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20000345.pdfDATE RECEIVED PERMIT EXPIR S USE PERMIT CITY OF EDMONDS ZONE NUMBER -1 q EtAPT# CONSTRUCTION PERMIT APPLICATION 'A008DRESS (4 cz OWNER NAIVIENAME OF BUS FLAT NAMEISUBDiVISIOH NO, LOT NO, LID NO. LID FEE S lAp ADDRESS 6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 0 IP 6 C 0 EXISTING — PROPOSED— 0 CITY ZIP TELEPHONE REQUIRED DEDICATION— FT — W==,, _2 LINE SIZE NO OF FIXTURES PRV REQUIRED NAME YES 0 NO 0 REMARKS ADDRESS NER16ONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINACE CITY NAIVE DATE "11�� wee" 0 /00 ADDRESS DATE q z FIRE REVIEWED BY ZIP TELEPHONE CITY MtLL Cq�E:CV_ 1"pT2- BOND VARIANCE OR CU SHORELINE OR ADBIl INSPECTION -STATE LICENSE NUMBER 1111EI BY RE 10 NO POSTED 0 OYES SERA REVIEW SIGN AREA HEIGHT MPLETE EXEMPT ALL ED PROPOSED ALLOWED PROPOSED PRdPERTY TAX ACCOUNT PARCEL NO� I 55 EXP rn 0 ) PROPOS 0 SETBACKS (FT) LOT COVERAGE REQUIRE SETBACKS IV FRONTEURSIDE REAR 0 NEW C] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR 0 0 COMPL ANCE 08 AUDITION CHANGE OF USE c C PARKING LOT AREA M PROVIDED E3 REMODEL 0 SIGN REO'D I PROVIG G IT! 0 FENCE 0 REPAIR X _ FT) HE ARKS 0 DEMOLISH 0 TANK cl 0 GARAGE 0 8ETAININGWALL RENEWAL CARPORT 11 ..... _0 'USE, 0 -n 0 tTypE OF BUSINESS OR ACTIVITY) EXPLAIN: CHECKED By I CTION OCCUPANT M m . NUMBER NUMBER OF PITICAL C SPECIAL INSPECTC AREAS _j:!b_jGRQUP LOO�AC.LPANT 0 - OsT,ORIEs 0 DWELLING U.ITP NUMBE R REQUIRED C3 YE 0 rr; 0 c: (A DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO�D VhIALT� _q X z VALUATION FEE z PLAN CHECK FEE I.zD 9 LOT SLOPE % BEAT SOURCE GLAZING % BUILDING 0 m PLAN CHECK NO: 17 LEITID DATE PLUMBING MECHANICAL NOT' _G.TS"T'�`Up.`TI.R N`l.ElUS`L"`Q THIS PERMIT AUTHORIZES ONLYETHE WOLRK MIT W Ic T,.M ANYC GRADINGIFILL BE DONE ON' PRIVATE",., DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. SU MARGE PERMIT APPLICATION: III. DAYS A. PERMIT UMIT-. I YEAII"PROViDEO WORK IS STARTED WITHIN 180 DAYS ENO REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;AP LICANT, ON BEHALF 0 ASSIGNS AN ES S END, INSPECTION FEE 0" HER SPOUSE F H':-N"Y E' XN-FES N NTEREST. AGREES TO HARML B I LANDSCAPING IN D EN ADEN TSF INSPECTION FEE D CIALS, EMPLOYEES, AN A 2 E MONDE, WASHINGTON, R'SOFF1 T RECEIPT w DIRECTt Y NOIR Ly ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SMALL NOT BE PLAN CHECK DEPOSIT DEEMEOTOMMI Y, WAIVE OR REDUCE ANY REQUI REMENT OF ANY CITY ORDINANCE FWAY ANYORDINANCE PROVISION, RECEIPT 0 NOR LIMIT IN ANY 7 HE CITY'S ABILITY TO ENFORCE TOTA OUNT DUE I I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION, THAT THE INFORMATION APPLICATIOt IOVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF Thl� IFIAlcat— 1� P., T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO 'ERSO WILL BE EMPLOYED ---do p,.,,dld, RELATING TO FOR INSPECTION IN VIOLATION OF THE LABOR CODE OIT 14SYE OF HINGTON WORKMEN S COMPENSATION INSURANCE AND 18.27, OFF1 L DATE U R WNER OR AG5NTT DA (425) WX6" oa 771-0220 LEAS. Y AT ATTENTION EXT 333 ITIS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A GERTIFI, ORIGINAL -FILE - YELLOW INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5198 PROJECT APPROVAL 1"JRM TO: DATE: ,RMIT COORDINATOR� BUILDING DIVISION MEMO TO: pF FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE---2��/74L/' DIVISION DATE— F) ,PLANNING F9 PROJEC :;5i SITE ADDRES M C M 0 PERMIT 4__Za,, 24_g ADB#_________-----PATE INSPECTED— C m DESCRIPTION OF WORK TO BE INSPEC m z ewi an in o al A field inspection was conducted to determine comPlianc th approved PI a- F a' Wr v denotes ca there are no objections from the above signed Department to the granting of: om -n V- Final approval of the described work M m 0 Uj GRANT FINAL PROJECT APPROVAL 0 m C ci) (0 0 GRANT PROJECT APPROVAL WITH CONDITIONS NOTED X z FINAL INSPECTION OUTSTANDING ISSUES z _____yAlLED m 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc,l:temp:bldg:forms6/98 , 0 DATE RECEIVED `� I /o - CITY OF EDMONDS USE PERMIT Z.,IE C C-7 0' NUMBER Z 00,2��T CONSTRUCTION PERMIT APPLICATION T JOB �(4 qqPAPTI, ADDRESS 2 (Aj OWNER NAMEINAMS OF BUSINES4 �euw c PLAT NAMEiSUBDIVISION NO. LOT NO* LID NO. MAV.;IlEll '6 A LID FEE $ ItJsLl� FIGHT .1 WAY lEl .111MAL STREET MAP T ... 11— M P P.C.- 0 �ITI zip EXISTING — PROPOSED - , 0 0 0 ITELEPHONE L =oIAJ6_ 4T� 811111IRID DEDIOATIO IT . ....... 0 NAME METER SIZE LINE SIZE NO, 01 IIXT RES PRV REQUIRED 0 k I I YES 0 NO 0 t ADDRESS -REMARKS OWNERICONTRACTOR RESPONSIBLE FOFJ EROSION CONTROUDRAINAGE CITY ZIP 1111EPHON1 NAME "kvc wee" A V04110 Jf')E G REVISWE 0 ADDRESS e 1/4 By DATE CITY zip TELEPHONE FIRE FtE�IEWED r Z 01 8 "ILL CkZeCK_ IS47, *2�5-4sn- - -1 Z4:5- STATE LICENSE NUMBER EXP Tl� , � TtATE CHEC EDRY VARIANCE OR CU SHORELINE OR AOB# If- Z INSPECTION OYFIEQ'D S ONO [,ION ED POSTEDD 0 m IRA I I o )c &_ I - HEIGHT SEPA REVIEW SIGN AREA PROPOSED PROPOS ALLOWED ED PRIJPERTY TA ACCOUNT PAR EL NO. COMPLETE I EXEMPT ALLOWED , I,)-n_ o') L/ _/ k-),l EXP m El NEW R'SIDEN'TU C] RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE BEAR PROPOSED SETBACKS (Fr,,) FRONT USSIDE REAR 0 0 COMPLIANCE OR 0 i ADDITION 3 COMMERCIAL CHANGE OF USE j 0 C i PARKING LOT AREA IEWED BY DATE* � m REMODEL APARTMENT SIGN REGO I PROVIDED A T FENCE REPAIR CYDS 0 1 — x —FT) REMARK5 jo C] DEMOLISH 0 TANK T GE RETAINING WALL 0 CA Z o 0 FIN 0 no�K ARPORT ERY 0 _n 0 r (TYPE OF USE. BUSINESS 08 ACTIVITY) EXPLAIN: PA T11 OFOONSTFV;ION 0 CCU NT -Tj _4 GROUP 79%� 7: M F1 U 8, OF NUMBER �WSL, or NO d 'AREA OCCUPANT LOAD M m STORIES UNITS JAFMA DESCRIBE WORK TO BE DONE RE ARKS 0 PROGRESS INSPECTIONS PER USC loa/FINAL INSPECTION REOID M Z �115 VA-At,-r 54a""W ;D Z A VALUATION FEE FEE -?,C> 0) Z PLAN CHECK URCE % P� SLOPE % BUILDING 0 m __G��ZING PLAN CHECK NO: �,LOT VESTED DATE PLUMBING m 17 M ECHNNICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO tj BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ETC.) WILL REQUIRE GRADI GIFILL DOMAIN �U1101,SWE LKS, DRIVEWAYS, MARQUEES. m SEPARATE PERMISSION. t t AM IT -APPLICATION: 180 DAYS PE..ITLIMII I YENR' PROVIDED ORK IS STARTED WITHIN 100 DAYS ENG. REVIEW FEES SEE BACK Oi PINK PERMIWT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF His OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS ENG� INSPECTION FEE IN IWEAEST AGREES To INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND F WHATEVER NATURE. ARISING DIRECT ALL CLAIMS FOR DAMAGES 0 LYORINDIRECTLY INSPECTION FEE x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUI BEMENT OF ANY CITY ORDINANCE TO ENFORCE ANYORDINA CEPROVIVOW* El NOR LIMIT IN ANYWAY THE CITY'S ABILITY TOTALAMOUNTOUE 0,,07 I HEREBY ACKNOWLEDGE THAT I HAVE REA. THIS APPLICATION; THAT THE INFORMATION APPLICATIO APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF T11, P-1, '"I W.d ", lb. THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- TION� AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Su" Ci- o Ild Flll 110 Plid. Ild iC 'NP.C. P-C.C. IN VIOLATION OF THE LABOR CODE OF THE TE OF WASHINGTON RELATING TO F-r-.)-R INSPECTION _Cip, WORKMEN'S COMPENSATION INSURANCE AND 18.27. OF11 IAL URE NWNER OR AG94T) ON (425) ' I (D :-"A- 771-0220 _LlAl Y p ATTENTION EXT 333 Ito" IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OlIGINZ-11LE - YELLOW. INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR