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20000270.pdfM I -1 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS !,-->Aue_ 1�Ryk"ZA(JC14 MAILING ADDRESS 13'a 6 el t V) 14 CITY t4 "�TELEI..He ADDRESS CITY NAME MeTA ADDRESS I—' Fp­ERMIT EXPIRES M51a U*E PERMIT zoll YL�-�LNUMEIER 2()0;270 joB SUITE/APT# ADDRESS,R 6,�yplp)o_ 4 vr- PILAT NAME'SUBDtVISI.N HIT I LOT 10, LID NO, LID FEE S TE11P I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP FW,.,. "I'll Ul* P1111 I'll EXIST NG — PROPOSED� REQUIRED DEDICATION— IT METERSIZE I LINE 1111 1 NO* OF FNTUNE� YEP V REQUIRED SO No 0 REMARKS NFRICONTRACTOR RESPONS11 LE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE CITY TELEPHONE I'm 1414-34_,Z­3�1� VARIANCE OR CLI CLPO'TCOVERAGE SHORELINE OR ADS� INSPECT;ON E3 Y REO'[ ES [3 NO ID IPB.OSNTEC STATE LICENSE NUMBER UAI t o C-4 is-/d-a SEPA 'REVIEW COMPLETE EXEMPT I SIGN AREA ALLOWED I PROPOSED.. HEIGHT ALLOWED I PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. EXP — — LOED F--Ul---EET8ACKS(F`T.) PROPOSED SETBACKS (FT.) NEW RESIDENTIAL Ik PLUMBING MECH ALL WE. ALL. PROPOSED FRONT SIDE REAR FRONT LIRS.E FEAR S 0 ADDITION 0 COMMERCIAL COMPL ANCE OR C3 CHANGE OF USE KING LOT AREA LOT A PLANNING REVIEWED BY DATE REMODEL APARTMENT 0 SIGN REDO PROVIDE. C] REPAIR [] FENCE ( — X FT) Aws REMARK C3 DEMOLISH TANK o OTHER ri GARAGE - CARPORT C] RETAININGWALL C] RENEWA ROQKEIY p (TYPE OF USE. BUSINESS OR ACTIVITY) XPLAIN: CfCKEp By C N ]MCCUPANT 4 JUCTION GROUP NUMBER NU M ER OF: DWELLING CRITICAL C F, 'TCAL AREAS q��Jd �Typo PECIAL INS TOR AREA OCCUPANT AREA LOAD OF STORIES N. , BE N E R U ME REQUIRED 0 YES EQUIRSO 3CYES DESCRIBE rWORK TO BE DONE E F. REMARKS PROGRESS INSPECTIONS a PER UBC 108/FINAL INSPECTION REQ r hF A),S YtAt L f)jA-AJ-r4&_A-T.Af(� &lKl--4JPql A 0-1 I A i Ll- V I VALUATION FEE PLAN CHECK FEE GLAZIN LOT SLOPE I BUILDING ,�WCE DATE CHECK NO: PLUMBING JIE5TEO PLAN MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARGUEES, ETC.) WILL REOUIRE :i SEPARATE PERMISSION. 2 PERMIT APPLICATION: III DAYS PERMIT LIMIT: I YEAR � P ROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEEBAC K OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANT. , INTEREST. AGREES TO EMN F DEFEND AND HOLD HARMLESS THE CITY — LANDSCAPING EDMOND �NoOFFIGIY�IUS, EMPLOYEES, AND AGENTS FROM ANYAND S WASHI GTON. TS INSPECTION FEE ALL Cl-Al NIS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY SHALL NOT BE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT DEEMED TO MODIFY. WAIV EOR REDUCEANY REQuIREMENTOF ANYCITYORDMANCE PLAN CHECK DEPOSIT 0 NOR LIMIT INANYWAYTHE CITY-SABIL-ITY TO ENFORCE ANYORDINANGE PROVISION.- TOTAL AMOUNT DUE ... SIFT 'HERE By ACKNOWLEDGE THAT ICATION: THAT THE INFORMATION HAVE READ THIS APPL APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT : AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T­ IPPIficat-OA pb,.il -,I ll,ld by thD THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL ..d F... — 1- ..d TION IN T ED T EREBY, NO PERSON WILL BE EMPLOYED 'GT' THE 'I' ' ASHINGTON RELATING TO W FOR INSPECTION lld�d. ATI N IT �rl �AG.R OF I.E STATE 01 IN VjbALND o NSA E AND RCW 19,27. Y-N C N', A OF ICA IGNA LIFE E WORKMEN*S 0 (425) �/_E=Lj 771-0220 R DBY DATE -XII-ENTIeN 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- ORIGINAL - FILE - YELLOW - INSPECTOR GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY HAS 13EEN 5�B z 0 m M m a o mm m to a > 0 .n n m M 0 0 M c') p i z z 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... 14 wall ............... Pie,/Poch ............. .. Retaining Wall M Slab Insulation PLUMBING: Underground ............. M, C: C, 171 -Rough.ln ................... Commercial Final M HEATING: Gas Test .... ............... a Z� 3: Gas Piping ............. 2 -n� Equipment rt� Commercial Final M EXTERIOR SHEATHING 010 NAILING — ....................... 0 FRAMING ........................ C (j) ITI FIRST FLOOR FRAMING... INSULATION ............. Floor Insulation z Wall Insulation Ceiling, Insulation z SHEETROCK NAILING -4 SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............ = I 'kTE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION INESS MAILINGADDRESS c D PERMIT E`xNv— �cv IRES usT— PERMIT 2oo;27G �-S—�ZNIUMIBER ZONE , JOB I SUITEJAPT. AODRESS<2-66 4 VF PILNT NAME/SUBDIVISION NO. IOTNO LID NO, I 1.113 FEE I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Tac, I W ZzNzv.�� 00 ... U ....... k P-1— 0 EXISTING — PROPOSE — CITY ITELEPHONE REQUIRED DEDICATION— FT E-�>ft 0A)b s OF FIXTURES sill .. 11 P-1- 0 uw1=1z.1_ Q � P V REOUIRED 'NAME YES E3 NO 0 R MARKS ADDRESS OWNEWCONTRACTOR RESPOtLSLBLE FOR EROSION CONTQDRAINAGE CITY ZIP TELEPHONE NAME Ive- ENGINEERING REVIEWEDIDATE X ADDRESS 5 FIRE REVIEWED By z 2 CITY ZIP TELEPHONE _k 3- s VARIANCE OR CU SHORELINE on ADB# TN—SPECTION PBOND' REQ*D OSTEP STATE LICENSE NUMBER EXPIRATION t0i YES ONO 0 m 's _ ;-w SIG AREA - HEIGHT 4 pt� Ly -w: I fl -/6 0 .01 ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT RCEL NO. — — — Kzm� COMPLETE EXEMPT E p z, k. m MO 0 0 m m 0 -COVERAGE REQUIRED SETBACKS FT) PROPOSED SETBACKS (FT.) LQLT P FRONT SIDE REAR FRONT OR SIDE REAR NEW E.1 .. TIAL, PLUMBING I MECH 'ALLOWED ROPDSED COMPLIANCE OR ADDITION CHANGE OF USE PAR�ING LOT AREA PLANNING REVIEWED By A., MODEL SIGN REQ'U,l I P OVI ED RE E3 C] 11AIINI CYGS F NCE REPAIR (E� X FT) REMARKS j DE11:.1SH TANK Ei OTHER OF A FIETAINV WALL FENE-AL CARPORT R..KE MITI 0, r- Do) ca M 0, z 0 JYPE OF USE. BUSINESS OR ACTIVITY) EXPI-AIN: CHECKEDBY TYP 0 C ITION OCCUPANT G ROUP CRITICAL OCCU NT �NUMBER NUMBER 01 PECIAL INSPECTOR AREA OF, WELLING AREAS, cql q/ , LOAD o STORIES I NUMBER EQUIRED C] YES DESCRIBE WORK TO BE . DONE REMARKS NS PER UBC I 08/FINAL INSPECTION REO'D Z. PROGRESS INSPECTIO r- A, T I AN r e- z VALUATIOIJ FEE z PLAN CHECK FEE GLAZING I LOT SLOPE % BUILDING PL , AN CHECK NO: JVEITEDOATE PLUMUINI MECHANICAL m THIS PERMIT AUTHORIZES ONLT"EWO " NOTED, THIS PERMIT COVERS WORK TO _ SEDONE ON I.,V.T. PROP'RT NLY ANY CONSTRUCTION ON THE PUBLIC GRAINNGIFILL L '0 2 DOMAIN I ... SIDEWALKS , .,V._A,., A..bEES, ETC.) WILL REQUIRE E'..�TE PERMISSION. URCHARGE PERMIT APPLICATION: 180DAYS PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFO MATION ;AP LiCAN1. ON ..— H R HER POUSE,.H.1l.R.SLARSSIGNS AND SUCCESORS ENG. INSPECTION FEE DEFEND . HARMLESS THE CITY OF LANDSCAPING N INTEREST. AGREES % OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE OFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY 5 PERMIT SHALL NOT BE PLAN CHECK DEPOSIT OF ANY CITY ORDINANCE ORDINANCE PROVISION.- TOTAL AMOUNT DUE RECEIPT RECEIPT -jii 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN is CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF F THE OWNER I A. E E To COMPLY WITH CITY AND STATE LAWS REGULATING �E),NPSLTOAYUEC� - CALL TI.N RK. UTH IZED THEREBY. NO PERSON WILL BE InIn In 1,:,`LA`TIGN'.F T L' R D OF THE STATE OF WASHINGTON RELATING To FOR INSPECTION APPLICATION Thu, I—— Build nt _ ,I 1 .1 ipi APPROVAL p,,,Jt until i,911d by in, nl F­ Fuld, .1d g.--p—P ­. WORKMENSCO� NSATIONIN NCE AND RCW 1 B.27. FFIC ERORA SIGNED (425) 1 771-0220 RE By EXT333 ATTENTION IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTII MADE AND APPROVAL OR A CERTIFI- 771-0221 A FINAL NSPECTION HAS BEEN ORIGINAL-FlLE YELLOW- INSPECTOR CATE OF] OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD ASSESSOR siga