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20000392.pdfFOATE RECEIVED I PERMIT EXPIRES USE CITY OF EDMONDS ZONE PERMIT NUMBER 2-003'tZ CONSTRUCTION PERMIT APPLICATION JOB ADDRESS /� /,. UtTEIAPT# Vi 11 11 - OWNIRI,JAMEINAMI OF BUIINIS V ­ /AAIZ T f 4 2- o e, PLAT NAME)SUBDIVISION NO, LOT NO( LID NO , LID FEE S MAIU G ADDRESS 1? 17 0 2_2 51 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED— REQUIRED DEDICATION— FT ww;2z=v.. .0 0 0 0 0 CITY ZIP L-Pmt>)j p 5 NE 61 � NAME METER SIZE I LINE SIZE I NO, OF FIXTURES PRY REQUIRED YES 0 NO 0 I ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE CITY NAME 605(_�o F-IR-E P`XgPTP-C7/0JV ENGINEERING HEvit—DATE w ADDRESS F] _Vl CITY DATE 0 7 7-0,P4 9, E z CITY ZIP 0 TELEPHONE VARIANCE On CU SHORELINE OR ADB# INS OYREO'D ES ONO POSTED STATE LICENSE NUMBER 4 DATE CHECKED BY eo,;cvFPJ16 Nm /0-1-70 �n vi j o c: rn 0 SEPA REVIEW COMPLETE EXEMPT Exp I SIGN AREA ALLOWED PROPOSED — I . - HEIGHT ALLOWED P207 i PROPERT1 IT PARCEL NO* T94CO aJ0_q.7�o-7L/ clnl�j 0 NEW 0 PLUMStNGIMECH LOT COVERAGE ALLOWED PROPOSED RE.UIP. SETBACKS III FRONT SIDE REAR PROPOSED SETBACKS CFT� FRONT UPSIDE REAR 0 ADDITION COMPLIA CE OR CHANGE OF USE '--gtRE..DSL C3 SIGN 1 0 8 c rn PARKING LOTAREA REQQ I PROVIDED 1PILANNINGREVIEWEUBY DATE GRADING PENCE X T, 0 REPAIR 0 CYDS FTI x F 0 DEMOLISH 0 TANK a io c: EMARK5 GARAGE C] 11TAINING WALL RENEWAL CARPORT F.CNEFY C] 0 _n n 3: rn m 0 0 o C M 0 (TYPE OF USE, BUSI NESS OR ACTIVITY) EXPLAIN: CHECKEDDY TYPE FCONSI CTION, ...... GROUPP OU� M NO BER 0 OF 0 STORIES NUMBER OF DWELLING U.— CRITICAL AREAS, NUMBE SPECIAL INSPECTOR AREA REQUIRED C3 YES DURANT ... LIMIT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D p;j_,, -7 Eek A40171):_180 01EILIA/67 -IIL-- X VALUATION FEE PLAN CHECK FEE z HEAT SOURCE GLAZING% LOTSLOPE1 UILDING 0 PLAN CHECK VESTED DATE P MRING m MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 11 I_ BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P..LC 9 DOMAIN (CURBS, SIDEWALKS, DRIVE WAYS, MARQUEES, ETC.) WILL REQUIRE :3 SEPARATE PEA�ISSION. STATE SURCHARGE PE MIT APPLICATION: 180 DAIS AR � PROVIDED WORK IS STARTED IN PERMIT LIMIt I YE ITHIN 180 DAYS END. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION PEE PPLI A T. N SHALE F IS R HER SP USE, HEI S, ASSI S AND S CES RS IN IN ER ST, A REES T INDE NIFY. EFEND A D H L HAR LESS TH tTY F S LS, 2 ED , ASHIN T N ITS FFI M E PL YEES,AN ENTSFR ANYAN ALL I F R A A ES F AT VERNAT RE,ARISIN DIRE TLY RINDIRS TLY FR THEISSUAN E FTHI PER IT. ISSUAN E FTHISPER ITSHALL T BE Q HDINANCE DER EDT lY, AIVE IR � EDU EANYRE IRE ENT PANY ITY 0 N El ITINANY AYTHE TYSABILITYT ENE CEANY ROINANCEPP VISI N' I HEREBY ACKNOWLEDGE THAT I HAVE READ ViIS APPLICATK>N� THAT THE INFORMATION APPLICATION AP GIVEN 15 CORRECT, AND THAT I AM THE OWNER, OR THE DUSL RAUTHORIZED AGENT OF U,­ W� GULATING CONSTRUC G... LA TA CALL TH ' WN'R IAG 'ET?WOMPLYW `RC'TY S -Ft,- _I.,J,.d­p­p­.d­ TK)NOA.D lf� C.INO, HE ORK A T,,T. ..ATN.DFERTEN0 PER 'ON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'$ COMPENSATION INSURANCE AND POW 1827. ;-Flp I IA ATE E ATE SIGNED (425) ":lzz 771-0220 REL DB OAT ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAI. OR A CERTIFI- ORIGWAL-PILE YEULOVf-INSPECT 8 CATE OF OCCUPANCY HAS BEEN GRANTED. LIED SECTION 109 FAX PINK, OWNER GOLD, ASSESSOR FINAL PROJECT APPROVALMORM TO -- DATE - MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION -7 -(J— 2 FROM: ��E DEPARTMENT DATEZ-��— '�-a ERING DIVISION DATE— LANNING DIVISION DATE— PROJECT­,]L���� SITE ADDRES PPRWT#_�6���13#-----DATEINSPECTED—iL DESCRIPTION OF WORK TO BE INS TECTED 7 A field inspectlon was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of __K,—Final approval of the described work Bonds associated with the project may be released ___L—GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED —FAILED FINAL INSPECTION - OUTSTANDING ISSUES I . 2. 3. _RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:tetM-.bldg:fo-6/98 z m am C 0 m 0 0 C m 0-1 C 2 -4 M 0—) 0 -n n -4 M m M a 0 0 M C co C V) M 0 Z r- z --q 3: (n z 9 0 m FINAL PROJECT APPROVAL FORM TO: -DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: ERING DIVISION DATE- 77 n -----PLANNING DIVISION DATE— 3: M PROJECT. E A-pr —61y MO 0 80 SITE ADDRESS n—L-5 t I C mm z PERMIT 2-o Q 3 r-9— iNsPEcTFD—&---(,L—oz,-7deo C2 > -4 r DESCRIPTION OF WORK TO BE INSPECTED o"n A field inspection was conducted to determine compliance with approved plans. Final approval denotes that x M M there are no objections from the above signed Department to the granting of: 0 ---Final approval ofthe described work 0 M C co K 0) Q 0 z Performance Bonds associated with the project may be released M z GRANT FINAL PROJECT APPROVAL _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED z 0 M I AILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. ------- RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:tcmp;bldg:forros6/98 FINAL PROVAL FORM TO: DATE -- MEMO TO: PEPMT COORDINATOR, BUILDING DIVISION DEPARTMENT DAT FROM: __ylRE I:ftWESMN ENGINEERING DIVISION DATE- z 0 -PL G DIVISION DATE- M C SITE ADDRESS. M 0 80 PERMIT #_2:���2�ADB#_______PATE INSPECTE D -M Mz DESCRIPTION OF WORK TO BE IN SPECTED__IZQ62_1�-� A field inspection was conducted to determine compliance with approved plans. Final approval denotes that 0 -n "n there are no objections from the above signed Department to the granting of: x approval of the described work m M 0 U5 0, _____��Final erformance Bonds associated with the project may be released OM CM 9 co M 0 Z M GRANT FINAL PROJECT APPROVAL _q M > z -GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED M 0) z 0 1 i 0 M AILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:fonns6/98 � m PERMITfXPIRES PE IT CITY OF EDMONDS N ER CONSTRUCTION PERMIT APPLICATION JOB _Z7 � I I flL41 EUITIIAIT* WN813 NAMEINAME OF BUSINESS q�IADDRESS PLAT NAMEISUBDIVISION NO, LA' LID NO. LID FEE S AKINGADDR SS 2-2511- �)wy '7-7 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP . ­,­ — 1�­ R.0 0 ITY zip ITIS E EXISTING PROPOSED— —P. Riz:.- S­` 0 r2REQUIRE 7� IT CITY ZIP NAME 6415411 F,,op—E Plzolrp—c —410,v ADDRESS , 1.oflo- //7 /%/,E - CITY zip TELEPHONE j4tR-eL,A,klP W033 STATE LICE BE NUMBER EXPIRATION -IF /0 00 o 6 NIA NEW 0 SESIDSNTIA El PLUMSINGlM9CH liT] COMMERCIAL COMPLIANCWOR ION CHANGE OF USE 10 DEL C] APARTMENT 0 SIGN REPAIR GRADING CYOS X _ FT) DEMOLISH TANK zhlo —k-- GARAGE CARPORT RETAINING WALL ROOKERY RENEWAL NUMBER UMBER F 'UNITS OF DWELLING S 0 STORIES _J�TAICAL NFE MBER U� DESCRIBE WORK To BE DONE PC- k'A -7 METER SIZE LINE SIZE NO,OFFIXTUSES PRV REQUIRED I YES 0 No C3 8 MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAIF tu ENGINEERING REVIEWEDiDATE FIR�E!15 �D BY DATE L&Jcl VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND PRO D POSTED 0 YES 0 NO m SERA REVIEW EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE I I I c Cl m �Lp — 0 0 c LOT COVERAGE REQUIRED SETBACKS (FT` PROPOSED SETBACKS (FT.) 1 ALLOWED PROPOSED 5 FRONT SIDE R AR FRONT URSIDE REAR m m 4 PARKING LOTAREA DATE 0 PROVIDED 1PILANNINGREVIEW1111 1 0 -n FIEM-1. m 0 CHECKED 5 T Y STF—C-1 Do 0 NTM R'U, IS OUR o Fn C ca SPECIAL INSPECTOR AREA I OOGUPANT REQUIRED 0 YES LOAD M 0 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D a z z LUATION FEE HEAT SOURC� GLAZING % F THE ABOA LOT SLOPE % PLAN CHECK FEE BUILDING 0 m PLUMBING PLAN CHECK 79h ESTED DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK To PROPERTY ONLY, ANY CONSTRUCTION ON THE P. BE DONE . """ATE U5UC DRIVE AYS, MARQUEES, ETC.1 WILL Ftl� UHIE DOMAIN (CURS% SIDEWALKS, W SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 160 DAYS P R PERMIT LIMtT-. 1 AR � PROVIDED WORK IS STARTED WITHIN 180 DAYS YEA YE SEE BACK OF PINK PERMIT FOR MORE INFORMATION BACK ENG. REVIEW FE S END, INSPECTION F55 -A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AND SUCCESORS HALF OF GHT To K EDMONIN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF DS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND . G WA R C E IN.TON R 2 _INS 0 Gol x ALLCLAIMS FOR DAMAGESOF WHATEVER NATUFIE.ARISIN RECTLY OR INDIRECTLY p A.AGES x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE GE , DEEMED TO MODIFY. WAIVE OR 13EDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINAN,F ­­ N.OR"M,T, Y AY —1,1800AROM* INSPECTION FEE S� t PLAN CHECK DEPOSIT RECEIPT 1527 TOTAL AMOUNT Elp I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 0 Ly STATE LAWS REGULATING CONSTRUC THEOWItIER IAGREETOC MR WiTHCtTYANDS L TION: AND IN DOING THE WORK AUTHORIZED THEREBY No PERSON Wj E EMPLOYED CODE OF THE STATE OF WASHINGTON RELATING TO CALL FOR INSPECTION AP PLICATION T Ph APPROVAL D IN VIOLATION 0 L ­4 WORKMEN R COMPENSATION INSURANCE AND RCW 18,21. FjCI MdA 'FIC SIGNATURE (OWNER (425) MAPEN,T) DATE SIGNED -1 -?1 771-0226 IRELD . 8 ATTENTION— EXT 333 E OR OCCUPY A BUILDING OR STRUCTURE UNTIL 4 n131114 IT IS UNL— UL I I " A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- FAX ORIGINAL-PILG YELLOW-INSPE&OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 5m.