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20000277.pdfm 2,� 1 N� PERMIT EXP CITY OF EDMONDS U", PERMIT 200277 NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUIy/APT# r2) ADDRESS r (oo 2,�� Z OWNER NAMENAME OF BUSINESS �j FLAT NAME/SUBDIVISION NO, LOT 110. LID 0, LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Tascp "—,a Inan.—R.q.— sl- Inad CITY �NF 77-4 0 3 EXISTING — PROPOSED— PEOUIREDDEDICATION— FT — I F._ .,.a ad.— R11.d . ..... a 'n".. NAME CL METER SIZE LINE I I P V REQUIRED YES 0 NO 0 ADDRESS . . ... ...... R MARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Cil Y zip TELEPHONE NAME IF AD BESS 0 3 - 2 2 4 z�+ Kl—f CITY lIP TELEPHONE STATE LICENSE NUMBER EXPIRATION PROPERTY TAX ACCOUNT PARCEL NO, 5 Af" I -coo 6 -669- In o 0 0 NEW [!� RESIDENTIAL 0 n ADDITION [3 COMMERCIAL 5k REMODEL 0 APARTMENT REPAIR 0 DEMOLISH n 0 CARAGE A\LL GARPORT D , 9 FIRE REVIEWED BY It W-14111- IL DATE SIGN AREA HEIGHT ALLOWED , PROPOSED ALLOWED PROPOSED wo 61" 7EOUIRED SETBACK$ tFt) PROPOSEDSETBACR 7FTl FRONT SIDE BEAR FRONT URS19E REAR OA e— I _-, X-7-, 5EV- - A T& if - ICHCCKEDBY TYPEOJ:M F CRITICAL bad... U -.LLIVN A EAS 4 P..IALIN.PECT.H JA.7 IT. SQUIRED r-1 vp, _ .T.FU.� LN _ NU SER S DESCRIBE WORK TO BE DONE Ao o .63&7 J�l Qt�W &AKS tPROGRESS INSPECTIONS PER z 0 m c Rl m cl 0 0 c: MT jo-4 O"n M M 0 o C: 0) IF rn o X �l lf—l"n C", 14 A,) o FEE S, Q,'A� PLAN #p7lALUATIll HEAT SCURCE GLAZING z % LOT SLOPE % 1 BUILDING rMECHANICAL -04 0 PLAN CHECK NO: PLUMBING 17 11EITE111 m THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVE AYS, MARQUEES, ETC.) WILL REQUIRE WERMISSION. GRADINGIFIL4 SEPARATE STATE SURCHARGE PERMIT APPLICATION: 190 DAYS IL PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMul I 111 too 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASS1314S A.;D Zcc OF. IN. �E.Tl.. I.E� 9 IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP NO 2 EDMONDS'WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALLCLAIMSFOR OAMAGESOFWHATEVER NATURE ARISING DIRECTLYOR IND RECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANC E OF THIS PERMIT SHALL NOT E REDUCE BE PLAN CHECK DEPOSIT IRECEIPT DEEMED TO MODIFY, WAIVE 08 ANY REQUIREMENTOF ANY CITY ORDWANC 0. NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' t TOTAL AMOUNT DUE IFISREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN APPLICATION APPROVAL IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL TN. appli.0- t. n.1 . P—A U.111 Mpaa by In. TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED I N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW IB.27� FOR INSPECTION Saa ding, Cam,$ , hi,lh,, Degady: and Foes "I Plld� and ... ipt i,,,k,ml,dgad ia,plll a—d.d, (0 AG1 FE (425) OFFIC!��N tymp? li� :Mu'RE 771-0220 I , BY - PATET_____j ATTENT16W' IT IS UNLAWFUL TO USE EXT 333 OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX 111111AL-FILE - YELLOW- INSPECTOR PINK - OWNER - GOLD - ASSESSOR SKIS FP 7RM :4X :PI :S�j 2 17T R g CITY OF EDMONDS PERMIT 0 02'77 7 NUMBER CONSTRUCT16N PERMIT APPLICATION JOB '2> SUI III ADDRESS OWNER NAMEINAW�OF BUSINESS �-E-o PLAT NAME/SUBDIVISION NO. LOT No LID NO. -)- eL) /"� "i �) A LID FEE S W= MAIUNGADDRESS 2- Jt�!` A\�e- t,� �-4 6 e � �) PuSl Q RIGHT OF WAY PER OFFICIAL STREET MAP 0 .—I — I.— N.�d 0 C - CITY ZIP EXISTING — PROPOSED — 0 --�%— 0 111LIPHOIC c— oil-tt�os 9x-) REQUIRED DEDICATION_ FT 'W`I,,,.,P,.� G NAME PRV REQUIRED YES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 2 4 - ZIP ICITY ITELEPHON1 v NGINEERING )U REVIEWEDIDATE LNAME ADDRESS �E-� 2 -1 m W W DATE � FIRE AGj'v% 0 CITY J�JTELEPHONE VAs�C�l *�oku-F— 1:180-7 7— u )l A STATE LICENSE NUMBER EXPIRATION DATE CHECKEDBY VARIAlW CU SHORELINE OR ADBI! INSPECTION REaD U IF, �SONO TE PC T jp SIGN AREA HEIG T a rn REVIEW TE EXEMPT ALLOWED PROPOSED ALLOWED . PROPOSED c a PR6PERTY TAX ACCOUNT PARCEL NO. rn 0 15, - '1'-s C�- - 0 CD (5 EXP -is 0 C3 NEW RESIDENTIAL 0 PLUMBIN H G 0 PROPOSED REQUIRE SETBACKS (FT) FRONTO SIDE REA. PROPOSED SETSAC tFl) FRONT UP SIDE REAR , COMMERCIAL [3 COMPLI 0 tow AD DITION 0 CHANGE US PARKING U LOT 5L REMODEL E] APARTMENT cl REQ'D I PROVIDIO GRADING G,GS 0 F' FT) REPAIR X REMARKS TH C3 DEMOLISH TANK Oil .11 GARNGR RETAINING WALL G IT ARPO QQKERY M M Op (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: 5v� e- ECKED E TYPE Gc�'Cu-"-TK-3 055 00 NUMBER NU.BEROF 05 DWELLING CR ARE -7 �Y 6,T SP IALIN OF R UIRED 0 �01N OCCUPANT LOAD c V) STORIES UNITS NUMBER YES m 0 DESCRIBE WORK TO BE DONE PROGRESS INSPECTIONS PER UBC 1081FINAL 11 ------ 0 el .9 yl v 4 T z �e- A Do VALUATION FEE Iz)� C-lx &2&.114 "j Pell P AN CH K 'E- m T :Gn.� GI % HETT LOT SLOPE % L BUILDING PLAN CHECK NO: ".. EST 0 DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZ11 ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE G.N� ON 'RS ATE PROPERTY ONLY ANY CONSTRUCTION .14 THE PUBLIC ETC.) WILL REDO IRE GRADINGIFILL k DOMAIN (CUR . SIDEWALKS, DRIVEWAYS, MARQUEES, 'ES. :I SEPARATE PERMISSION, STATE SURCHARGE MIT APPLICATION! 1-B DAY� APR- PROVIDED ORK IS STARTED WITHIN 180 DAYS IF PERMIT UMIM I YE W S 5, SEE BACK OF, PINK PERMIT FOR MORE INFORMATION 'A PLICANt ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIdNS AND SUCCESORS P ENG. INSPECTION FEE 2 IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND LANDSCAPIN INSPECTION FEE ALLCLAIMS FOR DAMAGESOPWHATEVER NATURE, ARISING DIRECTLYOR IND18ECTLY ISSUANCE OF THIS PERWT,S.AU- NOT BE CHECK DEPOSIT ifMA:1 F,E,OMjPTE.l=NC�E OF THIS PERMIT. Fy WA'V. On SEDUCE ANY REOUIREMENTOF ANYC TY ORDINANCE PLAN . EM G NO. LIMIT 1. ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE 1,5 1 q TOTALAMOUNT I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMIn "S �07 APPLICATION APPROVAL GIVEN CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTFIUC- CALL Thl, IPPI'call- I� - - P—" -" "9"d "Y - hWh-; Ild Fol—o olld. Ild - THE OWNER, I SON, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTION Buildim, 0111-1 -1 d _IN.yIQLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON AND RCW IS.27. WORKMEN$ COMPENSATION INSURANCE (425) OFFICIAL AT DATE ED F,�N'—,U,OWN Pr T,L 7N_� 771-0220 ELE EDBY --4TTENT16N'-'- 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 CATE OF OCCUPANCYHAS BEEN GRANTED, UBC SECTION 109- FAX PINK - OWNER - GOLD - ASSESSOR