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20000261.pdfPERMIT EXPIRES c USE PERMIT ZONE NUMBER JOB ADDRESS S ITEIAPTI S // g �1� Lf - & FLAT NAMEISUBDIVISION NO I 11T No, LID N LID FEE S 'S TESC PUBLIC RIGHT OF WAY PER OFFICIAL STREET VAP RW �tl U.. P.- ZIP EXISTING - PROPOSED - ITELEPHON REOUIREDDEDICATION- IT METER SIZE LINE 111E NO, OF FIXTURES PRV REQUIRED I YES 0 NO 13 I REMARKS OWNE RICONTRACTOR RESPONSIBLE FOR E ROSION UU1 IT"' N11- ZIP T ELEPHONE DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ;;.E�LNA"K GF63s' Lvvw-buss'Y-L!�5 _ n MAILUAGADDRESS I I NAME NAME �S,WX, *-_ Lo ENGINEERING END ` ER'"o REV19WED/DATE ADDRESS F E REVI E.ED BY FIRE REVIEWED By IF DATE CITY ZIP TELEPHONE MI' VARIANCE OR CU VARIANCE OR CU SHORELINE OR ADB� INSPEOTION `07- STATE LICENSE NUMBER I.PIRAT�N C11 BY p PIN B I POSTED 0 YES ONO �ATE I, L, e3 1,57 0 c_ 4 SIGN AREA HEIGHT SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED AL PROPERTY 74ACCOUNT PARCEL NO. , <)&CA c3l"2 EXP LOT COVERAGE LOT COVERAGE REQUIRED SETBACKS (F`E) PROPOSED ETBACKS (FT.) BE ` "DENTIAL C] RESIDENTIAL PLUMBING E.H IL...NG I M:�CH ALLOWED AL..B C ....... FRONT SIDE REAR FRONT URSIOE REAR F E] AUDITION 0 COMMERCIAL 0 COMMERCIAL LEI ] G..P,�ANGE 0 CHANGE OF USE I RKIN. LOT AFEA77�7 DATE REMODEL TME T APARTMENT AEAR N 0 SIGN G _.Vt =RE. I.E. REPAIR 0 RAGING YDS 0 PENCE X _ IT� REMARKS DEMOLISH C] TANK OTHER RACE ARA.E 0 GCA.B.RT T IN C] F3tE�AIENIN. WALL RENEWAL C 0 XPLA OR ACTIVITY) EXPI-AlW TVT, OCCU PANT CG� 0 U p (TYPE OF USE. BUSINESS 9; CHECKEDBY JTYPE�V7 GO N GFOUf,�'_ I 71 N.M. F BE IT R ICA SPECIAL NSPECTOR OCCUPANT OF C STORIES R AS US MEER iG REQUIR [] YES JAREA LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTION S PER UBC 108tFINAL INSPECTION REQ-1 VALUATION I FEE PLANCHECIK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MEG ANICAIL THISPVRMITAUT"O IZES ONLY THE WORK NOTED. THIS PERMIT COVERS W.nKTO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRAOING/FILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MA CUBES, ETC.) WILL REOUIRE SEPARATE PERMISSION. SURCHARGE PERMIT APPLICATION: 180 DAYS R PERMIT LIMIT'. I YEAR ' PROVIDED WORK IS STA TED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION A ;AP LLCANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AING SU CESORS p ML E S THE CITY -1 INDEMNIFY ENG. INSPECTION FEE LANDSCAPING N.INTEREST. AGREES TO GTON. ITSOFFICII �LD�EFEE.NpL.AyNEE�'.ALN'�'AA.RENLIS FROM ANYAND INSPECTION FEE 2 E MONDS.WASHI L RECTLY OR INDIRECTLY A L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DI BE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT ANY REGUIREMENT - DEEMED To MODIFY, WAIVE OR REDUCE 0 WAYTHE CITY 5 ABILITY TO ENFORCE ANY RDINANCEPROV SION. RECEIPT 0 NOR LIMIT IN ANY TOTALAMOUNTDUE I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION THAT THE INFORMATION APPLICATION APPROVAL A .."ED A NT OF GIVEN IS CORRECT, AND THAT A. THE OWNER. OR TEE .�l 'T NG C GE � PLY WITH CITY AND STAT LAW EGUITI INITHUG CALL T THEOWNER IAGREETOC TION. AND IN DOING THE WORK AUTHORIZED THEREBY. N PERSON ALLBE LE.PLOY E OR RE AT,NG TO' FOR INSPECTION 9 'p- p'-d- IN VIOLATION OF THE LA 80 CODE OF T HE STATE OF'WASHINGTON WORKMEN S COMPENSATION INSURANCE AND HOW 19.27, OFFICI NAT (425) 1 L4 6LASIGNED 771-0220 E AIED51 DATE --- EXT 333 ATTENTION IT IS UNLAWFVLTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW - INSPECTOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD - ASSESSOR �,98 z 0 rn c: m 0 m 10-1 c In o -n m m In 0 0 c: ca c m 70 r z z 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... z Wall.......................... 0 Pier/Porch ................. 0 rn: Retaining Wall ........... 4— Slab Insulation .......... ca OM iS. PLUMBING: ITI 04 0 Underground ............. Rough -in .................... M M commercial Final Z 10 HEATING: Gas Test ca .................... Gas Piping ................. Equipment ................. m T C, commercial Final 0 C: EXTERIOR SHEATHING NAILING .......................... mo� z FRAMING........................ FIRST FLOOR FRAMING INSULATION .......... Z, p Floor Insulation Wall Insulation z Ceiling Insulation M SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. DATE RECEIVED LPERMITEXEidt� PERMIT 200:6ul CITY OF EDMONDS E K�,, NUMBER SUITEIA CONSTRUCTION PERMIT APPLICATION '�`D`D A E S S ��EANAUMEc,p BUSINESS FLAT NANEISUBDIVtSION NO. LOT NO, LID N A"-. 13 0 Ij LID FEES MAILINGADDRESS HT OF WAY PER OFFICIAL STREET MAP A,o 0 -�4 A' a— --., PUBLIC RIG 0 EXISTING — PROPOSED. (3 I, R ZIP TELEPHONE C:no REQUIRED DEDICATION— FT — U . ...... - METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES E3 NO 0 -REMARKS ....—I-11A AlNSIBLE FOR EROSION CONTROUDRAI CITY I ............ vvivirL61 Lu NAME et�, .1. ENGINEERING —1--DATE ADDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE 0 VARIANCE OR CU SHORELINE OR ADB� D B INSPE.!I.N RE STE STATE LICENSE NUMBER OYES []NO rv( SIGN AREA HEIGHT o " v Iq SEPA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PRO27T V4ACCIUNTIIIILNl*, z or F I I , i, J�.EVY C] RESIDENTIAL ,��POLI.IMS N:,I�E":�CH LOT C ERAG AEOUIPEDSET.ACIS(ll ALLOWED O"PROPOSED FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UWSIDE REAR U ADDITION COMMERCIAL PL:A 0 CHANGEOFUSE PARKING PLANNING REVIEWED by DATE REMODEL APARTMENT [3 SIGN REOID PROVIDED 0 REPAIR DEMOLISH FENCE GRADING CYDS 0 x FT) GARAGE CARPORT RETAIN C] ROG C3 RENEWAL �SBV WALL. T_ypE 0—F UEE,, BUSINESS 01 ACTIVITY) E)tPLAIN; fl7 HECKBO BY CONSTRUCT -71 ITYPEPE. IGO U Gocc I� A- 'U' A NUMBEROF CRITICAL A EAS S ECIAL INSPECTOR ARIA .. .c L.A. OF 10 STORIES OWELLIN. LIN TS NUMBER SPEOUIRED C3 YES DESCRIBE WORK TO BE DONE REMARKS z INSPECTIONS PER UBC 108/FINAL INSPECTION REG" Ilk 7 ca a, 02 PROGRESS P HEAT SOU GLAZING Y, LOT SLOPE % PLAN CHECK NO: �E5TID DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BOMAN (CURBS. SIDEWALKS . DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPMM AD". . PERMIT LIMIT: I YEAR . I K?.-l.ATtAl;"IT.I. 113- SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APPLICANT ON BEHALF OF HIS OR KEA SPOUSE. HEIRS. ASSIGNS AND S CCESORS N NTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON, ITS OFFICIALS' EMPLOYEES, AND AGENTS FROM ANY AND A CLAIMSFORDAMAGES OR INDIRECTLY LL OF WHATEVER NATURE. ARISING DIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA CE NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT =ORMATION Y AGE GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTH NT OF THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING Co"TRUC- TKON; AND IN DING THE WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORIMENSCOMPENIATI N INSURANCE AND RCW 18.27, rlRE I IR OR NT) 16,� ASIGNED A I 1�_ ,OKA d 117 VALUATION FEE LAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGfFILL SURCHARGE REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNTDUE , APPLICATION APPROVA L T11. lPIIll.t 11 - ,t- CALL Ou,ldllg C111111 I., III, %u.2`F`2. F�� FOR INSPECTION _ill m ..k, ... F,d.d. SJONAT (425) 771-0220 RELEASED By I DATE ATTENTION I EX I aaa ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL N P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW INSPECTOR I S FAX PINK OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTEE). LIBC SECTION 109 5,98 z 0 c m M 0 80 c -4 m M m ID cz 0 K m M 0 0 C M 0 --I Z PEI z -1 1 z 0 m VALUATION FEE LAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGfFILL SURCHARGE REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNTDUE , APPLICATION APPROVA L T11. lPIIll.t 11 - ,t- CALL Ou,ldllg C111111 I., III, %u.2`F`2. F�� FOR INSPECTION _ill m ..k, ... F,d.d. SJONAT (425) 771-0220 RELEASED By I DATE ATTENTION I EX I aaa ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL N P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW INSPECTOR I S FAX PINK OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTEE). LIBC SECTION 109 5,98 z 0 c m M 0 80 c -4 m M m ID cz 0 K m M 0 0 C M 0 --I Z PEI z -1 1 z 0 m ATTENTION I EX I aaa ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL N P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW INSPECTOR I S FAX PINK OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTEE). LIBC SECTION 109 5,98 z 0 c m M 0 80 c -4 m M m ID cz 0 K m M 0 0 C M 0 --I Z PEI z -1 1 z 0 m