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940297.pdfM 4 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER RN�Nf1ME NAME OF BUSINESS J ZIP I T 26 NAME CITY ZIP ITEL NAME /L ADDRESS CITY ar It STATLICENSE NUMBER .t/v�r�frvrl� of 2 2 Legal Description of Property - include a Property Tax Account ��-6 S6 ao 2Z2/ Parcel No. , NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL APT.BLDG. GRADING REPAIR CYDS. DEMOLISH ❑ INSERT OVE INSERT ❑GARAGE ❑ RETAINING WALL/ CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN w ZONE PERMIT /� © ZONE NUMBER 9 4CA✓17 JOB SUITE APT to ADDRESS Ie26 / jie , , C I/i C� D2 LEGAL DESCRIPTION CHECKI SUBDIVISION NO I LID NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP PHONE NUMBER EXISTING _ — REQUIRED DEDICATION . 7/ � 5'y 7 PROPOSED METER SIZE LINE SIZE NO. OF FIXTURES I:p1S17 . NE NUMBER Z I 1ION DATE L0J lJ PLUMBING WMECHANICAL n LJ SIGN ElFENCE (_ X FT) SWIM POOL HOT TUB/SPA 0 RENEWAL NUMBER I NUMBER OF I CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) Z 174�ICH / Aa_ dv�T� A�P� 9 4�Ss / REMARKS MEMO DATED TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Req'd ❑ Inspection Required ❑ Sidewalk Required ❑ w PRV REQUIRED a YES ❑ NO ❑ 3 0 Z Fr w Z SIGN AREA SEPA REVIEW ALLOWED t PROPOSED COMPLETE (EXEMPT VARIANCE OR CU SETBACKS — FEET FRONT SIDE m EXP I PLANNING REVIEW BY REAR 0 Z w REVIEWED BY REVIEWED BY w cc u. ADB NO 1 ;HORELINE It DATE HEIGHT I LOT COVERAGE M94 REQUIRED I ❑ YES REMARKS PROGRESS INSPECTIONS PER UBC 305 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 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 u 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 (� i whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT 0 of this permit. Issuance of this permit shall not be deemed to J 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." 1 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 �VOCNLY THE NOTED Code of the State of Washington relating to Workmen's Compensa- tion Insurance and RCW 18.27. INSPECTIC04 SIGN %VNER OR AGENT) DATE SIGN ;� 6� DEPARTb1E'iT Lip/ G CITY OF EDMONDS CALL FOR ATTENT10f4 INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ��� oA�o UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 1 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. OCCUPANT LOAD 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. OFFICI AT RE DATE ;ELEASEC BY DATE ORIGINAL — Ftie YELLO:'! — Inspector PINK — O..�er GOLD — Assessor c O z_ Z Z a J a 4 N t. . •.. t.. i . . f IN NO 6 IN IN i ♦ '. 61, u IN IN RECORD OF INSPECTIONSI IN I IN INSPECTOR DATE APPROVED :1. SETBACKS ................... ,_. •,,:,> IN FOUNDATION: Footing . 61......111....... . Wall ....................... ,1 { Tit I Pier/Porch ............. . IN 11 ;• IFIN I I"'.; Retaining Wall............ f 1,' 1 f Y {LitIN I+.. Slab Insulationti ........... . PLUMBING: ;h Underground ............. 'A IN Rough -In ................. Commercial Final ........ i 1 .yfv HEATING: Gas Test ................. It Gas Piping ................ Equipment............... . Commercial Final......... ,. {: EXTERIOR SHEATHING t NIL, NAILING .................... FRAMING • . .. • ... • .. 1IN INSULATION: (. Y ., Floorinsulation .. 6 1 .1.11 :''I` Wall Insulation ..;...A.A.. i , Ceiling Insulation......... . ,i'.L .• SHEETROCKNAILING ...... „i•. It , �� :i.- SPECIAL INSPECTIONI IN ...... d. � ii w• RADON MONITOR AT SITE. IN I IN �+.+. FINAL APPROVAL FOR OCCUPANCY .......... ��i1%� -