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20000325.pdfN D S ,CITY OF EDMONDS U­ It US ZO HE 0 z.A...R�S PERMIT NUMBER A P PL ICAT ON CONSTRUCTION PERMIT APPLICATION JOB E ADDRESS S UITE/APTN O=AME OF BUSINESS eqAe-4- PLAT NAME18UBDIVISION NO. LOT 10, LID NO, LID FEE 3 27 12-,, PUBLIC RIGHT OF WAY PER OFFICIAL EXISTING � PRCPOSED� STREET MAP TESCP�­ 0 " P.— R"-d CITY ZIP �E NO E ss LE ITELEPHONE 77& REQUIRED DEDICATION— PEOURE. -E.ICATI, FT FIXTURES PAV ED UIAEG NjkM /_, METE . SIZE METER SIZE OF YS S 13 No 0 REMARKS R "7, 1-) &,,l ZIP 2 3-7 -7 E —17? —�- ,�5 ITEI PHON NAME ZIP ONE V? I TEILE H STATE LICENSE NUMBER ­.A.�.061AT j ' k b 011 /< 4� ��, **3& Z Q, PROPERTY TAX ACCOUNT IAR�,ELNO. 0 NEW RESIDENTIAL 1:1 PLUMBING I MECH C3 ADDITION E3 COMMERCIAL [3 COMPLIA CE OR CHANGE OF USE C3 REMODEL APARTMENT 0 SIGN rl REPAIR 0 GRADING CYGE E] FENCE FT) 0 DEMOLISH . C] TANK o OTHER E3GARAGE r-1 RETAINING WALL -02(l CARPORT .—F RENEWAL (TYP ,!��USE. BU INESS OR WIVITY) EXPI_AIN: 7 S NUMBER UM E RO' CRIETAICAL CA WELL NO AR E OF NUIVEEpq 5�_ 2 Z- STOR15S NITS DESCRIBE WORK TO BE DONE 0 6'� _s-k � --,/- , , ,,L� —, OWNER�ONTRACTOR RESPONSIBLE 'OR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE SEPA REVIEW SION A. - COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED , PROPOSED .P LOT COVERAGE REQUIRED SETBACKS (7.) PROPOSED SETBACKS (17.) ALLOWED PROPOSED FRONT SIDE RE. FRONT URSIDE REAR PARKING LOT AREA DATE ,E:7 G I P'GVIDE'T I PLANNING REVIEWED By CHECKED BY Ty NSTRUJION E 'KED : �� A GROU SPECIAL INSPECTOR AREA ... L R :'� C3� SQUIRED 0 YES 02-:? VALUATION PLAN CHECK FEE HEAT 5OU110E 09E BUILDING P"N CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Be DONE ON PRIVATE PROPERTY ONLY. ANY CONST FIU.TI.. ON THE PUBLIC GRADINGIFILL DOMAIN (CUflBS. SIDEWALKS, DRIVEWAYS . MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. RMIT APPLICATION; NIS DAYS K IS PERMIT 1.1.11, 1 YEAR - PROVIDED WOR STARTED WITHIN 110 DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ONSEHAL OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENO. INSPECTION FEE ;APPLICANT, N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE ECEIPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL HOT 8 DEEMEOTO MODIFYWAIVE OR REDUCE ANY REOIJIREMENTOF ANYCITYORDINANCE PLAN CHECK DEPOSIT NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE ­­­­ TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APP OVA 131VEN IS COnRECr, A 0 THAT I AM THE OWNER. I AGREE NTO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CJ LL This pplicglial, is not a permit . I QmIlbll Build, ONI,I,Iolht�.,D.PutY:-��dlIF&t�. r. P. ml TOM AND I [NO TH ORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO , P FOR INS ECTION tried IN VIOLA N THE LA OR CODE OF THE STATE WORKM E MPENSATION INSURANCE AND RCW 18.27. OFF1 L IGNATURE S7GNAfUR7VOWNEA Oil A DATE SIGNED (425) 2./ bkD 7- 771 - -0220 RELEASED BY D*E ArrtNTION E XT 333 OC ITISUNLAW LTOUSE OqCdPY A BUILDING OR STRUCTURE UNTIL 771-0221 CtE� A FINAL INSFUCTION HAT MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 E�LXJLl_t;j.,i I)., WhPillRi'1601.7, ASSESSOR I of e. I 5,911 z oll, 1--o , 0 -40 0 C � A . ': Mo 0 -n M M 0 6 Fn C (n c u) M 0 z .I� X z --I z M 4, * RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... PladPorch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commerclat Final HEATING: Gas Test .................... Gas Piping ............. ... Equipment................. Commercial Final . ....... IC EXTER OR SHEATHING NAILING ................. FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation ._ SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. _yn 0, M -10 �4- Oc� MITI ITZ1 0-4 - c 0 -n, -n T; 0 o Fn, I z c'! rh OR z z z 0 0 M nr, USE ZONE PERMIT A00 3, _C�_ PCITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITUAPTO AME OF BUSINESS ADDRESS 1)2L � v 1-11 �;i_ Z1,L) PI -AT NAMEISUBDtVISION NO. LOT NC- D NO, '1�13 FEE I 1'�- �) /:�v y � �' (' � — ZIP TELEPHONE 2 2 'AM ODR 7, �EELEIH.NE—T? '2"Z' P IAMI jt� �� WDRESS ,;L ') 6 '� — / 'ITY zip TELEPHONE EXPIRATIO LOAT C"ECKEDBY **3o z L5 IFIOPEArYTA ACCOUNT PARCEL NO. 5-13J - Ou" - ` G'/- NEW RESIDENTIAL PLUMBING/MECH ADDITION COMMERCIAL o C MPLIANCE OR CHANGE OF USE 0 REMODEL Cj APARTMENT C] SIGN C] REPAIR GRADING CY.. C3 IENCE X 0 DEMOLISH E] TANK 0 OTHER o GARAGE C] RE.TAKIIINGWALL -C<RENEWAL CARPORT R C FIR (TyPETUSE,gUs,l�ESSOR6"VITY)E�IIIN: C NUMBER UMBE 01 RITICAL OF OWELLING AREAS ST I. OR NITS NUMBERq �r DESCRIBE WORK TO BE DONE 0 6�" -&-k c-, - " �- 'ut - , , P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP rPsP­.l p'. an­=p='R'R"d EXISTING PROPOSED =' R­ssa N �­­ und.­z REQUIRED DEDICATION— FT W., ­ PRV REQUIRED YES 0 No 13 F MARKS OWNER�ONTRACTOR RESPONSIBLE FOR EROSION CONTROI-1DRAINNGE FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADS# INSPEC '-N RED O-�Ilc OYES 'N. In SERA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED -lXP I I LO COVERAGE REQUiREDSUBACKS(FT.) PROPOSED SMACKS (Fr) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR PARKING I �TARSA 1PI-ANNINGREV1�1213BY DATE 'Y. _ MSPEOAL,!.�SaPE.T..� RE.URE Y . — 2 z- REQUIRED C) YES A ni�.AFK EMARKS CAURANT L. , PER USC 10111FINAL INSPECTH VALUATION FEE LAN CHECK FEE HEAT SOURCE ?4� E LOT SLOPE % LOT SLOP BUILDING 2- PLAN CHECK NO: IVEITIO DATE ;E.ATE 4E PLUMBING MECHANICAL ,MIT COVERS WORK 1. THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 0 U LIC ON ON THE PUBLIC BE DONE ON PRIVATE PR PERTY ONLY. ANY CONSTRUCTION ON THEP GRADINGIFILL B REQUIRE OMAIN (CURBS. SIDEW LKS, DRIVEWAYS. MARQUEES, ETC.) WILL FIE.�iRE SEPARATE PERMISSION, PERMIT APPLICATION: ISO DAYS PERMITLIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN IIIODAYS ENG REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPlICANTOlBEHAL OF HIS 01 HER SPOUSE, HEIRS, ASSIGNS AND SUCCE101S ENO. INSPECTION FEE IN INTEREST, AGR99S TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF -a�D,—,,N. SOMON BE WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALLCLAIMSFORDAMA ESOFWHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE - - RECEIPT I FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE 08 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANG PLAN CHECK DEPOSIT NOR LIMIT I N ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- RECEIPT - — TOTAL AMOUNT DUE '��-7 2A —uzs I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER. On THE DULY AUTHORIZED AGENT OF Thl—PpIl-lon is net a p,,nNI,nI,I,ig,ld by In, HE NER� I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- T OW HORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL ,d oftl.l ., Mann" Dept, and Fees a, paid. and a P I N; AN I IN T AU i VIOLA P T"E LAGO COOE OF THE STATE OF WASHINGTON RE�ATING TO IFOR I INSPECTION ""' alodged In spaea p=ldd� OR_ 'S� ENSAITION INSLIOANCE AND RCW 19,27. OFFI L IGNATURE (425) SIGNATUREXO�fNEA OR �G�yTt;, 771-V44V -RELEASED BY E ATTENTION EXT 333 ---------- IT IS UNLAWFULTO US�E 0 qcoFY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HASO� LN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-FiLE - YELLOW. INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FA ASSESSOR 14�1'NEI rp 4ftAl c� z m �n c m mo 0 0 c mm z c 2 0 -n m M 0 0 o C co 9 cn IT, C, z z z 0 0 m