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950185 (2).pdfR CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION "1' NUMBER r �� nnaRv - inrll viR all F±RR�ments TAX Account ! LJ—UV Wool RESIDENTIAL l PLUMBING :I II�.IIIl1N COMMERCIAL IF� y nFCAL ❑ Ili:A4tDkt ❑ APT. BLDG. ��jj LJ SIGN NEr'AIR GRADING CYOS FENCE I—K_F ❑t1E'A1011511 ❑ TOVE INSSWIM POOL ❑ HOT T BSPA RETAINING WALU CARInORI ROCKE Y ❑ RENEWAL TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: NttA1RER NUMBER OF CRITICAL OF DWELLING AREAS 1IORIE,; UNITS NUMBER (Ell" TO BE DONPP((�IATTACH PLOT P N) DESC RIB �� ! I O use PERMIT ZONE NUMBER 0SO185 JOB SIOfE ACT . ADo"Ss / c) J / -7 /�/ ✓7..aCr: l 1y ,.�rT) �,O LEGAL DESCRIPTION CHECK SUBDIVIS O'+'+C on +l PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING ._ REGUIRED DEDICATION. —__.--_ PROPOSED ---------- TESCP Approved ❑ RW P—n R-'.,ro ❑ S1 e 1 Use Permit Rep p ❑ 1--l—RepR,reo ❑ S.D._A Repui,e0 ❑ METER SIZE LINE SIZE NO OF FI%TURFS PRV nEOUIRF.D YES ❑ NO ❑ REMARKS ENGINEERING MEMO DATED REVIEWED By FIRE MEMO DATED REVIEWED RY SIGN AREA ALLOWED PROPOSED SEPAREVIEW COMPLETE EXEMPT E%P ADB NO SHORELINE VARIANCE OR CU PLANNING REVIEW BY PAT[ SETBACKS — FEET MEWHT FRONT SIDE REAR LOT COVERAGE REMARKS CHECKED BY 1 I TYPE OF CO STRUCTION CODE UCCUP— " SPECIAL INSPECTOR REQUIRED ❑ YES AREAr OCCUPANT LOAD R MARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED ` PLAN CHECK FEE BUILDING 3 a HCnI tiC1URC" GLAZING /L- % PLUMBING Plan Check NO. MECHANICAL This Permit covers work to be done on private property ONLY, GRADINGIFILL Any Construction on the public domain (curbs, sidewPlks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE r Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1Year -Provided Work Is Started Within 180 Days _ "Applicant. on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE successors In Interest, agrees to indemnify, defend and hold 0 �s 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 T 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 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." J I hereby acknowledge that 1 have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; and that I am the owner, or the duly Q authorized agent of the owner. I agree comply with city and THIS PERMIT "n This application is not a permit until state laws regulate ng construction; and n d ing the Work aLlh.ri,. AuTHORI ONLY THE signed by the Building Official or his/her ED thereby. no per;pww' a employed i viol aeon of the Labor Code of the S r W p ngton �elaling Workmen's Compensa S WORK NOTED Deputy: and fees are paid. and receipt is uon Insur antl INseecnola acknowledged in space provided. - SIG.NAi E .O+'. ^.ER O SIGry D DEPAPTMEVT CITY OF oFFIcIA s SIcrvATURj DATE EDMONDSliCr�� -IL CALL FOR RELEASED By DATE ATTENTION INSPECTION I IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS 13EEN MADE AND APPROVAL OR �� OZ2O ORIGINAL — -e YELLOW — inspeclor A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 10287 PINK — O:.'-Or GOLD — A55eSSO' _.... ......._.. I� tl 0 3 J: a x HE 0 0 y A RECORD OF INSPECTIONS G INSPECTOR DATE APPROVED ..Z - SETBACKS ................... ;1 FOUNDATION: - - Footing .................... ii . Wall. . S Pier/Porch............... Retaining Wall............ - la I Slab Insulation............ PLUMBING: • Underground ............. 7 d _ Rough -In .......... I...... Commercial Final........ HEATING:: -- 2 Gas Test ................. '. Gas Piping................ Equipment ................ n Commercial Final......... ,e k EXTERIOR SHEATHING NAILING ..................... FRAMING .................... ,{ . INSULATION: - Floorinsulation .......... - ,z Wall Insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION...... RADON MONITOR AT SITE . FINAL APPROVAL " FOR OCCUPANCY.......... LIE �Am 0 --- 7771