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20000185.pdfI CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNEEMCE.NAME OF BUSINESS MAILING ADDRESS CITY ZIP TELEPHONE NAME [PPIERM�ITEXPIRE�S� KUSE PERMIT Z014E NUMBER aools-5 a SUITVAPT� ADDRESSI��-5j,�,, PLAT NAMEISUBDIV$SIGN NO, LOT No LID NO LI. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED- IM.Mk R­kld REOUIREDDED;CATION— FT — ­­-d ­�, 1.1-d METER SIZE LINE SIZE NO. OF FIXTURES PRY REQUIRED YES C3 NO Ll �EMARKS 9 FOR EROSION CONTROUDRAINAGS 9 [Zq-y— ZIP TELEPHONE NAME C ENGINEERING REVIEWEDiDATE X ADDRESS raFIRE REVIEWED BY DATE ELEPHONE INSPFC-TION BON D VARIANCE OR CU SHORELINE OR ADBN P OSTED E3YREQ'D El E3 NO SERA R VIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PARCEL 140. , EXP LOT COVERAGE REQUIRED SETBACKS (FT.1 PROPOSED SETBACKS IT NEW 1p RESIDENTIAL PLUMBING I EC. ALLOWED PROPOSED FRONT SIDE REAR FRONT UR El DE REAR 2 C MELIA CE OR C] AUDITION C3 COMMERCIAL COHANGE OF USE PAR IN LOT 2 AREA PLANNING REVIEVIED By C] REMODEL APARTMENT cl SIGN REG-D I P VIDE FENCE REPAIR o GRADING CYDS 0 ( — X FT) -REMARKS DEMOLISH 0 TANK o OTHER 'ARAG' WALL RENEWAL 0 '�A.P.RT C3 R C] RETAINING 1, DKER, (yypEOFU BUSINESS OR ACTIVITY) EXPLAft CHECKED By T PE T11 N CCURA T ROUP jj.S C NUMBER NUMBER OF RITICAl SPECIAL INSPECTOR AREA OCCUPA14T EA G I AR S OF NG U N MEER REQUIRED [3 YES LOAD UWELL STORIES IT. DESCRIBE BE DO REMARKS YJ PROGRESS INSPECTIONS PER UBC lOa/FINAL INSPECTION REO VALUATION PLAN CHECK FEE E OURCE BUILDING PLAN ECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATQ PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ,E GRADINCIFFILL DOMAIN .�RZS, E EWALKS, DRIVEWAYS. MARQUESS. ETC.) WILL REQUIRE r SEPARATE PERMISSION. afffil SURCHARGE P MIT APPLICATION: ISO DAYS E! PERMIT LIMIT'. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORM (ON 'LI ORHE A�-IDNS AND SUCCSSORS AP ' �ANT ON BE ED'"' R '�O.U.SE�IqH�E'H. THE CITY OF "LO ENG. INSPECTION FEE :113 NIF HAFMIE�S R EM " AGEHALTC Y. DES, IN I NTE ENTS FROM ANY AND TSOFFiCIALS. EMPLOYEES. ANDAG LANDSCAPING INSPECTION FEE ...NDE WAEHN.TON. ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE,ARISING DIR ECTLY OR INDIRECTLY RECEIPT F N S PERMIT SHALL NOT BE ROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THI CE PIN CHECK DEPOSIT 0 EEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINA I D VISION" ANY ORDINANCE P OVISION' RECEIP T TYT 0 NORLIMI INANYWAYTHECITY-SABILI 0 ENFORCE TOTAL AMOUNT DUE THAT THEINF RMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT; HAVE READ THIS APPTICEAT'OLNY GIVEN IS CORRECT. AND THAT AMTHEOWNE OR DU AUTHORI EDAGENTOF THE OWNER. I AGREE TO COMPLY WITH CITY AN6 STATE LAWS REGUI-ATING CONSTRUC- ED CALL O",_,._,Mo, plty:-dF ... ... p.ld TION. AND IN DOING THE WCRKAUT RIZED THEREBY. NO PERSON WILL 89 Elll-lYT HO L 0 HEATING ­p­ 11-110gld m opM p,mldld. FOR INSPECTION IN OLATiON OF THE LABOR CODE OF THE STATE OF WASHINGTON VI WORKMSNSCOMPENSATIO INSURANCE AND RCW 18.27. S SIGNATURE DATE OATS SIGNED (425) SIGN-UIEIOWNI"IRIOENTI -:3 lob =-� I 1 0-- 1 Q . ( 771-0220 ASE..Y F-XT 333 ATTE01ON IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI,_ 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF ORIGINAL- FILE YELLOW - IMSPECTO ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PNK OWNER GOLD - 5198 z 0 cn rn mi 00 S 3: 171 : . 2 CA 0 -n n rn m a @ � I 0 c: Fn CA z co z 9 0 rn ATE RECEIV C =PERMIT EXPIRES us PERMIT 200,18S ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION SUITEIAPTO OWN AME OF BUSINESS PUT NAMEISUBDIVISION NO LOT NO. LID NO. LID FEE S C MAILING ADDRESS 1ES11 11,111.1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 TELEPHONE EXfS ING — PROPOSED — s._ CITY ZIP Cj i9 REOUIReDDEDICATION— PT — 1� M METER SIZE LINE SIZE NO. OF 51XTURES PRV REOUIRED NAME YES 0 NO 0 L ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ell, ZIP TELEPHONE NAME J!1174 ::::::g U EDIDATE ENGINEERINGV %J�, W r, ADDRESS z DATE o 0 FIRE REVIEWEDBY TELE11111 0 Z611 VARIANCE OR GO SHORELINE OR ADBII INSPEC STATE LICENSE NUMBER REOTION OSTED OYES ONO JPBOND j A 03 CDL_-�'(Loz SERA REVIEW —SIGN AREA HEIGHT -xi uo EXEMPT ALLOWED PR POSED ALLOWED PROPOSED ACCOUNT PARCEL NO. I I m a C'�A _)C) C) 0 0 ED ETBACKS (FT.) LOTCOVER E REQUIRED SETBACKS (�.j PROPOS 'S AG SIDE REAR FRONT R SIDE HEAR &]DNEW PLUMBING/ ECH ALLOWED PROPOSED FRONT o COMPLIA CE OR m ADDITION CHANGE OF USE PARKING LOT AREA PLANI,JIN REVIEWEDBY DATE mz 0 REMODEL C] SIGN RED D PROVIDED c:2 z 1 GRADING CYDS C] FENCE X FTI 0 REPAIR cl —REMARKS OTHER ED OE.OUBA cl cl) 0 -n C, GARAGE RETA.INING WALL C] RENEWAL _n c ARPORT (TYPE OF USrrS OR A CTIViTY) EXPLAIN: T 0 U PANT YPECVINS REP, F CHECKED BY- O.RC. rn rn 5 NUMBER NUMBER OF CIAL INSPECTOR AREA OCCUPANT LOAD 0 'm OWELLING OF UNITS RE QUIRED [] YES Cc: co) STORIES DESCRIBE W2r BE DONE R RENA 'D REQ 9 C/) M 0 PRO GFIESS INSPECTIONS PER UBC 1031FINAL INSPECTION z --I 4 PIC;. z z VALUATION FEE PLAN CHECK FEE 0 E T OURCE BUILDING IT! PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE W ORK NOT D. THIS PERMIT COVERS WORK TO R BE DONE ON PRIVATE PROPERTY ONLY. ANY CONST UCTION ON THE PUBLIC GRADlNG/FILL DOMAIN (CURDS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PEV_�ISSION_ SURCHARGE PEWMIT AFPLIcAT7ioW.'1 So DAYS-- PERMIT LIMIT, I YEAR -PROVIDED ORKISSTARTE.W ITHIN 160 DAIS ENO, REVIEW FEES SEE BACK OF PINK PERMiWT Pon MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS INTEREST. AGREES TO 11,10EMNI Fy. DEFEND AND HOLD HARMLESS THE CITY OF ENG. INSPECTION FEE LANDSCAPING IN EDMONI)S,WASHING70N. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYA.D INSPECTION F E A LCLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY L RECEIPT FROM THE I ANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE SEL F ANY CITY ORDINANCE PLAN CHECK DEPOSIT DEEMED TO MODIFYr�yWTAHJE.E OR REDUCE ANY REQUIREMENT 0 ORDINANCE PROVISION.- ECEIP -77 TOTAL AMOUNT DUE 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION APPLICATION APPROVAL GIVEN S CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHOR 2ED AGENT 01 Th,� IPPI—t— '� 1-1 � 0-1111,1,j ,glld by Iho THEOVYNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON$TRUC- BE CALL Bb 0_ Offi—I .1 h1­11 D.P,�Iy n.d F .. ... P.-d TIO�, AND IN 00 NO THE WORK AUTHORIZED THERE.Y. No PERSON WILL EMPLOYED WASHINGTON RE ATING TO -1 p, d1d. FOR INSPECTION IN VIOLATION OIF THE LABOR CODE OF THE STATB OF WORKMEN'S COMPENSATION INSURANCE AND RCW 18.21 0 1 S SIGNATURE DA E OR AGENT) DATE SFIJEC (425) .(a =NER L.. 0_� , 771-0220, RVL ASED BY D EXT 333 A17ENTION L ITISUNLAWFU TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL I Ns ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- P ORIGINAL FILE YELLOW - INSPECTOR A HAS BEEN GRANTED. USC SECTION 109 PINK -OWNER GOLD ASSESSOR FAX DATE OF OCCUPANCY