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980730.pdfZ = Z W Q Q U LU U U O to 0 W J H �O LU Q J{ LL Tn F = Z F— FO Z I— W W U (n p F- W U.I'. _ l_ F- h LL C _Z W <n U = O~ Z G 10 Ij CONSTRUCTION PERMIT APPLICATION OWNER NAME NAME OF BUSINESS ��oth1 rPc,[ y MAILINU ACIDNESS ss 13.23 C TT % ZIP % TELEPHONE NUMBER S/7V P[°E 's ZIP TELEPHONE NUMBER LICENSE NUMBER EXPIRATION TeX Account POICslN I?))� 6�I 6ZS 60 Parcel No. VNEW �2-RESIDENTIAL IJ PLUMBI ECH �AODITION 0 COMMERCIAL CHANGE OF USE REMODEL APT. BLDG SIGN I11:1 U REPAIR ❑GRADING CVOs i FENCE X—F1 DEMOLISH ❑ INSERT TOVE HOT POOLTUB SPA EjGARAGE r7 RETAINING WALL/ CARPORT ROCKERY RENEWAL ITYPEOFITYPEOF USE.BUSINESSIS HY LAIN: NUMBER NUMBER OF CRITICAL OF STORIES 'WELLING UNITS AREAS NUMBER DESCRIBE WORK TO BE DONE (ATTACH PLPT PLANI G X PERMIT 9 80730 NUMBER lJ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APPrdveo ❑ SWP.,_ F1 uded ❑ EXISTING _ REQUIRED DEDICATION ____ Street Uee Per_ Repo ❑ PROPOSED Infpedr,on Regwred ❑ Side-11, Requued ❑ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I I I YES ❑ NO ❑ VARIANCE OR CU ADD M SHORELINE X SEPA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED PROPOEED HEIGHT ALLOWED PROPOSED LOT COVERAGE ALLOWED I PROPOSED REQUIRED SET BACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UPSIDE REAR LOT AREA PLANNING REVIEW BY DATE REMARKS CHECKED BY I TYPE OF CONSTRUCTION COD OCCUP iJ GROU 5 SPECIAL INSPECTOR REQUIRED ❑YES AREA OCCUPANT) LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108 L� _ 2 t FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE nI nwn I I HEAT SOURCE. GLAZING 0/0 J Plan Check NO. Check MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewPlks, 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 u, successors In interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, s employees, and agents from any and all claims for damages of a 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 DUE �1 provision." 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 indoing theworkauthoriz• AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed1by the Building Official or his/her Code of the State of Washingt relating to Workmen's Compensa. WORK NOTED epu : and fees are paid, and receipt is Lion Ins ranee and RCW 1 7 INSPECTION ackri Wledged ins Ce provided. SIGNAi E ,OWNER OR GE DATE. SIGNED DEPARTMENT /SI�NATUPE -�2- CITY OF EDMONDS OFF N / ATE ry �- /� �J CALL FOR Ei SED DY DATE TENT( N INSPECTIIOONN� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE+� UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR GINAL A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 r -OZZO X 563 — Fde 7ELLOW —Inspector , INK — O xner GOLD — Assessor Yt 10]Bl 1� O .n�a< P"�2 N% �, I 2 = Z E— w or w L) J U UO rn O to w J H �O w It JI LL a'. N a' _. Z F 1.—O wH w �O 7 O U tn. 0 tI w wl S L rF LL O' — Z U Ln O~ Z n SETBACKS ................... FOUNDATION: Footlng .................... Wall....................... Pier/Porch ................ Retaining Wall............ Slab insulation ..... , ...... PLUMBING: Underground ............. Rough -in ................. Commercial Final........ HEATING: Gas Test ................. ,?ss Piping ................ Equipment ................ Commercial Final ......... EXTERIOR SHEATHING _ NAILING .................... FRAMING .................... INSULATION: - Floorinsulation........... Wall Insulation ........... Ceiling Insulation......... SHEETROCK NAILING ...... SPECIAL INSPECTION ...... MISCELLANEOUS FAPPROVAL FOROCCUPANCY OCCUPANCY......... -„13aJ 32X I