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20000286.pdfDATE RECEIVED lo S CITY OF EDMONDS U'E Z.I'EkS_ 12 PERMIT 1�sr NUMBER 20!oz �IC AT I CONSTRUCTION PERMIT APPLICATION JOB S ITEIAPT# ADDRESS q?�j w - q s HON Z— PILAT NAME;SUBDIVISION NO LOT NO. LID NO� L L ID FEE S OAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL P. 0.d STREET MAP T. P—IR d CITY ITELEININE "P -2Z9 '��MPOQS 0,C61D'2-(. S EXISTING — PROPOSED REQUI RED DEDICATION FT METER SIZE LINE SIZE NO. .1 FIXTURES PRI REQUIRED NAME YES C3 NO 0 lE=R.Kl — .1.1—SIMLE 1.11 EROSION C.lITF.IJDRAINAGE T ...... P.NS �E S—T— CITY ZIP NAME GE E ENGINEERING N NW REVIEWEDIDATE ADDRESS FIRE REVIEWED BY DATE CITY ZIP RINE VARIANCE OR OU IPBON SHORELINE OR A011 INSPECTION OSTD RE ED STATE LICENSE NUMBER EXPIRATION _G BY DATE CHEO1111 By oYESO'cD3NO SERA REVIEW COMPLETE EXEMPT SION AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED PROPERq TAX AC UNTPARC L NO. 0\-5'sI - o t, exp LOT COVERAGE REQUIRED SETBACKS JFT.I PROPOSEDS BkCI` E MECH NEW RESIDENTIAL PLUMBING / MECH I A E D ALLOWED PROPOSED LLOW PROP SED FRONT SIDE REAR FRONT UPSIDE REAR P. N FF E3 AUDITION -on o C MPLIANCE OR . M 'AL C - `CIAL CHANGE OF USE C3 .. ME.. USE A A DATE IL.TA.EA LOT C3 REMODEL [3 APARTMENT SIGN 0 7P-NNI..7.VIEVlE..Y 0 REPAIR FENCE GRADING CYDS cl X FT) X MARKS A KS C] DEMOLISH 0 TANK OTHER GARAGE C3 CARPORT RETAINING WALL RENEWAL 0 ROCKRy TIVITY) EXP"ft CHECKEDBY 1101� OCCUPANT. ROLF ms ITYPEOFCONITRUOTION �� 0 NUMBER U,,ER,, EIEQ'ALE��NSIECTOR [AREA CCUPANT OF j .WELL NG I AREAS I REGO F UNIT. NUMBER C] YE _STORIES DESCR15E WORK TO BE DONE REMARKS Fqq NIS E TIONS PER UBC 1081FINAL INSPECTION REG �R Cc opnr Pr RIF INSP =C opnr Ft a CTIONS VALUATION I FEE HEATSOURCE GLAZING!::�- LOT SLOPE% PLAN CHECK NO: 111-11 ED 04TE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO SEDONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC G�ADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL RED IRE SEPARATE PERMISSION. UHCHARGE P' MITAIPLICATION! So DAYS PE ISTARTED PERMIT LIMIT. I YEAR?PROVIDED WORK I WITHIN 180DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF.OF HIS C�A'Il E R SPOU EIRE, ASISI.NS AND SVC.ESOF, 'IS SPOUSE N OF ENO. INSPECTION FEE ;APPLICANT, 2P T . A EE. TO . OLD HARMLESS THE CITY N NIFY . "E'" INT T , .. �y D N INTEREST. AGREES IN.E FROM ANY AND LANDSCAPING _SEIEN P C G S. S.I G 0 IT 0 'C' , P Y'E8 NDAG'NTS ED MONDI�WAIHINGTON TF�'OF"ICIAl EM LO 'N. DIRECTLY DIRECTLY S. EM ORIN INSPECTION FEE _H T V ATURE AFI�A F ATEVER NAT' G M 0 W "'M ,FGAMA.E� A W. OR A A ES LL - ' LL, 01 THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IRECEIPT FR M THE =ANY, OIF T,.,,��IPEEgU.�,T ISSUANCE 0 .SO OF REDO. CITYORDINANCE ANYREG IREMENTOFANY E ANY U Eq ED To .. 'Y . WAIVE E.�DT. , WAVE EE. THE CITY'S AB TO ENFORCE ANY ORDINANCE PROVISION. "Y TH BILITY REC21PT N LI 'T I Y WAY I NOR LIMIT I N ANY WAY T.lA .... TOLE ACKNOWLEDGE THAT I HAVE READ THIS AP PLICATION; THAT THE I NFOR-ATION APPLICATION APPROVAL I HEREBY GIVEN IS CORRECT. AND THAT I ANI THE OWNER, OR THE GULY AUTHORIZED AGENT OF C.NSTRU.- Tlil 1-11 .0" .19— b, '�. THE OWNER. I AGREE TO C MPLY WITH CITY AND STATE LOAWS TIL�.G 0 '�=LA E EMPLOYED CALL D puIy:dF...P.'dd TION. AND IN DOING THE WORK AUTHORIZED THEREBY N CODE OF THE STATE OF WASHINGTON RELATING TO p... piovidedo FOR INSPECTION _ IN VIOLATION OF THE LABOR WORKMEN4EMNSATIO INSURANCE AND ROW 18.27. FF' /DATI /D )tI: ;AT�JGNID T RItjQWhLEffORAM7-c�, (425) c DAYE 771-0220 EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL FILE YELLOW -INSPECTOR GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK -OWNER "a z 0 In a ma --1 0 0 0 c: m z 0 -n -n 0 0 In c: M 0 z 7-1 z j RECORD OF INSPECTIONS INSPECTOR DATE APPROVED w, SETBACKS ..................... L FOUNDATION: Footing ........... . ........ .......................... �xwall pier/porch ................. Retaining Wall ........... Stab Insulation PLUMBING: Underground ............. C rR 0 Rough -In ................... -4 0 OC Commercial Final x rn M HEATING:. > Z Gas Test .................. r- Gas Piping ................. ------------- 0 -n EquipmOnt.... commercial Final ITI EXTERIOR SHEATHING 0 0 Fif NAILING .......................... C 01 5 D) FRAMING ........................ M FIRST FLOOR FRAMING INSULATION .............. Floor Insulation z Wall Insulation ........... Coiling insulation SHEETROCK NAILING 0 ITI SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 6.0w OCCUPANCY .................. 4 2,M Z.-Ite j)ATE RECEIVED lb 6 'W�' PERMIT EXPIRES *PERMIT USE cl). Z.N E g�< . 2 CITY OF EDMONDS NUMBEtR UM CONSTRUCTION PERMIT APPLICATION S�� U JOB ITEIAPTO ADDRESS 2 -1. U r �.-o - �n G C�co PILAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID EIE 5 ,ING ADDRESS 16 '� -a'- cm W PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AW-d z' F:".`;'R.q d 00 EXISTING � PROPOSED� -- � Fi- E3 SK.-k R.qu- ZIP C(-^610-2-6 TELEPHONE S -\ 2Zq A?�s -1-1 Fl - Ul*,"d --d METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED ,AME YES CI - NO 13 WDRESS EMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ;ITY NAME ENGINEERING ADDRESS FIRE REVIEWED By DATE I a z VARIANCE OR OU SHORELINE OR ADS. INSPECTION a 1,50NO RE 'D OSTED STATE LICENSE NUMBER OYES E3 NO SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLO WED P OPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX AC U TPARC L NO. I I ., 0\) Ex P T COVERAGE LOEB REG RED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) REAR rn ME- RESIDENTIAL LUMBINGIMECH ALL OW PROPOSED FRUONT SIDE REAR FRONT UP SIDE C: rn cl ADDITION C] COMMERCIAL o COMPLIANCE OR CHANGE OF USE PLANNING REVIEWED By DATE 0 C= PARKING LOTAREA PROVIDED 3: r C] REMODEL E] APARTMENT SIGN REGO I rn C] REPAIR 0 RAGING Y.. 0 FENCE K IT) REMARKS m Z jo -z C3 DEMOLISH TANK OTHER r� :1 G CA AGET RETAINING WALL R N WAL R'OR A C R R CS, CTIVI'r'q exptAlw. C�ECKEDBY IT'l�SPUCTI.N ICODE I OC O"In -n LIMBER I MBER" 'AREA�SER SPECIAL INSPECTOR OCCUPAN T LOAD m rn F OW LUNG UNITS MUMS 1- REQUIRED YES STORIES TO BE DONE Fn DESCRIBE WORK REMARKS OGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D 5 c M 0 ;o P HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PEnMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO DONE.OMPRIVATE P ROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GBE OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Zi SEPARATE PERMISSION. MIT APPLICAll N: ISO DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED W ITION ISO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION LICANT, ON BEHAL F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS OF ;A ARMLESS THE CITY 1� N INTEREST, AGREES TO �NDEMNIFY. DEFEND AND HOLD H ENTS FROM AMY AND AD 2 E A NG TS OFFICIALS. EMPLOYEES, AND OMO"O' W M I I ... � INDIRECTLY SH' To �'OFWHATEV" "ATUR'-AR' "GD'� GDIRECTLYOR I 0 A F R AM E . T ..ALL NOT 13 E LL CLAIM E'ESU 0 M. AD ER.T -EUA.CE.lT.ISpER I F.. T. A E - T 'EDLICEAN' F C I! I. EE.E.1 -A�E OR g.U'REMENTO, ANYCITYORDINAN B . MODIFY NCFU.'T IN �Ny W Y THE C'T S ABUT'T. EN ..... ANY ORDINANCE PROVISION I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION OF GIVEN IS RAECT. AMD THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT Co REGULATING CONSTRUC AWS THEOWNER� I AGREE TOCOMPLYWITH CITY AND STATE LOP THE WORK AUTHORIZED THEREBY, N ERSON WILL BE LEMPLOYTED TION� AND IN DOING IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHNGTON RE ATING 0 WOHKMFN'aEESNSATION INSURANCE AND RCW 19.27. Crjq��C � - IGNED DATE q 5� 1 z ca z 9 0 m VALUATION FEE LAN CHECK FEE B ILDING PLUMBtNG MECHANICAL GRADINGWILL aM URCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT TOTAL AMOUNT DUE LIC ION APPROVAL CALL 8�i'Thimo'P"1�11-1- dimg P006arepald. a�d FOR INSPECTION rocoPI is acknawladg.d—paco F—dod. OFFICIALS SIG UR E (425) 1_//l 1 ) 0 U�' 771-0220 RELEA Y DATE ATTENTION MA 1 1) IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL DE AND APPROVAL OR A CERTIFI- f 1 -v4r- 1 ORIGINAL FILE YELLOW- INSPECTOR NSPECTION HAS BEEN MA 09 GOLD - ASSESSOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION I FAX PINK - OWNER