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20000359.pdfA—S DATE RECEIVED . I — CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OW��,I"EIN'71FOI �Ell M MAILINGADDRESS `7 1, V CITY P ITELEPHONE c';02 4 NAME AODREIS CITY NAME I LW f (I [PERMIT EXPIRES USE PERM T Z.N' 'UMI'ER �SUIT.AITI JOB ADDREIS&O PLAT NAMEISUBDIVISION NO, LOT No, LID NO - I LID FEE S —Appl. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7-E'gC P id EXISTING — PROPOSED� A.,-,,.. $,a. Ik Riq.11ad REQUIRED DEDICATION— FT METER SIZE LINESIIE 11-OFIFIXTURES PRV REOURED I I YES 0 NO 0 A MARKS oWNFRJr.ONTFACTOR RESPONSIBLE FOR EROSION CONTROUD.AtNAGE - N it ENGINEERING 1. ADDRESS I "AZ4 LF Al FIRE REVIEWED BY DATE Z� CITY ZIP TELEPHONE 0 S CA -irt c� -7 o 3 2_Lx� VARIANCE OR CU SHORELINE OR AOBA INSPECTION STATE LICENSE NUMBER _P'.AH.N Y REO'D ES No F'o OSND TED A/hZMQZc)Z2 kh SERA REVIEW SIGN AREA HEIGHT 0 PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED P90POSED E" LOT COVERAGE REQUIRE SETBACKSIFT) PROPOSED SETBACKS (FT.) 0 NEW RESIDENTIAL E] LUMBINGIMECH ALLOWED PROPOSED FRONT SIDE HEAR FRONT UPSIDE REAR C] ADDITION E] COMMERCIAL C MPLIANCEOR 0 CHANGE OF USE PARKING LOTAREA TO 0 REMODEL APARTMENT [:] SIGN REGO PROVIDED REPAIR IRIIING CYDS 0 (FENCE X FT) REM K DEMOLISH TANK CARAGE 0 OARP.AT C] R=�NG WALL RENEWAL TIVITYJ EXPI-AIN: .�ECKE. BY RLt_T -2 0'0 U A NUMBER NUMBER OF IHIIICAL SPECIA;LEIDNSPECTOR OGAODUPANH OF DWELL114G NITS A AREASH NUMBE .1 JAREA Lo REQUIF C) YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REO'D 7�:(_ �e�'20 I z,-- I hm ft 41 ­[�ETUP'fj -m ?jkC---FtRC_ 0__% � VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE I BUILDING PLAN CHECK NO: JVEITEIIAII PLUMBING THIS PERMIT AUTHORIZES ONLY TH. WORK NOTED, THIS PERMIT COVERS WORK To MECHANICAL BE GONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGFILL W DOMAIN (CURBS, SIDEWALKS, DRIVE AYS. MARQUEES. ETC.� WILL REGUIRE L SEPARATE PERMISSION. STATE SURCHARGE PERMITAPPLICATI N: 180DAYS AIR PROVIDED OAK IS STARTED WITHIN 180DAYS PERMIT LIMIT� 1 YE ' W ENG REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'a -A HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS P ON BEHALF OF , 'FLICANT, w IN LANDS ING , NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF A14Y AND 2 EDMONDS WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM AL D ECTLY LCLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY CAN INSPECTION FEE x FROM THE ISSUANCE OF THIS PE RMIT SGUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK At 0 oRREDUCE NY REQUIREMENT OF ANY CITY ORDINANCE DEEMED To MODIFY, WAIVE 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION' T_ OTAL AMOUNT DUE RE 6 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE MF R.ATION APPLICATION APPROVAL GIVEN I CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF S RUc' STATE REGULATING CONST CALL Tha .tit 19— by th, THE OWNER, I AGREE TO COMPLY WITH CITY AND LAWS WORK AUTHORIZE D TH ERE By. NO PERSON WILL BE EM PL Ell ­9 Offi—I 11 111he, Deputy: ld Fla. — ­d. 1,d TION AND IN DO NO THE I NGYTEC OF THE LABOR CODE OF THE STATE OF WASHINGTON AELATI FOR INSPEC ION ,­pj ia p... p,,vdd. I N VIOLATION WORKMEN S COMPENSATION INSURANCE AND RCW 18.27. FICIALS SIGN RE DATE D, SIGNATURE (OWNER OR AGENT) kTE SIGNEG (425) I 771-0220 PLEASED By TE EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW INSPECTOR A FIIqAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD ASSESSOR 519B Z a m c 0 m 0 80 C -1 m x M m 4 -4 o -n m M 0 0 c 9 CA M 0 z u) z 0 d 0 m I .. RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling...................... Wall.......................... Pier/Porch ................. Retalnirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. L 9-01 Rough-19 ............. commercial Final HEATING: Gas Test ........ ........... Gas Piping ... .............. Equipment ............ Commercial Final EXTERIOR SHEATHING NAILING .......................... — —CIL FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. t V\ L�d &L-4 IQ �, . 10" Mm.. LF-111 z 1 1 C ITI 0 0 IT ITI 10 F- 8 0 -n -n IT, A 0 0 Fn C= a K v) M 0: z z --I z 0 0 ITI 177' r �DATE RECEIVED PERMIT EXPIRES( US E E' M IT "E P NE SZo CITY OF EDMONDS N UM B ER NE.RMMBETR 2Z='g — CONSTRUCTION PERMIT APPLICATION JOB LICATION JAOD S.ITEIAFT-g I Allljl�C_) S I OWNE OW PIT NAME/SUDDiVISION NO� LOT No LOT NO, NO. I. No _�AME h\ 'L "D FEE S IDI L�o EE S M Al L NO ADDRESS FP?4,oq 2 1 Lo- 0"" IAL STREET MAP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED- —cp _`­ P' d OCI -"` d 103 CITY zip IF71) n%cwhs cl eo 2 1, LIONS REQUIRED DEDICATION— FT 'd .d METER SIZE L NE S"E NO ".,UFES REQUIRED PRV REQUIRED NAME Y No . YES 13 NO 0 E. 'I ADDRESS z R IN FOR EROSION CONT OLIDRAI 2MARKS.—T.-I.. RESPONSIBLE G A NAGE 'I HEWORKNOTED NAME ;a lip *ADDRE ENGINEERING Z AV _&N Z m IT! c: ma 0 FIRE REVIEWED BY CITY ZIP 03 TELEPHON 2 o 1. -17 OG - 'U. VARIANCE OR CU SHORELINE OR ADDII INSPECTION R , ONO BOND POST STATE LICENSE NUMBER DATE AlbD-aCR -22 Rb CHECKED By SEPA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED I PROPOSED HEIGHT ALLOWED PROPOSED pROPERTY TAX ACCOUNT PARCEL NO. ­1� RESIDENTIAL LUMBlNG MECH 0 NEW R SIDINTAL LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UR SIDE REAR ME _,AL c3 C MPLIANCEOR ADDITION COMMERCIAL CHANGE OF USE C] GO. ' 0 APARTMENT [3 REMODEL E] APARTMENT SIGN REPAIR GRADING CYUS C] PENCE X FT) P DEMOLISH E] TANK oGARAGE M RETAINING W�Ll_ RENEWAL CARPORT CKEB 0 c m p � IT! m c: co 0 -n PARKING RE D LOT I PROVIDED AREA PLANNING REVIEWED BY DATE ENIAJ��\ , '17 1 r CHECKEDBY ITYIE F_ N TR 77, CUP GA U C NUMBER OF STORIES NUMBER-' GWELL NO LIN TS, AR NUMB INSPECTOR AR57 OCCUPANT SPECIAL WAD SQUIRED C] y R E, m rn a a 0 o 'm C 03 m (a '. p M 0 Z F_ DESCRIBE WDRKTO BE ODNE �kr-?AIP- QF- FIRE '1811AAGIE7, REMARKS PER UBC 10II/FINALINSPECIll N REOT PROGRESS INSPECTIONS 'PETtApto -to CoObITIO&J. -4 Z 'bPrrIF_ oF L�2S-S flr WK Ll ILE VALUATION FEE X LAN CHECK FEE Z !:1,,; 11 -j LOT SLOPE I S, $1-DING 0 PLUMBING m PLAN CHECK NO: MECHANICAL THIS PERMIT COVERS WORK TO THIS PERMIT AUTHORIZES ONLY T L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PQuBUC GRADINGWILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL RE UIRE SEPARATE PERMISSION. L STATE SURCHARGE 2 PERMIT APPLICATIOW, 18D DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEEBACK OF PINK PERMIT FOR MORE INFORMATION PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS� A SSIGNS AND SUCCESORS N �Ap N NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF AND LANDSC PING 2 EDNONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE RECEIPT x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY RE.UIREMENT OF ANY CITY ORDINANCE ANY ORDINANCE PROVISION. RE E EL NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I i­UWE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION PPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF T` PWIP-11- - 1-11 11 U't" �"­ "y'" T E OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL DIP' lldFel.­plld.a.d TiON; AND IN DOING THE WORK AU HORIZED THEREBY. NO PE WILL BE EMPLOYED 2 T PEON OF THE STATE OF WASHINGTON RELATING TO ­,ipt,� llkllll.lg.d �P­ P—ld-1 FOR INSPECTION I N VIOLATION OF THE LABOR CODE WORKMEN'S COM PENSATION INSURANCE AND RCW 18.27� /6 ITE DATE SIGNATURE (OWNER OR AG7 7s—,74/ DATE "' C (425) ]FICIALS:�GN \1 kT 4 j L 771-0220 RILEASFDBY EXT 333 ATTENTION ITISUNLAWFULTOUSE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- ORIGINAL -FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR