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950210 (2).pdf■ CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME NAME OF BUSINESS le, 5 LVnvC. A CQAI-TF_R M 1 !-AEAGC!• MAILING AOPHESS 5UL>j NAPkC_ VtE_UW pR%UIL f $c,ti ZIP TELEPHONE NUMBER F�•M ' i%DS cl`? lo— 7T t QZI`I NAME W All P,cC_ CA i•j ADDRESS @RLAI`J'0 Po/rv� RcPt7✓v� 3839 CITY ZIP IELE PHONE NUMBER ��; 9!'�31 W3'77-2_066 NAME / �p�.n h— ✓% t� �`r ADDRESS USE ZONE / PERMIT .9 50� NUMBER JOB SUITE Ai ADDRESS J We c•✓ /--w— .EGAL DESCRIPTION CHECK SDBDIV,SION NO LID r, _ �_ S PUBLIC RIGHTAF WAY PER OFSTREET I�AP TESCP App+nrea ❑ 1/f�(/ iYS RW Perm:t Repinlen ❑ E11STINO _,_.__FEOUIIIEO DEDICATION Snoe1 U>e P.-I He, d ❑ IxJ-Ym. Infpecllpn P.e91+'reR PROPOSED .__._L"CLvF{_Ge..-_.._......__- Sid—Ii, Repuece ❑ TEN /r LINE. SI//JIL NO Of FI%tURES PRV REOUIIi[O � � ���is .L YES N(1 ❑ REPAR no a � BY 1 STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW A NO Legal Description of Property[ -include all easements ALLOWED PROPOSED COMPLETE / A VLF LOT 1 3. (Lc CK g ED�u U.A�'p i .q CT9 JE�E.Pl _ V $H RELINEA G o %. E%P L n V 0L 3 +GF 5. -I G4 rp` L r VARIANCE R CU IN VIEW BY ATE' N- tXD C1 J �Nck-kS g,A GovVN WASH• /A iaO LOT 7-1 Lr-kL I lop F: L� Qiil pCc„F`��+�2e VOL 4Lj��(•g7cj SETBACK -/FEET HEIGHT LOT OVE A E 3 w54A P E<L7ti`J. FRONT �) SIDE REAR ` � a Properly ['• J �_-C,(Y1fh L. d1� Pe Y V GO"2-- Tax Account Parcel No. 5ti5t— ,<5 y.'•b::Z—OIU REMARKS I ® ® ® NEW RESIDENTIAL PLUMBING ADDITION El COMMERCIAL MECHANICAL REMODEL APT BLDG. �© L J SIGN ,/ Cyr c99/P 0Z I GR FENCE REPAIR M cy OS (_K_Fn CHECKED BY TYPE OF CONSTRUCTION CODEN-f G iCOUP NT © DEM1�VI531 w a INSERT E El HOT TUB/IM b'PA SPECIAL INSPECTOR REQUIRED AREls / Z A UPANT ❑YES / /L z%O //[.`/SJ<O ❑GARAGE ❑RETAINING WALL/ ❑ X BARPOT ROCKERY RENEWAL REMARKS _ g (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 r p NUMBER �. I NUMBER OF CRITICAL L•MC/7� /�.y�7� /�J��/�� o lF T(j.c1�i A••N>++1 10 STORIES DWELLING VN'ti (UNIT$ JAREAS NUMBER �-�p /(S %LFO�r .Oy IY.r�� DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) .[', y�,�`/J -7'- /V /�� p � (,1/• F /A• J DA +E. lDNS,T,E//Lj SF/ .�V/CK FINAL INSPECTION REQUIRED 236 ds VALUATION FEE PLAN CHECK FEE z Z BUILDING 7 � 03— /w' v HEAL SOURCE GLAZIN{Gp� �1 /J IN, PLUMBING /Z Plan Check No. C �� _ j MECHANICAL 76 This Permit covers work to be done on private property ONLY. GRADINGIFILL 34 Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE r �(� Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalI of his or her spouse, heirs, assigns and ENG. INSPECTION FEE II'' V N successors in interest. agrees to indemnity, defend and hold w harmless the City of Edmonds, Washington, its officials, -j aemployees, 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 �- 7a _ ! modify, waive or reduce any requirement of any city ordinance T nor limn in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." = i I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL,h. t 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 fz state laws regulating construction; and in doing the work AUTHOR HE THE signed by the Building Official or his/her .,, vol he Labor ed thereby, no person will be employed in violation of the Labor ONLY wOAK NOTED Deputy; and fees are paid. and receipt is Code of the State of Washington relating to Workmen's Compensa- acknowledged in space provided. lion Insufance and RCW IS 27. SIGNATURE OR AGENT. DATE SIGNED INSPECTION DEPARTMENT iOIVNER c, . VWl Itli i+J CITY OF EDMONDS OF IAL$ IGNATURE DATE DATE ATTENTION CALL FOR INSPECTION LEd IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 �O��V ORIGINAL - F:.e YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC+ // CHAPTER 3. PINK - O.L car GOLD -Assessor 102er < O- rl 't...., �. 2 .X lu L, C 0 L RECORD.OF INSPECTIONS INSPECTOR APPROVED .dDATE ��p SETBACKS .............0 O FOUNDATION: e=v ti .................. F000ting C Zf 2 • 5':r Wall .................. ` y S e9 Pier/Porch ................ Retaining Wall....... S Slab Insulation ............ . PLUMBING: Underground ............. o Rough -In ................ Commercial Final........ HEATING: a Gas Test_....... _•'S �l� Gas PipiPg:..... I.......... .. .. - Equipment ::............... Commercial Final......... EXTERIOR SHEATHING NAILING ... yeQ. FRAMING ..��.Q.INSoInOSNlation .......... ��� FI Wall Insulation ........... Ceiling Insulation......... AfK- SHEETROCK NAILING... — SPECIAL INSPECTION ...... i RADON MONITOR AT SITE. FINAL APPROVAL i I' FOR OCCUPANCY......... ' AB -�G ! tD t'ukrZ�i Uy SLiZv wfe 7, ro imp"] • � �,�,�D � GOLAn� A 2x2 sr+?t�E W/�P 7'�hnfiE� AIW u'SGAP s/a m t1o�C �ilrri'Vi4T1 p^/ 13 110 I� �� ltl� GN �•n °' a 8-I!" th - 1$4 r f lI 5 l 2 J A EN 0 2 X �.