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20000396.pdfDATE RECEIVED CITY OF EDMONDS -CONSTRUCTION PERMIT APPLICATION MC ,��AIIEWI A MAILING ADDRESS ADDRESS c, kk I cl� 'IF ITILEPHONE �unyvljoocj NAML� ifc?_t t qv-\ M ADDRESS 0 [PERMIT EXPIRES USEE PERMIT 'ON NUMBE Job I iTEAPTM 1�� ADDRESS; , k_AL C'\ — FLA NAMEISUBOR�ISIONNO 'AT LOTNO. LO'No LID NO. LID PEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPAPP-ld AW P., EXISTING — PROPOSED— = F F, ,_, Pl- Rlq d 0 0, RECUIREDDEDICAT10— FT — METER SIZE LINE SIZE 00- IF FIXTURES REQUIRED I YEPFV YES 0 NO 0 REMARKS AGE -.1-.1-T-1— ­11-PIR15 FOR EROSION CONTROUDRAIN vl-\.k cko_ FIRE REVIEWED By DATE CITY 0 ZR, TELEPHONE INSPECTION 811 D STATE LICENSE NUMBER b-11ON DATE cme��Y V it CE 08 ou SHORELINE OR ADS# 0YRECko POSTED 1 dxmilmko(e <:� —e 0. S REVIEW EXEMPT SIGN AREA ALLOW D P!n HEIGHT ALLOWED I (D ENT, I 14 LOT COVERAGE REQUIRED SETBACKS HFT�) PROPOSED SETBACKS (AT.) NEW 0 RESIDENTIAL C] PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAS 0 ADDITION E] COMMERCIAL COMPLIANCE 08 CHANGE OF USE DATE C] REMODEL APARTMENT KE-N R PARKING EGO PROVE) LOT AREA I 3NING REVIEWED By 0 REPAIR GRADING CYDS Cl I _ X _ FT) REMARKS r-1 OTHER DEMOLISH L_j TANK GARAGE cl RETAINING WALL 0 RENEWAL CARPORT ROOKERY- — (TYPE 01 USE BUSINESS OR ACTIVITY) EXPLAIN: fZ0qPh4 UPANT .0.1 5 . ..... NUMBER 0 F "ElAllA AS ECIAL IN - OF IF or a STO IES OWELLIN G NUNI'T'S" NUMBER REQUIS 1L.A. ED YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO si 6, a F-i �IlllPk 11 -k tl� .0 Incel. (I /J(- lj)1Yk*hlJ VALUATION FEE PLAN CHECK FEE HEAT SOURCE BUILDING DATE PLAN CHEC _ 1 6)(:/ 1111TED _M MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, S. MARQUEES, ETC,) WILL REQUIRE SIDEWALKS. DRIVEWAY CRADING/FILL SEPARATE PERMISSION. STATE SURCHARGE PE MIT APPLICATION: 110 DAYS F. PERMIT LIMIT'. I AS - PROVIDED WORK IS STARTED WITHIN 180 DAYS YE ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION F -APPLICANT ON BEHALF OF HIS on HER SPQUSE� HEIAS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO :NDSMWFY� DEFEND AND HOLD HARMLESS THE CITY OF LANDS ING 2 EDMONDS, WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND INSPECTION FEE ALLCLAIMSFOR AMA ESOFWH�TEVER NATURE, ARISING DIRECTLYOR INDIRECTLY 0 G NOT BE RECEIPT x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL TO MODIFY, WAIVE OR REDO E ANY REQUIREMENT OF ANY CITY ORDINANCE DEEMED TOMNY PLAN CHECK DEPOSIT NORLI TIN ANYWAYTHE CITY LITY TO ENFORCE ANY ORDINANCE IAOVISON.� NJ BASIC TOTAL AMOUNT DUE RE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN CORRECT. AND T AT I AM THIS OWAER� OR THE DULY AUTHORIZED ADEN r OF IS Thl, IPPI'llb-1 I' nbl a P-it ­6 s,gned by - OMPLY WITH CITY AND STATE LAWS THE OWNER, I AGREE TO C REGULATING CONSTRUC CALL BI,,­g 010-1 ol ­,,o, G­jyj nd A., A,. pAl. ­d TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TO FOR IN SPECTION IN VIOLATION OF THE LABOR GO OF THE STATE OF WASHINGTON RELATING D TE PotAE WORKMEN'S COMPENSATION INSU NCEANDRCWIS,27. OF ICIA HA E DATE SIGNED (425) (OWNEf 0 AGE TATURE ZLIL1_� 771-0220 EL ASED B OAT �lj EXT 333 ATTENTION U IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� 011.IN'AL - 'ILE ELLOW - INSPEC76R GOLD - ASSESSOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX "NK - OWNER �198 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............... wall Pier/Porch � ................ Retamirig Wall ........... . Slab Insulation PLUMBING: Underground ............. Rbugh-In .......... M Commercial Final M C) HEATING: Gas Test M z .................... 10 —1 Gas Piping > z Equipment ................. Commercial Final -n V EXTERIOR SHEATHING NAILING .......................... rn IT FRAMING .......... I ............. 0 Fn C co FIRST FLOOR FRAMING— rj) M 0: INSULATION ............... z .4 Floor Insulation Insulation Wall .......... Z' Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION Z� M: MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY ............ o;103; 110 DATE RECEIVED FPERMIT EXP IRES 1 kx US' USE PERMIT N D CITY OFEDMONDS 0 0 S F '0 Z.NFC NUMBER ER IT A ICATION N p M PPL CONSTRUCTION PERMIT APPLICATION _e) JOB SUITFJAPTN JOB -7 tEDMI NA EMA lEs *4yt FLAT NA.FISUBDIIISION NO, A ] LOT NO. L PC NO: LID FEE $ MAILING ADDRESS t 9-)1 -7 moin UB L STREET MAP PUBLIC RIGHT OF WAY PER OFFICIA 0 0 TELEP7NE T PN H E EXISTING — PROPOSED 0 0 -cify REO LIMED DEDICATION— FT NAME cd sl (nvi METER SIZE I LINE SIIE O�,GIF FIXTURES PRV REQUIRED 0 X YES 0 NO 0 ba , ADDRESS E `1 AV-( L)I)es7 OWN ERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE j C, L, V ` �L 1"J T CITY ZIP TELEPHONE ONE 3-70 & NAmel v REVIEWEDIDATE ADDRESS FIRE REIMWED By DATE F. CITY ZIP 0 TELEPHONE a. BOND z STATE LICENSE NUMBER EXPIRATION DATE lt�� CHEOMY VARIANCE OR CU — SHORELINE OR ADBb INSPECTION REOI�o POSTED 0 YES - SEPAREVIEW E EXEMPT SIGN AREA LLOW 0 P A E HEIGHT ALLOWED PROPOSED M E A t 14 (n) o d EXF LOT COVERAGE REQUIRED SETBACKS (FTj PROPOSED SETBACKS (FT.) X NEW: PLUMBING M5Cfj ALLOWED PROPOSED FRONT SIDE FEAR FRONT IJR SIDE REAR, M c 0 ADDITION COMPUANa CA CHANGE OF USE M a 0 F, PARKING LOT AREA 0, REMODEL SIGN -4 0 GRADING REPAIR CYDS 13 X FT) K 3 M: M, DEMOLISH TANK 0 OTHER i 2:2 z RETA'ININ, WALL 0 E RENEWAL Cl GI;A=RFT R.G PIP OF U E BUSt 9SS OR ACTIVITY) EXPLAIN: T IE SB G�ACT�IVITY) C'X�LAI. 0 'US -US'NE CCUPANT WCTION OCCUPANT P� (TYPE KILL vjI pytivil'api T C ED By T ONE K GROUP ROUP___� 0 _n NUMBER OF NUMBER OF DW ELLING OR TICAL AREAS OCCU NT OCCUPANT VL.A. LOAD E 'ALINS8.Y 'POUIRED U,.FG ba 0 STORIES NU USER IE C3 YES M M DESCRIBE WORK TO BE DONE DESCRIBE WORK TO BE GONE REMARKS 0, PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RED' M Sib, ri.,- orr-f lul$ K IKz t I c ch buji/ odlic�r 1—p I ln.I�irlc Oro! To sh a. VALUATION FEE z PL N CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDING z DATE DATE PLAN CHEC TED VESTED M ECHANICAL tz�THIS ""IT AUT"' I'll ONLY THE WORK NOTES, THIS PERMIT 111111 WORK TO El`E .. E ON 'RI'IATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL ..A'. 'CURB., SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE MIT APPLICATI N: 1800AYS YE9E P. PERMIT LIMIT, 1 AR, PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEEBACK OF PINK PERMIT FOR MORE INFORMATION 'A HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS PPLICANT ON BEHALF OF His OR E IN DEFEND AND HOLD HARMLESS THE CITY OF INTE IE , AGREES TO :NDEMNIFY, S FROM ANY AND LANDSCA NO M EDMONDS , WASHINGTON, TS OFFICIALS, EMPLOYEES, AND AGENTS ALLCLAIMSFORGA AS OFWHATEVER NATURE, ARISING DIR—L, M 'S INSPECTION FEE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT ��_sqa I D EMED To MODIFY, WAIVE 0 REDUCE ANY REQUIREMENT.1 ANY CITY ORDINANCE TO ENFORCE ANY OR DINANCE PROVISION.' RECEIPT NER LIMIT IN ANYWAYTHEC Y'SABtLITY TOTAL AMOUNT DUE I c�, <:::�L_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION ve, �. al APPLICATION APPROVAL GIVEN IS OWNER, OR THE DUkY AUTHORIZED AGENT 01 'AN ' THAT AM `AEG'FTi T 'm�,a P—al a0lF.ig,ma by Ih. G CONSTRUC- TH E WSICG " N E TO C-.,'Ly WITT'N C ITY A N D STATE LAWS F E U _ATI N Loy D WILL BE 'TO C ALL Raib,.la'PP`c, Ojb,jm,, hisft, Doplly: and -a am Pald, -al TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON L111 IN VIOLATI N OF THE LABOR CODC OF THE STATE OF WASHING TONI RE ATING N molpt 1, .1klowmd9od 1� g .. Pm v�d.d. FOR INSPECTION I WOAKMSN'S COMPENSATION INSURANCE AND HOW 18�27. 0 0 F IA N E 0 TE 11 DATE SIGN 0 (425) Sl:ATURE OI�NEP 0 . I I I . L Li� 771-0920 e ABED BY GAT ATTENTION U EXT 333 All, ITIS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 INSPECYOR A FINAL INSPECTION HAS BEEN MADE AND APP ROVAL OR A CERTIFI- ORIGINAL - PH _F YELLOW - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK -OWNER GOLD -