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20000010.pdfI =a CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION MAILING ADD RESU -7 -7 q CITY I/ il i� b., 1) Hu LPER�WTEXPIFIES�"r USE PERMIT F) ZONE NUMBER ADDRESS 02IZ510 31-? 3 -4,01, W. JOB PLAT NAMEISU5DIVISION No LOT No LID NO. LID FEE S U BLIC RIGHT OF WAY PER OFFICIAL STREET MAP lEllP AW AW I_"- P—d P.�d S ..' EXISTING � PAOPOSED� 0 REQUIRED DEDICATION— FT — U_ W"n METER SIZE �T LINE SIZE 0. OF FIXTURES No 0, F, N PRV REOUIRED Y Y , E3 No 0 REMARKS —.111111-A—R RESPONSIBLE FOR EROSION C014TROUORAINAGE V �TEIEI..N�E� ADDRESS a w !� , rjCITY SWI_-L� /Z s -f 6b ( '_ It o �' -t &L I - lROPjYTAX ACCOUNTPARC LNO. 671 (CI 0(27� Q)57 C] -NEW ESIMENTIM., COMPLIA CE OR ADDITION M_"A c3 CHANGE REMODEL 0 APARTMENT SIGN I FENCE 0 REPAIR 0 ( _ X FT) cl DEMOLISH TANK C3 OTHER GARAGE E] RETAINING WALL C] RENEWAL CAP IT FQQK-Y E -..LSINESS.FA _,E BE B 'YLTj��Ty XPILAI OF U����� s , ;NUMBER BER OF CRITICAL AREAS or OF TOP'. STORIES / ELLING ITS 'U MEER DESCRIBE WORK TO BE DONE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADB# INSPECTION PEO'D 0 I BOND P.ITE ON. 0 YES ONG REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED ±(�,) HEIGHT ALLOWED PROPOSED I _EXP I LOT COVERAGE REOUMED SETBACKS PROPOSED SETBACKS (M. ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE BEAR PARKING TT RE L�TARMA PLANNING REVIEWED By DATE REGO I PROVIDED I CHECKEDBY JT7, SPECIAL INSPECT01 REQUIRED rl YES PER VALUATION I FEE PLAN CHECK FEE SOURCE GLAZING I H A T S o U R C E LOT SLOPE I BUILDING LAN HECK NO: JVISTED A N H E C K IN 0 PL DATE PLUMBING HIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO T S RE R M IT A U T S BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC N IV TE P E .. ED PR A GRADINGIFILt Do". 'c....'ZE DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEE% ETC.) WILL REQUIRE ED "W" SEPARATE PERMISSION- STATE SURCHARGE PERMIT APPLICATION: 180DAYS PERMIT LIMIT. I YEAR , PROVIDED WORK IS STARTED ITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF Or HIS OR HER SPOUSE SSIGNS AND SUCCESORS F ENE. INSPECTION FEE 'ffEHEAT N INTEREST. AGREES TO INDEMNIFY. " FEND XNHcE'HRLA� HARMLESS THE CITY OF I I I T ES A' R EES To IN )E NDSCAPING . CIA Y AND 5 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FR AN E .. N WASHINGTON � IT .S I SPECTION FEE LCLAIMS FOR DAMAGES01 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY UL C" US 0 , G AL NOT BE RECEIP s.ALL FROM THE ISSUANCE Or THIS PERMIT, ISSUANCE OF THIS PERMIT, E o ANY C Ty OROINANC PLAN CHECK DEPOSIT EENE T MODIFY WAIlEQR REDUCEANY REoUIREMENTOF DE EDTOMODIFY. 'M TO ENFORCE ANY ORDINANCE PROVISIOH.- 81 OR LIMIT IN ANY WAYTHE CITY'S A LITY N OF L� MIT, NY W Y T PROVAL I �ERE.YAC��.�L..�T.ATI�AIE�E�.T�lS�PPII�ATI.N;T�ATTHIINI��IEI GIVEN 15 CORRECT. AND THAT I A. THE OWNER, OR THE DULY AUTHORIZED A. NT or THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING C.�STRUC- CALL 6.11dl�g oll,­1 Im-, D .�d F­ .1. P.ld T,,ION,AND,lND ING THE WORK AUTHORIZED THEREBY, No FESS N WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTION p— I VIOLAT ON OF THE LABOR CODE OF THE STATE OF Wor KMEN'S COMPENSATION INSURANCE AND ROW 1A.27. OFFICI A G T DATE -SIGN (425) URE (OWNER OF AGENT) ATE SIINED l7i� \"— I � i, t go 771-0220 Ill. SED DATE '��_ENTON EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTOR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YEULOW- GOLD ASSESSOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER- 5198 I = RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing .......... ........... Wall.......................... Pier/Porch ................. z 0 Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground C: rn Rough -In ................... 0 Commercial Final C� HEATING: Gas Test .................... �12 OcL:' 3: M, rn Z _q > p'�, Gas Piping . ................. Equipment ................. -in Commercial Final rn .0 EXTERIOR SHEATHING IT ago 86, 0 NAILING .......................... om� 0, FRAMING ........................ K co), FIRST FLOOR FRAMING INSULATION ................... Floor Insulation z Wall Insulation ........... Ceiling Insulation z 0 SHEETROCK NAILING __4 SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL F on if OCCUPANCY ................ m - Ass, DATE RECEIVED M17TEXPI::.�� FPE7R _lRES - USE PERMIT 200010 ZONE CITY OF EDMONDS NUMBER SU s 'CONSTRUCTION PERMIT APPLICATION AD'.FE.So?,� 510 3 A4 J61, LIV OWNER NAMENAME OF BUSIN SS ---- LID EE S r FLAT NAMEISUBDIVISION N67 LID NO. mV MAILING ADDRES9 J_ PUBLIC RIGHT OFWAY PER OFFICIAL STREET MAP Tl� 11.11"pl"" F THE zip TELEPHONE EXISTING — PROPOSED — vc-11yeil (Vol REQUIRED DEDICATION a m METER SIZE Ll I XT v QUIRED V NAME I NO 0 REMARKS owNERICONTRACTDR RESPONSIBLE FOR EROSION CONTROUDRAINAGE IDOREII CITY NAME �sn ENGINEERING ­1­01DATE ADDRESS Z DATE CITY zip TELEPHONE FIRE REVIEWED BY 0 5 -VARIANCE OR CU SHORELINE OR ADB9 INS�PEE.C�101`1 IPBOND STATE LICENSE NUMBER D C)YES ONG CST 1, ED t o SERA REVIEW SIGN AREA HEIGHT ID cQMPLETE EXEMPT AILOWED PqoPOSIO ALLOWE PROPOSED M PROPERTY TAX ACCOUNT PARC�L No. I I I C= M Cl� LOT COVERAGE REQUIRED SETBACKS (I.) PROPOSED SETBACKS I".) 0 0 NEW �PRESIDENTIAL PPLUM81NG I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR c COMMERCIAL CoMPL ANCE OR M 0 ADDITION 0 CHANGE OF USE PA KING LOT AREA PILANNMG REVIEWED UY M Z REMODEL 0 APARTMENT cl SIGN PRov RED, IDED j) c 2 > REPAIR 0 llAlIll CYGS C] (PENCE X FT) EMAR­ DEMOLISH TANK E] OTHER o -n GARAGE RETAINING WALL RENEWAL 0 CARPORT FoCKFFY [3 n ZI 0 0 S OR ACTIVITY) EXPLAft CHECKEDBY 17RO Spe `7 m M as as NUMBER OF OR ITICAL 08 0 0 Fn sPECIALINGPECTOR ... PAN, OF D NG AR MBE NU5AS R JAH11 REQUIRED 1­1 lo LOAD STORIES UWELL NITS' DESCRIBE WORK TO BE DONE REMARKS M 0 PROGRESS INSPECTIONS PER UBC lOa/FINAL INSPECTION REO'Dj Z r- (v -+rAL Crl)C /'5P _7 Z 0 VALUATION FEE Z PLAN CHECK FEE 0 HEAT SOURCE GLAZING % LOT SLOPE I BUILDING IT! PLAN HECK NO: IVESTED DATE PLUMBING MECHANICAL THIS PERMIT ALT .. IZES ONLY THE WORK NOTFIL THIS PERMIT COVERS WOR K TO oNE ON ."ATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE m SEPARATE PERMISSION. STATE SURCHARGS A PER ITAPPLICATIO : IBODAYS PERMIT LIMIT'. I YEAR MRDVIDED WORK IS STARTED WITHIN 180 DAYS ENG. RSVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. A-11 NE AN. SUCCES.F, ENG. INSPECTION FEE IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF FROM ANY AND LANDSCAPING 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT , OEEMEDTO MODIFY, WAIVEOR FIEDUCEANY REQUIREMENT OF ANY CITY ORDINANCE R ENFORCE ANY ORDINANCE PROVISION.' RECEIP� r3, 0 NOR LIMIT IN ANY WAYTHECITY'S A81LITYTO TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL I GIVEN IS CORRECT. AND TH AM THE OWNER. OR THE DULY AUI HORIZED AGENT OF AATT: , ­ �.y..,, by th, THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC g..,- �II "'. _ ,%u.�dlIlF,ap0d CALL as 11, pals. Sui, TfON; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED LABOR CODE OF THE STATE OF WASHINGTON RELATING To FOR INSPECTION I.C.'Pusnia,' ­P IN VIOLATION �t / 0 _j E WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. OFFICI !G T SIGN E OWNER OR AGE ATE SIGNED (425) J 771-0220 REL ABED ATTENTibN EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL -ulr r_ I — A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFlk ORIGINAL 'ILE YELLOW - INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD ASSESSOR 5me