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940703.pdf
w I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME;NAME OF BUSINESS w MAILING ADDRESS CIT ZIP TTELEIPHONE NUMBER D��.vos 9�Oa6o-©ek457/ NAME I'Mme'.ip gag w v w ADDRESS /sue i0 a CITY ZIP ITEUPHONE NUMBER /�vEl,Ct'V[JE 9�'t�� fib 70 98 NAME V01217/ l.?WS7A'V6 770Ae-' x ADDRESS = CITY ZIP TELEPHONE NUMBER STATE LICENSE NUMBER PYPIRATIM] nSTC USE ZONE PERMIT ZONE NUMBER JOB ADDRESS �/,� i 0 TL LEGAL DESCRIPTION CHECK 940 ri PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved ❑ EXISTING REQUIRED DEDICATION RW Permit Required El Street Use Permit Req'd ❑ PROPOSED Inspection Required ❑ Sidewalk Required ❑ cc METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ 3 1EMARKS t7 Z PjE7 Fr 4.4010 . ENGINEERINrG MEMOPATrE1D j FL?/7 �!GIa REtLI"EC / w cc 0 - 5 SIGN AREA SEPIA REVIEW A013NO. Legal Description of Property - include all eas ents ALLOWED PROPOSED COMPLETE EXEMPT Z SHORELINEM O a / EXP Nr S VARIANCE OR CU PLANNING REVIEW BY DATE w aN� !'y/�`" SETBACKS - FEET HEIGHT LOT COVERAGE _ Lu Property l FRONT SIDE REAR i Tax Account /r3/ P�� Q�� - 911 REMARKS d4 Parcel No. a KNEW RESIDENTIAL EJ PLUMBING/ ADDITION COMMERCIAL MECHANICAL " �v �6ii REMODEL APT. BLDG. El SIGN CJ REPAIR ❑ GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT CVDS. t—x_ il/)Aw,46t rl�/VyfV Q/ GR DEMOLISH WOODSTOVE SWIM POOL yt U V� Imo- ( ` INSERT HOT TUB%SPA SPECIAL INSPECTOR AREA OCCUPANT GARAGE OALOIL REQUIRED LOAD LJ CARPORT ROCKERYG WALL/ Ex FIGNEAWI REMARKSo YES (TYPE OF USE, BU INESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC .305 0 CL L) 6E J . dale Ali ¢ rn Co OF CRITICAL o NUMBER OF DWELLING (/ M AREAS CO STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED L PLAN CHECK FEE VALUATION TFEE HEAT SOURCE GLAZING BUILDING :I PLUMBING Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. GRAOINGWILL Any construction on the public domain (curbs, sidewPlks, 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 a y Successors in interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, Q employees, and agents from any and all claims for damages of i whatever nature, arising directly or indirectly from the Issuance of this permit, Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT omodify, waive or reduce any requirement of any city ordinance x 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 information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to Comply with city and state laws regulating construction; and In doingthe work authorize THIS PERMIT This application is not a permit until AUTHORIZES pp 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 lion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGN URE (OWNER OR AGEN -.J�PAIE St 1 DEPARTMENT CITY OF of I IAt�s,tsl� r�aTURE / DATE / Yl � IM .� /1. � EDMONDS CALL FOR INSPECTION i u ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTORE UNTIL A FINAL INSPECTION HAS SEEN'�A[>>_ A•;Q APPROVAL OR LEASED BY f "' • tgv A ..v `'1...-.+ice-.. -•-••4..-I^wro. �. .. � � ! . � . .. _.� RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS.., . FOUNDATION: Footing".,,", ........... Wall,,,,,, Pier/Porch,., . Retaining Wall....,....... Slab Insulation. PLUMBING: Underground ............ . RoughAn ................. Commercial Final ........ HEATING: Gas Test ................. -Gas Piping ................ Equipment, Commercial Final......... EXTERIOR SHEATHING NAILING .................... FRAMING ..................... INSULATION: Floor Insulation........... Wall Insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... 7-INAL APPROVAL .wOR OCCUPANCY, I£