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20000123.pdfDATE RECEIVED DATE RECEIVED _2 '21 11AM CV0I ES P' USE USE ZONE ZONE Z— PERMIT NUMBER D S CITY OF EDMONDS CITY OF EDMON I P MI PPLI TIO CONSTRUCTION PERMIT APPLICATION CONSTRUCTON ER TA CA N . JOB A-DFES- ADDRESS _Z SUITFJAPT# 26(fZ1 2 6 09" 14vf w. OWINER�AMENAMEOFB NESS PI -AT NAMEISUBDIViSION NO. F' ro. 11 0. rc LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 'G" OIWAY PER OFFICIAL 11"p-1-11 0 :_ ".a., P... 21� 7- PFOPOSEG_ EXISTING � PROPOSED 0 CITY ZIP 4020 TELEPHO E -e920 L C�Tl REQUIRED DEDICATION— FT ETER SIZE I.. SIZE NO. OF FIXTURES PRV REQUIRED NAME YES 0 NO 0 --------------- ADDRESS IEMARKS WIFACONTRACTOR RESPONSIBLE FOR E ROSION CONTROUDRAINAGE rY-- zip ITELEPHON1 AME N NAm ,;�::Ir jo joy-,/ 0 117 IZ fo ENGINEERING REVIEWEDIDATE ADDRESS 7 By DATE 31/ ci Y zip TELEPHONE FIRE REVIEWED 0 . __;S STATE UCENSENUM�BER VA I NCE R U NE OR ADBN NsPEG sm oy RE.7 NO ES V -,foleull* a6l ot 6 O,e s PA tE SIGN AREA PRO COUNT PARCEL NO. / Co PLETE EX6 P ALLOWED 'ED ALLOWED PROPOSED I EXP �;VPOS LOT c RA E REGUIRED 9ETBACKS (FT.) PROPOSED SETBACKS (FT) Ja RESIDENTIAL LU ING mo C3 NEW U X� _- ALLOWED PROPOSED FRONT SIDE REAR FRONT S—D R713 , _ , II, , / `7 'So COMPLIANCE OR C3 ADDITION 0 COMMERCIAL 0 CHANGE OF USE ARKING DATE REMODEL APARTMENT SIGN REGO P�OVIDED N.4 FENCE 0 REPAIR GRADING CYDS cl x FT) DEMOLISH TANK cl G�AAZA.G.ET C] RETAINING WALL RENEWAL RoCX�Ry_ 0 — N. 01 USE BUSINESS OR ACTIVITY PA -5EP I ITYPE E CHECKED BY TYPE OF C UCTION U IST UCTION 17_�q NUMBER NUMBER OF CR ITIGAL DWELLING AREAS �PEC, "NSSPECTOR AREA� �GF GO PANT 10 ACDU OF NUMBER STORIES UNITS 61, REQUIRED [D YES DESCRIBE WORK TO BE D014E REMA KRI 'Dj PER UBC 108/FINAL INSPECTION REQ ROG ESS INSPECTIONS 4 DQ '7-A STA �/_ 75Q AK- 6?429 -11, cgltlfT.) 4yjxj�wdo paiox!i,- 'Y, 4:7 AL-21L -t 4�_A& fag. j VALUATION FEE PLAN CHECK FEE LOT SLOPE I BUILDING ED DATE P UMBING MECHANICAL PERMIT AUTHORIZES ONLY THEWORK N.0yTEO IE ATEPR.,ERT,..L.A CNT.SPER.ITC.IERSWORKTO DONE ON PRIV STRUCTIGN ON THE PUBLIC GRADINGIFILL DEMAIN (CURBS, SIDEWALKS. DRIVEWAY' , MARQUEES. ETC.) WILL REOUIRE SEPARATE PEAmissi STATE SURCHARGE PERMIT APPLICATION: 180 DAYS I YE . IS STARTED W PERMIT LIMIT, All PROVIDED WORK ITHIN 18D DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF IF His OR, SpDUDSE HEI.R.ILASTGNS AND SVCCESORS �N D HARMLESS THE CITY OF ENG. MSPEC*W�6 IHER �APPUCANT. INTEREST, AGREES TO 'gEMN , GEF. o,,,oAS FROM �NYAND EMPLOYEES A��E IN E.Mo, WASHINGTON. ITS ARjANDAGEI,1TS ALL CLAIMS FOR AMAGES ING DIRECTLY OR I- ",WFIATEVER NATURE THIS PERMIT $HALL NOT BE PLAN CHECK D EposIT RECEIP Tt� tit (I& M THE ISSUANCE OF THIS FERMI ISSUANCE OF T. OF ANY CITY ORDINANCE DEEMED TO MODIFY, W-E OR REDUCE ANY REQUIREMENT TO ENFORCE ANY ORDINANCE PROVISION.- 1.0, RECEIPT NOR LIMIT IN ANY WAY THE CITY'S ABILITY E -:22 I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR TH E DULY AUTHORIZED AGENT OF I h1l IPPILCUI 1 b,1.1 11,0d by th, G CoNST THEOWNER I AGREE TO COMPLY WITH CITY AND STAT E LAWS REGULATIN Rue CALL B.110 Oih' 11 hIV1,11' DG TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO .,I.pi � Ildg. .,p='bP1' dGd FOR INSPECTION IN V LA THE STATE 01 WASHINGTON C"�. ROW 18 27, AJI. -UP oFFIG Is si TURE E ATE SIGNED (425) 1 6/,— m 771-0220 eLE By - ATTENTION - EXT 333 �SED 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� oFiG,,Ak- FIJE - YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK 6WNER - GOLD ASSESSOR 5198 Z �n A M 0 80 c: m m 10 c E: -4 x .! 0 _n -n m rn 0 0 o C CID m ca rII c Z Z 9 0 m 00 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED ETBACKS ..................... FOUNDATION: Footing ...................... Wall .................. PlarlPorch ................. 0 A Retaining Wall ........... Slab insulation .......... PLUMBING: 13 rn Underground ............. ITI 0, 02 0 Rough -in ................... M. commercial Final IT, C z HEATING: Gas Test .................... Gas Piping ................. o -n -n La. Equipment ............... M. T. Commercial Final 0 0 EXTERIOR SHEATHING NAILING ........................... FRAMING ........................ FIRST FLOOR FRAMING... INSUL ATION ................... z Floor Insulation Wall Insulation ........... Z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY L _7 i'41DATI RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OFPI:NESS iEl MAILING ADDRESS LAW CITY ZIP NAM4 ADDRESS ZIP I TELEPHONE W �F IRES 71qq PERMIT EXP PERMIT ZONE /Z NUMBER 2 JOB 8 ADDRESS 26(,-zl og-"' W_ PI -AT NAMEISUBDIVISION NO. I LOT NO, 11 10 uO FEE u PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Par. I as.slU.'.r..rr,r 00 EXIS ING — PROPOSED 0 REQUIRED DEDICATION— FT — ti . ..... WrIn 0 METEN81ZE I LINE SIZE I NO.OFFIlTUFE5 PRV REQUIRED YES El NO 13 1 REVIEWED BY ROPERTY 1-0—UNI rAH I v Exp LOT COVERAGE C] NEW RESIDENTIAL ILUMIMNI CIECI ALLOWED PROPOSED 0 ADDITION 0 COMMERCIAL o C FLIANCE OR CHANGE OF USE -;el [v /A ' CR REMODEL 0 APARTMENT 0 SIGN PlAAKtNG I PEGG I PROVIDED 0 REPAIR 0 GRADING Y.. FENCE 2- E.ANKG 0 DEMOLISH C] TANK OTHER pe-e-t GARAGE CARPORT RETAINING WALL ROCKERY RENEWAL 111-1-- . __ _Lls"Fll� CHECKED By ITYPE 4UMSER _Z NIMBEIOF CRITICAL OF D ELLING AREAS, S ECIAL INSPECTOR STORIES UNITS NUMBE REQUIRED 0 YES DESCRIBE WGRKT0:8E TDONE REMARKS r DATE E OR AOSs INS"'V Y E. E. NO AREA HEIGHT ff= ALLOWED PI -z -,— - I ETBACKS(FT) PROPOSE.SIT A 31DE REAR FRONT so 0`7,;' I'S-cZE ANN[Nm,AEViEWED BY DATE .. UIANTA, LOAD PER UBC 108/FINAL INSPECTION Ivirwr VALUATION I FEE z r �n m c rn 00 80 c x A m 10 0 -n n M m 0 o Fn C (b 9 (j) - M C) ;13 dr z --I cl) z MPLOYED PLAN CHECK FEE 0 GLAZING I LOT SLOPE % BUILDING m PLUMBING PLAN CHECK NO.q _rSTED DATE MECHANICAL �_.ISP IT A.T..RlZCS ONLY THE WORK NOTED. THIS PERMIT COVERIWOIKTO ETONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURDS, SIDEWALKS. DRIVEWAYS , MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. L GRADINGIFILL STATE SURCHARGE a pe RMITAPPLICATI N: 180 DAYS PERMIT LIMIT. I YEAR. ROVIDED WORK IS STARTED WITHIN 180 BAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION END. REVIEW FEES ENG.INSPEG4� ;A PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF NP ND EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY I FR M THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERM T SHALL NOT BE DEoEMED TO MODIFY, WAIVE 0 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDiNANCE PROVISION' as E PLAN CHECK DEPOSIT RECEIPT lu cl 6, TOTAL AMOUNT DUE PT IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN I CORRECT. AND IHAT I AM THE OWNER, OR THE DULY AUTHORIZED ADEN r OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAW21!L�V�f�NG CON15TRUC CALL APPLICATION T,,,se, ael BOg 011,11, 1,111ho, APPROVAL . p-11 urld.,,a b, Ir,a D,pul, .d Fees are Pad. _a TIOIN� AND IN DOING THE WORK AUTHORIZED THE E sr—ded. IN Vto SHINGTON RELATING T I FOR INSPECTION WORK ,�P S ?=Of INES ORF C IS $1 TURE 2:MA�TUAgNj 7TV/ DATE SiGNED (425) ul _�l '441) 1 "/ w, �, _,4 771-0220 E7SEDBY If DATE' ATTENTION — EXT 333 ,IS UNLAWFUL 70 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINALk, ll�E YELLOW - INSPECTOR I CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD - ASSESSOR