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22937 HIGHWAY 99.PDF11111111111111 11634 22937 HIGHWAY 99 "A o I I -) IPERMIT EXPIRES CITY OF EDMONDS USN I-E 0 PERMIT , NUMBERM2— "_ 7- CONSTRUCTION PERMIT APPLICATION CATION J JOB 0 A ADDRESS OWNER NAME/NAME OF BUSINESS FLAT PLAT NAMEISUBDIVISION NO. OT NO.0 LID NO. MAILING ADDRESS LID FEE S PUBLIC X3HT OF WAY PER OFFICIAL T­ STREET MAP = ZIP TELEPHONE EXISTING — PROPOSED — S_ U.. e Wp� Req� 13 SW -A R-Jee Y— _4REMARK RE-U REQUIRED DEDICATION— FF NAME METE METER SIZE IJNE7��70F FIXTURES REQUIRED I FPRV Y S 0 NO 0 ADDRESS a 0 ..E WNER)CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE -ITY NAME ADDRESS CITY STATE LICENSE NUMBER ZIP I TELEPHONE [j NEW 0 RESIDENTIAL [] PLUMBING I MECH C] ADDITION [] COMMERCIAL I gd�n� 0 REMODEL 0 APARTMENT 0 SIGN REPAIR GRADING CYDS [:, FENCE I — X 0 DEMOLISH 0 TANK 0 OTHER GARAGE CARPORT Ej RETAINING WALL ROCKERY RENEWAL UWE NUMBER L&MBER OF CR ITIC _FA OF DWELLING It EA S STORIES UNITS N UMBER DESCRIBE WORK TO BE OONO FIRE REVIEW D BY FIR' R E V' DATE -1-02- By VARIANCE OR CU SHORELINE OR ADS# INSRPEEaJON I PBOND OSTED 13yrSWN0 I A SEPA REVIEW S EP SIG14 AREA EIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP7----�- [EMARjr LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACK$ (Fr.) ALLOWED PROPOSED FROM SIDE REAR FRONT URSIDE REAR 1W 61'14At-,F_ f R10 PAR. No LOT AREA PLANNING REVIEWED ?Y DATE O'D 'PROVIDED CHECKED BY I TYP9ffNMON j2y�- CUPANT OCROUP /n SPECIAL INSPECTOR REQUIRED [:I YES [AREA OCCUPANT LOAD REMARKS ZO PROGRESS INSPECTIONS PER UBC IGOIFINAL INSPECTION REG-D 9 VALLIATION Descripitlon FEE D.Sciripti.. FEE g::L� 1 rrLfj��)eIq Plan Check qc-> EAT uhE LOT SLOPE % ' Building PLAN CHECK NOnl.LIVI VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY OHL% ANY CONSTRUCTION ON THE PUBLIC DOMAIN SIDEWALKS. Grading Recording Fee (CURBS, DRIVEWAYS 1*UEES, I .) WILL REQUIRE SEPARATEPERM;SSIOHL rc PERMITAPPLCATION: ISO DAYS Engr. Review City Surcharge PERMIT UMM I YEAR - PROVIDED WORK 15 STARTED WITHIN ISO DAYS Engr. Inspection State Surcharge SEE RACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF PUS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Review Receipt III ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SMALL DMOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY OR 'NANCE Fire Inspection Total Am ount Due 0 NOR LIMIT IN ANY WAY THE CITY% ABILITY TO ENFORCE ANY ORDINANCE PROVISION... Landscapelnsp. Receipt # I HERESY ACKNOWLEDGE THAT � HAVE READ TH S APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT AM THE OWNEIR. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL E THE OWNER. I AGRE TO COMPIY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL ThIs application Is = a Feted until siWmd by the n ON: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON BE EMPLOYED WILL BUIlding OffiCial m hisftw Deptay; md Feee we paid. Iud IN I?N OF THE LABOR CODE 01 THE STATE OF WASHINGTON RELATING To FOR INSPECTION receipi is �no�odgee In spece P1 .0. WOW COM!ENSA.TjftjfUR&NCE AND RCW 18.27. SIG , tow FR 0 E —E SIGNED (4,25) OFFIC IGN U IFT02, 771-0220 "ftENTION RELEASED BY' A EXT 1333 -2 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ortiriNAL - FILE/ YELLOW /NSPE&OR PINK OWN6-e GOLD ASSESSOR 10/01 - - PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER No CONSTRUCTION PERMIT APPLICATION JOB ADDRESS OWNER NAMENAiLE OF BUSINESS PLAT NAME/SUBDIVISION NO. COT NO. LID NO� MAILING ADDRESS LID FEE $ TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP par�= . ;1?a RW strestusepannk" CITY ZIP TELEPHONE EXISTING PROPOSED hupecdo Required SMidewwaalk, REOU 0 4DICATION— FT Undwgr&jW j. NAME M SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESO NO 13 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME_ ENGINEERING REVIEWED/DATE ADDRESS qua ou FIRE REVIEWED BY DATE W CITY zip� TELEPHO14E cc rL VARIANCE OR CU SH INSPECTION IPSOND STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY REO-D OSTED VYES. [3 NO SERA REVIEW SIGN AREA . HEIGHT I.A4, AM I P77ACCOUNT PARCEL NO. # . . . . 0 )o 0.2 r COMPLETE EXEMPT ALLOWED PROPOSED ALLOWEf PROPOSED EXP IX 14 119,4** 14 110118" LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) �NW 11 RESIDENTIAL 0 PLUMBING I MECH �ALLOWED PRPP�PSED, FRONT SIDE REAR FRONT* L/RSIDE REAR k MP ADDAN CO C2;rCE R OMMIERCIAL oi� , W-A /'� I /A ff-X-15 N C, FX1S11N6;, 'f Lo� iAkk P :VI OAAING k EDgf 0 RE APARTMENT SIGN REO'D I PROVIDED1 �IDATE [j REPAIR GRADI . N . G CYDS Lf FENCE W X FT) REMARKS .[3'DEMOUSH TANK -OTHER [i GARAGE o RETAINING wALL CARPORT ROCKERY RENEWAL OWE OF USE, BUSINESS OR ACTIOM EXPLAIN: CHECKED By TYPE 0 USTRX ON OCCUPANW (3 I -a" GROUK.D 0 A NUMBER NUMBER OF CRITICAL OF 6 DWEWNG AREAS SPECIAL INSPECTOR JAREA' OCCUPANT. 2ME UNITS �j NUMBER REQUIRED LOAD DESCRIBE WORK TO 13E DON. REMARKS. PROGRESS INSPE�TIONS PERUBC 108/FINAL INSPECTION REGrD ra-r oh elvj 5 h NhIL'I k#131 C-11-io An < oi<-) 6o5h1c w',re r ne'kj IN ,A,-/'% h r7c ?/I HEAT SOURCE GLAZING % .LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED....THIS PERmITCOVERB WORKTO BE DONE ON PRIVATE PROPEMY ONLX ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS,.1111 ARQUEES,' ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERmrr.uMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFOMUTION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESOkS IN INTEREST, AGREES TO INDEMPPK DEFEND AND HOLD HARMLESS THE C17Y OF EDMONDS, WASHINGTON, ITS OI§FICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OPWRATEVER. NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PEFimrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFX WAIVE OR REDUCE AW. REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATION; THAT THE INFORMATION GIVEN IS CORRECT� AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT df THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE, LAWS REGULAT1N0,CoNsTRUC. TION; ANJ)IN D IN HE RIZED THEREBY, NO PERSON WILi-SE EMPLOYED 0 GT W I VIOIATA N OF THE LAB& �DEIDF THE STATE OF WASHINGTON RELATING TO 1 67 PEN;4 SU 9"D� RCW 18.27. VE�S C r VAWATION $ 011111-9heft Building Plumbing Mechan ical Grading Engr. Review Engr. Inspection Traffic Mitigation Fire Review Fire Inspection FEE 2- FEE Recording Fee City Surcharge State Surcharge Chk Deposit tPlan Receipt # T Toi otal Amount Due ndscape Insp.... Receipt # APPLICATION APPROVAL CALL. This application Is not a permit until signed by the Building Official or his/her Deputy: and Fees'are pald. end FOR INSPECTION A receipt Is ack-novAedged In space provided.. OFF*I.S SIG.NATIAE A E IA251 7-7 26 .1 DATE ATTENTION,` E)ff<13U­ b-L IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTORE UNTIL �7 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A, CERTIFI- CY HAS BEEN GRANTED. UBC SECtION 109 PINK - OWNER - GOLD - ASSESSOR CATE OF OCCUPAN ORIGINAL - FILE - YELLOW - INSPECTOR 10/01 r) ' ( cll� 2fA* IL k � 07r, "