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20000358.pdfNAM DATE RECEIIED EXPIRES 0 0 PERMIT USE USE ZONE ZONE P M IT PERMIT 2 0035g IDS CITY OF EDMONDS _ M B ER S NUR S _NUMBER Icl 12.5 SUITFJAPT. P JOB CONSTRUCTION PERMIT APPLICATION ADDRESS NES Er PI -AT NAMEISUBDIVISION NO� LOT NO, UO NO. EE S ING ADDRESS rtv— PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T EXIS ING — PROPOSED — qE UIREDDEDI�TJON— FT ww4';Zvi­­ ZIP JT4PIINE 0 ()o E ER SIZE LINE SIZE NO, OF FIXTURES PAY E.Ul ED '­ E2 No 0 REMARKS ­R/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDAAtNAGE ADDRESS A. A. 911 all 5-50,— 1 �X-- JDATE 1-7/ft ITY CE OJU SHORELINEORADBN 0 INSPECTION "! G E.. [3YES ONO _L' Noj ll�lNll. POSTE. Po T� TATE LICENS�NUMBER CO."— E—MPT WSIDGN AFIEAO E PH POSED 10111IT ALLOWED PROPOSED 4�� o 1--c �PEFITYAACCOUNTtQr z— XP I _= —LLL— NEW RESIDENTIAL 0 PLUMBINGIMECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS IFT.) FRONT URSIDE REAR 0 COMPLIA CE OR ADDITION COMMERCIAL 13 CHANGE OF USE LOTAREA P�NNINGREVIEWEDBY DATE 0 REMODEL 0 APARTMENT 0 SIGN REaD I PROVIDED C] IINCI 0 REPAIR GRADING IYDS _ x — FIT) MAP'S — 140 DEMOLISH C] TANK C " C] FIMIFNG WALL RENEWAL A a I'L C] C3 GA'IAO'E�T _ (TYPE OF USE, BUSINESS OR ACTiVrTyj.Wjd"y: IMF?ON UCTION nil CODE OCCUPANT GROUP 10 IV NUMBER� D-.LLIN. CTO SPECIAL INSPS A AREA OCCUPANT LOAD 7,U,.ME"ER S Z_ .T :E= UNIT. 8 EQUIRED YES 0 DESCRIBE WORK TO BE DONE REMARKS �TlnNS PER USC 1081FINAL INSPECTION REG IN_qpFr VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WO RK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ETC,) WILL AEOUIAE GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, S EPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS I PERMIT LIMIT: 1 YEAR - PROVIDED WORK S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIR& ASSIGNS AND SUCCESOSS OF IN INTEREST, AGREES TO �NDE"NIFY. DEFEND AND HOLD HARMLESS THE CITY FROM MY AND �NDSCAPIN 2 EDMONDS, WASHINGTON TS OFFICIALS. EMPLOYEES, AND AGENTS ALLCLAIMSFORDAM EiOFWHATEVER NATURE. ARISING 0 RECTLYOR INDIRECTLY AS NOT BE INSPECTION FEE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL WAIVE OR REDUCE ANY Fj�.UJREMENTOF ANY CITY ORDINANCE PLAN CHECK DEPOSIT DEEMED TO'MODlFY. 0 NOII LIMIT 1. Ally WAYTHECITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION, TOTAL AMOUNT DUE RE 1 HERE Y ACKNOWLEDGE THAT I HAVE 11�50ACTHIS AppL.CATIULNY A.AT THE INFORMATION APPLICATION APPROVAL GIVENB CORRECT. AND THAT I AM THE NER, OR " " UT�DRIZED AGENT OF CONSTRUC- Th—ppt-LO-6 ­ a pe,mit nl,t.'9­ bV THE OWS , AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING IN .IN, TION AN. 1� HORIZEO THEREBY, NO PERSON WILL BE EMPLOYED , THE WORK AUT TO CALL Bu�d,no 011,­1 ., hi,ft, D.P,,IY: .,I. F­ .1. -, ­.,p, iV ..­wl.dpd,n I,— p­dld, FOR INSPECTION IN V1 N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING bLATI0 WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFR I SIGNATUR (OWNER OR AGENT) I EAT (425) 1IL 771-0220 ILIASe ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER - GOLD - 5198 z 1=5 m c m S m z 01 6 Fn 0 m FINAL P-ROJECT APPRO-V LMORM TO: DATE: MEMO TO: P11 D G DIVISION . rRB FIRE DEPARTMENT DATE. FROM: z ENGINEERING DIVISION DATE— ANNING DIVISION DATE— Fn --4 a m PROJECT 0 80 SITE ADDRESS— 2,57 e) c-,---4- A---6-- C 4 r. ADB#_DATE INSPECTED— mz jo PERMIT O_Z212��jre z DESCRIPTION OF WORK TO BE INSPECT Cn A field inspection was conducted to determine compliance with approved plans. Final approval denotes that 0 "n there are no objections from the above signed Department to the,granting of M M of the described work 0 'M C C4 Final approval K co M 0 =erformance Bonds associated with the project may be released Z z FINAL PROJECT APPROVAL ­2��—GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED co z __GRANT 0 M ______JAILED FINAL INSPECTION - OUTSTANDING ISSUES I 2. 3, _RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl,doc,l:temp:bldg:form$6/98 __--�,j 'I JIDATE RECE)ED 10 ERMIT'E 0 C) Fp PERMIT; CITY OF EDMONDS Z.1E E 0 _S_ I NUMBER CONSTRUCTION PERMIT APPLICATION B JOB ADDRESS ()e - a V\ TVAPIN, PI.AT NAME/SUBUIVISION NO� LOT NO, U NO, LID FEE S MAILING ADDRESS (115 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, 'US EXISTING — PROPOSED— FT C, CITY TE LP"OIE NAME METER SIZE UI Y,PRI EQUIlEO S C3 No 0 ADDRESS R MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAINAGE CITY ZIP TELEPHONE -Sa r 4 r EN.WEEFIN. REVIEWEDIDATE ,, ADDRESS 0 2-14'-±- AV R 'VIE D T INSPECTIO It z- CITY TELEPHONE 0 2 ENE INUMBER STAT� LI , C 4 PA�a_7 2-c ANcE op�u f SHORELINE OR ADD� CYRE I'll ES ONO POSTED SERA REVIEW COMPLETE EXEMPT SXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED , 111.10!IED 5701 7— NEW 0 PLUMBING MECH LOT COVERAGE ALLOWED PROPOSED RED SE.ACKE IlT.I FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT URSIDE REAR o C MPLIANCE OR ADDITION CHANGE OF USE I PARKING LOTARIA PLANNiNGREVIMEDBY 0 REMODEL Cl SIGN REGO I PROVIDED 0 REPAIR 0 ..A.ING CYQE 0 FENCE X FT) EMARKS n DEMOuS4 Fl TANK Me- sv ri p 0 GARPA.Gl IlTAINlllG WALL RENEWAL 'A IT .CK , �i 0 (TYPE OF USF,'SUSINESS OR ACTIViTYI_W^: NUMBER Z NUMB M OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER Hi I:: :I ry U q,� CTION CA. R CUP S I : ECIAL INSPECTOR JAR5A REOUIR50 E3 YES E...PA-T CUP A:IIT2 A', DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 10811FINAL INSPECTION REO'D ft V-6 S V f i r) PLAN CHECK FEE HEAT SOURCE LOTSLOPEI CHECK NO: VESTED DATE PLUMBING MECHANICAL T S PERMIT AUTHORIZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO HI BE DONE ON pRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC) WILL REQUIRE GRADINGIFILL SEPARATE PERMISSION, t 2 PE M IT APPLICATI N! 100 DAYS R STATE SURCHARGE PERMIT LIMIT. I YEAR * PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 -APPLICANT ON BEJFIA�F OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTERE ST. AGREES TO:NDEMN15y, DEFEND AND HOLD HARMLESS THE CIT Y OF LANDSCAPING 2 EOMONDS.WASHiNGTON TSO FICIALS. EMPLOYEES, AND AGENTS FROM ANYAND INSPECTION SEE 51 A CLAIMS ORDAMAGE�OFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY SHALL NOT BE I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT I. DEEMED TO MODIFY, WAIVE R REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE PLAN CHECK DEPOSIT NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTALAMOUNTDUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZEDIAGENT OF THEOWNER.trAEETO COMPLY 11TI CITY AN13 STATE LAWS REGULATING CO!,ISTRUC - WILL BE EMPLOYED CALL TION; AND IN ING THE WORK AUTHORIZED THEREBY, NO PERSON J� IN VIOLATION OF THE CODE OF THE STATE OF WASHINGTON RELATING TO FOR,� NSPECTII =A W KMIWS COMPENI INSURANCE AND RCW 11,11, OR "'(425) ORAAGE I rE SIGNED SIGNATURE (OWNER 771-0220 ATTENTION EXT 333 ITISUNL FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL AW 771-02221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX VALUATION FEE _67 ERECEIPT RECEIPT /.s3s4 szi APPLICATION APPROVAL Thil applicall0- M I- I P-1-11 ­il slIId 11111 Buildilg Offictal 11 hillhOr DOPUIY: III'_ aro " d. IIII N moipt I, nk—lodged i—paw pfo,,d.d. OFFII ON RELEASED BY OEIGINAL FILE - YEILOW-NSIECT.11 PINK OWNER- GOLD-ASEEE�EOII z am a, m 0 80 c m F On 3: IT, m 0 o Fn C v) mo z rl z m , M