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20000273.pdf—'[D�IE RECEIVE. 4) 4 4)1 I I I PERMIT EXPIRES .. PER CiTY OF EDMONDS ZONE NUMBER —2-&.D21 CONSTRUCTION PERMIT APPLICATION B ITEIAPT# ADDRESS V­ sl- &I PLAT NAMEISUDDIVISION NO. LOTIO, III NO, UG EEE S .AILING ADDRESS Z/ PUBLIC RIGHT OF WAY PER OFFICIAI. EXISTING — PROPOSED — REQUIRED DEDICATION— FT 11-1 U.. ­­ —lul- SI-1k R­I­ :ITI ZIP TELEPHONE 4AME METE. SIZE I LINE SIZE .1 NO. OF FIXTURES PAV RE OUIRED YES 0 No 0 I REMARKS OWNERIC kDDRESS ;ITY ZIP NAME ENGINEERING REVIEWIEEVDATE AIDF;1�� FIRE REVIEWED By DATE 11, %� TIL11HO— 1/_� VARIANCE OR CU SHORELINE OR ADS' I ISIECTI NO RED .0 N 0 YES 0 I PRO IDS STATE LICENSE NUMBER ATE CHECKED BY f *1 i�ll_ vi v 4- cl, 0 rn k, Lu ROPERTY TAX ACCOUNT PARCEL NO, -1 LI mn�-bl/ z>- �,W ..SIGENTIAL PLUMBING / MECH UGT,ON COMMERCIAL o C MPLIANCE OR CHANGE OF USE C] REMODEL C] APARTMENT SIGN REPAIR RADING CYDS 0 FENCE _ � _ ITI C] DEMOLISH C] TANK n OTHER AGE 0 RR.FT R=,lNyG WALL E] RENEWAL _ CA CA B TIVITY) EXPIAIN: --7s_PAqSVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I P80POSED ALLOWED I PROPOSED �Xp LOT COVERAGE REGUIRED SETBACKS (FT) PROPOSED SETBACK$ (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR DATE PARKING BY GO I PF.V 7R DE.T CHECKEDBY ITYPE R AL =jb_... NUMBER N OF SPECI L INSPECTOR UMBER. All, I CAL T' WELL N AREAS REQUIRED [] YES OF I U =R UM R NITS N MEE DESCRIBE WORK TO BE DONE 0 CUPANT GROUP UBC 108/FINAL INSPECTION VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK ND: TT_ED DATE PILMBIN, MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THEP BUD uU GRADNGIFiLL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES , ETC.) WILL RED IRE SEPARATE PERMISSION. S RCHARGE P PERM -:::: ITAPPLICATI N; 18-VAYS ER' PERMIT LIMIT 1 YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS I YEA _' ENG REVIEW FEES SEEBAC KGF PINK PERMIT FOR MORE INFORM 10� E BAD K OF ' ON BEHALF OF 'HIS DR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS ENG INSPECTION FEE ;APPLICANT. N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE ALLC�LATMS FOR DAMAGBSOFWHATEIEF,.ATURE, AR15ING DIRECTLY OR INDIRECTLY AMA.- o IEF.IT SHALL NOT BE RECEIPT T BSU THIS PERMIT. SSUANCE 01 THIS CE FROM THE ISSUANCE OF ANY ITYORDINANCE D5 EYED TO MODIFY. WAIVE OR REDUCE ANY RECUIREMENT OF c GFY WAIVE PLAN CHECK DEPOSIT NOR LIMIT IN ANY WAY THE CRY S ABILITY T. ENID RGE ANY OF DINANG� I R.VI SI OR LIMIT I Y WAY T RECEIPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AFPLICATION� THAT THENFORIVATION ATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF t ­bI ll,od by 11.b W THE 0 NE R I ACRE E TO COMPLY WIT. CITY AND STATE LAWS REGUI_ATlLNrFCE0.NSLR,�EC� CALL T ZED THEFEBY� NO PERSON WIL ION. AND IN DOING THE WORK AUTHOR' OF WASHINGTON RELATING TO FOR INSPECTION IN VIC, ATION OF THE LABOR CODE 01 THE STATE WOHKMEN SCOMPENSATI.N INSURANCE DRO-6.21, OFFICIALS G LIFE L DATE) � -6 (425) _j 771-0220 RE SEDBY DATE — EXT 333 A ENTION TT IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FiLE YELLOW INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. LEG SECTION 109 FAX pINX.oWNER GOLD -ASSESSOR S19B z c: M 0 0 c: m rn c 2 0 -n -n m rn o 0 0 m IT, z z z 0 m A RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall....... .................. Pier/Porch M Retainlrig Wall ........... Slab insulation .......... x am PLUMBING: Underground ............. C Rpugh-In ................... M,; Commercial Final HEATING: GasTest .................... Gas Piping .............. .. MM Equipment �7 ............ Final rn commercial EXTERIOR SHEATHING NAILING .......................... FRAMING .............. FIRST FLOOR FRAMING 5 z INSULATION ................... Floor Insulation Wall Insulation ........... Z. 0 Ceiling Insulation M SHEETROCK HAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR -.00 ................. OCCUPANCY )Z402.-.73 CITY OF EDMONDS JC CONSTRUCTION PERMIT APPLICATION LAI ER NAMEAIAME OF BUSINESS" ADDRESS FIT' NAME ADDRESS TELE ,;"OIE kv" STATE LICENSE NUMBER CHECKE By (_ _r k -) k A- c' o c; TAX ACCOU.TPARCELNO. Ll 2,�j � — r,��­bll RESI.E.T"Al, X PLUMBING I ECH A ,T,.N A C MPLIANCE OR o CHANGE OF USE E] REMODEL Ej SIGN F NCE REPAIR GRADING CYDS 0 1 � X FT) DEMOUSH TANK OTHER L o GARAGE E] RETAKINIRNYG WALL J CARPORT C Roo F _j RENEWAL ACTIVITY) EXPI-AIN: NUMBER NUM95R OF DWELLING I — AREAS OF STORIES UNITS I NUMBE R DESCRIBE WORK TO BE DONE 1,W,. I PERMIT EXPIRES BE PERMIT ONE NUMBER B DDRESS w EIAPT� "�5z PLAT NAME/SUBDIVISION NO, LO' N" LID No LID 'ti IS AL:_7 PUBLIC RIGHT OF WAY PER OFFICI B REET.Al AP — ". It ".. Pw P I' P.- P�. EXISTING — PROPOSED- REOU IRED DEDICATION FT — u METER SIZE LINE SIZE NO, OF FIXTURES IRV EOUIRID I YES 0 No 0 REMARKS —PRICCNTRACTOR RESPONSIBLE FOR EROSION CONTROUDITAINAGE FIRE REVIEWEDOV DATE VARIANCE OR CU SHORELINE 01; ADB# INSPECTIONO REQ'D I PEOND OSIED OYES 0 N SEPA REVIEW ­P—E EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I EXP I I LOT COVERAGE REQUIRED SETBACKS IlT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED I ... T SIDE REAR FRONT UPSIDE REAR PARKING LOT AREA I PLANNING REVIEWED BY DATE REGO I PROVIDED PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: �VESTEOIATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. rHIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL WAY IRE DOMAIN (CURBS. SIDEWALKS, DRIVE S, MARQUEES, ETC.) WILL REQU SEPARATE PERMISSION. SURCHARGE PERMIT APPLICATION: 110OAYS I PERMIT LIMIT. I YEAR 'PROVIDEDWORK SSTARTEDWITHIN 180DAYS 40. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF FHI OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE I I INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF N NTEREST AGREES T LANDSCAPING ITSOFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND INSPECTION FEE OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY NOT BE PERMIT SHALL CITY ORDINANCE PLAN CHECK DEPOSIT OF ANY PROVISION ORDINANCE TOTAL AMOUNT DUE I HAVE READ THIS APPLICATION THAT THE INFORMATION I HE RE BY ACKNOWLEDGE THAT NT OF IS CORRECI AND THAT I AM THE OWNER� OTATHE OUSLYR-UTHOTRNZG GIVEN COGE THE OWNER. I AGRiE TO COMPLY WITH CITY AND S E LAW EGULA NSTRUC. CALL TION.ANDIND ING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE LllPlYED 0 RE ATING TO WASHINGTON FOR INSPECTII IN VIOLATI ON OF THE LABOR CODE OF THE STATE OF WORKMEN S COMPENSATION INSURANCE AND RCVV 18.27 ATE SIGNED (425) 771-0220 EXT 333 ATTENTION I T IS UNLAWFUL. TO USE OR OCCUPY ABU ILDING 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 S"'. L- - . - - - - __ - __ - - - � __ - _ .--- - __ APPLICATION APPROVAL Thl, ­1 , p­jI �Iil 11glod bV IhO Bull -I -1h., D-P`y "d F­ I. F.-d—d ,,., t,­­Lqdgodns ... ... rFICIALS ON 'UR� 1-0V to EDO ELIAS !!! ORIGINAL FILE - YELLOW INSPECTOR PINIX-OVINER - ..LD-All.B-P