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20000337.pdf, NJ PERMIT EXPIRES 4009 USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB S ITEAPT# ADORES 40� ai__ OWNER NAMEANAME OF B SINESS PLAT NAMEISUBDIVISION N., I LOT NO, LID NO, JoHtj vj ;EE 1_ MAILING ADDRESS A",_ STREET MAP K , . m 411 rTt-e- 3 ott o Co o PUBLIC RIGHT OF WAY PER OFFICIAL E XISTING — PROPOSED- REQUIRED DEDICATION FT Sll.=Pl%ll..0 10 0 0 CITY NAME NO, OF FIXTURES PRV REQUIRED YES 0 NO 0 ADDRESS REMARKS ROStON CONTROUDRAINAGE OWNERICONTRACTOR RESPONSIBLE FOR EROSION QONI —UHAl— CITY ZIP TELEPHONE NAME ENGINEERING REVIEWSOVDATE ADDRESS FIRE REVIEWED By DATE CITY ZIP TELEPHONE 9AO?� 'Zvs VARIANCE OR CU SHORELINE OR AOBN -1—N SPEC!'ON RE. 0 OYES ONO IPBOND UST ED STATE LICENSE NUMBER 4 OATS CHECKED By 5,C f) e� 4 _D �A / Sh o I \Pl SERA REVIEW COMPLETE i EXEMPT AREA ALLOWED I PROPO! �Eo HEIGHT ALLOWED PROPOSED I PAR PROPERTY TAX A EL NO. EXP 0 NEW SIDE INAL 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED BE ACKS (FT. TB I FRONT SIDE REAR PROPOSED SET AGKS (FT) DE REAR FRONT UP SIB 0 A001TION MMERCIAL o COMPL ANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN _________7OTAlEA PARKING REDID I PROVIDED L IPINNIIIIIVIIIDIY DATE FEND 0 REPAIR 0 GRADING CYOS 0 X FT) EMAFKG C] DEMOLISH 0 TANK GARAG CAFP.l'lT FIETAKININYG WALL RENEWAL z M ER [3 o r (TYPEOFUSE.B INE!SSORA EXPLAIN P. T' Y T C11101<106Y E,0F CON' RUIT,"N (11-7 NUMBER NUMBEROF DWELL NG 0, U.- o STO IES UK RDESCRIBE �! AREAS R ... NUMBS AEOUIRED R SPECIAL INSPECTOR R 0 YES AREA OCCUPANT LOAD WORK TO BE DONE RENA.. FIR P, OGRESS INSPECTION$ PER USC 1081FINAL INSPECTION REO' VALUATION FEE PLAN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL =(CURSS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.� WILL REQUIRE m SEPARATE PERMISSIOM L STATE SURCHARGE PERMIT APPLICATI N; 180 DAYS P IS STARTED WITHIN 180 DAYS PERMIT LIMIT: I YEAR. ROWDEDWORK ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION I ON BEHALF OF HISIOn HER SPOUSE, HSIRS� ASSIGNS AND SUCCESORS ;APPLICANT R S'o E N E'S'D AYN.0 EoL�%FA`ENLF iS H C TY F N INTIRE AG EE M S I E I o 'FY. L'. F ON ANY AND LANDSCAPING FEE E .NGE . WASHINGTON. ,, CIA E.lLo � A. 2 D DIRECTLY OR INDIRECTLY INSPECTION I ALLCLAIMS FOR DAMAGESOFWHATEVER NATURE, ARISING THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF ANYGITY ORDINANCE Fy. WAIVE OR REDUCE ANY REQUIREMENTOF DEEMEDToMGD' TO ENFORCE ANY ORDINANCE PROVISION, " RE T 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TOTAL AMOUNT DUE THAT THE INFORMATION "W,�.,'E.AD THI��. "'TLHCEAT'ULN� APPLICATION APPROVAL I HEREBY ACKNOWLEAD�G.l T�HAATT: AUTHORIZED AGENT OF GIVEN , CORRECT A. B WNE . H D um., THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC� BE EMPLOYED CALL D ... I, .�d F ON WILL RON. AND IN oo.'INGTH"ER E WORK AU onq DTHEREB 0 PERSNGTON RELATING TO WASHI ,o pr-dod. FOR INSPECTION IA..F COO I I STATE" N VIOLATION ,OF WORKMEN'S COMPENSATION INS D RCW .27. OFFICIALS SIGNATURE DATE sl FOR G AT SIGNED (425) 4 771-0220 R LEASED By U`,lE R EXT 333 10 TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 I IS UNLAWFUL HAS BEEN MADE AND APPROVAL ORA CERTIFI- ORIGINAL - FILE YELLOW INSPECTOR ASSESSOR A FINAL INSPECTION HAS BEEN GRANTED. LED SECTION 09 FAX PINK -OWNER GOLD CATE OF OCCUPANCY s,98 FINAL PROMCIARPRO-YALYDRM TO:— DATE.— NMIAO TO: C INATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE -- ENGINEERING DIVISION DATE- 13LANNING DIVISION DATE — PRO 0 SITE ADDRESS- 1,mtepc-� CT C M MO 0 INSPECTED 1006 PERMT 80 C --4 K X M ,SCRIPTION OF' WORK TO BE INSPECTED--V—� 6 DF M Z 'A field inspection was conducted to determine compliance with approved plans. Final approval denotes that -n there are no objections from the above signed Department to the granting of 0 -A approval of the described work --4 x M M ___,�L—Finai Bonds associated with the project may be released 0, C: M, --2�—Perfbrmance M 0 Z FINAL PROJECT APPROVAL __�L—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED z x _GRANT Cn z 0 _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 0 M 2. 3. ___:—RE-IN SpEcTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l-.temp:bldg:forms6/98 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS .. . ................. I k` FOUNDATION: Footing ...................... wall ............. V Pier/Porch ................. pletalrurig Wall ........... 0 Stab Insulation .......... PLUMBING: Underground ............. C rn A., Rough -In ................... IT, a 0, �yl i� Commercial Final 0 C, -4 E�, HEATING: M z q — Gas Test . ................ C Z, Gas Piping .. ............ Equipment ................. 0 Irl, C6mmercial Final MT EXTERIOR SHEATHING NAILING .......................... 0 0 Fn I], FRAMING ................... M 0� FIRST FLOOR FRAMING I INSULATION ................... Floor insulation z Wall Insulation ........... Ceiling Insulation (A Z, z SHEETROCK NAILING 0 SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. J/ RECEIVED ED ..... I �PERMIT EXPIR US PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION i ADDREL B SUITFJAPT# 0 4-) IF, OWNER NAMISINAM OF BU INESS E 07'N '5-T' Jof4K) vj *C'r PLAT NAMEtSUBDIVISION NO. I LOT NO, LID NO, LID FEE S MAILINGADD ESS A'LIN - A ; Dis jr'fLf_ 30HAJ COURT- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REQUIRED DEDICATION� FT METER SIZE LINE SIZE NO. OF FIXTURES RW SV.P'U..Pi9d�d 8 M.'a .. 0 PRY REQUIRED YES 0 NO 0 zip EL; CITY TELEPHONE I, 3 tr. 7802.0 2.06 5 q2 249-; NAME ADDRESS REMARKS 'ONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE OWNS., CITY NAME for, ADDRESS FIRE REVIEWED BY DATE R T Z 04 - CITY zip 0 fl) AID 7, TELEPHONE q2s 803 - 3032- SHORELINE OR ADB# INSP��..71�0,. FIC T OYES ONO BOND POSTED STATE LICENSE NUMBER 4— SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED 'Rop.m' PROPERTY TAX PARCEL NO. § EXP vi cc: m o Cc: -4 m :E M m I t_ -4 C:] NEW 02-SE51GENTIAL C] PLUMBING I MECH C3 ADDITION 0 COMMERCIAL C] C MPLIANCE OR COHANGE OF USE REMODEL C] APARTMENT SIGN [3 REPAIR X FT). C3 DEMOLISH 0 TANK LOT COVERAGE ALLOWED PROPOSED REOUIRED SETBACKS (FT.) FRONT SIDE REAR PROP OSED SETBACKS (FT.) FRONT URStDE REAR PARKING REGO LOT I PROVIDED AREA PLANNING REVIEWED By DATE REMARKS GARAGE 0 ING WALL RENEWAL CARPORT RETAIN ,,CXES, C] 0-0 _1111 0 EXPLAIM CHECK ED By- ]T'� E 0 F CONSTRU4 ROUP r M rn 0 0 NUMBER 1. OF C STORIES WELL NO j.NlllEi "' 'N'TS 111CAL REAS MBE ------- MU R SPE 'D 'AL IN FOR RE. a REOUIRED C3 YES YES OCCUPANT AREA LOAD ........... DESCIIII WORK TO BE GONE REMARKS PROGRESS INSPECTIONS PER LIED 108/FiNAL INSPECTION REG' qJa(f F#9 [A)" COEL '6005 . I I I I I I I I I I I I :900 r_Af(ak) SIST Z FEE PLAN CHECK PEE u HEATSOURCE LOT SLOPE % BUILDING 440, PLAN CHECK NO: 110 DATE PLUMBING M MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, T I PERMIT COVERS WORK TO BE DONE 0. PIT ATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADINGIFILL DOMAIN ICURSS' SIDEWALKS, DRIVEWAYS R SEPARATE PEM�IMA QUIES, ETC.) WILL REQUIRE SSION. STATE SURCHARGE PERMITAPPLICAR N: 180 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION E ;NAp,,L,�,�AE,�,�.,�,.,EE,,ALITII "IS OR HER SPIOUSE, ..RS. ASSIGNS AND SUCCESORS E CITY OF 5 NT I ES 0 INDEMNIFY. DEFEND AND HOLD HARMLESS TH LANDSCAPING 2 ......... AS",,,,TN TSOIFICIAISE.'LoYiEES�AN. AGENTS FROM ANY AND INSPECTION FEE ALLC'g '.FD'.AGE,l.FwHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY RED $PT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SMALL NOT BE PLAN CHECK DEPOSIT E OR REDUCE ANY REQUIREMEN ANY CITYORDINANCE DINANCE PROVISION.* RE� CUNT DUE I HEREBY ACMOWLEOG,;.HATT: HAVTE READ THIS APPLICATION; THAT TNE'.F.PMAT'ON APPLICATION APPROVAL GIVEN IS CORRECT A �G AM HE OWNER. OR THE BILLY AUTHORIZED AGENT OF Thl. Vpp,.-,.,, i. . pj, by li,. THE OWNE 0 C.-PLYUWITII CITY AN. STATENAW RE-u' ND CONED ALL au�Mmq Ofli,!,l b, hi�ha, G,pVIy: Ild F111 ,, p,ld. ,d R 'AG ET THORIZED THEM Sy� 'PER NwL I E-L-YE d. TI.M AND I� OCURET-11 WORK A E STA E OF wA` N`,2TGNL RFAT',Nl T%O FOR INSPECTION IN VIOLATION OF THE LABOR C 0 DATE WORKMEN'$ COMPENSATION INS 0 RCW 18.27. OFFICIALS SIGNATURE DATE SIGNED -7 �p,,TUR M-WNFA OR (425) 1, 771-0220 R LEASED By D E EXT 333 A55�TIOA IT11S UNI - AWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 NAL - —YELLOWINSPECTOM A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGI - FILE CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK -OWNER - GOLD - ASSESSOR