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940225.pdfti Y rn USE CITY OF EDMONDS ZONE PERMIT NUMBER 9�Qsnw�J CONSTRUCTION PERMIT APPLICATION JOB 117E APT n O ER NAME NA E F BUST SS ADDRESS t 1 LEGAL DESCRIPTION HECK SUBDIVI ON r LID NO ur IN ' R SS z ��77 1t ry� O /�qyy\t1 "�'v PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved ❑ gU�� TELEPHONEN�MflER' RWPermit Permit A ❑ /10 l•J•'l/�/�^J+IC7 IS REQUIRED DEDICATION Street Use Permit RegA ❑ w PROPOSED Inspection Required ❑ NAME Sidewalk Required ❑ o� METER SIZE LINE SIZE NO OF FIXTURES PRV REQUIRED a Lu ADDRESS YES O NO ❑ = REMARKS Z U ¢ < CITY ZIP TELEPHONE NUMBER w 2 Z 2 E � w 1 ¢ AD RESS v© ENGINEERING MEMO DATED REVIEWED BY r ZIP ELE HONE NUMBER NUMBER ///��� O /� aC y C/D� FIRE MEMO DATED REVIEWED BY w U 1. l (J ¢ TE LICENSE NUMBER E%F T N DATE a: L'N/ v V N SIGN AREA SEPA REVIEW ADB NO Legal Description of Property - include all easements ALLOWED PROPOSED COMPLETE EXEMPT 2 SHORELINE M O Q. EXP Fr Q. VARIANCE OR CU PLANNING REVIEW BY DATE L) LLl O a SETBACKS —FEET HEIGHT LOT COVERAGE Z z ui Property FRONT SIDE REAR a Tax Account ` REMARKS Parcel No. a � _ NEW L_! SESIDENTIAI El PLUMBING ADDITION 1:1COMMERCIAL El M MECHANICAL REMODEL 1:1APT. BLDG. El SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT REPAIR1:1 CYDS. ,. J 07 / GRO P WOODSI. x _FT) r/�� DEMOLISH 1:1INSERT TOVE HOT TUB SPA POOLSPECIAL INSPECTOR AREA OCCUPANT REQUIRED LOAD GARAGE a RETAINING WALL/ YES CARPORT ROCKERY RENEWAL REMARKS IL o IT OF USE.e SINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 s a ` y .� U tD W NUM ER NUMBER OF CRITICAL a OF DWELLING AREAS W STORIES I UNITS NUMBER DESCRIBE WORK T BE DONE (ATTACH ZPLAN) SPECTION REQUIRED VALUATION 7FEE PLAN CHECK FEE BUILDING HEAT SOURCE GLAZING 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 "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE N successors in interest, agrees to indemnify, defend and hold u, 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 = of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT o modify, waive or reduce any requirement of any city ordinance o nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 5� / provision." 1 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 ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her C de of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is on Insurance and RC 8.27. INSPECTION acknowledged in space provided. IGNA RE (OWNER OR GEN DATE SI NED DEPARTMENT n L CITY OF OSI N UR DATE FFICIA EDMONDS � J �Iy ATYENTION CALL FOR RELEASED BY DATE INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 0220ORIGINAL — File YELLOW — Inspector II A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC p CHAPTER 3. PINK — O:'.'er GOLD — Assessor IO2-a? e • N 1 ram...... .... »..•..� u•..... � ... m. «... ,� • � M (.m.la+nnrrr�i T.fM`�•• n� t y.�•.y..a t'a+lr•ti'wlrlr4� , _ .... .. ..... .. r r _...1. Z.r .... ...-1 �• .+•'�"•. _..y Via• ..�.. r .y,._ •wwrw• f .rra r•.�a..r'p�� r ,r 3 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS...,,,',, FOUNDATION: Footing. . Wall......................• Pier/Porch,............... Retaining Wall............ 1 Slab Insulation............ _.l.. PLUMBING: Underground., ... ...... . Rough -In ................. Commercial Final ........ "''' to HEATING: Gas Test ................. r .,�. Gas Piping...... 5 , Equipment ............... . Commercial Final......... EXTERIOR SHEATHING NAILING.. . . . .. . . FRAMING .................... ;';: i INSULATION: Floor Insulation .......... Wall insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... ' SPECIAL INSPECTION ...... RADON MONITOR ATSITE. '-- FINAL APPROVAL FOR OCCUPANCY.......... —� • 3l XA40oZ2Y 10 I