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20000222.pdf-ATEIII'm 55 S . I us, PERMIT ?-00222 CITY OF EDMONDS ZONE NUMBER JOB Tl CONSTRUCTION PERMIT APPLICATION ADDRESS <� C) It -5 4- US OFEDMONDS Zo ION PERMIT APPLICAT ON 'AD E N B D E A S SIN M NA:7 N PLAT NAMEISUBDIVISION NO. LOTNO, I'D 10 ID FEE $ P d�" 0 P - - .' U A d 0 .e.. A__ ­Ik .q.k.. PAV AEOU RE. L E. ID FEE $ S MAILING ADDRE sP.pAAp­l M PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP -W 0 0 EXISTING — PROPOSEO� %'Wp`k'=qqk"d CITY ZIP U. E3 A RED B TI Wd ASIOURE. E.I.AATI.N_ IT NO. OF FIXTURES PRV REQUIRED NAME YES 0 No 13 -EMARKS.11TA-TOR RESPONSIBLE FOR EROSION C.NTR.l.AAlINA.E AnDRESS CITY ZIP NAME - —1 htwl Q'�60 C ; FIRE REVIEWED By DATE CITY Z TELEP ONE 4 cr(, I q VARIANCE OR CU SHORELINE OR ADB# I INSPECTION STATE LICENSE NUMBER PIRATION DATE C E I 'BONI REDD OSTED [3YES ONO �-JL[b�S [jAjr)D SERA REVIEW SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED COMPLETE EXEMPT EXP I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (I.) )9p NEW AL ED PROPOSED FRONT SIDE FEAR FRONT UR SIDE REAR C3 ADDITION .0. L�NGIMICH A GI OR 0 CHANGE OF USE PARKING LOT AREA PIANNING REVIEWED BY DATE [] REMODEL [:] SIGN REO'D I PROVIDED [:3 REPAIR C] GRADING C... 0 FENCE X FT) C3 DEMOLISH C3 TANK o OTHER C ARAGE CARPORT C3 RMlNiHGWALL RENEWAL A ER E] t(TYPE OF E. S OR ACTIVITY� EXPLAIN: HE�Klll 8 Y S TM C UP ACU PANT GROUP 5 �TYPEOFCO NUMBER NUMBER F G DWELLING CA ITIC I AREAS E_ ...... OCCUPANT LOAD OF STORIES U.— IN MSER U .... IRE. DESCRIBE E DON,� REMARKS 108/FINAL INSPECTION REO PROGRESS INSPECTIONS PER UBC )e V-WM _Cu VALUATI.-FEE PLAN CHECK FEE EAT S LACE BUILDING PIL C ECK NO: PLUMBING MECHANICAL F RK NOTED. THIS PERMIT COVER WORK TO THIS PERMIT AUTHORIZES ONLY TH WON _ BEDONE ON PRIVATE PROPERTY 0 1 Y. ANY CONSTRUCTION ON THE PUBLIC L REQUIRE GRADINGIFILL M DOMAIN (CURBS, SiDEWALKSDRiVEWAYS. MARQUEES, ETC.) WILL M SEPARATE PERMISSION. SURCHARGE PE MIT APPLICATION: 100 DAYS P. PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STA TED W ITHIN IODDAYS ENG. REVIEW FEES SEE BACK OF MORE INFORMATION FHI OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS I - END. INSPECTION FEE THE CITY OF ;AFPLIEl�lENSljCAGlS"ALl N NT A . TO INDEMNIFY. DEFEND AND A.LD AAA.LEES FROM ANY AND I a LANDSCAP N FEE EDMON%WllllAlTOl TIWIF." CIALS, EMPLOYEES. AND AGENTS AL�". 'OR. A.Eil. ATEVER ATURE, ARISING DJAECTLYOR INDIRECTLY INSPECTION RE EIPT IN FROM THE ISSUANCE OF THIS PERMIl ESUANCE Or THI S PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 0 Y REQUIREMENT OF ANY CITY ORDINAN E DEEMED To MODIFY. WAIVE OR REDUCE AN RECEIP , 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. TOTAL AMOUNT D E THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION A PLI AT 0 I HERE Y ACKNOWLEDGE 6 A. THE OWNER, OR THE DULY AUTHORIZE AGENT .1 IS A E C`E AN D T HAT I P-0 ­t" �y­ GIVEN ULA, THE OWN � AGA E TO COMPLY WITH CITY AND STATE LAWS AEG ING CONSTRUC- E`�G", CALL B pdl,,..:Pl P.O. ��d TION. AND IN DOING THE WORK AUTHORIZED THEREBY, NO PEAS NWiLLSELEMPLOYED ATING TO FOR INSPECTION iwi­­ 1.0. .. -d- IN VIO LATION OF THE LA OR CODE OF THE STATE OF WAsHIONGTON RE B WORKMEWS COMPENSATION INSURANCE AND ACW 18.27. T (425) 0 CII I IGNATUR (OWNER t Ito) nllURE 771-0220 A LEA . BY EXT 333 ATTENtION IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A,CEPTIFI- ORiGINAL-FILE - YELLOW -INSPECTOR A HAS BEEN GRANTED. UBC SECTION 10 FAX PNK.OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY Si9B 0 m m c: m rn 0 80 m m m z ID ::! C= z 0 -n n m m rn a 0 c 0 Fn 0) co M 0 Z r- X z m INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.......................... Pier/Porch ................. platainirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ............ Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equfpment ............ commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ...................... FIRST FLOOR FRAMING INSULATION ................... Floor Insulation .......... Wall Insulation ........... Ceiling insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... 2- FINAL APPROVAL FOR OCCUPANCY .................. z 0 0 M 1V M C ITI 0 C.) 0 C 4 M X M, ITI 2;. a > rn ITI a 00 a A 0 z z 0 0 M 7PERMITEXPIRES, oo 2L20:61- i; PERMIT 'ZOO222 Z;4 CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS If 0 �A PI -AT NAMEISUBDIVtSION NO LOT NO, Ck \/Ckh* LID FEE S CP "p—d MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP sw P-1 W V. P�­ R, d C3 C 5XISTING— PROPOSED- 00 CITY TELIP FIEOUIREDDEDICATION_ FT nVFE.UF OF FIXTURES InV E.UMED MTITER SIZE I LINE SIZE NAME YES 13 NO 0 R MARKS ADDRESS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRCLJOFAINAGE THI CITY ZIP TELEPHONE NAME INEERING REVIEWEDIDATE m 0 z 0 d ADDRESS Aa CA—) FIRE REVIEWEDBY DATE 0 0 m c: m CITY z TELEPHONE 65� VARIANCE OR CU SHORELINE OR AIDE. INSPECTION REo-D OYES C3N. BOND IPGSTED STATE LICENSE NUMBER SERA RE IEW I EIEMIT SIGN AREA ALLOWED , F.I.SEC HEIGHT ALLOWED I PROF 3EO COMPLETE P P EL NO. o/ EXP 80, M M z R BIG NT­,b�'PLUNIMN. I AECH ALL COMPL ANCE OR OM ERCIAL 'HANGE OF USE )Eg:'NEW C] oAEAFl`TMENT L ED ADDITION r LOT COVERAGE OWED PROPOSED REOUIRED SETBACKS (FT.) FRONT SID, REAR PROPOSED SETBACKS (FT.1 FRONT UR SIDE FEAR NING REVIEWED BY DATE C] REMODEL SIGN REGO I PROVIDED _0 FENCE 0 REPAIR GRADING CYDS El I X FT) F-A- 0 DEMOLISH ci OTHER TANK - rj) 0 -n -n 0, 0 C-AA3AORT F�G WALL RENEWAL R2. STRUCT .. UP lly"O 00 ICOUPAN�� INSPECTOR AREA .CC�PA; LOAD El YES mm 0 0� v) P ITYPE OF DTIVI1Y) EXPLAIN: �1,7M711 A C"EOKEDBI NUMBER OF o STORIES NU. EROF DW LUNG SPECIAL REOUIRED DESCRIBE Wo BE DONE REMA '55� PROGRESS KS INSPECTIONS PE R UBC 108/FINAL INSPECTION REO'D r(a I (A RT,�� w\ bl�, ;,,w (r) m 0 aol 4L, rKg Lo z (1) z VALUATION FEE PLAIN CHECK FEE m LOT 5101E I PLAN'CFIECK NO: 'TED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO B BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU LIC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS MAROUEES. ETC.) WILL REOUIRE SEPARATE PERWISSION. P MITAPPUCATi N: 180DAYS ER P 0 PERMIT LIMIT. I YEAR. ROVIDEOW RK IS STARTED WITHIN 180DAYS SEE BACK OF PINK PERMIT FOR MORE INFO MATION PLICANT. ON BEHAL F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ;A DEFEND AND HOLD HARMLESS THE CITY OF NFINTEREST. AGREES AND ;NDEMNIFY. TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY IR 1. Ll .1 ­­ ­ - � - NOT BE PERMIT SHALL Cl CY ORDINANCE F ANY NANC E PROV I SION.' RDI I ACKNOWLEDGE THAT I HAVE READ THI S APPLI'ATI�lly. THAT THE "FORMATION HEREBY ATA. THE OWNE1 G EN I FRED ANDTH . F THE OIL AUT�.RZE. AGENT OF " S DO T. � THE NER A FEE VFLyWITHCITYAN ITATEIAI�REGUI_ATINGCONSTRUC. W I . TO DO WILL BE EMPLOYED TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON RE L ATING TO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'SCOMPENSATION INSURANCE AND PCW 1B.27. DATE S, N -;� :5 Z . �= , BUILDING PLUMBING MECHANICAL GRADtN IFILL eTIMt SURCHARGE ENG. REVIEW FEES END, INSPECTION FEE LANDSCAP NG INSPECTION FEE PLAN CHECK DEPOSIT RECEIP Is TOTAL AMOUNT DUE APPLICATION APPROVAL ,,,� p,.­..­ - . , ....... �I,ld by th, CALL dt,l I' I., A, D.P.1y, �� F­ 110 ­d, Ild FOR INSPECTION , ­k­ I.dg,d­A­p­­. 0 CIA I NATURE TF (425) 771-0220 1 EAS D BY ATTE14tlON r-A 1 200 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- . ORIGINAL-FILC YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR