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20000302.pdfus' PERMIT 200302 ZONE CITY OF EDMONFDS NUMrR JOB ON JOB CONSTRUCTION PERMIT APPLICAT17P ITVVXJI ADDRESS OR Z6 Lz OM�Ell 'e66op PLAT NAMeISUBDIVISIGON NO, LA LOT NO, LID FEE S MAILINGADDRESS UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P PUBLIC RI.HT.FWAY PER 01 EXISTING - PROPOSED - wy;;.. ..... . CITY ZIP '?gck-�w ITE11PHONE _7 -)-S- 7 � "I REQUIRED DEDICATION- FT - wld�g NAME METER SIZE I LINE 5111 1 MO.OFFIXTURES PAY REQUIRED YES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPO NSIBLE FOR EROSION CONTROLJORAINAIE CITY ZIP I-1,11HON1 NAME ENGINEERING REVIEWEDIDATE ADDRESS OE FIRE REVIEWED BY DATE CITY VARIANCE OR OU SHORELINE OR ADBN INSPECTION AEOT OYES ON 0 FB STATE LICENSE NUMBER EXPIR AlE ECKED By 'HdECKIDIlY SEPA REVIEW EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. 411442 &s -63100 PLUM NEW RESIDENTIAL )2r EIIN LOT COVERAGE ALLOWED PROPOSED REQUIR D SETO KS I FF E ,,,AC,,,fFr. ONT AR ETDE ("T PROPOSSDS BACKS FRONT LIA st REAR I AN EOR ADDITI E] COMMERCIAL n COMPLAN 0 ON 0 CHANGE OF USE ro PARKING LOTAR5A PI-ANNINGREVIEWE-1 0 APARTMENT 0 REMODEL T 0 SIGN PROVIDED REaD PROVIDED F NCE [3 REPAIR cl GRADING CYDS 0 1 El DEMOLISH TANK o OTHER A' I ARAD' II=,1NIl WALL 0 MRP RENEWAL CARPORT 13 B R 0 ITYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: �; LECK D By' ON YP M NUMBER OF 'o-o- O.T... ODESCRIBE 0 NUMBER F N .2 U DWELLING ITS TE �ECIIMEIDNSCTT�,.AC.OV BE L "r UA OU A E. RE RED a y K TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC lUtIlIFINAL IN-ECTION REDID A I ........... .. VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZIN LOT SLOPE % 014� BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONTHEPUBLIC OMAIN (CURBS. SIDEWALKS. VEWAYS, MARQUEES. ETC.) WILL REQUIRE D DRI t: SEPARATE PERMISSION, GRADINGIFILL URCHARGE PERMIT APPUCATION: 180DAYS PERMIT LIMIT. I YEAR ' PROVIDED WORK IS STARTED WITHIN 180 DAYS SEEBACKO PINKPERM FOR MORE INFORMATION ENG. REVIEW FEES N BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIINS AND SUIIIESORS ;APPYCAN.T� CITY OF N INTIERE ll.�MNIFY. DEFEND AND H.I. HARMLESS THE GA.F�ES TO ��NTS FROM ANY AND EGMOND'BWA'H'NGTON� ITS OFFICIALS, EMPLOYEES, AN[) A' ALLCLA'M F.R.AMAGE OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE G"ME. TO .."Y' WAIVE OR REDUCE ANY REQUIREMENT OFANICITYOAIXNANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' SNG. INSPECTION FEE LANDSCAPING PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RECEIP RECEIPT KNOWL : HAVE READ THIS APPLICATION: THAT THE INFORMATION I HERESY AC DGET"AT THOAIZED AGENT OF , C. SCTE A. THE NEF, OR THE DULY AU N AND THAT To�"I'IAEFL I AGREE TO COMPLY WITH CITY AND STATE LAW REGULATING CONSTRUC TION N IN 0 IN TH RK AUTHORIZED THEREBY. NO PERSON WILL BE E PLOYED IN VI L I � N F TH LAS A CODE OF THE STATE OF WASHINGTON RELATING TO WOR C PE SATIO INSURANCE AND ACW 18.27� SIG F (0 RAG NT) DATE TAED APPLICATION APPROVAL T CALL B, g flimi :of 1,10h .�d F­ .1. p, "u" 0"iP , a-, O'bod . FOR INSPECTION d iP A. I 'Pl­d. TE 0 LS SIG ATUR (425) 771-0220 E ........ N v EXT 333 ITISUNLA FULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ORIGINAL -FILE YELLOW, INSPECTOR A FINAL I SPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5198 oc RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Feeling .;� ........... 11 Wall.......................... Pier/Porch ................. Retaining Wall ........... 0 IT, Slab Insulation .......... PLUMBING: -4 'Underground ......... . M In 01 -40, Rough -In Commercial Final M M HEATING: > GasTest ................... Gas Piping ............... Equipment .......... Commercial Final M 0 EXTERIOR SHEATHING 0 0 NAILING .......................... a FRAMING ........................ rn 0; FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation ........... Coiling Insulation Z, SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR v- -Ms OCCUPANCY .................. DATE RECEIVED� USE, PERMIT 20030?. CITY OF EDMONDS ZONE NUMPER 1/ JOB CONSTRUCTION PERMIT APPLICATION ADDRESS �ITEI J NEE$ OWN1:11�NTNAPW _ �A( __ GIZ660AV r PLAT NAMEISUBDIVISION NO. LOT NO, LIE) NO. LID FEE S MAILING DDRESS P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED � REQUIRED DEDICATION FT — ;­ "—.b D iiI P.— FII'-d - 13 1�` dp � d I I" l� I'd d 0 ­­.d 0 Y, 0 -,I DITEL11HO"`E 'M6'� 7 LINE SIZE No. OF FIXTURES PFIV RECURRED YES 0 NO 0, REMARKS NEFI/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY zip ITELEPHONE NAME O&W ENGINEERING REVIEWEDIDATE M ADDRESS 0 FIRE REVIEWED By DATE CITY ZIP TELEPHONE IANCE OR DO SHORELINE 08 ADBY INSPECTION OYES [3NO I BOND POSTED E PIR ION DATE XPIR CHECKED BY COMPLETE I EXEMPT XP SIGN REA ALLOWED I PROPOSED HEIGHT ALLOWED I PROPOSED J pROWSTAX AD OUNTPARCGLNO� 6,S, 63/00 N. RESIDENTIAL lLU.WNQ(o LOT C VERAGE ALLOWED 0 PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS IFT) FRONT UP SIDE REAR n ADDITION COMMERCIAL o COMPLIANCE 08 0 CHANGE OF USE �n 1 1 PARKING LOT AREA I PLANNING REVIBWPU DATE NT C] REMODEL APARTMENT 0 SIGN REGO I PROVIDED 0 FENCE REPAIR 0 GR_G CYD. , — . _ FT) RE ASKS 0 DEMOLISH 0 TANK , o OTHER c3GARAGE 0 RETAIHIRNYG WALL RENEWAL CARPORT .CKF C3 NE S OR ACTIVITY) EXPI.AIN __T CHECKED By Ty Fm U�ANT OCCU R. �_L_�.CCUPANT NUMBER N BER OF D ELLING CRITICAL AREAS SPECIAL INSPECTOR LOAD U. OF mo STORIES / ITS NUMBER REQUIRED C] YES DESCRISEW XTOBEDONE �TIONS PER UB , 108IFINAL INSPECTION REG' v VALUATION FEE PLAN CHECK PEE HIAT/sore LOT SLOPE % BUILDING 0 PLAN CHECK NO: 11) DATE PLUMBIN MECHANICAL _T THIS PERMIT AUTHORIZES ONLY THE WOAKNoI THIS PERMIT COVERS WORK TO 1.1 SEMO ON P.R.IVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRAOING?FILL .0 A17 .UB SIDEWALKS, DRIVEWAYS I MARQUEES, ETC.) WILL REQUIRE :3 BE PARATE PEfQSSION- UPICHARGE PE MIT APPLICATION: ISO DAYS A. PERMIT LIMIT. I PROVIDED WORK IS STARTED WITHIN 180 04YS YEARR ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'AP PILICANT, ON BEHALFOF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCE SOPS OF ENG. INSPECTION FEE 1 M� 'E 5S THE CITY N NTEREST, AGREES TO INDEMNIF y�Lo.EFN`L)oAy`E` H�OL.%HA I" R' L FROM ANY AND LAIDSCA—G FEE EDMONDS. WASHINGTON, ITSWOFFITCEIV E., . A AGENTS ALLCLAIMSFOR AMAGESOF HA ER NATURE, ARISING DIRECTLY OR INDI­ NOT BE INSPECTION FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL OFANY ITY013DINANCE C PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT TO ENFORCE ANY ORDINANCE PROVISION.' RECEIPT NOR LIMIT IN ANY WAY THE CITY'S AIPUTY TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A-PLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I A A THE DULY AUTHO RIZED AGENT OF OWNER6 0 T I t pemit ddit s,glld by The WTHE THEOWNER. I AGREE TO COMPLYM IT" CITYAN STATE LAWS REGULATING CONSTRUC- CALL 1,, 0 JI'di ,'hwh. 0 P.Y::i,dF....bl.Id I, TION TH R"EDTHEREBY. No PERSON VALLSE EMPLOYED N ONG THMIR�K.A.U.EoOl T OF WAIIIINBT.N RELATING TO FOR INSPECTION IN 116ALMAOTINOOF T. i WORKMEN'S CO�&O� INSURANCE AND RCWATI�8.27- 0 S BIG AT A (11 RAG (425) 771-0220 ELEASEO By EN ON v EXT 333 FULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ITISUNLA INSPECTION HAS BEEN MADE AND APP ROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR ASSESSOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - i CATE OF OCCUPANCY HAS i SIBS z 0 4 a M c: m 0 c: m m 0 "n rn M 0 C En mo z z 0 m