCE OR CU L NING EW BY DAT V"R3-123 SETBACKS — FEET HEIGHT LOT COVERiAi ? w Property r /_ FRONT SIDE REAR 25 I lv D Tax Account \ S l(�' O 2 (� ` O REMARKS Parcel No. �/ a NEW © RESIDENTIAL 1:1PLUMBING ADDITION COMMERCIAL F MECHANICAL r p REMODEL 1:1APT.BLDG. El SIGN �✓`I�'I�� T �~ �����G�� ��L� GRADING FENCE CHECKED BY TYPE OF CONSTR CTION CODE OCCUPANT REPAIR El ( x_F7) G OUP CYDS. DEMOLISH a INSERT SWIM PO SPA SPECIAL INSPECTOR AREA OCCUPANT REQUIRED 11 YES LOAD ® e+�RRQaL- ROCKERY GARAGE F7 RETAINING WALL/ ❑ RENEWAL REMARKS O a (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 0 a 64KA ism a rUj n NUMBER NUMBER OF CRITICAL G , �i�r Fic,ES m 6TORIES I UNITS DWELLING t )AREAS CRIB A�3 NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE /HEAT S� � /� GLAZING BUILDING �,r %� �7 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 STORM DRAINAGE FEE 3!� "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE in successors in interest, agrees to indemnify, defend and hold j harmless the City of Edmonds, Washington, its officials, s employees, and agents from any and all claims for damages of a whatever nature, arising directly or indirectly from the issuance �7D M 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 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 state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance nd RCW 18.27. INSPECTION acknowledged in space provided. SIGN R I VNR OR AGENT) DATE SIGNED DEPARTMENT OFF) IALS SIGNA URE DA E 7-'73 CITY OF EDMONDS /° /1 � �� CALL FOR ELEASED 13YV I DATE ATTENTION INSPECTION /� f IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 022® UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771- ORIGINAL — File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102•67 Y i tyt f y. f 3 p-v m OLYMPIC VIEW DRIVE - = `5D �z r ILA �F cA � 3 p�•r`�N1iT COUN, •„ -------- 11R v v r N S O Q. -- c EXIST. SHOULDER o m m m NEW (a *01 En •---\\\\\\\ \\\\\\\ \\\\\\ \\\\\\ \VG\\\ I�•���� �� + 9860 0 to • IIwIIIIIINN • \� z X O O Z �7 y o N to Z N O D 2 2 to n Z > g co a 5 I 88.0,—�----- 88.0' 44 86.0'- 88r0' N rn c g 84.0' '^ 82.0' s 84.0' 80.0' -, 78.0' or to o 80.0'- �,�_\ 78.0 = _ _ 1 tt; BURLINGrpN N� :� , ;. t -. ;,