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960141.pdf. ,=.'XWx I l USE PERMIT Q/vO 1 /I1 CITY OF EDMONDS 2NE NUMBER JG7 .i'i CONSTRUCTION PERMIT APPLICATION U\`iNt.R NARIF NAME OF BUSINESS ADDRESS 9� / �iLy�vl p„ ���F�,✓ SDI E M 5'eo7e `9N/15-)1 7/71-70 STATE LICENSE NUMBER E%PIRAI /lsTDN �/IOXE ��� I anal f)Pccnntinn nF P--W - inchldP all P.aSP.rn M P aS "e`Noo-m l3 27— 03/ — OZ3—DO �- 02- ti Parcel . [] NEW RESIDENTIAL PLUMBING I ADDITION COMMERCIAL MECHANICAL �J REMODEL DAFT BLDG. I® LJ SIGN EJREPAIR ❑GRADING CY05 ENCE ❑ DEMOLISH O I x_F1 HWIM POOL NSERTTOVE OT TUBSPA ❑GARAGE ❑ RETAINING WALL/ ❑ CARPORT ROCKERY RENEWAL TYP USE BUSI ESS/�O�R E%PLAIN: LF �AC�TI/VIT�Y) rdf/V fX. NUMBER NUMBER OF CRITICAL OF STORIES DWELLING UNITS AREAS /M / NUMBER (L�T� DESCRI EWORK TO BE DONE IA TACH P}OT PL ) Z51-7,f— LEGAL DESCRIPTION CHECK BUBDIV ISIDN NO LID NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP RW E%ISTING— REQUIRED DEDICATION _._ SI-1 vgpppsED------- SIdeWei%Required Approved ❑ Pnmll Requited ❑ Use P—It Repd ❑ ""Cl­ Regm ❑ ❑ METER SIZE LINE 512E NO OF FI%TURFS PRv REQUIRED YES ❑ NO ❑ REMARKS ENGINEERING MEMO DATED REVIEWED BY FIRE MEMO DATED REVIEWED BY SIGN AREA ALLOWED PROPOSED SEPA REVIEW COMPLETE EXEMPT EXP ADS NO SHORELINE M VARIANCE OR CU PLANNING REVIEW BY DATE SETBACKS — FEET FRONT SIDE REAR HEIGHT I LOT COVERAGE REMARKS CHECKED BY I TYPE OF CONSTRUCTION /' CODE qY— OCCUP T GRO SPECIAL INSPECTOP REQUIRED 0YES AREA OCCUPANT LOAD MARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED F Ale PLAN CHECK FEE 7-161�7 r //J TS `/q QU Tu %� BUILDING SOURCE HEAT SOURCE /jy� L( 1 + >� (,`//l S uG ��� L PLUMBING Plan Check No. MECHANICAL 3 Z This Permit covers work to be done on private properly ONLY. GRADINGrFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his Or her spouse, heirs, assigns and ENG. INSPECTION FEE - v, successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, its Oflicials, i 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 tD PLAN CHECK GEPOSIT v, modlly, waive or reduce any requirement of any city ordinance ° nor Nmli in any way the City's ability to enforce any ordinance no TOTAL AMOUNT DUE 'I pro vlSID l hereby acknowledge that I have read this application; That the mbrmation given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL` authori:ed agent of the owner. I agree to comply with city and cithor,z. THIS PERMIT'•` State laws regulating construction; and in doing the work auTNORIzeS This application is not a permit Until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is lion Insurance and RCW 18.27. tiIGN<TURE Ow'NEq OR 4GENil INSPECTION DEPARTMENT pace acknowledged ins provided. JESIGNED EDMONDS3 CITY GFMEASED RE5-16 u. CALL FOR DATE ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE r UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ��� _0220 ORIGINAL — Flle YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 10297 PINK — Owner GOLD — Assessor 0 7- 1 0 d:3 E r . _._.�.'. 'r'...:::"��ecrsx..}•rn=-�c: .v: �...... •�^•,. �-.•.• r -c ;:n-•� �v rozf�.. :>rrr;:s,.--.-tr _ RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOUNDATION: .. Footing.................... - Wall ....................... , Z Q � Pier/Porch................ - 2 1-- w - Retaining Wall............ cc . w::) U - - Slabinsulation............ J O tpO PLUMBING: w FUnderground ............. N u- O Rough -In ................. w } - '• `- Q Commercial Final........ -• cc Z) HEATING: ... . H=. .. Gas Test ....... a>....... Z H p Gas Piping ................ Z w j Equipment ................ U tn, Commercial Final......... . o ~' EXTERIOR SHEATHING w W' 2 U NAILING .................... - _ l— P.. -.... ' , LL O FRAMING .................... .. Z Lu Ln U= INSULATION: . Z+ Floorinsulatlon........... .. Wall Insulation ........... Ceiling Insulation......... - •. ., SHEETROCK NAILING....... j SPECIAL INSPECTION ...... RADON MONITOR AT SITE. © I FINAL APPROVAL "'S' C FOR OCCUPANCY....---r.t-- 0 1 q661Y1,600, �om 32XII