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910339.pdf.,cvWh0e, Pvain'e c Area. CITY CF: CONSTRUCTION PERMIT P�ICATION OWNER NAME,NAME OF BUSINESS DAVIO and JOANNE. SPIRO Z h11ILING ADDRESS 7711 171.51- 5tr,-c SvV CITY ZIP TELEPHONE NUMBER Edmor>d� G9020 779-405(r, NAME DANIE,L _8A6GEtq C. ADDRESS U 92.03 t 5 Ave. NE-/ ¢ CITY ZIP TELEPHONE NUMBER 3etNe 98115 323_ 9zff3 N A. / ADOp E� � t= F51r� W09Ks c©NAm�n,,,f 9-2-c��j3,� 15111 AVe . N1✓ I Q CITy�L1 f re• 981 t5 TELEPHONE SLN__12V O STATE LICENSE NUMBER .PF51CTWC 17IN5 Legal Description of Property - include all easements LESS W 10 fr ID uTy of< EOMDNOS FOi RD PER QCb REt, ,Af; No 22 4R38 Tax Account Parcel No. 5133--WO--t725-0301 ® NEW © RESIDENTIAL PLUMBING ADD/ALTER COMMERCIAL MECHANICAL REPAIR APT. BLUE. SIGN DEMOLISH CAVATE,El ® EX GRADE FILL ❑ FENCE _K_F REMODEL GARAGET ❑ SWIM POOL OWO NSEROTVEI ROCKERYRETAINING WALV ❑ RENEWAL DWELLING UNITS USE PERMIT ZONE��— NUMBER .,..JOB ADDRESS � � SUITE/APT LEGAL DESC IPTION CHECK SUBDIVISION NOAP . 2/Z1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP EXISTING —G!/Y/ . nEOUIREO DEDICATION APPROVED BY PROPOSED 7� J RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED% STREET USE PERMIT REQUIRED ❑ , SEE E GINEERING MEMO DATED f r BY /1110W 9/ PRV f�c?mn SIGN AREA ALLOWED PROPOSED ENV, REVIEW COMPLET�Ey EXEMPT Il/`r(.iL. _�7�' SHOOR`ELINE )l 0 V VARIANCE OR CU j�., V "- C_!.I `f V _'Z,c't'[K/ PLANNING REVIEW BY DATE 5-2 SETBACKS — FE ETL iC f HEIyG,Hr OT COVERAGE f 6t5aaWt FRONT 25 SIDE TP,.O.u.nn 2.<'� DIY/. -lzz p% J�) SPECIAL INSPECTOR AREA OCCUPANCY g E UIRED OCCUPANT YES :Na GROUP LOAD REMARKS PROGRESS INSPECTIONS PER UBC 305 FINAL INSPECTION REQUIRED .JVrA� J�Q/" ,014S Q_ „AJf-& � PLAN CHECK FEE BUILDING 5 PLUMBING Plan Check No. 2//'T�/ 7 MECHANICAL , This Permit covers work to be done on private property ONLY. riny construction On the l GRADINGIFILL driveways,marquees, etc.) will requirelsetsidewalk driveways, On. separate permiss Permit Application: 180 Days STATE SURCHARGE Permit Limit: 1 Year• Provided Work is Started Within 180 Days M VtE7W . "Applicant, on behalf of his or her spouse, heirs, assigns and w successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, fj,7j/tjlq/jl7C Washington, its officials, employees, and agents from any and all claims for damages of 5 whatever nature, arising directly or indirectly from the Issuance 0 of this permit. Issuance of this permit shall not be deemed to o modify, waive or reduce any requirement PLAN CHECK DEPOSIT of any city ordinance x nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the Information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to ATTENTION comply with city and state laws regulating construction; and in doing the work authoriz- THIS PERMIT ed thereby, no person will be employed in violation of the Labor Code of the State of Washington relating to Workmen's Compensa- AUT ONLVOTIHES WORK tion Insurance. NOTED SIGNAwo— IOWNER OR A T JR/WU P1 t h INSPECTION DEPARTMENT 1G'T1'jJWjq0 (/�/W CITY OF EDMONDS ATTENTION CALL FOR IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC �, CHAPTER 3. fJ 702 87 I f_ 300 APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is ackno�spaceovlded.o/ M ORIGINAL — File YELLOW — Inspecto� PINK — Owner GOLD — Assessor , r c-