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980912.pdfz 2~ 1- W a� W () J0 U 0 In W W = J H In u- w0 F. CCCC J UL hW Z F 0 W W U In o- o 1-. LU 40 r F- W C — Z7 Ud N U =: 0 z GI c1 L7 A2,.4c 1✓�l.^%' rry Sr/6s/c�.,l-«- !��/�Sc/oE y�9Z�92/J _30,�ln CITY OF EDMONDS use ry -J-" PERMIT n ZONE - 7 NUMBER 9 809 T a PERMIT APPLICATION ADONE55 l�TooOWNER NAME NAME OF BUSINESS ek l.dTagLEGAI DESCRIPTION CHECK SUBDIVISION NO[CONSTRUCTION �3oADnNoI � p ✓ieL•r/ Q• �% Cnr PUBLIC RIGHT OF WAY PEA OFFICIAL STREET M'P TESCP AppraveG• TELEPHONE NUMBER wRW ParmR flapuue E%ISTING ______ REQUIRED DEDICATION ' V � Slr9el USa Porm,t I d >n C rt ds 1) A l& d z� Z 7 s- 9 CI Li RTpepupR Repwra PROPOSEa M\ I R mQrcc- XINC-• �1.19 n/OYt+T•Q-cA.l� 2mr�1.1 S'�'Yec�' ,J.T'Ce l o � MR• �} I ; /} YVL •1 of ZIP TELEPHONE NUMBER 9 J de] (Y2S) S(o2_TS 9Z I., -- puan DI rropeny - mclu 0.r C, oaf' No. S— 23 - 9 o 'RESIDENTIAL L"J NEW LJ L'.J PLUMBINGIAECH El COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE BLDG REMODEL REPAIR GR-, ©., " CIA" �,,� Cr05 F ' 1 DEMOLISH WOOOSTOVE INSERT MOT TUAISPA GARAGE ❑ RETAINING WALL/ ❑ CARPORT ROCKERY RENEWAL ;TYPE BUSINESS OR ACTIVITY) EXPLAIN: ESE. to 41, 1CS NUMBER NUMBER OF DRITIC Al OF DWELLING ' I AREAS - STORIES UNITS NUMOER 0 (J DESCRIBE WORK TO BE DONE (ATTACH PLOT PLANI 1 LIN/E SIZE NO OF FI%TUS PRV REQUIRE[ rJ RF VES,A NO ❑ -Le r -- SEPA REVIEW SIGN AREA HEIGHT 7�NS VTE EXEMPT ALLOWED I PROPOSED A-LLLOWE0 PROPOSED EXPLIZ>yi . 0- LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT ALLOWED PROPOSED FRONT S1DE REAR FRONT UPSIDE REAR 25' IU' Z 5' 2.9' Z%, 42. LOT AREA r% PLANNING REVIEW BY I T DAIE 7� Pr. 7 REPAR S V- 97-6 % Lrllq,Jj Yl lrr Irwl,l- :Tt .3•:7' AI VES V7�.T /{•j�f /X17 s F�r� TRESS INSPECTIONS PER UBC 108 k,e4)n//5y/1er/f/.Ti✓c/ xC, E w L 2� FINAL INSPECTION REQUIRED VALUATION Ag. PLAN CHECK FEE BUILDING C HEAT SOURCE- G ns GLAZING PLUMBING /�E, Plan Check No. MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sltlewPlkS, driveways, marquees, etc.) will require separate permission. GRADINCIFILL STATE SURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work Is Started Within 160 Days STORM DRAINAGE FEE W a a omodify, z• "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnity, 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 of This permit. Issuance or this permit shall not be deemed to waive or reduce any requirement of any city ordinance nor limit in any way the City's ability t0 enforce any ordinance provision." ENO. INSPECTION FEE �� Q�Yf��/. /✓` �C. PLAN CHECK DEPOSIT TOTAL AMOUNT DUE ;n✓Ir 41 I hereby acknowledge that I have read this application• that the 13i ) 62 1 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 stale laws regulating construction; and in doing the work authariz• AUTHORIZES This application is not a permit until eo thereby, no person will be employed in violation or the Labor ONLY THE signed by the Building Official or his/her Cod. o1 the State o1 Washington relating to Workmen's Compensa. WORK NOTED Deputy; and fees are paid, and receipt is Lion InsuraGgeAvo RCW 18.27. INSPECTION acknowledged in space provided. SIGNATURE OI•J G AGENT) DATE SIGNED DEPARTMENT % I L - $ -`) l CITY OF of ICIArs sw EDMONDS ATTENTION CALL FOR REL A INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 7 / 1 - ®22o ORIGINAL - Flle YELLOW - Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 AAZ FINK - 0.,.., GOLD - Assessor SECT / e. 13-1.�x <