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20000162.pdfDATE RECEIVED C` [PERMIT EXPIRES --<� _I '84 PERMIT 2ool6Z CITY OF EDMONDS z —NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SU17API. 0- er- OWNERNAMENA EOFBUSINE ' PLAT NAMEISUBOJVISION NO. LOT NO. LID NO, TA & LID FEE S MAILING ADDRESS b., 4 PUBLIC RIGHT OF WAY PER OFFICIAL EXISTING — PROPOSED f­p �,­ 0 STREET MAP 0 .1-p-Mo 1) 0 ITY ZIP TELEPHONE REQUIRED GEOICATION— FT OF FIXTURES PH PEOUMED T= — YES u NO OW (NAME ADDR!E$S�: HE ARKS OWNERICONTRACTOR RESPONSIBLE 'OR EnROSION CONTROLIDRAINAGE CITY ZIP ITILEPHONE NAME ADDRESS ENGINEERING AEVIEWEDMATE tFIRE REVIEWED BY DATE IF CITY 0 VARIANCE 08 CU SHORELINFOR ADEN I INSPECTION I BOND POSTED STATE LICENSE NUMBER EXPIRAI ION DATE CHECKED By ES n E3yREG'D No SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED EIGHT ALLOWED PROPOSED PROPERTY T 8CEL NO. I EXP LOT COVERAGE RIGUIRED SETBACKS IFT,) FRONT SIDE HEAR PROPOSED SETSACKS(FT) FRONT UPSIDE REAR 0 NEW P-M8 IG I MECH ALLOWED PROPOSED 0 ADDITION COMPLIA CEOR CHANGE OF USE INQ REVIEWED By DATE 0 REMODEL n SIGN REaD I PROVIDED 0 REPAIR ci GRADING CYDS 0 FENCE X FT) MARKS n DEMOLISH C] TANK m OTHER -ARAG R�TAI114NG WALL . CA.F01EIT C] F..KF 0 RENEWAL 0 TIVITY) EXPLAIN; r. (TYPE OF USE, BUSINESS OR CHECKEDBY TYFEOFCON TRUCTION cc. D`2�-x 0 ROUPPAN' V? #1 00 v v c- NUMBER NUMBER OF C ITICAL AREAS SP CIA INSPECTOR AREA OCCUPANT LOAD OF DWELLING v UNITS NUMBER REQUIRED 0 YES _STORIES DESCRIBE WORK TO BE DONE PLAN CHECK FEE VALUATION FEE LOT SLOPE I BUILDING ED DATE PLUMBING MECHANICAL ONLY THE WORK NOTED VERB WORK TO 9 PERMIT AUTHORIZES TIS PERMIT CO H PU C�.j" RUCTIONONT E BLIC DONE(ONIPBSIV'ATE PROPERTY ONLY A., 8 U SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL RED IRE OR BE M oMAIN IS SEPARATE PERMISSION, L 2 m 0 : ISO DAYS PER IT APPLICATI PERMIT LIMIT. I YEAR - ROVIDED WORK IS STARTED WITHIN HIU UATb P SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG� HF-W I - END INSPECTION FEE ;AFPUEFANSTT0AN.B ALI OF `X�S OR HER SPOUSE. Hfln$� AsSAIG�NS AND SUCcEsORS F. To,.. MINIFY, DEFEND AND HOLD H LESS THE CITY .1 1.41-MAPIN � -� 9- N NT TE �'�H EDMCO'NDISWASMI�M"TONS'.T,� - FFICIALS, EMPLOYEES NAElTllll"lNYAlC IN ­­ IS E TLY.F INDIRECTLY �.,FEC IN, 'L I. F.P. MAGE WRATEV R NATURE AFEA A ERMIT $IT ILL NOT BE DEPOSIT RECEIPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS P 0 FY, WAIVE OR REDUCE AN REQUIREMENT OF ANY CITY ORDINANCE DEEMED To moDl N PROVISK) ' PLAN CHECK RECEIPT 11 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE v -\ s � - ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIOLN� THAT THE INFORMATION At' r LIV. I IT— I HEREBY �E G GIVEN IS CORRECT: AND THAT I AM THE OWNER. OR TH LA)US RAuTHORIZED AGENT OF TE IN E.LLAIINI E.NSTIUC- CALL T N. p"..".. P­` D.P.',, I,d F­ THE OWNER EA E 'N ITAGRETEWoMKPLYU�=TYAND�ST TION; AND o'N. T. OR A ED THE BY. NO FFFS.N WILL B :EMPLOYED -o om-, , ", ­,,w­,Y,T­p... P-d.d INSPECTION IN VIOLATI.SN LABOR CODE OF THE STATE OF WASHINGTON RELATING TO o OF THE FOR DATE WORKMEN COMPENSATION INSURANCE AND CW 18.27� IT OFFICIAL SIGNATU E T) DATE SIGNED (425) 2-1". c SIO"TURE (OPP -7 t,*­ DC" 771-0220 RELEASED By DATE EXT 333 A17ENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTC�l INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW GOLD - ASSESSOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK . OWNER CATE OF OCCUPANCY HAS 5,98 z -24 - 0 c m 80 r 3: —z 0 -n Ill m 8 as 0 Fn H 0 z m TO: DATE: MEMO M, PERJ,�UT COORDINATOR, BUILDING DIVISION FROM: _FIRE DEPARTNIENT DATE— FNGINEERING DIVISION DATE. z V _PLANNING DIVISION DATE — 0 PROJECT CM Ma SITE ADDRESS— -18 C /C-"'-' ADB INSPECTED ��011e 2-- # -4 2: PERNHT _DATE m DESCRIPTION OF WORK TO BE INSPECTE C 2 > A field inspection was conducted to detemune compliance with approved plans, Final approval denotes that C) 0 -n there are no ob ections from the above signed Department to the granting of n m M _—/)LFinal approval of the described work 0 V5 Bonds associated with the project may be released 0 m 9 co _Performance M 0 FINAL PROJECT APPROVAL M _—X—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED z M _GRANT (0 z _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 m 2. 3. __________RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp.-bldg:forms6/98 (C) RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Z� wait Pier/Porch Retaining Wall ........... Slab Insulation PLUMBING: M C M Underground ............. 0 0: Rough -in ................... M M Z Commercial Final C — > Z� HEATING: GasTest .................... GasPiping ................. Equipment ................. MITI Commercial Final 0 Fn C: ca, EXTERIOR SHEATHING NAILING .......................... ma FRAMING ........................ It FIRST FLOOR FRAMING INSULATION ................... Z� Floor Insulation Wall Insulation ........... Z Calling Insulation 0 SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 9 4 OCCUPANCY ............... RECEIVED PERMIT EXPIRES PERMIT 2001627�� CITY OF EDMONDS NUMBER JOB SUIT�/APTI CONSTRUCTION PERMIT APPLICATION ADDRESS . 11 ax"p- . OWNER NAMEINAME OF RUSIN PLAT NAMEISUBDiVISION NO. LID NO "Is/ LOT I ' I tA LID' MAILING AD BESS PUBLIC tGHTOFWAYPER.11ICIAL T MA, A �i­­.­­.o 0 (b, 4 c EXISTING — PROPOSED — '­­ ­"'" a ZIP I W­ 0 CITY REOUIRED DEDICATION— FT S7- 77 METER SIZE LINE SIll NO- - 01 FIXTURES REQUIRED YEIRV NAME SO NO 0 I A M AKE I: DDRESS IN --------- BES--BLE FOR EROSION CONTROUDRAINAGE ITY NAME ENGINEERING TE c ADDRESS z 0 FIRE REVIEWED BY DATE CITY 0 CEORCU SHORELINE OR ADS. INSPEC ON PBON.D VARIA� REOTI 'D GET STATE LICENSE NUMBER E.11HAI..N —1. CHECKED BY 0 YES 0 NO SIGN AREA HEIGHT SERA REVIEW PROPOSED COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED m PROPERTYTAX ACCOUNT PARCEL NO� I EXP ma 0 C.) c IRED SETBACKS (Fr.) PROPOSED SETBACKS (FTI LOT COVERAGE APOLI 'T MICH FRONT SIDE REAR PRON UPSIDE REAR 0 NEW RESIDENTIAL PLUMBING I ALLOWED PROPOSED V 0 ADDITION COMMERCIAL o COMPUA CE OR I CHANGE OF USE PA KING ..................... PLANNING REVIEWED By DATE m p C] REMODEL APARTMENT 0 SIGN D PRO IDED FENCE REPAIR 0 X FT) REMARKS OTHER DEMOLISH 0 TANK 0 0 ARAGE RETAINING WALL RENEWAL 2AA,.AT 0 Ag'ERY 0 n 3: mm (TYPE OF USE, BUSINESS 08 ACTIVITY) EXPUMN: NT CHECKEDSY T�FEOFCONSTRUCTION G,�;G-v P (L ci 0 IV 6- NU SEA NUMBEROF SPECI SPE 111A OCCUPANT 0055 0 r,-, OF SAS A QUALINOCTOR LOAD DWELLING AR BE IR90 NU STO MBE YES c: ca DESCRIBE WORK TO BE DONE REMARKS ECTION REQ'D IE 11 TO 7-1 411,7e It C-C, 0.12:3— III 4"W", I P, z u ^.1a he -fled IT/Ili VALLATKDN z -A Ana,,-/ -�tl) PLAN CHECK FEE 0 m HEAT SOURCE GLAZING % LOT SLOPE % BUILDING ED DATE Pt. MBING PLAN CHECK NO: MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO TRUCTION ON THE PUBLIC BE DONE ON PRIVATE PROPER ANY C=UEES, REQUIRE GRADINGIFILL =LKE. =A,. M ETC.) WILL �j DOMAIN (CUABS, SID SEPARATE PERMISSION. STATE SURCHARGE L c PERMIT APPLICATION! 180 DAYS P. PERMIT LIMIT'. I YEAR 'PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE 0, ;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS OAL PINTE EST. AGREES TO INDEMNIF " IND AND H D LESS THE CITY OF LANQSCAM9 A N TS FROM I PLO,. E NG= ANYAND EDMONDS, WASHINGTON TSOFF Z21 E E INDIRECTLY , LL "AGEADFWHAITCEIVER NATURE. ARISING DIRECTLY OR RECEIPT IF A CLAIMSFOADA PERMIT SHALL NOT BE DEPOSIT m FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PILAN CHECK ANY CITY ORDINANCE q DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF [SION., IPT TO ENFORCE ANY ORDINANCE PROVISION, RED NOR LIMIT IN ANY WAY THE CITY'S ABILITY TOTAL AMOUNT DUE E INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE tNFOSMATI N GIVEN IS CORRECT AND THAT I AM THECOWNER OR THE DULY AUTHORIZED AGENT OF Thi­,p]Kw­ IF - a p,,RjI ,tjI ligled by Ihe STATE LAWS REGULATING CONSTRUC. CALL D,Wy: ld F111 11, ­d, alld THE OWNER. I AGREE To COMPLY WITH ITY AND aujIding 011,clal ., hi.11., TION; AND IN DOING THE WORK AUTHORIZED THEREBY. N PERSON WILL BE EMPLOYED ­ipt I, ­klmlodgld il Rpo Pmvided. RELATING TO FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE OFOWASH$14GTON DATE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF L SIGNATURE E SIGNED (426) 3.61 - 0() I/, 771-0220 R51LEASEDBY EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- YGLLOW�INSPEGTO GOLD - ASSESSOR A HAS BEEN GRANTED. UBG SECTION 109 FAX PINK OWNER , ., o �f_ CATE OF OCCUPANCY 5.9