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20000169.pdf�XTE RECEIVED 3 W1 PERMIT EXPIRES U CITY OF EDMONDS ZONE&_S; SE a,0 PERMIT NUMBER a00,161. SUITEAPTI CONSTRUCTION P MIT APPLICATION JOB ER ADDRESS PLAT NAMEISUBDIVISION No- LID NO. ER NAMEMAME OF BUSINESS PUBLIC RIGHT OF WAY PER OFFICIAL Lit) FEE$ STREET MAP U.. I,_ 17NO ADDRESS j V�� EXISTING — PROPOSED E.UIRED lu_ A."' FT PAY REQUIRED ZIP T YES 0 No C3 REMAR OWNEF20NT 1—T-1 1DRAINAGE Em 1-742' , 11116411 FIRE REVIEWED BY 7FTY tt I. TELEPHONE I A VARIANCE OR CU SHORELINE OR ADBO INSPECTIO BOND BE 'D N POSTED OYES r1NO STATE LICENSE NUMBER EXPIRATION DATE ON CKEDBY SEPA REVIEW 1111-11 1 1^1"" ' EXP LOT POVERAG E ALLOWED PROPOSED SIGN AREA ALLOWED PROPOSED REOUMEDSETBACH-(Fr,) SID RE A FRONT E A HEIGHT ALLOWED PROPOSED PROPOSED SETBACKS IFO s FRONT UR SIDE A AR PAO ATYTX AUNT Q ANEW RESIDENTIAL P-..INdIMECH 0 ADDITION 0 REMODEL 0 COMMERCIAL 0 APARTMENT COMPLIANCE OR CHANGE OF USE SIGN PARKING REO-D PROVIDED LOT ARE 0 REPAIR 0 SPACING CYCS 0 I�NCE X FT) X 0 DEMOLISH 0 TANK 0 OTHER ciGARAGE CARP 0 RETAINING WALL 0 RENEWAL (TYPE OF USE, BUSINESS OR ACTIVITY) EXPI.AIN: CHECKEDBY TYPE OF CONSTRUCTION 0 'UPA2�g= n� EICR6 UP NUMBER OF _? 0 STORES NUMBER OF DWELLING CRITICAL AREAS NUMBER SPECIAL NIPECTOR REOUIRjo n YES OCCUPANT I —A LOAD DESCRIBE WORK TO BE DONET el'te REMARK' ..A..0ciz INIRPrCTIONS PER USC 108/FINAL INSPECTION REO /0U.CE e5;;1i A �LAZIN. VALUATION FEE PUN CHECK FEE LOT SLOPE % . -1. LOT SLOPE I HEAT SOLACE GLAZHNG % BUILDING BUILDING Q777- L --------------------------- PLAN CHECK NO: IVESTEO DATE PLUMBING HANCAL EL f- THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS ;ORK TO — BE DONE ON PRIVATE PROPERTY ONLXANY CONSTRUCTION ON THE PUBLIC rRADINGIFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC,) WILL REQUIRE SEPARATE Z""'�' AD "R.IT.PPLICATIot 1141-Al"S A..AR.E PERMIT LI.11 I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG REVIEW FEES -APPLICANT, ON BE ALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENO. INSPECTION FEE OF IN I NTEAEST. AGREES T :NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF P' NIS LANDSCAPING LAN' )SO D 2 E MONDS. WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND m DIRECTLY AULCLAI SFOFIDAWOESOFWHATEVER,NATURE.AFtISINQDIAECTLYORIN "Y 6 _T'ON FEE INSPECTION FE INP RE RECEIPT FROM THE ISSUANCE OF THIS PERMIT, SSUANCE OF THIS PEAMIT,SHALL NOT COE DEEM90T MODIFY. WAIVE OR REDUCE ANY RCOUIFEMENTOF ANY C TY ORDINAN E 0 C PLAN CHECK DEPOSIT 0 I NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISI-14. RECEIPT 1071 1 TOTAL AMOUNT DUE /.,o m I HEREE1,Y ACKNOWLEDGE THAT � HAVE RE AD THIS APPLICATION; THAT THE INFORMATION APP ICATION APPROVAL GIVEN S CORRECT. AND THAT AM THE OWNER, OR THE OULY AUTHORIZED AGENT OF PA Thu. ppll%ll.� 1. ml . P-11 unti.1p.0 b, M. T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- 1E THEREBY. NO PERSON WILL BE EMPLOYED CALL dingu) A. p1d, nu I Bull D PUIY: F- TION: AND IN DOING THE WORK AUTHORIZED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION P led..din a0i,mvIded, WOAKMEV�S COMPENSATION INSURANCE AND ACW 10.27. "AT' S DATE SIGNED �(0011 A (425) �NAft� 771 2201 1 0 -0220 11 w 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 08 A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX I ORDINAL - FILE YELLOW - INSPECTOR !PINi$ -OWNER GID�p - �sSfSSOR z 0 a In c: C) m 0 80 c: m 0 n mm 0 0 6 Fn C (a z -4 Z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED IV, SETBACKS ..................... FOUNDATION: Fooling .......... wall Pier/Pomh ................. 4tetainlrig Wall ........... 0 Stab Insulation .......... PLUMBING: M Underground ............. rn 0 0 Rough -In ................... Commercial Final M 10 HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final 1 EXTER OR SHEATHING 0 NAILING .......................... FRAMING ........................ C FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation z Wall Insulation ........... z Ceiling Insulation 0 SHEETROCK NAILING C.) ITI SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. L IWATE RECEIVED 3 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION J- MAtLINGADDRESS ?91e1112_ 1-74t� -5-) —�Ae- CITY "7 "It L.— ADOAE$S ciT` zip NAME )o I 'qWi PERMIT EXPIRES SI USE PERMIT ZONEK_S NUMBER ADDRESS 2LL PLAT NAMEMruBDIVISION NO. LOT NO. LID NO. U. FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP wwp._=" �_p U.. P S EXISTING — PROPOSED— AEOUIRED DEDICATION FT W W_ E F SZ LINE SIZE 0 T E PAY IREOUIRED le E NO. 01 FIXTURES PRY , E . YES13 NO 0 I REVIEWED By FIRE REVIEWED By 'S'VA CITY INSPECTION NC 0" CU E VARIANCE OR CLI SHORELINE OR ADBI j PBOND. R.L.DIC OETE LICENSE NUMBER EXPIRATION TE DATE CHECKED 8 .1E. er,7�2;)e �D SERA REVIEW SIGN AREA HEIGHT PROPOSED t5�a —PROPERTY TAX 'COUNT PARCEL NO tRIA COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED P E p RESIDENIAL ILU.eINGIMECH LOT COVERAGE LOT COV ALLOWED PROPOSED PROPOSED SETBACKS FT) REQUIRED SETBACKS IT FRONT UR SIDE REAR FRONT SIDE REAR A:TI.N COMMERCIAL L, COMPLIANCE OR o CHANGE OF USE PA KING R LOT AREA PLANNING REVIEWED By DATE C] REMODEL 0 APARTMENT 0 0 SIGN 1 RE D PROVIDED 0 REPAIR 0 RAOING C... 0 PENCE 0 DEMOLISH TANK o OTHER C GARAGE RETAININGWAIL ] CAR CARPORT 0 RENEWAL ACTIVITY) EXPLAIN: CHECKED By YPE OF CONSTRUCTION NUMBER u .... OF CRITICAL IREMARKS SPICIALIN5PECCO DIA- SEA OCCUPANT DWELLING UNITS AREAS R NUMBE REQUIRED 0 YES LOAD DESCRIBE WORK TO 89 DONE PROGRESS INSPECTIONS PER U BC JoBfFINAL INSPECTION REO VALUATION I FEE PLAN CHECK FEE E Gl.AZING % LOT SLOPE % BUILDING ;/UR.0 iTLAN CHECK NO: IVESTEO DATE PLUMBING tGAADINGIFILL MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. So,-, 'I '1�0 PERMIT APPLICATI1 7-- t. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ENO. INSPECTION FEE *APIUCANT ON BEHALF OF Ills CIR HIRSPOUISE, HIIIII, ASSIGNS AND SUCCE10RI IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE AULCUIMS FOR DAWOESOF WHATEVER NATURE,AFIISING DIRECTLY OnINDIRECTLY PERMIT SHALL NOT Be RECEIPT FROM THE I SUANCE OF THIS PERMIT. ISSUANCE OF THIS DEEMED TO MODIFY. WAIVE OR REDUCEANY REGUIREMENTOFANYCITY ORDINANCE PLAN CHECK DEposi T 01 1 .1 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVE ON — RECEIPT TOTALAMOUNT DUE I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPIL CATION: THAT THE INFORMATION It APPLICATION APPROVAL GIVEN 18 CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF I ligled by Ih, THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULA71NO CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL 11.111,,,I O�Ptl`., 11= -'I' 'I%%`F--- — I.W. ..d IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 1. f�ai�htdg.d n.p— pwided. WORKMEN'S,CWPENSATION IN%URANC� AND RON 1827. D E E SIGNED (425) G� lg- 771-0220 -KFLE—AsE-D F,,-- DATE ATTENTION EXT 333 IT IS UNLAWFULTOUSE OR OCCUPYABUILDING 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 ORIGINAL -PILE - YELLOVI-INSPEOTOR [PIN OWNER -� Gll - ASS . PSSOR 5195 z m m 0 -1 0 0 :1 M M z o"n n = m m 0 0 6 FTi 0) z z m