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940458.pdfV • 1 . r,� R CITY OF EDMONDS USE PERMIT ZONE CONSTRUCTION PERMIT APPLICATION ` Z NUMBER 4 404591 JOB SUITE/APT a OWNER NAME NAME OF BUSINESS ADDRESS a� / 'no / IK�-os O7� LEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO ,Y ZLMAILING ADDRESS //¢��j O ! 2 �:Z ( v , PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ CITY ZIP TELEPHONE NUMBER RW Permit Required ❑ 7. EXISTING REOUIRED DEDICATION.Street Use Permit Req'd ❑ ," 'G7O PROPOSED Inspection Required ❑ NAME Sidewalk Required ❑ METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED w ADDRESS YES ❑ NO ❑ �- Z = REMARKS ? U a CITY ZIP TELEPHONE NUMBER Z NAME ADDRESS p ; /�f /J �/7� ENGINEERING MEMO DATED REVIEWED BY 0 4 (�tY�/L/1CITY n TELEPHONEK/ S�� FIRE MEMO DATED REVIEWED BY w U STATE LICENSE NUMBER % EXPIRATION DAT 9aA J SIGN AREA SEPA REVIEW ADB NO Legal Description of Property -include all easements ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE M o �K oo l t -C)z S4Sf1' of X) /, EXP U n A j1p © i . _ ( , /P7 t ,'}�rQZ yr; VARIANCE OR CU PLANNING REVIEW BY DATE H �J (�J r "j SETBACKS —FEET HEIGHT LOT COVERAGE Z w GCJ / / �[ (A� ✓ !/ FRONT SIDE REAR g Property n Tax Account �� -- �{� �-' D Parcel No. 2 O� REMARKS NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL j MECHANICAL El APT. BLDG. SIGN GRADING FENCE CHECKED BY TYPE OF CONSTRUCTI N CODE OCCUPANT REPAIR CYDS I. x_FT) / LogGROUP DEMOLISH WOODSTOVE SWIM POOL SPECIAL INSPECTOR AREA OCCUPANT INSERT HOT TUB/SPA REQUIRED LOAD GARAGE RETAINING WALL/ OYES CARPORT ROCKERY RENEWAL REMARKS o PROGRESS INSPECTIONS PER UBC 305 Z (TYPE OF USE. BUSINESS OR CTIVITTy) EXPLAIN: 012k�S l�vta�ra dt� w NUMBER %� () NUMBER OF CRITICAL i z�i T AREAS STORIES OlVe. UNITS DWELLING NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) �`�-� FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE BUILDING HEAT SOURCE ^ GLAZING �(Y✓ 9 O o/a 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 tn successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, m 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 modify, waive or reduce any requirement of any city ordinance j 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 b the Building Official or his/her ed thereby, no person will be employed in violation of the Labor ONLY THE 9 Y 9 Code of the State of Washington relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIG UREr)o WNE(TOR AGEIT) DATE SIGNED DEPARTMENT ' I I CITY OF OFF S NATURE DATE EDMONDS CALL FOR ELEASED Ov DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE �r� 1 OZA® UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 1 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — 01.vner GOLD — Assessor 10247 u L `\.,;h-+I+....r..��+��T..+.T.�.,..•�.�iT•�i�T+TT-�r••�.T• r�t'•�Y.r'+' r. • r-- - u•:. •—r•-�+t..�+.w.+.. .t.. �.. r. , 0 o w rm �m"0 m 9 0 rt ►Nv w tzp He o rt n om x� o coo 0 Etna wN W n N •• V O f�"t I rt 1 kO rt n V O M co rt Oo O C w M• 00% o rtW p 0 o a rr+ rr m o� m m .10 N n' b m m.• C M M OQ H m a M n Q V w y m ..� W W ~ H O H �7 � a H C7 •• 6 k ✓ He IV% Vi 0" `�1 O 00 p o a OQ N El m (� we r4 Z is to O m 00 ♦J•• N F- %D `4 t-J O ' tw m C2 s'S 0/ Ll ft up Woe b 0 Y to it 4 "terr4 A 1 ( - qq t) t rK.rt, •�` .... Y.�`, n_N .,+tY ,rtiI,ipr (ram•-t...---. ..;�:• 4 4 f{ aM rf l �n .!. 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'..r 14.4 �.k .! • r ti `Order No. SNO 40972 AeLsToA COMMITMENT 101, SCHEDULE A Page 2 '" The land referred to in this commitment is situated in the county of Snohomish, state of Washington, and described as follows: The south 95 feet in width of the north 190 feet in width of Lot 1 in Block 1 of Admiralty Acres, according to the plat thereof recorded in Volume 12 of Plats, page 48, in Snohomish County, Washington, described as follows: Beginning at a point on the west line of said lot lying due south thereon 95.02 feet from the northwest corner of said lots thence continuing south 85.02 feet; thence south 88053116" east parallel with the north line of said lot 174.94 feet; thence north 037055140" east 29.97 feet to intersect the east line of said lot at a point on a curve from which the center lies south 74022/120 west and 1880:10 feet distant; thene northery along said curve to the left through a central angle of 2016826" an arc distance of 74.62 feet; thence north 88053116" west 176.84 feet to the point of beginning. 1 END OF SCHEDULE A w E,. f •, r.. r.► -1�.�r lYt10lCRfllTr.r�p"� .".+•wr rq . uYy nrF n .i+ .z \_ OFF t t SE FC Pt H TO PER WITTEE AND/OR OWNER ❑ PARTIAL APPROVAL VIOLATION ❑ CORRECTIONS REQUIRED PERMIT NUMBER JOB ADDRESS NO PERMIT — STOP WORK — REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS, ❑CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS AND PERMIT — STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. ❑ CONTACT IP:SF AND APPOINTMENT, ❑ RECALL FOR INSPECTION. ARRANGE FOR APPOINTMENT. r 94 f THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN � DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. E FOR E IONS CALL: 77141"a. njA 02.W UfT BUILDING DIV. Fix 0 F I SPECTOR ❑ PUBLIC WORKS 11 CITY OF DATE ❑ FIRE DEPT. EDMONDS nuut mouiauvii .......... Wall Insulation Ceiling In"sulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... l.. RADON MONITOR ATSITE. I FINAL APPROVAL C q FOR OCCUPANCY.......... �r G�� (p Pic 1