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20000179.pdf---- IT EXPI PE� �RM RES 0 � 1 USE PERMIT ZOO'179 CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION J-6 ADDRESS-7-20 6 c_? OK MEM NO. 'I' NO '77 IEESS I LAT NAIJUSLI5.111-ION 11. FEE S MAILING ADDRESS TV I E PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP L_ Z C) EXISTING — PROPOSED CITY E)UAc.�4�S L--' ...... UMINI—d REQUIRED DEDICATION— IT NO.OIFIXTURES PRY REOUIRED NAME E.0 NO C3 Ann—P REMARKS PONSIBLE FOR EROSION CONTROUDRAI 1-1.1—TRAITOR FES NADE CITY ZIP --n(- m ADDRESS Cz A'l If FIRE REVIEWED By DATE TELEPHON Tkc�O'j (Y­65'�o aa;.( j-H—ORELINE OR ADBN INSFE—CTION I BOND VARIANCE OR CU POSTED REO'D 4DATE CHE—by STATE LICENSE NUMBER T OYES E] NO �C�SENUM e c) SEPA REVIEW SIGN AREA HEIGHT ACCOUNTPA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I I EXP — (FT) LOT COVERAGE REQUIRED SET ACKS -) PROPOSED SETBACKS a A'FRT U REAR FRONT SIDE RE FRONT R SIDE NEW RESIDENTIAL n PLUMBING / MECH ALL ED PROPOSED 'W ADDITION COMMEJRCIAL ci C MPLIANCE OR CHANGE OF USE LE]APARTMENT I PAR IN LOT AREA PLANNING REVIEWED By DATE REMODEL T 0 SIGN PEaD i P VIDED FENCE REPAIR C] GRADING CYDS 0 X FT) REMAHKJZ�f C] DEMOLISH [3 TANK 01 THER RETAINING WALL RENEWAL GARAGE C3 CARPORT ROOKERY ­,G, USE. BUSINESS OR ACTIVITY) EXPI.AIN. y s ccupAv2 CHECKEDBY ITYrOFCONSTA 9-1 RGUZ cm NUMBER BE, CRITICAL G ECIAL INSPECT R AREA OCCUPANT OF ELLIN AREAS REQUIRED (3 yf 3 LOAD STORIES NUMBER DESCRIBE WORK TO BE DONE ;E MAAR KRI R G ESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO 101 PLANCHECK FEE HEAT SOURCE GLAZING I BUILDING PLUMBING PLAN CHECK NO: VESTED DATE MECHANICAL H I ORKOTEO p'.t14Tg.g%�S IiV.1K TO 0 1 ONLY T' E THIS PERMIT AUTHORIZES ON THIS PERMIT ALT R ZEE W 6",., PR VA PROPERTY gL. ANY C STRUDT. P e LIC 1 T. N 0" R VATE PR' BE ..�E ON BE 00 ' P QUIRE GRADING/FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES, ETC.) WILL REU DOMAIN CUR S SDEW'PER SEPARATE PERMISSION, STATE SURCHARGE PERMIT APPLICATION: 10 DAYS PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN 180 DAYS END, REVIEW FEES yBAR SEE BACK OF PINK PERMIT FOR MORE INFORMATION E.'�A ENG. INSPECTIONFEE _A CAN B AL )F HIS OR HER SPOUSE. HEIRO. ASSIGNS AND SUCCESORS PFL' T ON E F C I THE CITY OF �App�LTEC�AEN�T�oA�GO.EHEASLFT. INDEMNIFY. DEPEND AND H l_D%AMLESS IN T . ; 0 AGENTSFROM ANYAND LANDSCAPING FEE EDMONDS,WA H N T N' ITS OFFICIALS, EMPLOYEES, AN I . . S""T" INDIRECTLY INSPECTION I. S.R.A.A.EiGlWHATEVER NATURE. ARISIN.DIFE�TLYIDR L 0, S FOR -A A.EEO A LL 0, IT L OF T' IS 'ROM THE I AN"E S PERMIT. UANCEOFTH PERMTSHALLNOTBE C T" ISSREOUIREMENTO PLAN CHECK DEPOSIT F G'EM'DT. ANY ANYCITYORDINANCE =�MY,"WAOIVEGR REDUCE E T M U - ." D 0 ENFORCE ANY ORDINANCE PROVISION. NOR LIMIT IN ANY WAYTHE CIT"S ABILITY TO NOR LIMIT INANY WAY THE. TOTAL AMOUNT DUE E AT:HAMVE READ THIS APPLICATION: THAT THE INFORMATION I,HER'BY ACKNOWLDG T' ILLY A .ORIZEO AGENT OF G U T "EN IS CORRECT, AN. THA THE OWNER , OR THE AND REGULATING CONSTRUC- CALL THE OWNE IAGREETO COM,LYU�,'T',,.CTy jTATE LAWS DOING THE A 'ZeD THEg E'. N PE RSON WILL BE EMPLOYED INSPECTION TION; AND VI LAT, I F THE L= CODE OF THE STATE OF WASHINGTON RELATING TO FOR R E MPENSATION INSURANCE AND CW 18.27� trtNTI (425) 1 NERO 771-0220 EXT 333 ATT NTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX VALUATION I,,.lh.'D'P n' .1n.W.,I�.7n 'F- 'd. By— DATE CRIGINAL-FiLE - YELLOW INSPECTOR PINK-OWNEA- GOLD ASSESSOR z m c m m a --10 00 c m m 0 -n n -4 m M a 0 0 rn C co r . ca rn 0 z 71 z 9 0 X-) RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... -4 Pier/Porch ................. M V Retalnirig Wall ........... 74 Slab Insulation .......... PLUMBING: IT r 0 Underground ............. Rough -in ................... M M 1� Commercial Final z > HEATING: F Gas Test ............... 1 Gas Piping, ................. 'Equipment ............... Commercial Final 0 6 EXTERIOR SHEATHING ITI 0. NAILING .......................... FRAMING ................ ....... FIRST FLOOR FRAMING... > INSULATION ................... Z Floor Insulation 0 z Wait Insulation � .......... Calling Insulation 171 SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. T" PERMIT 200179 v CrrY OF EDMONDS NUMt3ER 7:!y?!�/APTR CONSTRUCTION PERMIT APPLICATION JOB SU ADDRESS-77 4 c WNE NAME N PLAT NAMEISUBDIVISION NO. LOT NO, LID NO, O�;S/NAM5 OF BUSINESS JA LLCL LID FEE S AIUN M L'N ; PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP G�ADDRESS -7 olla6 r-7 t, A-ve L- Z 0 -5' S".., ul. E3 EXIST NG - PROPOSED F.q.j­ 0 CITY ZIP TELEPHONE R..­ 0 , , h, , - J­X­ a REOUIREDDEDICATION- FT - Will, 9 METER SI�E LINISIIE 10* 01 FIXTURES VqEQUIllD NAME S 13 NO 13 Y,P I RE OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINA- ADDRESS S21 CITY ZIP TELEPHONE !�__n 4 -7 (bCc) ENGINEERING VVIF gfl IRE1113PIIINMAlt ORES ADDRESS 6 (_Z IGN FIRE REVIEWED By DATE Y TELEII­11N� ST�ATE LICEN�SE NUMBER EXPIRATION DATB CHECKEDBY TAX ACC TI CCO IROPERTY CC� L 0 6 � VARIANCE OR CU SERA REVIEW COMPLETE EXEMPT SHORELINE OR ADBU SIGN AREA ALLOWED I PROPOSED INSMECTION PBOND C3 Y REDD OSTED ES [] NO HEIGHT ALLOWED PROPOSED �OUNi (3 , _9 0 !!MEINTIAL EXF I '5� N EE-'T KC3 R PLUMBIN.IME�. PLUNd LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS JFQ FRONT 11 SIDE FEAR A. ON COMPLIANCE OR CHANGE OF USE - PARKING 1 LOTAREA NNINGREVIEWEDBY DATE r lEl-D I PROVIDED I IF L_j REMODEL IS 0 REPAIR E3 GRADING Cy.. 0 FENCE X FTI 0 DEMOLISH TANK ci OTHER o GARAGE CARPORT C:] RITAINIMYG WALL F..E. Fj RENEWAL j (Tyqg*EySE, BUSINESS OR ACTIVITY) BxPLAW: _�OTORIE�S -'�y DWELL NG UNITS RITICAL AREAS N UMBER DESCRIBE WORK TO BE DONE c Im T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LIC DOMAIN (CURBS, SIDEWALKS, DRIVE AYS, MARQUEES, ETC.) WILL REQUIRE SEPARATEWPERMISSION. 2. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. i YEAR � PROVIDED WORK IS STARTED WITHIN 18B DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FRDMD ANYAND ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY ORIN I RECTLY F ROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT,SHALL NOT BE DEEMED TO MODIFY. WAIVE 08 REDUCE AN QUIRENIENT 0 F ANY C Ty ORDINANCE 9 TO -DOE YR' NOR LIMIT N.A. WAY THE C ITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* �E. F..Y jTYr,0FCONSTVCTIONC jCo 0 PA /9�41 0 CU NT e\) I GROUP I I S SPECIALII PFCIOR P EC L IN "A D OU FECOUIR C,YES JAREA_ A RK S REMARKS V PROGRESS INSPECTIOt cl 610 PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RE PLAN CHECK DEPOSIT Ri TOTALAMOUNT DUE I ... EBY ACKNOWLEDGE THAT � HAVE READ 1.11 APPLICATION; THAT THE INFORMATION OF GIVEN IS CORRECT. AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT IAGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL THE OWNER- TIONANDIN DING THE WORK AUTHORIZED THEREBY. NO PERS NWILLBEEMPLOYED OF THE STATE OF WAS"IONGTON RELATINGTO FOR INSPECTION :��IOLA QMTHELAB R CODE KMC;gN PENSATION INSURANCE AND RCW 18,27. (425) 771-0220 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 OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX z m m m 00 0 0 c m m z 0 -4 1 CE 0 -n m m 0 , 65 0 r— m CA m z 0 z cl) z 9 0 m