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20000139.pdfECEIVED 7"TE­ CITY OF EDMONDS � CONSTRUCTION PERMIT APPLICATION FM mil E PERMIT EXPIR=ESQ' __7 `* .. USE PERMIT ZONE NUMBER :2ocpfz9 'OB /\V� &I 111TE111TI ADDRESS PLAT NAME/SUBDIVISION NO, LID NO. LOT U. FEE 5 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP _1 R.qO.d SI P-R A.4d EXIS ING — PROPOSED— REOUIRED DEDICATION� FT METER SIZE LINE SIZE No. OF FIXTURES PRV REOURED YES 0 No C3 NTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED BY L4 -70-0 DATE STATE LICE BE NUMBER EXPIRATIONVAII E S 1"ll"lly VARIANCE OR CU SHORELINE OR ADS. INSPEC!ION REG 0 oy-S o-o PBOND OS 7 SERA REVIEW C—LbIb ­EMPT UP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED 6PERTY TAX Allll�,P�RCEL NO. 0 31 NEW )�7,7ESMENTIAL, ECH LOT COVERAGE ALLOWED PROPOSED REOUIRED SETBACKS (M. FRONT SIDE REAR PROPOSED SETBACKSEA(FT) FRONT UP SIDE R ADDITION 00 PLIANCE q CHANGE OF USE PARKING LOTAREA DATE REMODEL 0 APARTMENT 0 SIGN REO'D I PRICY ,,, 1PLANNINUM-11-- C] REPAIR E] GRADING CY.. R"CE K _ ITI MEMA.- DEMOLISH TANK OTHER GARAGE C] RETAINING WALL RENEWAL C ARPORT ..rK Y 0 F I G WELLIN7 L IT. STORIES N ^N"UNSER CRISE WORK TO BE BONE 14 6) 12 CHECK D BY T j;OF­Nb.�.lrlC ` OR�AREA .IA"�; OCCUPAN REGUIRED 0 YES LOAD IS, P"T REMA KS OmnP.RPAq lNqPFCTIONS PER UBC 1081FINAL INSPECTICIAREC �DE VALUATION I FEE "I �j PLAN CHECK FEE HEATSOURCE GLAZING % LOT SLOPE I BUILDING -_(ZM7 W-7) 50— PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONTHE PUBLIC GRADINGIFILL DOMAIN (CURES, SIDEWALKS, DRIVEWAYS' MAROUEES, ETC.) WILL REOUIRE SEPARATE PERMISSION . E PERMIT APPLICATI N: ISO DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSt 9 N SUC ES IRS F ENG, INSPECTION FEE u ININTEREST.A REEST INDIE NI DEFENDANDH LOH LESS THE I Y LANDSCAPING F N ASHI GT N. ITS FFI IALS, E PIL YEES. AND A E T ANY 9 E DIM - INSPECTION FEE E A INDIFEC c ALLC SIF ROACA ESOF HATEVERNATURE.ARISIN DI T FRO THE ISSUAN E OF THIS PERMIT. ISSUANCE F THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT C IREMENT Or ANY CITY ORDINANCE DEEMEDT MODIFY. AIVEORREDU EANYRE U 0 NOR LIMIT INANY AYTHECITYSABILITYTOENF RICE ANY ORDINANCE PROVISION, TOTAL AMOUNT DUE RECEIPT THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN I FRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF S Co ThIl IpPlillb— I' - . po­1 ­il Big— by IhO THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL awmim, Olb—, .1 hWhIl o,puty: -d F­ b ­d. ld TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATINQ TO ­jp­ ..­wI.dg.d­p­ p—ld.d. FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON BAT WORKMEN'S COMPENSATION INSURANCE AND RCW 16.27. OFFICIA SIG URE e-q (OWNER O�IeT) " 'k' ­0 (425) �rIJRE c -- �ZL4 771-0220 LEASE. BY ATE EXT 333 ATTENTION IT IS UNLAWFUL TO U SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - E*8 z 9 - 0 P 3: C m mo 0 0 m 0 -n I x rn M a r 0 'n 0 m M 0 z m z 9 0 m EXTERIOR SHEATHING NAILING .......................... . 0 FRAMING ................. C v) FIRST FLOOR FRAMING m 0 z INSULATION ................... Floor Insulation z Wall Insulation ........... -4 q Ceiling Insulation Z SHEETROCK NAILING SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION -:) I -tQ- CITY ZIP 7A—ME 9�z CITY —zip NAME PERMIT EXPIRES us ZONE PERMIT 1-19 NUMBER �j SUITEIAPT. PI.AT NAMEISUBDIVISION N 0 LOT NO. -�.D 'NO, L EE $ �d PUBLIC RIGHTOFWAY PER OFFICIAL STREETMAP '. ":p.p=lVll.d 0. P., EXISTING — PROPOSED� ana., - P—a 0 ='"" � R.q REQUIRED DE DICATION— FT — U-19—nd 0 — Ill.a 1.1—d METER SIZE I LINE SIZE j NO. OF FIXTURES IRV REOURED YES n- NO 0 F EMAnKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAI�N�AGE CITY TELEPHONE 522A�— 6� LJ_7Z dl— —d— N.aald- EXPIRATION DATE CHECKED BY ck—A--A-1 L =: 4 FIRE REVIEWED BY DATE ad 4 a da j VARIANCE OR CU SHORELINE OR ADB� INSPECTION G BE .00 NO 0 YES '.80NOD STE PROPERTY TAX ACCOUN T PARCEL NO. D14 -1-7 C) -,,� 0-7 QC) SERA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED Oal HE W 'Z-�RESIDEITIAL 19:711-UNS)ING /M5CH C] ADDITION C] COMMERCIAL COMPLIANCEOR CHANGE OF USE 0 REMODEL APARTMENT' El SIGN VICE REPAIR GRAOIN r G CYDS 0 (FENCE X FT) X 'T) DEMOLISH TANK OTHER lE R GARAGE CARPORT 0 RETAINING WALL RENEWAL EWAL LOT COVERAGE ALLOWED ROPOSED P REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS (Fr.) FRONT 'R SIDE HEAR PARKING HBO' I PROVIDED LOT AREA PLANNING REVIEWED 81 DATE Id. REMA RK ROrKERY- S OR ACTIVITY) E , XPCAIN: CHECKED BY * Ty �OFCpNST COUP ROUP�X OF STORIES BE NUM FI D ILL UWE IN7 N Ts ITICAL AL A NREAS E)MBER IAL ARE PECTOR ARE. S ED 'RED I REQUIRED o YES YES OCCU NT LOAD RONE HE ARKS P POGR SP.CTO ROGRESS INSPECTIONS PER USC 1.8/1INAL INSPECTION FIEQ�D VALUATION I FEE _VEATSOURC ±t2 L G`TF S'o P' PL A N C H F PLAN CHECK FEE C K FEE U I N BUILDING 8 'L D G PLAN CHECKNO. TED DAI E DA 1118TED P PLUMBING ' U I N G M B THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PE AMIT COVERS WORK TO ..IT COVERS W .. To M AN MECHANICAL I C A SEDONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC -214 DOMAIN (CURBS, SIDEWALKS, DRIVE., MARQUEES. ETC.), WILL REQUIRE GRADING/PILL SEPARATE PERMISSION. PEFIMITAPPLICATIO : looDAYS JL �FANE SURCHARGE 5— PERMIT LIMI� I YEAR . PROVIDED WORK IS STARTED WITHI 8. DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATtON1 VI E ENG. REVIEW FEES , d 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. AS81—GNS AND SUCCESoRS ENG. INSPECTION FEE I B E TIC FEE ININTE F T, G AGREES TO INDEMNIFY, DEFEND AND HOLD HARM ESE 'E CITY F THE CITY OF DMONREST. E DS.WASHINGTDN, ITS OFFICIALS. EMPLOYEES, AND AGENLESS , N E TE oM FROM ANYAND ALLCUIMS LANDSCAPING < FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTS ' C Y TLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT SE DEEMED TO MODIFY. WAIVE INSPECTION FEE PLAN RECEIPT 08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE DI NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORC E ANY CH C G .SIT CHECK DEP051T ORDINANCE PROVISION.- I TOT, -AMOUNTDUE' R CEIPT y )149— 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT. AN. THAT I A. THE WISH, OR THE DULY A TH U ORI— AGENI . OF — 1 APPLICATION APPROVAL THEOWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REG TION: AND IN DOING THEWORI AUTHORIZED THEREBY. NO PERSO�U TING CONSTRUC L 81 EMP YED CALL Th,soppl,.-t,,n I P01-11 Int I agn d by th, IN VIOL [ON OF THE LABOR CODE OF THE STATE OF WASHINGToLL N RELATING TO e., nl'5,n,0,IG dng i-I " opuly: and F ... ... Pala.— W ORKMAN S CQMPENSAHON INSURANCE AND RCW 18.27. FOR INSPECTION adapt il —a—I.dg,d,n lball p—ldla. IOWNER On!jL (425) OFFICIA SIGNATU I RE— (MFE I /7� -- RELEASED t ATTENTION' BY DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR U TIL E N A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. 771-0221 L CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL FILE - YELLOW. INSPECTOR 1/98 FAX PINK - OWNEFt - GOLD � ASSESSOR z 2 - 0 m om 4= a ; ! m 0 '8 C) c- m o -n m rn 0 0 m m z z 2 0 IT!