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20000120.pdfDATE RECEIVED L_ —_ -_ CITY OF EDMONDS � CONSTRUCTION PERMIT APPLICATION OWNER NA.ENAME OF BUSINESS A�jjZAILING ADDRESS cc& C)m CITY ZP CITY ZIP NAMEEA ADDRESS 3A a IB Al .�. r�� I PERMIT EXPIRES �� USEZ PERI, "T 200120 ZON _5_j7 V NUM IER JOB ADDRESS Nol� 51 I _+ ( su -, �T 'l PLAT NAMEISUBDIVISION NO. LOT NO, U NO, I U. FEE I PUBLIC RIGHT OF WAY PER OFFICIAL STR EET MAP TESCP App-1 U - P.., II-0- o EXIS ING — PROPOSED .1-1 - P.- E) o D A50UIREDDEDICATION_ FT 3 METER SIZE LINES11E NO.OFFIXTURE1 V REQUIRED I I YE 13 No 0 p A MARKS OWN—ONTRACTOR RESPONS18LC FOR EROSION CONTROL�DRAINAGE FIRE REVIEWED By DATE CITY ZIP T LIPIONE II - 1 _7 n,8L ) I VARIANCE OR CU SHORELINE OR ADIEU INSPECTION I PBOND ;�TARELI�CENS�N% I�DN CHECK D BY REDD No DSTED of; YES 0 Ia, SIGN AREA HEIGHT SERA REVIEW D PROPERTY COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWE , PROPOSED _FT PAFIOIL NOl 0_3_foo 4 cq EXP LOTC.VEAA�E AEGUIIIEDSISACKSIFTI PAOI.SEDSETEI 0 NEW �,OESIDENTIAL C3 P umBi Q 1 MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR f-:] ADDITION C] COMMERCIAL C MPLIA'NCEOR CHANGE OF USE PARKING REVIEWED By DATE 0 REMODEL 0 APARTMENT 0 SIGN REDD I PROVIDED LOTARIA 1PI-ANNING FENCE 0 REPAIR 0 GRADING CYDS , __ X FT) AEMAHK5 OTHER XDEMOUSH C] TANK GARAGE RETAINING WALL C] RENIRVVAL CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACT M ONSTRUCTION c o PANe CHECKED BY TYP CGU P GROU NUMBER TNUMBER AITCAL, OCCUPA , I UEAS A S ECIAL , NT LUNG AR PIE INSPECTOR AREA .U'AEG;jj N F YES LOA BE REOUIRED M YES HEAT SOURCE GLAZING % '-TOT TSLOPE % PLAN CHECK NO: 1111REODATE I THIS PERMIT AUTHORIZES ONLY THE W.RK NOTED. THIS P .1 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONISTRUCTIOI� ON THE PUBLIC ITC0111SWORKTO 91 DOMAIN (CURDS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETI..) WILL REQUIRE SEPARATE PERMISSION. PER IT APPLICATION: 190 DAYS PERMIT LIMIT, I YEAR -. ROVIDED WORK IS STARTED WITH IN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMAT ION W - P A PLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIG.NS AND SUCC�SOAS I I N NTEREST AGREES TO INDEMNIFY. DEFEND AND HOLD HAR MLESS THL QI I Y EDMONDS. WASHINGTONS ITS OFFICIALS, EMPLOYEES, AND AGE NTS FRO. ANY AND L A _CLAtMSFORDAMAGE OFW ATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS FPS RMITISHALL NOT BEE 0 EANYREQUIREMENTO A.NYCTY ADINANC DEEMED TO MODIFY. WAIVE OR AEOLIC 0 NOR LIM IT IN ANY WAY THE CITI-S ABILITY TO ENFORCE ANY ORD INANCE PROVISION,' REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D A A 0H 4.) Up- bu� a A--, A C) bA ofA Hk -04A In A VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT lql q J_ jpo� TOTAL AMOUNT DUE RECEIPT IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; TH� GIVEN I S CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CALL THE OWNER. $ AGREE TO COMPLY WITH CITY AND STATE LAWS AEG Ul-ATING CONSTRUC- TION. AND IN 00 ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINt3TONI RELATING To FOR INSPECTION WORKMEN I COMPENSATION INSURANCE AND IICW 1121* ENT ES (425) 771-0220 ATTENTION MORI EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND, APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ,o mil nlil 5,p.d l 11. D t_ Wlt.11.1�11= l-, �d 5- .1. A"SED BY - . I ORIGINAL FILE - YELL.'N-INSIET.A PINK -OWNER- GOLD ASSESSOR z m :451 0 m M 0 80 c m z -4 c 2 > -4 x 0 _rI In -4 M M 0 L) c: m Z ;0 z z 0 d 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................ FOUNDATION: Footing ............ wall.......................... Pier/Porch ................. M Retaining Wall ........... . Slab Insulation .......... PLUMBING: M C rn Underground ............. . .. 0 C Rough -in ................... In Commercial Final M Z 10-1 HEATING: f --I Gas Test . ......... 0 -n. Gas Piping ................. Equipment ................. A Commercial Final 0 EXTERIOR SHEATHING (j) z co! NAIL I N .......................... FRAMING ITI C) ................. FIRST FLOOR FRAMING INSULATION ................... z Floor Insulation Wall insulation Z Ceiling Insulation SHEETROCK NAILING 0 M SPECIAL INSPECTION —w MISCELLANEOUS .......... FINAL APPROVAL FO R !!!fl—ll �06) ............... I; �Cn 7, _'7— EXPIRES, USE PERM IT '200-120V 1 OFEDMONDS CITY OF EDMONDS 'ON, N... IR CONSTRUCTION PERMIT APPLICATION IOB ADDRESS Su Tl c— o1Q PLAT NAMFISUBDIVIStON NO, LOT 10, LID FEE S c MAILING ADORE S PUBLIC RIGHT OFWAY PER OFRCIALSTREET MAP CITY ElIlTIN6 — PROPOSED DEDICATION— FT — 97—b RED UIRED W11 q NAME NO. OF FWTURES P.V REGIIRED YES 0 No C3 9 Aw - (d. L,) - r ;ZONE I -7C _ _7&1 Cl 7 A; C,fi_5rlmol�YA', 'b TELEPHONE 9�1 I I 1 .1 q - Lj LTAT N�UqENSE NUMBER I C. r I CjpRUpERT=QrTPWj ().3 efoo E] NEW C] PLUMBING MECH o COMPLANCEOR 0 AUDITION CHANGE OF USE 0 RE,6DIL C3 APARTMENT SIGN I FENCE REPAIR I _ X _ FT) Q DEMOLISH 0 TANK OTHER clG CARAGE C] RETAININGWALL RENEWAL ARPORT ROCKERY 7U—",Eg--- OF CRITICAL — 0, DWELLING AREAS .T.R,: NII MEER UN TS NUMBE HEMARKS N ICONTRACTOR RESPONSIBLE FOR EROSION CONTRO GRAIN — z A 33 qRE REVIEWED BY DATE VARIAN E OBN VA IA E DB' R N IN FED 10 BOND: NS1 REQ'D POSTED OYES ONO 0 Y, HEIGHT :4 SERA I I A S PA I TE E LL COMPLETE OM L ALLOWED , PROPOSED ALL, Cl) XP I PROPOSED SETBACKS (FT.) F FOP 0 rn C: OVERAGE REQUIRED SETBACKS IFT) LOT U. EFA-E LOT C ALLOWED PROPOSED FRONT SIDE ALLOWED PROPOSED REAR FRONT UR SIDE REAR FI m 0 z z 0 c: I PA K NG ARKIN. R I LOT AREA LOT AREA R BY PLANNING REVIEWED By DATE PLANNIN EVIEWED G RE. PROVIDED REo,D I PROVIDED X M M Z IC) c 0 -n Lo CHECKED BY Ty CONSTRUCTION T COUP T rR I 0065 SPECIAL INSPECTOR AREA PANT REQUIRED C] YES D LOA� rl c: REMA KS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION 8EQ'D m z Lo Yx (-o &kyff— HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: -3151 JVESTIO DATE THIS PERMIT AUTHORIZES ONLY THE WCHIK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUESS, ETC.) WILL REQUIRE m SEPARATE PERMISSION. PERMIT APPLICATION: 100AYS PERMIT LIMIT'. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF V EDMONDS. WASHINGI ON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND I A,,C�,.,,E,=ADNA�M�AGEFSOFWIIIIEIER MATURE. ARISING DIRECTLY OR INDIRECTLY FROM T . THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL MOT BE OEEMEDTOMODIFY� WAIVEOR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANYWAYTHECITY-SABLITYTO ENFORCE ANYORDINANCE PROVISION.- IHEREBYACKNOW EDGE THAT I HAVE READ THIS APPLICATION: THAT THE NFonMATION L C GIVEN IS CORRECT. AMDTOAT I AM THE OWNER. OR THE LILY AUTHORIZED AGENT OF - THE OWNER, I AGREE TO COMPLY WIT. CITY AND STATE LAWS REGULATING CONSTRUC TION; AND IN DOING T WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED HE CO 0 AT[ To IN VIOLATION OF THE LABOR BE OF THE STATE OF WASHINGT N RE NG :a .17-) , �l I z T " f 0_JAA.__rA hj VALUATION FEE z 0 1 0 m P AN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES END, INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPyq/ PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE APPLICATION APPROVAL 1211".111 1. It �11,i,ed ly I'. CALL ". P Bod, d F.—l- P�ld, -,I . .Puty FOR INSPECTION P� "I pl.v. o WORKMEN'$ COMPENSATION INSURANCE AND ROW 18.27. �NTI r 1 (425) 775� 771-0220 ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX OFF I I NATU E,(, RE EASED BY ORIGINAL FILE yp, I OW. INSPECTOR PINK -OWNER GOLD ASSESSOR