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20000012.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMENAMEOF BUSINESS m 0 MAI S 'IN ADD' o FCITY_G___15_15��__� �p �T ZI 0 7ELEF. ' �E NAME AADDRESS PERMIT EXPIRES USE PERMIT 01 11 1 ZONE NUMBER -70c)(31 JOB If SUITVAPT- AD11E11' PLAT M 'SUB No LID NO. LID FEE $ 7NAMEISUBDIVISI.N TESCP d 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP M P., 0 U.. 1. P., d 0 EXISTING - PROPOSED- 0 _l d [3 OONO _ REQUIRED DEDICATION FT �T' METER SIZE E LINE SIZE No OF F_TU�).S PRV REQUIRED YES 0 =ARK1'T11rTnR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING ADDRESS .R' __r"Zyrlc� FIRE REVIEWED BY DATE Y CITY Z IT LEI I p6-tq L4 E-1-ION 0 BY OF B# 116FI-ELINE All VARIANCE OR CU SHORELINE OR ADB# IN "TION INSRPEEGOTION 0 RE D D JP--NEDD ... TED DST STATE 1.�NSZIBIER STATE LICENSE NUMBER YES 0 No m ok SIGN AREA SERA REVESWEMPT ALLOWED PROPOSED HEIGH T HEIGHT POSED ALLOWED PROPOSED ALLOWED ',I PROPERTY 1�1�E RCEL NO. 'OMP STE C EXP NEW RESIDENTIAL )zD11 UMBING I MECH LOT COVERAGE REOUIRED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR PROPOSED SETBACKS (FT.) POP SED E 'P. T UP REAR FRONT UR SIDE C] ADDITION 'AL COMMERCIAL COMPLIA CE OR CHANGE OF USE LOT AREA PLANNING REVIEWED BY DATE EMO C] R DEL , M T 1:1 APARITMENJT C] SIGN PARKING REGO I PROV 0 REPAIR [3 GRADING FENCE X FT) x 0 CYDS cl FT) MAP- DEMOLISH TANK ci OTHER CGARAGE CARPORT C3 RETAIIN RENEWAL FCC EVIVAIL C] TYPE OF USE. B NESS OR ACTIVITY) EXPILA N: IE CU NT OUP 'I NUMBER NUMBEROF ITICAL A EAS CUPANT D OF STORIES !WORIL�� DWELLING T" I DESCRIBE K TO BE DO. EMA' PRO GRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG VALUATION FEE PLAIN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL ulz THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER WORK TO Be DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL SIDEWALKS, DRIVEWAY . MARQUEES, ETC.) WILL REOW DOMAIN (CURBS, S BE 3 SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: IBG DAYS PERMIT LIMIT. I YEAR PROVIDED WORK is STARTED WITHIN 180 DAIS ENG. REVIEW FEES SEE BACK OF PINK PERMIT Fos MORE INFORMATION A N BEHALF 11 HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS 'Tio THE CITY OF ENG, INSPECTION FEE FEES TONGS FY, R A ;'N'1'.`LE'IEE A MNI DEFEND AND HOLD HA MLESS EES,ANDA ENTSFROM NYAND LANDSCAPING FEE EDMONDS. WASHINGTON. ITS OFFICEALS EAMTUREy. ARISING DIGRECTLY OR INDIRECTLY ALLCLAIMSFoR DAMAG ESoFWHA VER N INSPECTION RECEIPT x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT ED IREMENTOF ANY CITY ORDINANCE DEEMED TO MODIFY, WAIVE OR REDUCE AN R U N., '= ORDINANCE PROVISION.� RECEIPT Lx\ 0 OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY 0 , TOTAL AM UNT DUE THAT I HAVE READ THIS APPLICATION: THxr THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE E 0 ULYAUT A IS CORRECT; AND THAT I AM THE OVINNE . OR TH RIZED AGENT OF T� GIVEN , _ REGU TING CONSTRUC- Y WITH CITY Ri SoIRATTE THE oW 'A' LAW .0 IER N CALL u" �l oil 4 -d 1ION; AND IN. OR AUTHoF"ED'THEF1SY. No PERSON WILL BE EMPLOY D RE ATING E ,� IAGRIE'EITEO'CONITL TO o,,Ipl I, 11k1.wI,dg0d 11 paco p-dad. FOR INSPECTION IN VIOLATION OF THE LABOR Co DE OF THE STATE OF WASHINGTON WoRKMEVS COMPENSATjqjL_�SUPANCE AND RCW 18,27. OF A GNA DATE SIGNED (425) 6-610 1 771-0220- DATE C '7ATE RELEASED BY EXT 333 AFEN71ON IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR GOLD - ASSESSOR A BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER CATE OF OCCUPANCY HAS Sea z c m rn 0 0 80 c m M z 10 -1 c E: -4 0 -n n -4 m M 0 0 0 c (j) M Z z __4 z 0 0 m , E RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing 1 Wall Z� pier/Porch ................. Retainirlig Wall ........... 0: F1 Slab insulation .......... PLUMBING: M. Underground ............. 0. Rough -In ................... 0 11 1 F.P Commercial Final rn M z HEATING: to -4 Gas Test ................ Gas Piping 0 -n 'n Equipment ................. W. M M I v Commercial Final cp 1:'� EXTERIOR SHEATHING —LING 0 N................... FRAMING .................. 0 z 2: FIRST FLOOR FRAMING INSULATION ................. Floor Insulation Wail Insulation Coiling Insulation Z SHEETROCK NAILING-... M SPECIAL INSPECTION MISCELLANEOUS .......... I C, FINAL APPROVAL FOR OCCUPANCY ............... ATE RECEIVED PERMIT EiPIRES USE PERMIT S '. CITY EDMONDS 'ONE 7APPLICATION NI E NUMBER JOB CONSTRUCTION PERMIT EE �SS OWNER NAMEINAMEOF B SINESS P�T NAME)SUBDIVISION NO, LOT NO* 1. NO. Lob'YIA' r-y�(u\nQ_ 11. FEE S MAILING ADDRESS —.1.HI I—kq PUBLIC OF WAY PER OFFICIAL EXISTING — PROPOSIEC� STREET MAP 3'MrZ'r'Z' SI—I U.. P-0 R., d "p"' "'I" 0 cl CITY I zip TELEPHO (�j REQUIRED DEDICATION— FT — PRV REQUIRED NAME YES 0 No 0 REMARKS NFRjrCNTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ADDRESS ZIP CITY ZIP ITELEPHONE HONE NAME ENGINEERING REV15WEDIDATE ENGINEERING ADDRESS _lYZVr) T FIRE REVIEWED By DATE CITY — "Ju lARIAlrE 01 CL 11111ELME OR ADS. I-SPECTI N REO'D No 0 YES 0 BOND POSTED STATE LICENSE NUM6111 EXPIRATIONDATE CHEUKI-11 B11A REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGH P T ROPOSED� ALLOWED PROPERTY TAX ACCOUNT PAR EL NO. Q 0 EXP I I — I \JW,EW �n.E�IDE.TIAL PLUMBING / MECH )�01;..ILIAN.E LOTCOVERAGE ALLOWED PROPOSED REQUIRED SETBACK$ (Fll FRONT SIDE REAR PROPOSED SETBACKS JFT) FRONT URSIDE REAR 0 ADDITION MERCIA' 0 COMMERCIAL OF CHANGE OF USE PARKING LOT A17PINN17, --- ------ REVIEWED BY DATE REMODEL APARTMENT STGN REG PROVIDED E] REPAIR 0 FENCE GRADING CYDS IT) REMARKS DEMOLISH TANK OTHER q C GARAGE 3 CARPORT RETAIWINYG WALL Ej RENEWAL TIVIRY) EXPLAIN: CHEC00BY TYPE OF CONSTRUCTION OCCUIPA B." P I -TAP. ch, IM NUMBER NUM.EROF ... CAL SPECIAL INSPECTOR AREA OF STORIES DWELLING UNITS AR EAS NUMBER REQUIRED C] YES 1C.L.PANT LOAD DESCRIBE W ... R PEMARKS ROGRESS INSPECTIONS PER U.0 1.8/11NAL INSPECTION REO'Dj 00 g Ay—+ I A 10 VALUATION I FEE PLAN CHECK FEE LIFICE GLAZING % L. I —PE % BUILDING PLAN CHECK NO: PLUMBING 1,15TEDDATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE z SEPARATE PERMISSION. L STATE SURCHARGE PERMIT APPLICATION: 18D DAY PERMIT LIMIT'. I YEAR � PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCC5SCRS WTIN CNG. INSPECTION FEE ;APPLICANT. INTEREST, AGREES TO :NDEMNiF SS THE CITY OF N Y, DEFEND AND HOLD HARMLE Y AND LANDSCAPING I EDMONDS. WASHINGTON, TS OFFICIALS. EMPLOYEES, AND AGENTS PROM AN ALLCI-AIMS FOR DAMAGESOF WHATEVER NATURE.ARISING ClRECTLYORINDIRECTLY INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 8' PLAN CHECK DEPOSIT ANY TYORDINANCE DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF C I N-1—.... :IPT 0 NOR LIM) 'S ABILITY TO ENFORCE ANY ORDINA ANY WAY THE CITY . TOTA CUNT DUE / 6�' THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN IS CORRECT. AND THAT I AM THE OWNIR* OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL D.pul, -d 1— .1. �ld. TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED NO WASHINGTON RELATI TO CTIO FOR INSPECTIO ,,.ipt kl.wIldgld 1� IP— vldod. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN'S COMP�NS RANCE AND RCW I . 7. L I RE�"' DATE A ot.E DATEllpl()b (425) ;?d /-6-6r3 DATE Q-1 HELEAS5D By EXT 333 ATTENtION UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 IT IS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW INSPECTOR A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 519� z 0 0 m rn 0 : . __Io 00 m m IT! z 0 0 _n _n m M 0 0 rn 0) 90) ' M 0 70 z --I x I C& z 0 d 0 m