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20000341.pdfDATE RECEIVED CITY OF EDMONDS ' CONSTRUCTION PERMIT APPLICATION ERNAMENAME OF B SINESS Z - k A A ?7r / nI-� PERMIT EXPIRES USE ZONE Q:7) PERMIT _NUMBER JOB ADDRESS -Hwv 61,q SUITEJAPTO P�T NAMEISURDIVISION NO, I LOTNO. LID NO. 11. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 4 zip I TELEPHONE EXISTING PROPOSED— REQUIRED DEDICATION— IT P R., 0 0 METER SIZE LINE SIZE NO.O11IXTUnES P V REQUIRED MIA" I I YES 13 NO 0 REMARKS 'rl L All= OWNERICONTRACTOR RESPONSIBLE 1.1 EROSION CONTF.�.FAINA.E CITY ZIP FTECEPHONE -�Avrcl 1 ADDRESS ENGINEERING REVIEWEDIDATE L ED :3 /3 101�0 CITY TELEPH I 4NE Cl a.60 -(1'VxL3-42-oc-) STA7rfjICENSE NUMBER EXPIRATION DATE C J-pmlk _ _ (.g,;4 EZ)_ 1103 CHECKED BY 6L R�— VARIAN.fRC. HORELtNEORADBI INSPECTIO REQ'D 0YE1 ONO OND -STE. jP' PROPERTY TAX ACCOUNT PARCEL NO. Uj-p�-7 QII�, -7 - t/ WN-7 SERA REVIEW COMPLETE EXEMPT Exp SIGN AREA ALLOWED , PROPOSED HEIGHT ALLOWED I PROPOSED RESIDENTIAL PLU C3 NEW MBING / MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (M. FRONT SIDE REAR PROPOSED SETBACKS (FT.) T UPSIDE REAR ADDITION COMMERCIAL o C MPLIANCEOR CHANGE OF USE ;RO -- PARKING REGO PROVIDE. LOT AREA ED By ATE, ... EL APARTMENT M SIGN F INGE REPAIR [3 GRADING CYDS 0 x FT) lei! It DEMOLISH C] TANK 1� oGARAGE 0 RETAINING CARPORT ROCKgRy WALL RENEWAL r (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKEDBY C�-.uup% PIETAIII- tj9E!j,- I JJYPEOFfONSTAUCTION I Ic ai NUMBER o STORIES UM.E1111 RITICAL DWELLING AREAS UNITS N R CUMBE ,TpOF F CCUPANT IOAD DESCRIBE WORK TO BE 00- REMA KS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D fkmmorz pEamApt-L 1-72 A ik /0 VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZI= LOT SLOPE I BUILDING PLAN CHECK NO: ��o. , � _ PLUMBING L IVESTED DATE THIS PERMIT AUTHO IZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK T-0 MECHANICAL BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL n DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE L SEPARATE PERMISSION. STATE SURCHARGE PE MIT APPLICATION: ISO DAYS PERMIT LIMIT'. I YEAR � PROVIDED ORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION LICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ;AP N INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS, WA HINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FRO, LANDSCAOING I ANYAND INSPECTION FE ALLCLAIMSFOR AMAGESOFWHATEVER NATURE, ARISING 0 PECTLYOR INDIRECTLY FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT RECEIPT 0 BE PLAN CHECK DEPOSIT , DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 01 NORLIMITINANYWAYTH CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTAL AMOUNT DUE RECE t HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN S GO RECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I)AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. on I- �W - P-1-it -it Ip.d b, TION; AND IN DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Bui, Thi.OPpll..t, O�,,q 11 hill- D,puly;,,d F,o,,, p.,d,,,O IN VIOLATION OF THE L OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION VVORK�EN.s COMPENSAIAN INSURANCE AN. RCW H.�I. OF tt NAT JDATESK)NED (4051 SIGN REOWNEROR EJT)-fp ,a L 771-0220 HE A ftEO 114A Q4104 P OR OCCUPY A BUILDING 08 STRUCTURE UNTIL EXT 333 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE - YELLOW - INSPEICTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5198 z j M :34 c m ma 0 0 c 3: m IT! '0 0 'n In m m a 0 0 Fn a V) r. (J) M 0 Z .4 ;0 z -f m V) z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... t wait ............ Pier/Porch ............ Retainlrig Wall ........... Z; 1 1 Stab Insulation .......... PLUMBIM Underground ............. -4 n, Rough -in .......... C rn Commercial Final M — HEATING: Gas Test ........... M' ITI Z' 0-11 H, Gas Piping ............... - > z AfilZ) r,42 . . . Equipment ................. E: LA lV6716UC Commercial Final EXTERIOR SHEATHING "n NAILING. .......................... M rn "'M"W41y"RAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... M 0 z or Insulation Fl.' Wall Insulation ........... Z "T, Ceiling Insulation i,4 SHEETROCK NAILING Z� SPECIAL INSPECTION M MISCELLANEOUS FINAL APPROVAL FOR §—Co OCCUPANCY .............. Q L qC5() I DATE RECEIVED PERMITEXPIRES -�E' �V'Er 4 CITY OF EDMONDS ZONE C-1� N R CONSTRUCTION PERMIT APPLICATION JOB SUITEMPT# ADDRESS OWNER IN M11NAME OF BUSINESS LAT NAME/SUBD$VISION NO, P LA, LOT No L�D NO, I L D GES �-j MAILING ADDRESS !7 PUBLIC FIGHT .1 WAY PER OFFICIAL STREET MAP W;.' -a,, -.d . sn-`Jv--�d 0 X_AV'� ZI, TEg; TING PROPOSED 0 1 4 60 � �i I'Z Ig REOUIAEODEDICATION— IT J—a'—d N NAME METER SIZE I LINE SIZE NO. OF FIXTURES p V REQUIRED so No c) MV,44 ARCUjez�� -VW6� U)m ADDRESS a OWNER/CONTRACTOR RESPONSIBLE FOR EROSIO CONTROLIORAINAGE C ITY ZIP TELEPHO E NAM"ENGINEERiNGMI IS= I M&IVWDIDATE ad ADDRESS 0 ad ED D ad Day +ELEPHONE Cl G( C. 1.6 lq�) 17E, m z 0 - VARIANCE C SHORELINE OR ADII INSPECTI N BOND smUCENSE NUMBER 0 1 EXt�ATION DATE CHE 'FKEG SY t, OYRECT) No ES 0 POSTED AREA HEIGHT m PROPE TYTAX ACCOUNTPARCE— =Zbj - V-1- Uq-'� 7 SEPA REVIEW Do MPLETE EXEMPT ALLO D P POSED ALLOWED PROPOSED —0q '2�- oN, q kfb-7- EXP I LOT COVERAGE REQUIRED SE -TBACKS( J PROPOSED SETBACKS (FT) REAR m 0 NEW 0 RESIDENTIAL PLUMBING f MECH ALLOWED PROPOSED FRONT SIDE P IEAR FRONT UPSIDE C 0 ADDITION COMMERCIAL C MPLANCE OR DO HANCE OF USE m 0 0 PARKING LOT AREA EWEDBY AT c: REMODEL C] APARTMENT E3 slow D I PROVIDED GRADING CYGS FENCE X REPAIR 0 X FT) X -EMARKS M: M 3 n DEMOLISH 0 TANK NO &%el —4 o GARAGE 0 PITAIININo WALL CARPORT Rd. SIR 0. RENEWAL r— g; 0— r (TYPE OF USE, BUSINESS OR ACTIVITY) EXPI.AIN: STRUOTI 0 N CO OCCUPAM Om a IS GROUP NUMSER OF 1U"1E1 —ICA 0 G, AR OWELLIN EAS SPECIALINSPECTOT OCCUPANT Do L. LOAD t��j 3: m rn C STORIES UNITS NUMBER JAREA REQUIRED C] YES A10 6�tilitj DESCRIBE WORK TO BE DONE REMARKS ? 0. PROGRESS INSPECTIONS PER UBC 108/FINAL INSP CTION REO'D m C ca I Is MOP 0 64 WAgMI)CL C (j) M 0 z ;D !�7� AiI z VALUATION FEE X PLAN CHECK FEE GLAZING I LOT LOPE% BUILDING z 9 !!!M= Fp 0 0: x LAN .EC NO: t �ESTED DATE PLUMBING m MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRAMINGIFILL DOMAIN (CURB% SIDEWALKS, DRIVEWAYS AROUSES, ETC.1 WILL REQUIRE L SEPARATE PERWISSION. STATE SURCHARGE PERMIT APPLICATION: 160DAYS 0 PERMITLIMItl AR -PROVIDED WORK IS STARTED WITHIN 180 DAYS YE SEE BACK OF PINK PERMIT FOR MORE INFORMATION IRS, ASSIGNS AND SUCCESORS PLICANT, ON BEHALF OF HIS OR HER SPOUSE'HEHOLD ;APN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON� ITSOFFICIALS, EMPLOYEES, AND AGENTS FRO. ANYAND ALLCLaUMS FOR DAMAGESOF WHATEVER NATURE.ARISING 0 INDIRECTLY ERMiT WALL NOT BE RECEIPT 'EQTLYOR FROM THE iSSUA CE OF THIS PERMIT. ISSUANCE OF THIS DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANYCITYOADINANCE PLAN CHECK DEPOSIT 0 OR LIMIT IN ANY WAY THE CITY 'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIOW TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION A PROVAL GIVEN IS CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF - CITY AND STATE LAWS REGULATING CONSTRUC T1,1a app,dan d, na, .,. dail uaW alql.� al In. Fall and THE OWNER. I AGREE TOCOMPLY WITH AUTHORIZED THEREBY, NO RE ON WILL BE EMPLOYED CALL Sugd,do 011,—Id, hi —I Cepaty�.dd 11, p1la. TION, AND IN DOING THE WORK IN VIOLATIO THE OF THE STATE OF WASRHSINGTON RELATING TO -0p LAANfj;NC FOR INSPECTION nopt �s ack—l.d1ad a aP— WOR K�ENBCO'PENSAT S= AND HOW 18.21, OFFICIA ' NAT SIENA RE (OWN A OR E (425) I Iq -464 :2NED 771-0220 EL AS D EXT 333 IT IS " LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 % FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTJFI� ORIGINAL - FILE YELLOW - INSPECTOR bATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR