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950220 (2).pdfm n C ZOE PERMIT CITY OF EDMONDS ZONE _ NUMBER 550��20 CONSTRUCTION PERMIT APPLICATION JOB ) SU, OWNER NAME NAME OF BUSINESS ADDRESS / �) / YV irl /� // �' i e 1 / �.:•' - 790 iy ZIP TELEPHONE NUMBER 00A W I I 9�jU7 � p osy 3 4ME Ty ZIP TELEPHONE NUMBER *0 ), 17 1 060 -2 STATE LICENSE NUMBER EXPIRATION DATE RRor FRG/ off in• f • 4,15- _egal DescripItion of PIroperty - include all easements SPill-I r<Y 31.T Ot BIk 01. R-6I• I -4 q I u NEW U RESIDENTIAL U PLUMBING ADDITION El COMMERCIAL MECHANICAL I REMODEL APT. BLDG. �0I LJ SIGN GRAOWG FENCE REPAIR � LY05 t_K_F I�DEMOLISH ❑ WOODSINSERT ❑ HOTM POOL TUB/SPA WALL/ IJRETAININGGARAGE CARPORT I� ROCKERY ❑ RENEWAL (TYPE OF USE B SINES OR ACTIVITY) EXPLAIN. NUMBER OF ^�/ NUMBER OF DWELLING I CRITICAL AREAS �.•.•ZF. STORIES �\ UNITS NUMBER 7 DESCRIBE WORK TO BE OONIS(ATTACH PLOT PLAN) LEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP RW EXISTING____ REQUIRED DEDICATION._—..—._.. Slrael I,spectron vR OPOSED----------- $Idewel4 Approved ❑ P.—I Ropulred ❑ US' Perms Rep d ❑ Renuuud ❑ ReRuued ❑ METERSIZE I LINE SIZE I NO OF 1111111115 1 111V 1EOUIRE0 YES ❑ NO ❑ REMARKS ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED BY SIGN AREA ALLOWED PROPOSED SEPA REVIEW OMPLETE JIXEMPT LIP ADS O $HOR NEF VARIANCE R CU PL IN �VIEW BY ATE SETBACK —F ET HEIGHT FRONT SIDE O REAR'_ LO CO ERAGE REMARKS CHECKED BY TYPE OF CONSTRUCTION CODE OCCUPANT SPECIAL INSPECTOR REQUIRED ❑ YES tAREA OCCUPANT LOAD MARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REOUIRED VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING BUILDING �Q Z D y �1 I /. P` 1/0 PLUMBING Plan Check No. �.. �/ ECHANICAL This Permit covers work to be done on private property OY. GRADNGIFILL Any construction on the public domain Curts, sidewa driveways, marquees, at G.will require separate permiss. STATE SURCHARGE Pennll Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 DaySTORM DRAINAGE FEE "Applicant. on behalf of his or her spouse, heirs, assignd END, INSPECTION FEE SUccessors In interest, agrees to indemnify, defend anold w harmless the City of Edmonds, Washington, its ofls, employees, and agents from any and all claims for damaof whatever nature, arising directly or indirectly from the issce PLAN CHECK DEPOSIT �3 T Of this permit. Issuance of this permit Shall not be deeto omotllfy, waive or reduce any requirement of any city ordce JdA J T: nor limit in any way the City's ability to enforce any ordce TOTAL AMOUNT DUE Z Z 0 provision." I hereby acknowledge that I have read this application; thhe ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or thly authorized agent of the owner. agree to comply with citnd THIS PERMIT This application is not a permit until! ' State laws regulating construction; and in doing the work auiz• AurHORrzEe ONLY THE signed by the Building Official or his/herCode ed thereby, no person will be employed In violation of the or of the State of Washington relating to Workmen's Comsa. WORK NOTED Deputy; and fees are paid. and receiptis lion Insurance and RCW 18.27. INSPECTIONSIGNATURE acknowledged in space provided. IOaER OR AGENTI JOATE SIGNED0EPARTMENT OFFICIALS SIGNATURE DPiE DIMOt DS ATTENTION CALL FO INSPECTION REL DY DATE J -�'S IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR �� _®�.1O ORIGINAL — Flie YELLOW —Inspector �- A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 1 CHAPTER 3. tozsT PINK — Owner GOLD — Assessor M 1. e OJT ..... 4 �.... 0 R .CENIED MAY 5-'995 powcWHIS 0 s a --+ a G— lr3 1Hue r ra. 625 `' 131 �35.9 -04- RESIDCNC, 9318 OLYMPIC.-VIF-W DRIVr- � o � Exisri NG +3 Lb 1 9-6 170.001 q -7. 7F mA�+rer aRrim() I rill, 15 c{. s F��c I , 52O HIGH STRL"CTacc: /"_z,5, S o r APPROVED BY PLANNING ,u;(1 oval?,rD nniDDL.rTUN L, I, D. IS � ti � - N-14-BS I IV �/• { 1 � h��l• oco �'en-.r,�if l?yo/63 �..._ o 07 l® 32XIC RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOUNDATION: - Footing .................... Wall ....................... Pler/Porch................ Retaining Wall .............'. Slab insulation............ PLUMBING: Underground ............. Rough -Ind- ... ......... ..................... w Commercial Final........ HEATING: GasTest ................. GaSPiping................ _ Equipment ................ Commercial Final......... EXTERIOR SHEATHING NAILING .................... FRAMING ................... INSULATION: Floor Insulation........... Wall Insulation ........ ,— �� w J� • �S C— Ceiling lnsulation......... _ SHEETROCK NAILING �P ��-Fs SPECIAL INSPECTION ...... RADON MONITOR AT SITE. FINAL APPROVAL FOR OCCUPANCY.......... _�•( w Z Z — P - i ^- .—saw .. _........_ _... _.... 32X II