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980660.pdfZ S Z F W Q Q � w U J 0 U 0 In w S J F- tn LU a =' Q J' W Z f- _ 0 W W U -. 0 0 t;. W LLII' S C. IL C W (!} U =It Z F- CITY OF EDMONDS us PERMIT zO"E 251 2 NUMBER 980660 CONSTRUCTION PERMIT APPLICATION ,oa SUITE APT I,OWNER ADDRESS IQ 1130 pVYnPIL vlS\,j DrL . NAME NAME OF BUSINESS MA l.. HAZY j LEGAL DESCRIPTION CHECK SUBDIVISION NO LID NO w MAILING ADDRESS o j91 3 0 O L-Yrl p (L \ I e-W Glt �, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING gEOUIREODEDICATION_ PROPOSED ._ TESCP Approved O qw PermR ReRUIred ❑ 81-1UNeP.N—IAepd ❑ 13 S� swAIIM Rageulredd ❑ Cn1�'l ZIP Tby Fyt{ONE NUMBER �(� NAME � rJ /- ` • �v' �1'_ ` `� METER SIZE LINE 512E NO.O FIXTURES PRV gEOUIq ED ` YES ❑ NO ❑ 3 ADDRESS Z�I I� (i I�H V• Li REMARKS Z Iw CITY ZIP s TELEPHONE NUMBER i'j3W- 312'1 NAME ' 21 1 ADDRESS �) -/I'���lZ t,� U ENGINEERING MEMO DATED REVIEWEDBY u CI 21P TELEPHONE NUMBER -,tom- /1 L1 FIRE MEMO DATED REVIEWED Y _ VARIANCE OR CU ADE N SHORELINE N STATE U SE NUMBER 9� EXPIflATION DATE /�•, �l / y�).l /�� Legal Description of Property - include all easements SERA REVIEW SIGN AREA HEIGHT 2D COMPLETE EXEMPT E%P ALLOWED PROPOSED ALLOWED PROPOSED - VUi LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT VR SIDE REAP O W TeX Account , 3 Z O G} - 1 IL J -- pOO 3 LOT AREA PLANNING REVIEW BY DATE g Parcel No. Fj NEW ® RESIDENTIAL PLUMBIN ECH REMARKS Ej COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE © REMODEL APT. BLDG. SIGN CHECKED BV TYPE OF CONSTRUCTION CODE _IN OCCUPANT GRADING FENCE ©REPAIR � CYDs � I_X_F`n ❑ DEMOLISH WOODSTOVE ElSWIM POOL INSERT HOT TUB/SPA GARAGE RETAINING WALL/ ROCKERY RENEWAL SPECIAL INSPECTOR REQUIRED 13 YES AREA PANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108 a ua ITvpEor-usE Busl�!€ssogAcnvmv)E%PLAw. FII �23 W O NUMBER OF Z NUMBER OF DWELLING I CRITICAL AREAS " / �• STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) L-1'rG+-iaJ 28nOOS-. FINAL INSPECTION EGUIRED VALUATION FEE PUN CHECK FEE h BUILDING HEATSOURCE. GLA2INO 07a PLUMBING Plan Check No. �� _ MECHANICAL This Permit covers work to be done on private properly ONLY. GRADINGIFILL Any construction on the publle domain (curls, sidewalks, STATE SURCHARGE driveways, marquees, etc,I will require separate permission. Permit Application: 180 Days Pemlil 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 w i successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of PLAN CHECK DEPOSIT / < x omodify, whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to waive cv reduce any requirement of any city ordinance x nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE �/JY'� J / I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the Work authoriz• AUTHORIZES 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 NOTEo Deputy; and fees are paid, and receipt is lion Insurance ana RCW 18,27. INSPECTION acknowledged in space provided. SIGNATURE (OWNER OR AGENT( OATS SIGNED DEFARTMENT 0) CITY OF UFFI A GNA ATE EDMONDS ATTENTION CALL FOR LEAS DGY DATE INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 - 0220 ORIGINAL - F,le YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - Onr.er GOLD - Assessor 102 7 0 �32X Z, =z F W w� J U UO U) O cn W J F- y LL' O W rq2 � LL j N d Z H F o Z H W W � O U to O— O H W W HF LL C 2 ui u. U = OF Z DIF 0 1 P RECORD OF INSPECTIONS INSPECTOR '- DATE APPROVED SETBACKS ................... FOUNDATION: Footing .................... Wall....................... Pier/Porch................ Retaining Wall............ Slab Insulation............ PLUMBING: Underground ............. Rough -In ................. Commercial Final ........ HEATING: Gas Test ................. Gas Piping ................ Equipment. . .............. Commercial Final......... EXTERIOR SHEATHING NAILING .................... FRAMING .................... INSULATION: Floorinsulation........... Wall Insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY..... G j 'I'V60i 1 0 10 32X