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20000347.pdfDATE ... al omm—humommommum CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 0W�E=A;:;:;77 MAILING ADDRESS ZIP I TELEPHONE PERMIT EXPIRES USE PERMIT A bb TP 'ONE NUMBER -Zco2q-g J05 ADDRESS PUT NANEJSUBDIVIS(ON NO. LOT NO. LID NO. LID FEE IS TES P4pa—d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R- P.- R.lul- . I . U.. P—a R.�d EXIS ING — PROPOSED — =,.a R lu— REQUIRED DEDICATION FT W'd -d PRY R SIZE NO 01 11-URIS YE PRY FS..I.REG B N YES NO REMARKS —Fial-NTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE NAME "JA�e- PopV7F_7 ,I< / A j6k -IR ENGINEERING REVIEWED/DATE ADDRE S 0 41,F-7 A307H&Z FIRE REVIEWED BY DATE z CITY ZIP TELEPHO E OR CU SHORELINE OR ADS# INSPECTION BOND STATE LICENSE NUMBER EXP RATION WE VARIANCE C3 Ypr,mD N, POSTED I SEPAREVIEW SIGN AREA HEIGHT COMPI ETE EXEMPT ALLOWED PROPOSED ALLOWED PROPO p, I I 600(l EXP — LOT COVERAGE REQUIRED SETBACKS (Fr. FRONT SIDE REAR PROPOSED SETBACKS IT FRONT LIRSIDE REAR C] NEW TIAL PLUMBING I MECH ALLOWED PROPOSED ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PUNNING REVII EDBY DATE REMODEL APARTMENT SIGN REDO I PROVIDED 0 FENCE X FT) x FT) REPAIR 0 ..A.ING CID. — — FT) ARKS DEMOLISH 0 TANK c3 OTHER G ARAG [3 A ND WALL RENEWAL CARPOIEIT 0 ' (TYPE OF USE. BUSINESS OR ACTIVITY) EXPUIN: CHECKED8Y TYPW/CONSTRUgN OC UPAN T G ROUP CRITICAL NUMBER NUMBERO cwa;toaee� CIALINSPECTOR AREA I OF DWELL NG AREAS REQUIRED M YES IOCCUPANT LOAD Q-- NUMBER om STORIES R DESCRIBE WORK TO BE DONE REMARKS INqPFPTinNS PER USC IGSIFINAL INSPECTION REQ-1 VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOTSLOPE% VEIIEDBATE BUILDING PLUMBING PLAN CHECK NO; MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVE WAY S, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. SURCHARGE f5 PER" IT APPLICATION: 10 DAYS PEn W HIN 18D DAYS PERMIT LIMil I YEAR, PROVIDED ORKISSTARTEDWIT I I 'YEA ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION BACK OF ENG. INSPECTION FEE BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ;APPLICANT,ON N INTEREST AGREES TO NGENIN�l DEFEND AND HOLD HARMLESS THE CITY OF I I' LANDSCAPING ANYAND .0 N.,ON. .. CY. E ED NDEAASH N 'ON. IALS. EMPLOYEES. AND AGENTS FROM WAS., . INSPECTION FEE I 'L CLA 0 -E.' WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY A L CLAIMS FOR DAMAGES OF BE POM THE ISSUANCE OF THIS PE ISSUANCE OF THIS PERMIT SHALL NOT RMIT F M , ESU I PLAN CHECK DEPOSIT I MEDTOMODIFY. WAIVEOR REDUCEANY REOU REMENTOF ANY CITY ORDIWANC� G DEEM G T .. I I EE PROVISION. REC RUMI SABI I To ENFORCE ANY ORDINANCE No A YWAYT�E�ITY LIT ITIN N NOR UM T I I TOTAL AMOUNT DUE I HAVE READ THIS APPLICATION� THAT THE INFORMATION PPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT ,E LY AUTHORIZED AGENT OF GIVEN IS CORRECT AND THATLAM T"' INE1. OFATT." 'UL In, ppli,ation,, nt , pa,nil unlil ,gnld by thG THE OWNER I I AGREE . COM WITH CITY AND ST LAWS REGULAT-m CONSTRUC CALL In ag Offi-I o, hianh,, Doputy; and F ... ... pa,d, and TION.ANDIND ING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR I NSPECTION ipt a ,ka,wl,dg,d,n III— provided. It I OF THE LABOR CODE OF THE STATE OF IN OUTONO DATE WORKMENS COMPENSATION INSURANCE AND RCW 18,27. (425) OFPIC S ION LIFE SIGNAT RE (OWNER OR AGE )ATE SIG ED u6111P'-- 771-0220 DATE j EXT 333 ATTENTION G OR STRUCTURE UNTIL IS UNLAWFUL TO USE OR OCCUPY A BUILDIN 771-0221 IT A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 519B z 0 :i - 0 V, X 0 m c rn 0 0 80 a mm O.n n m M 0, 0 - Tm c . m 0 Z r- z --I cl) z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ...................... Wall .......................... Pier/Porch ................. Retainirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. . Commercial Final EXTERIOR SHEATHING NAILING.......................... FRAMING FIRST FLOOR FRAMIN&;.' INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL.FOR o OCCUPANCY ...... ....... IV, Z 1% M 55 M 00 0 C ID p�'�' C g Z� IT! iZ�' I 0 0 0 r mok z Co z 0 ITI ATE RECEIVED CITY OF EDMONDS USE ZONE CONSTRUCTION PERMIT PERMIT A b-.b NUMBER APPLICATION JOB OWNER NAMENAME OF BUSINES ADDRESS 200-147 MAILING ADDRESS P�T NAME/SUBDIVISIGN 0 reg, NO, LOT NO. LID NO. CITY ZIP TELEPH NE lie5o�6�7 LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AT EXISTING i PROPOSED ro o" NAME REQUIRED DEDICATION_ � , 'u", 0 0 ADDRESS METERSIZE I LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 No CITY ZIP OWNEFYCONTRACTOR RESPDNS18LE FOR EROSION CONTROUDRAINAGE TELEPHONE NAME ADDRESS A/-7, Z�071116-_U_ REWEVIEDIDATE z 0 CITY TELEPH NE FIRE REVIEWED By DATE f STATE LICENSE NUMBER RATION DATE C 0 VARIANCE OR CU SHORELINE OR A084 17-- ED INSPECTION BOND PROPERTY TAX ACCOUN (5) RE, 0 YES O'D NO POSTED SERA REVIEW 0 M c: C PLITE IGN AREA EXEMPT ALLO HEIGHT WED PROPOSED IT, 0 NEW D FIR ALIOWE POSED I 0 RESIDENTIAL PLUMBING/MECH ADDITION LOT COVE OWED P `KS'FT) ALL RAGE REQUIREDSETBA, PROPOSED -4 3: M COMMERCIAL COMPLIANCE OR OPOSED FRONT SIDE ETBAGKS (FT.) EAR FRONT US SIDE REAR M z C HANGE OF USE REMODEL 0 APARTMENT C3 SIGN REPAIR AE,,CPARKING PROVIDED LOTAREA PLANNING-VE.E.By DATE > __4 E3 GRADING CYDS C] F NCE X r- FT) DEMOLISH El TANK REMARKS 0 OTHER 0 -n GARAGE C] RETAINING WALL 0 CARPORT n F m M NUMBER N M8ElNl.0F 'IF L, CRITICAL BTO ES o.1 CHECKED By TyppIX 'WON C, 7- COUP 0 o UNITS AREAS DESCRIBE WORK To BE DOI, NUMBE 3-7 SPECIAL INSPECTOR REQUIRED o YES AREA OC C a) 3: . m V!?�,l t'r REMARKS PR2GRESS �NSEE�TIONS PER UBC 10INFINAL Ih E lWa N REQ'D z VALUATION FEE 0 HE SOURCE GLAZING % PLAN CHECK FEE m LOT SLOPE PLAN ECK NO: BUILDING VESTED DATE PLUMBING THIS PERMIT AUTHORIZE NLY THE WORK NOTED. THIS BE )N, UL )01 0 IVATE PEATY COVERS WORK TO m5c HANICAL gRIMIT DOMAIN Ly. A YCONSTRI CT E (C S. SIDE ALKS, DRIVE C'ION ON THE PUBLIC AR EESI ETC.) WILL REQUIRE PAY �S SEPARATE ER SIOQU N. GRADING/FILL PER ITAPPL_ — PERMITLIM :1 EAR. _S PR VTE 5-Tt SURCHARGE BE RTED THIN 18-DAYS KOFPINKPER IT' X'SSTAI,,I,,WlA,, Fo MORE ON ENG. REVIEW FEES 3 NA'�NPLT.C,,A�N�T�OAN.'E"ALTF.OFII.l�...��, REES IN HER SPOUSE, HEIRS. ASSGII AND SUCCESORS AND HOLD 2 EDMONDS. V�ASHINGTON ENG. INSPECTION FEE ITS OrFICly� LGIEFE�I IA T S 'L A LE I YEEE. AN. A.ENTS`FA.11All.TY 01 ALL CLAIMS FOR DAMAGEi OF WHATEVER NATO . YANO FROM THE RE. ARISING LANDSCANN ISSUANCE OF THIS P DIRECTLYOR INDIA iss E F HI SL ECTLY S DEEMED To WIODIF,'�A' ' ERMT UANC 0 T PERMIT ALL NOT E IVEOY�EDUCE �IREMENTOFA NSPECTION FEE ANY .0 NORL TINANY HECIT SABJUT, AS 0 IMI W�YT Yo YCIT RIDINANCE TO ENFORCE ANY GROIN N, RECEIPT PLAN CHECK DEPOSIT E EBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, S Co ... T .. TH AM THAT THE INIFO ON AMATI MOUNT DUE RECEIP THE OWNER. I AGR�I, TO OATLY W�TTHECOINLE HE C A OR T UL. H TYAN6EATELAW. Y AUTHORIZED AGENT OF ON ANDN COLN ' Go"T 0 ' TI H RIZID A RE 'IN. CON' RUC W6TX AU O.F APPLICATION APPROVAL THEREBY 0 IN VIOLATION OF GHIHE COT S D F -YE Ti, THE STATE ON E. N W, E .AXM,N S CONPNEALAE.A P - L E LT CALL P.-ift W T.N INSURANCE AND RCW 18,27, A SHL NGT.N AELATIN. TO Ob..., F"g, Id by th, OR INSPECTION I bd a,a pa,, Ild SIGNATURE (OWNER OR AGENT) PI—ck ... 1.�g-pd`ly! F... pb.�, �// / — , - * DATE SIGNED OFFICI L S ON URE (425) ATE M 1 1 C-114 1 UJIN 771-0220 Ll I; IT IS UNLAWFUL TO USE OR OCCUPY DATE EXT 333 A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL CATE 771-0221 OR A CERTIFI- OF OCCUPANCY HAS BEEN GRANTED. UEC 519B SECTION iog FAX ORIGINAL 'ILE, YlULlW-fNSPECTOR PINK .0 WNE GOLD -ASSESSOR