980138CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
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:TAUE LICENSE NUMBER 1 EXPIRATIUN vr.TE
_eaal Description of Property - include all easements
TAccount y ..
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RESIDENTIAL
PLUMBINGIMECH
O
COMPLIANCE OR
0,ODITION
COMMERCIAL
CHANGE OF USE
ElREMOnEI.
APT BLDG.
SIGN
❑ GRADING
El
ENCE
PAIR
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CY04
; X—Fl
WOODSTOVE
INSERT
SWIMPOOL
HOT TUBISPA
GARAGE
G WALL/
CARPORT
F-1 ROCKERY
❑
RENEWAL
(TYPE OF USE, BUSINESS OR ACTIVITYt EXPLAIN:
l '
�t—
NUMDEn
OF �)
NUMBER OF —_
DWELLING v
GRIT (CAL )
AREAS
STORIES y`�
UNITS
NUMBE
R ll(••• J
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLANT
R
PERMIT D) 36
NUMBER G
.v.T 4" I ,
LEGAL DESCRIPTION CHECK
SUBDIVISION NO LID
NO
PUBLIC RIG14T OF WAY PER OFFICIAL STREET MAP TESCP
RW
EXISTING .____R EOUTAEO DEDICATION__.__ Slreel
PROPOSED ._ IRfp.11-ReRV,red
—
APPILNed O
Pe1111 Requited D
Ure Pe-11 Red'E 0
❑
Regllred D
SIPewAlk
METER SIZE I
LINE SIZE
NO. OF FIXTUREB
PRV REQUIRED
YES ❑ NO ❑
REMAIIKS
ENGINEERING MEMO DATED REVIEWED BY
FIRE MEMO DATED REVIEWED BY
SIGN AREA
ALLOWED PROPOSED
ALLOWED
SEPA REVIEW
COMPLETE
EXP
1..�
ADB NO
111� ,)I
SHORELINE
VARIANCE OR CU
P/701N O'A"p BY
DAT
SETBACKS —FEET
FRONT SIDE REAR
HEIGHT
LOT COVERA/E
PEMARKS
CHECKED BY
TYPE OF C NS DICTION
C07
OCCUPANT
GR
SPECIAL INSPECTOR
REQUIRED YES
AREA
O G ]LOAD
OCCUPANT
-ATMARKS
PROGRESS INSPECTIONS PER UBC 108
Z:YU
FINAL INSPECTION REQUIRED
AYD I,V 1� ` - /• t/
VALUATION
FEE
PLAN CHECK FEE
z
BUILDING
L� l
HEATSOURCE
GLAZING
P/D
PLUMBING
Plan Check No. —2
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGWILL
Any construction on the public domain (curbs, sidewalks,
driveways. marquees, etc.) will require separate permission.
STATE SURCHARGE
S^
r
Perrnll Application: 190 Days
STORM DRAINAGE FEE
Permit Limit: i Year- Provided Work Is Started Within 180 Days
'Applicant. on behalf of his or her spouse, heirs, assigns and
END, INSPECTION FEE
I successors in interest, agrees to indemnity, defend and hold
G
w harmless the City of Edmonds. Washington, its officials,
f employees, antl agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
T of this permit. Issuance of thls 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
26� /W3
provision."
i hereby acknowledge that I have read this application; that the
ATTENTION
APPLICATION APPROVAL
Q
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
state laws regulatingn in doing the work
AUTHORIZES
application is not a permit until
willruc employed Labor
etl (hereby. no Person will be employed in violation of the Labor
oNLr 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 insuranceand RCW 18.27.
INSPECTION
acknowledged in space provided,
\
SIG ATUPE OIVNE OR AGENTI VATE SIGNED
DEPARTMENT
Z
I t/
CITY OF
EDMONDS
OFF( L' NATU D iE
3
'
�.
CALL FOR
RELEASED 0Y DAIFE
ATTENTION
INSPECTIIONN�
#
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771 �OGZO
ORIGINAL — Flle YELLOW —Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
SEC
Q� �/y/q�
/ I
PINK — Owner GOLD — Assessor
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7B
UNIT- 6
UNIT-5
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2806
435.81
7o
'Bee sG. FT
FLOOP ELEV.-42B 09
CEILING ELEV.-435.81
Boo So. FT.
FLOOF ELEV.-42B 09
CEILING ELEV-43s.81
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0.50
010 0.40
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.. UNIT 7
sT OIiAGE L.C.A. UNIT 5
INIT 7
6T DRAGE L.C.A. UNIT Q
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DECK L..A. UNIT S
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MUCK L.C.A. UNIT
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APPROVED BY PLANNING
All
RECORD OF INSPECTIONS
INSPECTOR DATEAPPROVED
SETBACKS ...................
FOUNDATION:
Fooling .......... . .........
Well ....................... ,.
Pier/Porch................
Retaining Wall............
Slabinsulatlon............
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-......
RADON MONITOR AT SITE.
FINALAPPROVAL
FOR OCCUPANCY......
Ai