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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME NAME OF BUSINESS
MAILING IAD��3N
DRESS
P. UI
CITY ZIP TELEPHONE NUMBER
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CITY ZIP (TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
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Pro{rody TeX Account P.
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NEW RESIDENTIAL ,� PLUMBIN ECH
COMPLIANCE OR
ADDITION COMMERCIAL CHANGE OF USE
IL�I REMODEL APT_BLDG. SIGN
ElREPAIR ❑ GRADING CYGS. Fx_Fn
DEMOLISH ElINSERTTOVE ❑ HOT TUBSWIM POOL
SPA
GARAGE
CAflPORT ROCKERY[:] RETAINING WALL/O RENEWAL
;TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIESS//WILIC%- UNITS NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
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USE PERMIT
ZONE NUMBER9
70�3$
tGD
ADONES$ j
1
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.EGAL DESCRIPTION CHECK SUBDIVISION
LID NV0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCPApprored D
RW Per- ReN,,,,a D
EX$STING__REQUIRED DEDICATION ._
SNeel Ure P.—I FIN 0
PROPOSED
InapecRpn 11,, 0 D
S,Oewelk A".0 d D
METER SIZE
LINE SIZE
NO OF FI%TURFS
PRV REOUIREO
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YES O NO D
EXP
SIDE
flEGDIRED
AID ❑ YES LOAD
EMARKS
PROGRESS INSPECTIONS PER UBC 108
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Y >< NI t• un- Lr _ [7v s�G'
FINIAL INSPECTION REOUIRED
VALUATION
FEE
PLAN CHECK FEE
Is
HEAT SOURCE:
GLAZING
0/0
PLUMBING
Plan Check No. 3 7 %
MECHANICAL
This Permit covers work to be done on private property OId
Y.
GRADINGIFILL
Any construction on the public domain (curbs, sidewa
driveways, marquees, etc.) will require separate permis.
STATE SURCHARGE
,5
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 DaySTORM
DRAINAGE FEE
"Applicant. on behalf of his or her spouse, heirs, assignd
ENO. INSPECTION FEE
u,
successors in interest, agrees to indemnify, defend anold
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harmless the City of Edmonds, Washington, its ofals,
semployees,
and agents from any and all claims for damaof
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Whatever nature, arising directly or Indirectly from the Issce
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of this permit. Issuance of this permit shall not be deeto
modily, waive or reduce any requirement of any city ordce
PLAN CHECK DEPOSIT
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nor limit in any way the City's ability to enforce any ordce
TOTAL AMOUNT DUE
t1r
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provision."
"`e`Z
hereby acknowledge that I have read this application; ththe
information given Is correct; and that I am the owner, or thuly
ATTENTION
APPLICATION APPROVAL
authorized agent of the owner. 1 agree to comply with cind
THI$ PERMIT
state laws regulating construction; and in doing the work auriz•
AUTHORIZES
This application is not a permit until
ed thereby, no person will be employed In violation of theor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Comsa•
WORK NOTED
Deputy; and fees ere paid, and receipt is
tion Insurance ariaRCWINSPECTION
acknowledged in space provided.
ER R AGENT( DATE SIGNEDDEPARTMENT
OFFICDIMONDS
ATTENTION
CALL FOR
RE BY I DAT
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
��� �OGGO
IGINAL — Flle YELLOW —Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
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PINK — Owner GOLD — Assessor
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When Recorded Return To:
TERRANCE G. MARCELL
CAROLYN H. MARCELL
PO BOX 1 Sb3
CDrnor4D5-WA 9PcQ0
Escrow No. 12604
CITY C®PX
Above This Line for Recorder's Use OnlyLP11.1U
STATUTORY WARRANTY DEED
Reference Numbers of related documents: on page of document
Grantor(s): WILLIAM D. GREMMERT and CORDON D. GREMMERT Additional Names on
page of document
Gmntee(s): TERRANCE G. MARCELL and CAROLYN H. MARCELL Additional Names on page
of document
Legal Description (abbreviated): L 1&2 & PTN OF L IS& 19 PLT N. EDMONDS V2 P75 Full legal
on page 1 of document
Assessor's Property Tax Parcel Account Number(s): 5319-045-001-0009
THE GRANTOR WILLIAM D. GREMMERT and GORDON D. GREMMERT, EACH
AS TO AN UNDIVIDED HALF INTEREST: EACH AS THEIR SEPARATE ESTATES
for and in consideration of the sum of Ten Dollars and other good and valuable consideration
in hand paid, conveys and wairants to TERRANCE G. MARCELL and CAROLYN H. MARCELL,
HUSBAND AND WIFE
the following described real estate, situated in the County of SNOHOMISH, State of Washington:
ALL OF LOTS I AND 2 AND THE SOUTHWESTERLY 21 FEET OF LOTS 18 AND 19,
TOGETHER WITH THAT PORTION OF THE NORTHEASTERLY 10 FEET OF VACATED
LAKE AVENUE ABUTTING UPON SAID LOTS 1 AND 2; AND ALSO THAT PORTION OF
VACATED ALLEY LYING BETWEEN LOTS 1 AND 2 AND 18 AND 19; ALL IN BLOCK 45,
ORIGINAL PLAT OF NORTH EDMONDS, WA, ACCORDING TO THE PLAT RECORDED IN
VOLUME 2 OF PLATS, PAGE 75, RECORDS OF SNOHOMISH COUNTY, WASHINGTON.
SITUATE IN THE COUNTY OF SNOHOMISH, STATE OF WASHINGTON.
Assessor's Property Tax Parcel Account Number(s): 5319-045-001-0009
Subject to: EASEMENTS, COVENANTS, RESTRICTIONS AND
RESERVATIONS OF
Dated this Twenty -Seventh day of August, 1997
WILLIAMD. DON . GREMT
State of WASHINGTON } as
County of SNOHOMISH }
I certify that I know or have satisfactory evidence that WILLIAM D. GREMMERT, and
GORDON D. GREMMERT is/are the person(s) who appeared before me, and said person(s)
acknowledged that THEY signed this instrument and acknowledg to b THEIR and
voluntary act for the uses and purposes mentioned in this instrume
DATED:
1 ;7 Z&
7MARTISin and for the State of WASHINGTON,
RYSVILLE
nt expires: 1-9.98
S� M_..�0 • t� `
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TO: Permit Coordinator,
Building Division
FROM: FIRE DEPARTMENT FE 998
_ENGINEERING DIVISION
PLAN/NING DIVISION
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OWNER M 0 V- C �-(
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ADDRESS
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PERMIT#9?0 gADB#
INSPECTED ON
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Afield inspection was, conducted
to determine compliance with approved plans.
Final approval denotes there are.
no objections to thegranting of:
of
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Occupancy for the building
Performance Bonds may be released
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enal.
Maintenance Bonds may be released Landscaping is approved
_
Other inspected
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PASSED FIRST INSPECTION -CONDITIONS
NOTED FEB I? j
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FAILED INSPECTION - OUTSTANDING REQUIREMENTS -,,RECALL FOR INSPECTION
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4.
OCCUPANCY APPROVAL
GATE 2 2 BYE _
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FAILED FIRST INSPECTION
DATE BY.
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RE -INSPECTED - APPROVED
RE -INSPECTED - FAILED
RE -INSPECTED APPROVED
OCCAPRVL/TXTRECEP/October 13, 1993
DATE BY
DATE BY
DATE
FEES RECEIPT#
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RECORD OF INSPECTIONS
INSPECTOR ,.
DATE APPROVED -
SETBACKS ...................
'
FOUNDATION:
--
. •Footing ....................
_.
:. _ ..:..
,... Wall. ....... .
Pier/Porch....'............
-..
..... _
RetalningWell...........
... _
- Siabinsulation.........::
.• .;..
.,,`... .-. --,.:. \.. ..
PLUMBING:
Underground............
-
.Rough In .....:........:..:
-
Commercial Final........
.
HEATING
-.
Gas Test .:
4
_--_�L�4�[�Q�
,.•,
Gas Piping ................
IJGL� Z'tJf-i"r'c'1117�r
IR II>✓'1/ ,��h
Equipment ..;.i........,r
Commercial Final .
/ ..
EXTERIOR SHEATHING
- -
....
NAILING ...................
_
FRAMING ........ .........
INSULATION:
.
Floorinsulatlon........... "
..
,... ...;:
Well insulation ........
-
-
Ceiling Insulation
SHEETROCK NAILING ......
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- SPECIAL INSPECTION.:....,
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MISCELLANEOUS
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