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20000056.pdfRIVED, N I ( )o ft FP E 87M :IT :E X:P I �RE S� USE PERMIT CITY OF EDMONDS ZONE NUMBER 200056 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS su I �N'IR NAIIINAMI 01 BUSINESS PLAT NAMEISUBDIVISION NO, LOT NO. UD NO - LID FEE S MAILING ADDRESS ZITY ZIP TELEPHONE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI EXISTING — PAOPOSEO� TESCP App, C C r ­­� R.10.d r U-1,­­ 5. REQUIRED DEDICATION— METER SIZE LINE SIZE FT — NO,OFlIlTURES Wjd­.q­d c PRV REQUIRED NAME I I YES NO ADDRESS REMARKS nWNFRICnNTRACIORRESPONS;BLEIO�EMOSiO�CONTROUDRMNAGE TELEPHONE \_Q A ENGINEERING ADDRESS ADDRESS 0 FIRE REVIEWED BY DATE CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADBII INSPECTION FEo'D IPBO NO OSTED STATE LICENSE NUMBER 4 GAT E CHECKED BY CJYES 13NO P. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIG T ALLOWED `ROPOS'D PROPERTYTA ACCOUNT RCELNO. S< D EXP N NEW RESIDENTIAL PLU--IN �o PLII.13119<.�ECDH T C VI AGE ALI LOED a PROPOSED DAY REQUIRED SETBACKS (FT.) E FRONT SIDE R AR PROPOSED SETBACKS ('FT) FRONT URSIDE REA R ADDITION E AUDITION COMMERCIAL 0 I I COMPL ANCE OR C..'L -AN-E CHANGE OF USE Ct PARKING LOT AREA PLANNING REVIEWED DATE By. REMODEL 0 REMODEL APARTMENT SIGN S '.N RECFD I PROVIDED R REPAIR EPAI ING GRADING CYDS n YDS NC FENCE FE E EJ X FT) R ELIARKS 0 DEMOLISH C] TANK OTHER m qumlum::� �e GARAGE F " CARPORT RETAININGWALL — C] RENEWAL (VJV' ec r)c—1016-5u. (TY PE OF U BE, BUSIN EBB OR ACTIVITY� 115riz— CHECKEJBY JIYPE WWU�ia�.GCIUPANT .CCUPA�L5 L 7 HA . ..... R N UMBERO F RITIC 'UNDER SPECIAL INSPECTOR OF 'ELUN. AREAS I N REQUIRED C3 YES JA­ TO RIES �T. DESCRIBE WORK TO BE DONE REMARKS IINIRPIFICTIONS PER USC 1081FINAL INSPECTION REO E PLAN CHECK FEE 'LAN LOT SLOPE % BUILDING PLUM51NG ED DATE �N C�__ ECK N Ol VEST MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DO NE ON PRIVATE P ROPCATY ONLY. ANY CONSTRU CTION ON THE PUBLIC GRADINGIFILL 2 DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE JCHECKF5 STATE SURCHARGE N�EATSoU�CEG�ZINQ% m SEPARATE PERMISSION PE"M 17 APPLICATIDW 18B DAYS PEnMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 18G DAYS ENG. REVIEW FEES END INSPECTION FEE SEE BAC K OF PINK PERMIT FOR MORE INFORMATION F HIS OR HER SPOUSE� HEIRS, ASSIGNS AND SUCCESORS APL CEIIEN1 AND HOLD AF.LESI THE CITY OF ;NNTER LANDSCAP NO A � EN A m TIOIFICIALB.E.IL.YEES ND G TSF 0 ANYAN INSPECTION FEE ECMG,%WAEHAGTN A LL"'. FORD A.E� GF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY NOT BE R FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL ANYCITY ORDINANCE PLAN CHECK DEPOSIT A D M Y REQUIREMENTOF ED TO MODIFY�,WTAIvE.o�y�,EADBICE Y N EE DICE ANYQROINANCE PROVISION. LIT TQENF R 0 NOR W E IT U.ITINANY TOTAL AMOUNT DUE I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIGN� THAT THE INFORMATION D IED AGENT .1 GIVEN IS CORRECT. AND THAT I AM THIECOWNE R� SoTRATT�HELAW'�LY-AE-TULA'T'I'NC, CONSTRUG 'TYAN CALL THE 0 NER IAGREETO CoM,'LYW'T' � E T o PERSN WILL BE EMPLOYED NoPE ONWILL"' EMPLOYED I '�U� No' Z D IT RE"Y RE I.N AWND IN DOING THE WORK AUTHORIZED THEREBY. N oNGIDN RELATING TO G'oN F LATINGTO FOR INSPECTION SHI N OLAT ON OF THE LABOR CODE OF THE STATE OF WASHI I Vi I THE STA WOR KIMEN SCOMPENSATI.N INSURANCE AN. RCW 1821 D ATE SIGNED (425) AGE T) 771-0220 EXT 333 ATTENt*N--" IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL IN PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 519S VALUATION I FEE JCATION APPROVAL ..' . I—., _" g_ " "'A 1., —1— D.I,ull �11 I`— al. T_f__ ORIGINAL - FILE YELLOW. INSPECTOR PINK. OWNER GOLD -ASSESSOR Z 0 r: M rn 0 0 80 c 3i c :�" m m 0 n M M a- 0 0 M c ;x "o. . m 'o z 0 d 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .................... FOUNDATION: Footing ...................... wall .......... ........... Pier/Porch ................. Retalnitig Wall ........... Slab Insulation .......... PLUMBING Underground ............. Rough -in ................... Commercial Final HEATINGt Gas Test .................... Gas Piping, ................. Equipment . ................. . Commerci at Final EXTERIOR'SHEATHING NAILING .......................... FRAMING ..� ..................... FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR -e:ld OCCUPANCY ............. z V) C' M C M 0 0 C �c t7 M M z C 2 n M M 0 0 Fn CT. M0 Z -4 CO) z 0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMENAME OF BUSINESS ZIP I TELEPHONE ADDRESS CITY ZIP TELEPHONE NAME ADDRESS PERMIT EXPIRES us ZONE PERMIT 000056 NUMBER 'oB ADDRESS 0 SUITP t, OTI FLAT NAMEISUBDIVISION NO. LOT NO, 11 N . I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P;P­"R`.'l7l­ u*l Pll"I'l EX IS ING — PROPOSED— Z.- R EQUIRED DEDICATION— FT — w1h.9 ­­d METER SIZE LINE SIZE NO, 01 FI.TLRES P. RE.UIRED I I YES 13 NO 0 NTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By RE ED RE VIEW 'Y DATE CITY ZIP TELEPHONE 'ANCE R CU VARIANCE OR CU VA SHORELINE OR ADBN INSPECTION 13Y REO'D ES ONO I BOND POST D STATE LICENSE NUMBER EXPIRATION D AT' I p F �V I EPA 9 VIEW L'T' �� EXEMPT PL TE COMPLETE EXEMPT E X EX SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. C] NEW C3 ADDITION C] REMODEL REPAIR C] DEMOLISH GARAGE C ARPORT ,eR..IDENTII L C3 COMMERCIAL C3 APARTMENT GRADING CYGS El TANK RETAINING WALL .11Kl.Y ' M L ... IN(EECH COMPLIANCE OR US CHANGE OF USE SIGN F C FENCE I X FT) X o OTHER RENEWAL D LOT COVERAGE 'ED P, LLOW D P Opo ALLOWED PROPOSED REQUIRED SETBACKS IFT1 FRONT SIDE REAR PROPOSED SE78ACIS IF11 FRONT UPSIDE REAR C PARKING REDID I PROVIDED LOT AREA L PLANNING REVIEWED By DATE R . . REMARKS S bi QA 61 v V —0 ? GROUP NUMBER NUM ER CMICAL AREA T DW LIN I ­,ICAL SPECIAL INSPECTOR OF AREAS Ug '.ER STO iEg S NUMBER REOUIRED:C] YES DESCZ!=TO,GE DONE K OZ S ON RED. a REMARKS AR PECTI PECTIONS PER UBC 108WIFINAL INS ON REO'D PRnrRFSS INS PLAN CHECK F96 HEAT SOURCE GLAZING % LOT SLOPE BUILDING PLAN CHECK NO: IVESTED DATE ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GdADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MAROUEES, ETC.) WILL nEOUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATI N: 180DAVS PERMIT LIMIT.- I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE 8ACIX OF PINK PERMIT FOR MORE INFORMATION P PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;A THE CITY OF INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS AND LANDSCAPING 2 EDMONDS. WASHING ON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FRO. ANY ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIAECTLYOR INDIRECT�l INSPECTION FEE m FROM THE ISSUANCE OF THIS PERMIT, 15SUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED o MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANICITY ORDINANCE T NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTAL AMOUNT DUE RECE I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN'", CoRnEoTANDTHAT I A. THE OWNER, OR THE DULY AUTHORIZED AGENTO' U�Iil 11910d by th, oW 'R AGR.ET.�..PLYW'THCI T AND STATE LAWS REGULATING CONSTRUC THE N Y CALL lb=lplly: ld I'll, 11, p1ld. TION;ANDIN DOING THE WORK AUTHDNZED THEREBY. NO PERSON WILL BE EMPLOYED THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ­p... p—d.d. E I IN VI LATION OF THE LABOR CODE OF WORKMENS COMPENSATION INSURANCE ANDRCW 18.27. (425) 71AL RE DATE s'GNAT�LE OWNER OR AGENTI D 6 SIGNED ID,, . -1 "i_ �') - -_ _�_) -�"A c - I f _��VASEOBY " -AMENTION EXT 333 -- ITIS UNLAWFULTOUSE OR OCCUPYABUILDING OR STRUCTURE U NTIL 771-0221 A FINAL INS ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI P ORIGINAL FILE YELLO -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - ASSESSOR �KI8 a m c 0 . , m 0 0 m m c 2 V) 0 _n m M a 0 o c co M 0 z 7-1 M z -4 x z 9 0 m