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950327 (2).pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0,N NI 1: N A1`f %A1`f 01 BUSINESS E1)Nj014Ds .AME annREss 'IIY NAAI[ P-ILC6 CC ADDRESS 2 D, 3ak CITY •SEATTLE STATF t I- f'NSF NOMDER I".0i,"y Ta% Account 132703-f'-026-0009 Parcel NP. ❑':I III,�X /j' + h"� RESIDENTIAL PLUMBING �ai`I)III,N COMMERCIAL MECHANICAL qE NI V`Ll APT BLOC. �� LJ SIGN GRADING ❑ FENCE Nk'i•AKi CVDS t—K_ �DLM1iGIISH WOOD^aTOVE INSERT D SWIM POOL HOT TUB,SPA RETAINING WALL(El RENEWAL C•nnPORi ROCKERY a (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: - S!►JGL[ FRMlLY NUMIIEF NUMBER OF CRITICAL w o L`r SIDRICS DWELLING UNITS AREAS NUMBER DESCRIBE WORK TO BE DONE,ATTACH PLOT PLAN) PUMP 0 U-!' it CLEAN OU'rUNUSED E E PERMITO3-Z7 NUMBER -/J1 `/n LEGAL DESCRIPTION CHECK SURDIVII O'. - 1 •I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING _._-_-__ AEOUIREO DEDICATION ._..__.... PROPOSED .___� _-.__..-..._. _. TESCP App -d ❑ RW P.......•n...•.. ❑ Slrer•1 UN, P1111I.t RnV R ❑ SO-11, ReRuul'R O 51UGWalA nPRUlrpcl ❑ METER SIZE LINE. SITE NO OF FIXTLInEs 1111V FLOWRED YES ❑ NO Cl REMARKS ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO GATED REVIEWED BY SIGN AREA ALLOWEPOSED SEPA REVIEW COMPLETE IIIE"PI EXP AOB rJ0 SHORELINE VARIANCE OR U= PLANNING REVIEW BY DATE SETBACKS - FEET HEIGHT FRONT SIDE REAR I LOT COVERAGE REMARKS ION CHECKED BY TYP OF CONSTRUCTION CODE O(:CUPnNI ORO = SPECIAL INSPECTOR REOUIREO ❑ YES AflEA 0 CUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 305 t .t-�r i r— c FINAL INSPECTION REQUIRED OIL TANK, FILL WITI.ICEMENT SLURRY] VALUATION FEE PLAN CHECK FEE GLAZING BUILDING S kRAi SOURCE D/D 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, driveway S. marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 150 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant. on behall 01 his or her Spouse, heirs, assigns and ENG. INSPECTION FEE successors m interest. agrees to indemnity, delentl and hold r Harmless line 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 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 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUEJ 1191p provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL Information given is correct; and that 1 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 stale laws regulating construction: and in doing the work authoriz• AUTHORIZES THE signed by the Building Official or his/her ed (hereby, no person will be employed in violation of the Labor Code of the State o1 Washington relating to Workmen's Compares- ONLY WORK NOTED Deputy; and fees are paid, and receipt is Gon Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGNn LURE iOFINER OR AGENT( / ((�� Lei, GATE SIGNED C Z Z~ J DEPARTMENT CITY OF OFF C S SI ATURE / •y�DA E (L>rb� d'Li�ri.Q"YLd-G EDMONDS CALL FOR LEAsI[n ' DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR OpAo ��_L1 ORIGINAL - FIle YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3 IoaeT PINK - O'Arer GOLD - Assessor \.. C ® - LIM G 0 U TO: Permit Coordinator, Building Division FROM: FIRE DEPARTMENT ENGINEERING DIVISION PLANNING DIVISION OWNERS 1..." 17 CJytA c»Jp UA ADDRESS �c��-�� •� PERMIT# ADB# INSPECTED ON A field inspection was conducted to determine compliance with approved plans. Final approval denotes there are no objections to the granting of: Occupancy for the building Performance Bonds may be released Maintenance Bonds may be released Landscaping is approved V Other inspected PASSED FIRST INSPECTION - CONDITIONS NOTED 1. 2. FAILED INSPECTION - OUTSTANDING REQUIREMENTS - RECALL FOR INSPECTION 1. 2. 3. 4. t� OCCUPANCY APPROVAL DATE 7 BY,1�2�LC� KLL�'a FAILED FIRST INSPECTION DATE RE -INSPECTED - APPROVED DATE BY RE -INSPECTED - FAILED DATE BY RE -INSPECTED APPROVED DATE FEES RECEIPT# _ OCCAPRVL/TXTRECEP/October 13, 1993 0 �z 6 r 10M 0 x Ef RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .................. . FOUNDATION: Footing.................... Wall ....................... Pie r/Porch ................ Retaining Wall............ Slabinsulation............� ' PLUMBING: Underground ............. Rough -In ................. Commercial Final........ HEATING: GasTest ................. Gas Piping ....... :........ Equipment ................ Commercial Final......... EXTERIOR SHEATHING NAILING .................... FRAMING .................... INSULATION: Floorinsulalion .......... Wall Insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... RADON MONITOR AT SITE FINAL APPROVAL FOR OCCUPANCY.......... 1-7/✓ .�f>YJ�..:�4-`� /r-7 S.I• 1 I i k 3221E