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950400 (2).pdfM ZONE PERMIT CITY OF EDMONDS :51,Z NUMBER 3-5n Ono CONSTRUCTION PERMIT APPLICATION JOB LI) /// �p WNEI: NA'.,1' VA/94��'E NIE. 0- RUSINESS ADDRESS O rn A)/ 111e1 1 7 Y1y- ML 1pH1'SS fr IIV TELEPHONE NI" LL�I l�� 4�1Y y I TSB- % A1E ni 7 'f O % 1 72C SCG A LUCI{' Az' f/Oo M/J 5 -- X�—`— E II N11,10FR T EXPIRATION DATE rupeny Tas 4,—, l ,1-� 002 oa.3 on 9 P". Nn. �':: I .. 1 1SRESIDENTIAL •�I PLUMBING A111+, I!. tIN COMMERCIAL MECHANICAL HF Lttt011 APT BLDG. j� L_J SIGN ❑ GRADING ❑ FENCE RFI•aIn CYDSWOODS TOVE ❑ SWIM POOL ❑ nEM01.!B11 INSERT HOT TUBSPA GARAGE CARPORT O ROCKERYG WALV ❑ RENEW9E. NUNniEn NUMBER OF ^, CRITIC OF DWELLING I AREAS STORIES O/ (� UNITS NUMB( DESCRIBE WORK TO BE DONE (ATTACH PLOT PLANE LEGAL DESCRIPTION CHECK SUDDIV-0N ND 110 NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP E rISTING ...- __._. _ REQUIRED DEDICATION ... _........_. PROPOSED .--'-- ----------_ TF.SCP Approved ❑ RW Pe—n Realnred ❑ Sir_, Usp po ,l neq n ❑ M —11,nmi,,-pa ❑ s,eewalA Red,I,len ❑ MEIER SIZE LINT: SIZE NO Oi it%TDEIER Pnv REQUIRED ES ❑ NO ❑ REMARKS ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED BY SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EX E%P ADB MP SHORE /NjE a� VARIANCEO CU L G 1 BY ATE Q 1 SETRAC S ?ET HEIGHT FRONT SIOE REAR ILOT CO /ERAGE i O REMARKS CHECKED BY E TYPE OF C STRUCTION CODE OCCUPANT GRO SPECIAL INSPECTOR AREA REQUIRED ❑ YES OCCUPANT LOAD EMARKS PROGRESS INSPECTIONS PER UBC 305 L. JGK /? ' ¢ A/SEL , / FINAL INSPECTION REQUIRED mmmmmmmmmmmmpw a PLAN CHECK FEE BUILDING a(�6, a) HEAT SOUTICF. - E ULnnN1a/ G % PLUMBING Plan Check No. 9s-�Zlyt MECHANICAL - 1 / This Permit covers work to be done on private properly ONLY. GRADINGIFILL i Any construction on the public domain (curbs, sidewalks, --T y driveways, marquees, etc.) will require separate perm lesion. STATE SURCHARGE } T' Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE — j m successors in interest, agrees to indemnify, defend and hold } `.,', harmless the City of Edmonds, Washington, its officials, employees. and agents from any and ail claims for damages of whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT -7 TirY--. L """i T of this permit. Issuance of this permit shall not be deemed to omodify, waive or reduce any requirement of any city ordinance i = nor limit in any way the Cily's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL 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 slate laws regulating construction; and In doing the work authorii• AurHORlzes THE signed by the Building Official or his/her ed thd in violation of the Labor ereby, no person will be employe ONLY WORK 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 Insurance and RCW 18,27. INSPECTION sIGNAT RE 191—ER OR AGENT, DATE SI EO DEPARTMENT F GNATURE —DATE CITY OF 0 I LS �j J 7�r�&-ys EDMONDS CALL FOR R ° DATE ATTENTION INSPECTION - 3%-�5-' IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE I UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 - 0220 ORIGII• AL — F-le YELLOW —Inspector ) A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC j CHAPTER 3. Ipaer PINK — Oxner GOLD — Assessor 1. e R r- 5 1 ;mmam E t 1 0 0 32XIE E .,. .,,t7rr,.,_..:.<r;�—�>.. r.^+-.e..rt,:�.�..r.,e..�w:rs• ,�..�as.......»_.__,•-._._•.__".�....«,�,,.-n-.c.,�,..ars..._�....Y........,.:;t1 d 1i TERM M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOUNDATION: Footing .................... Wall ....................... PiedPorch................ Retaining Wall............ Slab Insulation............ PLUMBING: Underground ..........f. , Rough -In ................. Commercial Final ........ HEATING: Gas Test ................. Gas Piping ................ .. ,. � Equipment..:._..,:........ Commercial Final......... EXTERIOR SHEATHING NAILING .................... FRAMING' ................ q _ INSULATION: p Floor Insulation.......... Wall Insulation........... Ceiling Insulation......... SHEETROCK NAILING ....�� cy SPECIAL INSPECTION ...... RADON MONITOR AT SITE. FINAL APPROVAL FOR OCCUPANCY..... __ /2?x1i/ eF0qoo*00 30