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900550.pdfayvwd'h 03)1Dys�y'' N�S v,7yh L� 2 iic it_.: i � �•ita b, � } l 2 iy>wn�h t: t i s 4 x z � 10�- FADDRESS PERMIT CITY OF EDMONDS NUMBER 90055Q CONSTRUCTION PERMIT APPLICATION .7 '] OWNER NAME/NAME OF BUSINESS F L�.�y (—��jj�/��` L, SCRIPTION CHECK SUBDIVISION NO. F LID NO MAILING ADDRESS ,17 5s c;1T NAME ADDRESS Iola I O I CITY S� Arm Ctil s NAME S ADDRESS 0 7'7fs� 73 TELEPHONE NUMBER 54G -7Z S CITY TELEPHONE NUMBER ? 7ss 17 : STATE LICENSE NUMBER Sn YJLo i+ i Legal Description of Property - include all easements (show below or attach two copies) tr S0i NEW © RESIDENTIAL ADD/ALTER F COMMERCIAL El REPAIR ED APT, BLDG. EXCAVATE DEMOLISH OR FILL CARPORT REMODEL F1 GARAGE aWOOD STOVE/ ❑ RETAINING WALL/ INSERT ROCKERY NUMBER OF Ne\jA,1 51 z kle. _ _- 2 iv rRIGHT GHT OF WAY PER OFFICIAL STREET MAP. TESCP APPROVED,BY _ �•�.__ _ REQUIRED DEDICATION _.,0.__. v � •j D.4�___ WAY CONSTRUCTION PERMIT REQUIRE SE PERMIT REQUIRED NEERING MEMO DATED REVIEW BY 67 U PLUMBING (� MECHANICAL L_J SIGN 1:1FENCE ( X _FT) M SWIM El RENEWAL NUMBER OF DWELLING JW UNITS ((.,�I��y c Q2 14*0 �r IBUILDINGI?UPPLY SIZE (FIXTURE UNITS SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE y EXEMPT — �� SHORELINE M I rRON E OR CU JELANNING W BY D T S') EET r HEIG Tr LOT COV G 07 L SIDE 10 REAR A9 s !vim ,A— r1At. H 641� CoND i i o /t two 7/ 9 90 qF Zs t) M6 Fir CHECK TYPE OF CONSTRUCTION CODE HEIGHT SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT E UIRED GROUP pp::�P LOAD YES NO /i17 REMARKS PROGRESS INSPECTIONS PER UBC 305 VALUATION LPLANHECK FEE �-71G /bL; 1 PLUMBING �t� jlyZlirlJ,C1Ll %4L MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days E**W=9 Permit Limit: 1 Year • Provided Work Is Started Within 180 Days "Applicant, on behalf of'his or her spouse, heirs, assigns and N 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 = whatever nature, arising directly or indirectly from the issuance PLAN CHECK DEPOSIT 0 of this permit, Issuance of this permit shall not be deemed to J modify, waive or reduce any requirement of any city ordinance Os nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION 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 state laws regulating construction; and in doing the work authoriz• AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa• WORK NOTED tion Insurance. INSPECTION SIGNA^TURF (OWNER OR AGEN 1 DATE SIGNED DEPARTMENT CITY OF IIL..MMM A y EDMONDS ATTENTION 771=3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE ^� UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR I/C' A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC CHAPTER 3. llc)IqD 102•87 ( ii �" c li APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. %.7iPLL 6 . RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor w a (7 Z O 5 W .• tI rw �y ♦ 4 ' Par n... x4A6..� n ....:.. .r..r .:.:.<.... .e .w .♦ ' � xalL. Vf++i a i 71AAM L aau oay� u� � M6� � �eoQ / oN �I l d /7 i�t r Ai �x 10 .. • . Pt t Y r , • , 4 x r s +ZfkkrS,f'��t a r t t f d �r lr`•'It Art, 9 It It el TS h i ! 4 mm 44 It I 49 ji 91 1y n } • • i ` J .,I 4A:°Ix h r Hwy N f, s 1 + pyy tix.4 y ( `y LVryLYkd4 ii i t t • � "y .nn i lm it r ti `g 1 1L t•x f R5 j itiTt :i.ddd e{SiF ISf ♦•ry -. 4 AI 7 14,it Mt r lit ,Y}r.lk. it RECORD OF INSPECTIONS It ;G(ll'r Date Passed.•, Lr.{Yff' FCIUNDATI0N 7 4•. • House li. fir s • .. t3Y OT'H'E'�.S Porches, piers ._ 1 it v; '( Retainin5 walls ._-_, _- L Gara o,• carport PLUMBING Undergrounds Roughein •.*fl ••. ,.,,•. 1: 1 Wator service -- HEATING SY'ai'EM FRAMING WALLBOARD FINAL