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20000287.pdfEIVED DATE RECEIVED DATE REc P ELR MIT EXPIRE US E 4 PERMIT PERMIT NDS CITY OF EDMONDS Zo N ZONE .4 U BIER NUMBER PPLICA TION CONSTRUCTION PERMIT APPLICATION a 'A. S FES. 'A DRESS q -5,-:5 G I�Ve LOOT, 6(07_L Vj VNT NAMEINAME OF BUSINESS c\__lc"-v c"_& N �' PLAT NAMEJSUBDiVISION NO. T N. NO. LOT " %'j'j LID 'BE S oUNG ADDRESS �ot T ... I —-- PUBLIC AIGHTOFWAYPER .110ALSTREET MAP ;t� P.— e.,­1 Lee 1­1 'Ieq, S IN. PR Ie.p.... ese­. EXISTING PROPOSED— TY ZIP E — R R . IRE.. C T.N_ E.WR01)EDICATION- SO—i—q-d IT u""'s NO. OF FIXTURES P V REQUIRED YES 0 No 0 3DRESS S FS. X. REMA. POSI.. C.NT' lwlA'V.nNTR.CTOR RESPONS16LE FOR EROSION CONTROUDRAINAGE '.NT CT.. FES'QNS'.L 'OR CITY'g:'kh"4 S 2idg4 NAME A —REVIEWEDiDATE ENGINEERING ADDRESS FIRE REVIEWED By DATE E 'ITY ZIP TELEPHONE STATE LICENSE NUMBeH ­ f, I il"j, - - I - Cc) I (:IYES ONO I HEIGHT ALLOWED PROPOSED - X1.1L ag) SEPA REVIEW SIGN AREA -rE:�c PROP05EO �ROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED , (sp I o -00 oo EXP I MECH LOTCOVERAGC REQUIRED SETBACKS ("T I FRONT SIDE REAR ROPOSED SETBACK�. FRONT URSIDE REAR NEW RESIDENTIAL 0 PLUMBING I ALLOWED PROPOSED ADDITION COMMERCIAL 0 o COMPLIANCE OR CHANGE OF USE PA KING LOT AREA PLANNING REVIEWED By DATE PARTMENT REMODEL APARTMENT � SIGN REO'D PROVIDED XERAIR GRADING CYDS FENCE , _ X _ ITI [] DEMOLISH C3 TANK MDACL_ C] GARAGE R=1�2WALL CARPORT RENEWA 17-1 1749 / CHECKED BY TYPEOFC ST TI GO OCCUPANT .ON GROUP NUMBER Z I NUMBER OF DWELLING 'ARI�`ACA.L 2_ 1 SPECLALINSIECT.R AREA OCCUPANT LOAD OF —CRIES UNITS NU..F Tq REQUIRED 0 YES DESCRIIEWOIIKTOBIDONI REMARKS ­n­QQ lNqPFrTI..r PER U.0 10.11INAL I.SlECT1.11 FIBI: VALUATION FEE PLAN CHECK FEE MEAV)OUYI I U7Z I LOT SLOPE BUILDING �KAN CKeCK NO- EDOATE PLUMBING qMECHANICAL 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 (CURDS. SIDEWALKS, DRIVEWAYS . MARQUEES, ETC.1 WILL REQUIRE SEPARATE PER�ISSION. STATE SURCHARGE PERMIT APPLICATION: 160 DAYS PERMIT LIMIT, I YEAR . PROVIDED ORK IS STARTED WITHIN 160 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;�PpL,.CA."T�O.N.BEHALFOF H,: OR HER SPOUSE. EIRS, ASSIGNS NDSUCCESORS R E. TO 'gMNIFY,'GEEND THE CITY OF ENG. INSPECTION FEE LANDSCAPING ANESSOLNDD=LSSS N N, ITS OF S' E.PLQ A iTS FROM ANY AND INSPECTION FEE --- RECTLY OR INDIRECTLY SHALL NOT BE DEPOSIT RECEIPT E' PERMIT IFANYCITY ORDINANCE ROINANCE PROVISION,' PLAIN CHECK I RECEIPT -7s7. , TOTAL AMOUNT DUE ORMATION ACKNOWLEDGE THAT I HAVE READ THIS APPLICATiONY. THAT THE INFORMATION APPLICATION APPRO VAL I EF�BY AGENT 01 - GIVEN IS CORRECT: AND THAT I AM THE OWNER. OR THE OUL Th" Pell -at- Is 0., . p—it ll�Lll slp.d Oy I d . RAUTHORIZED THEOWNER. I AGREE TOCO-PLY WIT. CITY AND STATE LAWS EGULATINGCONSTRUC TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO CALL d,�g 0111-1 Of gety: ned Fees — �8 ..ed Eu'I ,,,,pt.s ,k ... t,dgldi­p,.Opl.sldO FO R INSPECTION IN VIOLAT ION OF THE LABOR CODE OF THE STATE OF WASHINGTON _ DATE W.RKMENLS COMPENSATION INSURANCE AND RCW 18.27 OFFIC ALS SIGNATURE _j_IGNATURS (OWNER OR AD DATE SIGNED (425) 771-0220 R LE Y ExT 333 A17ENTION IT IS UNLAWFULTO USE OR OCCUPY ABUILDING 1111 STRUCTURE UNTIL 771-0221 I NS P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL FILE - YELLOW -INSPECTOR - GOLD - ASSESSOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX PINK - OWNER II'9B z c: m m 0 --1 0 0 0 c: 3: M M z jo om n M M 0 C.) C: m (1) 7— co M 0 z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.......................... Pier/Porch ................. Z Retainirig Wall ........... 0 Slab Insulation .......... PLUMBING: Underground ............. A Rough -In ................... rn 0 Commercial Final 2� HEATING: K M M I Gas Test ............. *7, 0 Z Gas Piping ................. Equipment ................. IS -n commercl�l Final -n EXTERIOR SHEATHING M IT! NAILING .......................... FRAMING ........................ 0 C: V) FIRST FLOOR FRAMING rn 0 INSULATION ................... Floor insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING Z SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR vyks OCCUPANCY ............... ( IIIIIIIII ATE =PERMIT E�PIRES� CITY OF EDMONDS USE ZONE kCA PERMIT NUMBER - _CONSTRUCTION PERMIT APPLICATION BUSINESS 'A'D 57 T 5 PT* 0(07 fiVe =EINA'ME OF � I 'i " PI -AT NAMEISUBDIVISION NO. I LOT NO. ­�D NO L D FEE $ NVILING ADDRESS,--% wt �l CITY ZIP ELEPHON �7PSII. RIGHT .1 . PER OFFICIAL STREET MAP EXISTING — PROPOSED -------- V— F_alpR-'%:v R U." .,.,,.a 0 'Z5 4 REQUIRED DEDICATION FT _ V-1.—nd 011flad 1­1­ 0 METER SIZE LINE SIZE NO_OlRXTURES PRV REQUIRED YE.O No 0 ADDRESS A REMARKS OUDRAINAGE da CITYe ZIP (11IRMul 6 z ENGINEERING REVIEWEDIDATE iIG =6 vi M a 0 0 �c m m Z' 10 z FIRE REVIEWED By OAT CITY ZIP TELEPHONE VARIANCE OR Cu SHORELINE OR ADS# INSPECTION , REO'D OYES ONO BO,"' POSTED STATE LICENSE NUMBER 7i'll-1. I ­­... SERA REVIEW C PLETI I EXEMPT M E XP LOT COVERAGE ALLOWED PROPOSED SIGN AREA ALLOWED I PROPOSED REQUIRED SETBACKS (FT.) FROI4T SIDE REAR HEIGHT PROPOSED ALLOWED IJ PROPOSED SETBAdK r 1 �R SIDE ZF FRONT R PROPERTYTAX ACC UNTIAR ELNO. 1 60 NEW RESIDENTIAL PLUMBING I MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE 0 REMODEL MENT C] SIGN PARKING - �OT REQ.0 PROVIDED AREA PLANNING REVIEWED By DATE FENCE XREPAIR C] GRADING .... C3 X Fl) E R M DEMOLISH TANK 0 -n lyrifw 31roe I oGARAGE C] RETA.10IN'G WALL RENEWAL CARPORT R . ER C] 5 M M 0 o Fn r CA C v) M 0 Z r- — -7 /zW ,1191n m rP-17 /7 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPl.AIN: W ey, G;ECKED�eiYPEjTY7)ny TT%U,qT!P. IC COU PANP ROI.IP NUMBER OF z STORIES NUMBER OF DWELLING I-- ITIC I- AREAS NU MBER 2 E__ E..IR.. OCCUPANT LOAD DESCRIS�WORKTO BE DONE RPEA�hSj SS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D I, yf- da kc, IN b Z L I -4 x A, 2� z VALUATION FEE PLAN CHECK FEE m YC HEArfU BUILDING -5c L70 PLUMBING PLAN CHECK N 11 DATE 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. MARQUEES, ETC.) WILL REQUIRE STATE SURCHARGE P P RM '.N. li. Ty. PERMITLIMIT'. I YEAR -PROVIDED WORK IS STARTED WITHIN ISODAYS END REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCC9SORS ENG. INSPECTION FEE IN NTEREST. AGREES TO INDEMNIFY. DEF NO AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFF IALS. EEMPLOYEES, AND AGENTS FROM ANY AND C INSPECTION FEE ALLCLAIMS FOR DAMAGESOF WHAT EVER NATURE. ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT SHALL NOT BE CHECK DEPOSIT RECEIPT MIT 1, FROM THE ISSUANCE OF THIS PER SUANCE DEEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 PLAN 0 NOR LIMIT IN ANYWAY T�IE CITY'S ABILITY T ENFORCE ANY ORDINANCE IRIDVIS— 0 LNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THATTH51NF RMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T lPlU'klY:` un"a a',,n.d THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC' C ALL S l d n1g, 01 ad F.la 11, Fad. and T DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ION AND IN SHINGTON RELATING TO F OR INSPECTION ,.,,pt,s a.k..wl0d9ld 'a.p... p—idod. I N V16LATION OF THE LABOR CODE OF THE STATE OF WA WORKMENS COMPENSATION INSURANCE AND RCW 18.27. 0 LS SIGNATURE DATE IATE SIGNED (425) SIGNATURE (OWNER 01 AGE 771-0220 EXT 333 RILE ' /DATE ATTENTION UNLAWFUL TO USE OR OCCUPY A BUIIDING OR STRUCTURE UNTIL 771-0221 IT IS A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR,A CERTIFI- I ORIGINAL -FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 09 FAX PINK - OWNER GOLD - ASSESSOR