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20000290.pdfPERMIT EXPIRES p T ZONE CITY OF EDMONDS NEURMMBER CONSTRUCTION PERMIT APPLICATION 'AOBRESS PY SUITEIAPTN OWNNERN M61NAME FLAT NAMEISUBDIVISION NO LOT No. LID 10, -S+-o- LID FEE $ .�OFBUIINESS U ES A NGAERE AILING ADDRESS P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP U _-d TEllP Ap"', 0 IIW P., 0 EXISTING — PROPOSED - I U" P% 1. 1"' 1 0 q -do P.q.- C3 ..1-d El YA �p r---A .A.A, 1, La. tia A 0:7 1 RIQUIREIDEDICATION— IT - _d _'_ 0 "' "u", 0 — METER SIZE LINE EQUIRED W R U,. D NAME I YEPRV SO No 0 REMARKS OR HESPOt�!SIIILE FOR EROSION CONTROUDRAINAGE L ADDRESS A IA. ZIP T �q:p J71 0:2_71 NAME Ism -t- m 4 ENGINEERING AEVIEWEDI�ATE ADORES? a FIRE REVIEWED BY DATE CITY ZIP "L LJA-. A 3a VARIANCE OR CU SHORELINE OR AUS. IMSPE RE 0 YES STATE LICENSE N BER EXP I N DATE CHECKEDBY SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED I�C�O T JI PlllEllY( RCEL NO. I an EXP I LOT COVERAGE REQUIRED SETBACKS (1) PROPOSED ET.A.KS (1) NEW RESIDENTIAL I E.H ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION 0 COMMERCIAL o C MPUANCE OR CHANGEOFUSE I LOTAREA DATE E3 REMODEL APARTMENT El SIGN PARKIM3 REG' I PROVIDED 1PLANNINGREVIEWEDBY REPAIR GRADING CYDS 0 FENCE X FT)) 13 I — — R — DEMOLISH TANK I/A pk� Ad've Sk- G A AGE RETAKIWI�NG WALL RENEWAL ARPORT C BIG, _fi� /� 9Z r (TYPE OF USE. BUSINESS OR ACTIVITY) EXPILAIN: ED 8;FE[7 OF RPION OCCUPAN;e Q CUP 7ECK - NUMBER NUMBEROF CRITICAL CIAL 1� 6CCUPANT OF '0 STORIES DW LLING UN.�- AR EAS NUMBER .'Eau,FE. 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ' VALUATION FEE PLAN CHECK FEE HEAT IT SLOPE % �TRCE 1 :5 ) BUILDING _ PLAN CHECK 4 NO: PLUMBING II MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To BE oANE,oH P.R.IV.AT.1 PROPERTY ONLY. ANY =NSTRUCTI.N ON THE PUBLIC GRADING/FILL B.M N UR S EWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERM 180 DAYS APPLICATI N:,, PERMIT LIMIT: I YEAR � PIT STA TED WITHIN 180-AYS RoVID'D WORK R ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESDRS END, INSPECTION FEE ;A NPINTEREST. AGREES To INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP No 5 G 0 ITSOF ICIALS. EMPLOYEES. AND AGENTS FROM ANY AND E EDMONDS.WA HIN T N F INSPECTION FEE ALLCLAIMSFO RDAOAGE OFWHATEVER NATUR E. ARISING OIRECIL, ISSU NCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT FROM THE ISSUANCE OF T' DEEMED TO MODIFY. WAIVE GRIPE.`U(ITT ANY REQUIREMENT OF ANY lY ORDINANCE �"Jy-�JID NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTALAMOUNT DUE REC 1 HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION THAT THE INFORMATION APPLICATION APPRUVAL R TH LY AUTHORIZED AGENT OF iE DU GIVEN IS CORRECT, AND THAT I A. THE OWNENR6 oTATE THEO NER, I AGREE TO COMPLY WTHCITYA S LAWS REGULATING CONSTRUC- o CALL Buil-Gol"P.I.--, EMPLOYE TION. AWND ED THEREBY. NO PERSON WILL BE L DOING THE WORK AUTHORIZ RE ATING To WASHINGTON d P FOR INSPECTION IN VI IIN OLAT ON OF THE LABOR CODE OF THE STATE OF WORKMEN S COMPENSATION INSURANCE AND RCW 1827, OFFICI L SIGNATUR DATE SIGNATURE (OWNER OR AGE -74SI NED (425) a__ - 771-0220 ::Z, � ) -/0 ELEASE ATTENTION 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- ORIOINAI.-FILE - YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR 5�8 z 0 vi -4 0 X , i . r— M 0 rn 0 -n .m 3: M m 0 C) Fn C: c 43 M 0 Z z z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............... wall.......................... Pler/Porch ................. Rst.iop Wall ........... M Slab Insulation .......... PLUMBING: M C 0 1 Underground M 0 -inRough ............. -4 0 Commercial Final M ITI Z� HEATING: r p Gas Test .................... X Gas Piping . ............... - 0 -n, n 20 Equipment ................. MITI Commercial Final EXTERIOR SHEATHING 0 M NAILING .......................... C cq� E 0) mo� FRAMING .................. FIRST FLOOR FRAMING — INSULATION ................... Z Floor Insulation -4 Wall Insulation ........... Ceiling Insulation SHESTROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .............. 0, ATE PIECE 0 PERMIT EXP RE =0/, I' 10, PERM IT &ITY OF EDMONDS NUMBER SUITEIAITI CONSTRUCTION PERMIT APPLICATION JA006DRESS OWNER NAMENAME OF BU INESS PLAT NAME/SUBDIVISION NO. I LOT 10, I'D 0. MAILING ADDRESS LID FEE $ T S-4pl-d 0 Y01- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RE W 00 CITY EXISTING - PROPOSED- 0 0 F1011FEDOIDIC-ION- FT - W11IN METER SIZE LINE I'll NO, OF FIXTURES PRI REQUIRED NAME I I Yes 13 No r ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY "0 Amin to NAMESTV uu iff"L616w NUUI)JA 4 tl yy), A) ENGINEERING REVIEWEDIDATE ADDRES?. DATE FIRE REVIEWED By z CITY zip TELEPHOI J BOND 0 NIATE OHICKE BY VARIANCE OR CU SHORELINE OR ADB� INSPECTION POSTED m STATE LICENSE NUM �I] REO'D C]YES ON. j1I r- v g C Ll SERA REVIEW SIGN AREA HEIGHT IIIPERTYrl,,AICI TPARI LNO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I A LOT COVERAGE REQUIRED SETBACKS -) PROPOS ED SETBACKS Cc: 0 NEW RESIDENTIAL PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAWR FRONT UP SIDE REAR 0 0 ADDITION C] COMMERCIAL o C PLIANCE OR CHAN E OF USE 0 c: PARKING LOT ARIA PLANNING REVIEWED BY DATE m 0 REMODEL APARTMENT 1:1 C3 SIGN PRO REQ'O ORD m z FENCE REPAIR GRADING CYDS X FT) REMARKS C3 DEMOLISH C] TANK hfv (A ck� I 1 "se " r 0) RAG' 0 GA C] FQTAXININB WALL RENEWAL CARPORT F C ER 0 —9`7 .. 0 -n (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: I III CHECKED BY TYPEOF 0 S11aICN GROUP Con 1 O"Up";e , -4 M NUMBER N ME FI-ALINSPECTOR OCACIUPANT m rn 0 OF STORIES 0 D ELI UNITS JAREA WIRED C] YES Lo 0 0 Fn DESCRIBE WORK TO BE DONE M REMARKS p ROGRESS INSPECTIONS PER UBC 108fFINAL INSPECTION REO'D 5 M 0 z A- AAAfl-Lirn VALUATION FIF 55 c PLAN CHECK FEE HEAT�TRCE ING I SLOPE I 81110ING Q 0 m PLAN CHECK NO'. DATE PLUMBING IVESTE1 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: B DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVE S, MARQUEES, ETC.) WILL REQUIRE 2 WAY :3 L SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATIOK:1 180 DAYS PERMIT LIMIT'. I YEAR, PROVID D WOR S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION - ENO, INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN NIEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS '"' "" " LANDSCAPING I ED"ONDS*WAS"I"GTON* ITIOFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND INSPECTIONFEE A LCUIMSFORDAMAGESOFW ATEVER NATURE, ARISING DI RECTIOR INDIRECTLY RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT -3 DEEMED TO MODIFY. WAIVE A REDUCE ANY REQUIREMENTOF ANY CITIORDINANCE NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION' RECEIPT C) TOTAL AMOUNT DUE ;7 I HERE Y ACKNOWLEDGE THAT I HAVE I�A. THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF Y T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- BE CALL r,: B,p,ty'a.d F-1 .1. i,.t1d. TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL LEMPLOYTED THE LABOR CODE Or THE STATE OF WASHINGTON RE ATING FOR INSPECTION -1,pi I, a­­I1dgqd � ­-0 PI-d.d. IN VIOLATION OF WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27 OFF, SIGNATURE SIGNATURE(OW CROR AGENT) 'TDAT SIGNED (425) / /h T/v I - I o Do Li� � 771-0220 KELEASE 0 TE ATTENTION EXT 333 Olt) IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 21 I 771-02 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -PILE YELLOW INSPECTO R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR