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20000145 (2).pdfPERMIT EXPIRES Ad - PERMIT zoo.W.s CITY OF EDMONDS NUMBER SUITEIAPT# CONSTRUCTION PERMIT APPLICATION 'AOBRESS PIAT NAME)SUBDIVISION NO. LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET AMAPP S — STING — PROPOSED- T 9 UIRED DEDICATION FT — LIDN . LID FEE $ —1— SP.' R 0 $ItUqd Q ".P.. 0 U. .".'g, W,.,.V.d 0 MAILING ADDRESS v C ITY ZIPOZ�dT _Dmo V 1) 5 % 723--776-0 42 I 7 LINE SIZE NO. OF FIXTURES PRV REQUIRED YE,I 0 k. 0 NAME !V/A- ��J= ADDRESS REM S I—AFt—HIRACTOR RESPONSIBLE FOR EROSION CONTROIJDRAINA.E .,.L FOR R.SI.N N NAME t �c,:, � ,.I— ENGINEERING wa( U, REVIEWEDIDATE ADDRESS CITY — zip TELEPHONE FIRE REVIEWED By DATE V R C OR DO VARIANCE OR GO SHORELINE OR ADS. I INS _jTATE —LICENSE NUMBER EXPIRATION— I U-1KIEDDY A IAN E RPSEOC71 E 0 RE 'D M rE r YES r SEPAREVIEW COMPLETE EXEMPT - I SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED , PROPOSED ROPEITTY TAX AC 0 T PARCEL NO* Lai A -O?D- 02-1- "o- I LOT COVERAGE REQUIRED SETBACKS (7) PROPOSE. SETBACKS III NEW RESIDENTIAL C] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION C] COMMERCIAL c3 COMPLIA CE OR CHANGE OF USE A PARKING LOT AREA EI B DATE [3 REMODEL 0 APARTMENT C3 E] SIGN REO'D PROVIDED It �?QEPAIR GRACING CYDS FENCE X FT) MARK R MARK DEMOLISH TANK CA AGE RETAINING WALL 0 RENEWAL ORT El XIR _AR (TYPE 05 USE. BUSINESS CT HECKEDI By ITYPPkLaOFCO�NI�T11111 1111 1' C 0 DURANT j GROUP MUMqRO1 CRITICAL SPE —INSPECTOR-IXREA OCULTANI .U�M,Eg F TCR,E, 3� DWELLING U T. AREAS _ NUMBER REOUA�`i2D LOAD C] YES DESCRIBE WORK TO BE DONE REMARKS .nnnppqq ImSPFCTIONS PER UBC 1081FINAL INSPECTION REQ Pie #j M, CK VALUATION I FEE I PLAN CHECK FEE IIIJ I HEAT SOURCE I LOT SLOPE % BUILDING 0i) PLAN CHECK Nh,) I STED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WOWK—NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION.ON THE GRADING/FILL EPUBLIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS' MARQUEES, ETC) WILL R QUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: ISO DAYS S S V -o PERMIT LIMIT. I YEAR . PROVIDED WORK. STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION HER SIOU SE. HE RS. ASSIG NS AND SUCCESORS ENG. INSPECTION FEE ;AP,P�L'�C�AEN.T�.OAM.OE.HALTIOOF N T R E. IN. FY, DEFEND AND HOLD HARMLESS THE CITY OF AND AGENTS FROM ANY AND LANDSCAP NO FEE E ONDS.WASHING ITS OFFICIALS, EMPLOYEES, OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY 114SPECTION RECEIPT ALLCLAIMSFORDA AGEiI FROM THE I SUA"C' OF THISPERMtr SSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 51- - - C. ANY R E . .1 R E . E . T 0 F ANY CI T Y OR DI N ANC I EE.EC,O G"Y , W Y E IT LITY TO ENFORCE ANY ORDINANCE PROVISION' OR L, ,TN �WAIVE...Y�.EA.�U N A. TOTALAMOUN DUE REC It I �sb I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION! THAT THE INFORMATION OF APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT C Thle ele-11— 'I THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRU E EMPLOYT Q CALL B,,Id,lg Off,,ial I,, hIlIhIl Deputy -d Fell 11, Feed. TON. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE WASHINGTON RELATING 0 FOR INSPECTION ,,pj,. Ilk ... ledg.d 11 1pele pl—d- IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF I SIG U,; EE 1 (425) �, &;cwo ILATURI cldul� 771-0220 I RELEASE By EXT 333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 -0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL- FILE - YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR S.8 Z 0 rm m a 0 0 c m mz 10 -4 c _z o -n n m M c 0) 0, z -1 z 0 0 m q -7 7 7:'- RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retalnl6g Wall ........... z Stab Insulation .......... PLUMBING: Underground ............. Rough -In ................... M commercial Final 0 HEATING: Gas Test .................... rn ITI Gas Piping ................. .Equipment ........... Commercial Final ......... . EXTERIOR SHEATHING NAILING .......................... M M 0 FRAMING ........................ 0 Fn' FIRST FLOOR FRAMING Q 0 INSULATION ................... Floor Insulation ex Wall Insulation ........... Calling Insulation SHEETROCK NAILING Z SPECIAL INSPECTION 0 ITI MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. OFPERMIT EXPIRES ri US E UsEE PERMIT zON Zo N ZOO-[ 5 D S CITY OF EDMONDS NUMBER joB SUiTEIAPTN jAo ADDRESS DO L'CAT'ON CONSTRUCTION PERMIT APPLICATION 'MAILING OWNER NAMEINAME OF BUSINESS VA L 150�'Sc) v,-- PI.AT NAMEISUBDIVISION NO LOT NO. tL� NO� DFEES c ADDRESS -AV PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R' o'WAYP`-oT�-IAl EXISTING — PROPOSED - PROPOSED REOUIREDDEDICATIO�_ FT — E t I P_', A. FEIIP�A-,��I� Do Wl,l. o CITY Z110Z _4TELEPM.N� 7 73 TERSIZE LIME SIZE MO. 01 FIXTURES PRY 11lUllED Its NAME /v /4 I NO YES 0 NO 13 r 1. ADDRESS REMARKS E R �To EP.NEE,� AGE oWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJDHAIN� I CITY ZIP i cu _=E NAME I U N IN 'No REVIEWEDIDATE ADDRESS o _V Y DATE E �_IEVVED BY ��6 CITY ZIP E TELEP ONE rEER c z VARIANCE OR VARIANCE OR CU SHORELINE OR ADBI! END INSPECTION OYRE 'D ES C] NO P,O 0 OSTED STATE LICIENSTNUMBER EXPIRATIO N ATE KED BY n (j) 0 m c: rn ma 0 -4 0 SEPA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , PROPOSE. PRIPEITY11 AU2TPAICEL No n Li A b 0 NEW RESIDENTIAL PLUMBING MCCH C ci C , MPLIANCE R D DOM M I I AD ITION OMMERCIAL C14ANGE OF USE nAPARTMENT LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (MI FRONT SIDE REAR PROPOSED SETBACKS (FT.1 FRONT UR SIDE REAR PA R LOTAR:��IEWEOB DATE TM T SIGN C3 REMODEL [0:) GRADING PENCE EPAIR' CYDS X FT) )9�3 - 0 DEMOLISH TANK GARAGE RETAININYG WALL "FORT R.�KER C] RENEWAL ]ARE REGO jKlIll PROVIDED OC m REMARKS IJ 56 wr Toy - 0 R 0 (TYPE OF USE. BUSINESS OR ACTIVITXje� A CH5CXEDBY ITY ONS 127+ OOCUPAIT GR UP IN I c m m a 0 3 0 c ml TuMEER 0, T.R,. NUMBER F G DWELLINO UNITS AREAS MUM NUMBE.- SpECjALElCNSPCCTOR [AREA PAN P UR I ED c] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D FIR .. E-S INSPECTI..S ;11F... ll;u-�-' m plv(.!5 k)�,C_VN kaw-e-! ��_ttfel� z Ct yOO-YA p VALUATION FEE PLAN CHECK FEE 0) HEAT SOURCE GLAZING Y* LOT SLOPE % BUILDING Ln z PLAN CHECK N ESTED DATE PLUMBING 0 MECHANICAL THIS PERMIT AUTHO IZES NLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BE DONE ON PRIVATE P CWLL E.UB, DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS . MARQUEES, ETC.) WILL R50UIRE Z, - SEPARATE PERMISSION. N.,FILL GRADING/FILL STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. � YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT 1011 MORE INFORMATION -+Ees F_7 ENG. INSPECTION FEE ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AM. SUCCESORS N INTEREST. AGREES TO INDEMNIFY. 02FEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITSOFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND ALLCI-AIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY ANDSCAPING INSPECTION FEE RECEIPT FROM THE ISSUANC OF THIS PERMIT. ISSUANCE OF TMIS PERMIT SMALL NOT E PLAN CHECK DEPOSIT f DEEMED TO MODIFY WAIVE OR REDUCEANY REOUIREMENTOP ANY CITY ORDINANDE THE CITY'S A51LITY TO ENFORCE ANY ORDINANCE PROVISION.- RECEIPT NOR LIMIT IN ANYWAY TOTAL AMOUNT DUE IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND 'HAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF CITY AND STATE LAWS REGULATING CONSTRUC CALL ..lP 1-1- P_i, _l, THE OWNER, I AGREE TO COMPLY WITH ION AND IN OING THE WORK AUTHORIZED TH ERE5Y. NO PE PEON WILL BE EMPLOY E D RELATING To FOR INSPECTION 9 011,I , hll�ll D.Puty: Ild F au"T p-p-dod. I N V161LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF I SIG URE TE DATE SIG (425) I 771-0220 RELEASED By A E ATTENTION EXT 333 Ym IT IS UNLAWFULTO USE'OR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR A FIN ' AL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR �Gd