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20000430.pdf'I DATE RECEI __L—I� . ?. .0 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION CITY ZIP TELEPHONE NAME ) G PERMIT EXPIRES 1 USE ZONE 'S _ i -2_ PERMIT NUMBER 4X:43r) .7-7 TEIAPTO ADDR,S":5—qr) 12--+,\ Il==.- PILAT NAMEISUBDIVISION NO. LOT NO.. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI TES—pp-0 RW P—h R.q d EXISTING PROPOSED d AT,O REQUIRED DEDICATION FT U, VI, NIETERIIZE LINE IIIE NO, OF FIXTURES P RV REQUIRED I YES 13 No 0 R MARKS OWNERICONTRACTOF, RESPONSIBLE FOR EROSION CONTROUDRAINAGE_ � � I) le- \� 1 1.1 (A ENGINEERING REVIEWED-5 ADDRESS "(3I,9,1� 41/-� :�__Sz2c FIRE REVIEWED BY DATE �ELEPHONE C)- VARIANCE OR CU SHORELINE OR ADS# INSPECTION I BOND STATE LICENSE NUMBER EXPIRATION ­1 ED BY REO'D E3Y�S ONO I POSTED SIGN AREA HEIGHT W COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO, I , EXP I . — — LOT COVERAG REQUIRED SETBACKS (PT-) PROPOSED SETBACKS (FT) 0 NEW RESIDENTIAL PLUMBING I MECH PFOPES�U ALLOWED 0 FRONT SIDE REAR FRONT R SIDE REAR u cl ADDITION ro COMMERCIAL 0 COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE C] REMODEL 0 APARTMENT [3 SIGN REGO I PROVIDED REPAIR C3 GRADING CYOS 'ENCE ( _ X _ FT) DEMOLISH TANK ci OTHER GARAGE C ARPORT RETAINING WALL _.FFY al;iNEWAL CHECKEDBY JTY� C ..... ER .1 AL SPE IAL I NS� -T�F GUR : ED LIN E ': PECIALINSPECTOF NUMBER LWEL 0 AUCA S OF NI N MBER REQUIRED 0 YES $TO IES TS_ DESCRIBE WORK TO BE DONE PLAN CHECK FEE HEAT SOURCE GI-AZING % LOT SLOPE % BUILDING -PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ONITHE PUULIC GRADINGIFiLL E '.E W . W , U DOMAIN (CURBS. SIDEWALKS, DRIVEWAY . MARQUEES. ETC I WILL REG IFE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 1110 DAY. PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION S S El.RS 'APPLICANT. ON BEHALF OF HI ORHER pEO�UEE I CITY F P TION FEE G I N'PEC"ON FEE EN S EC G. IN Ng,�,.,LGSHIAIISA�I�ITS.IC � AGREES TO N NIFY. DE, RMLE ININTERESWT :TDOFF$CIALS' FROM ANY AND D A ING LANDSCAPING L SC P FE FEE E EMPLOYEES. ANDA EDMONDS NGTON SEM DENTS . ASHI OR INDIRECTLY INSPECTION I ECTON NE ALUCLAIMEFOR GAMAGE� OF WHATEVER NATURE, ARISING DIRECTLY PERMIT .15 PERMIT SMALL NOT BE ISSUANCE OFT ]MEN; C Epo SIT PLAN CHECK DEPOSIT . ;; FROM THE ISSUANCE OF THIS DEEMED TO MODIFY, WAIVE OR REDUCE ANY REGUIRENIENTO F ANY CITY ORDNANCE NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINA-1 I -- TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONY. THAT THE INFORMATION By ACK.N.0 A HORIZED AGENT OF F ULY UTH OTRATTEF DUS AUT GIVEN IS CORRECT, AND THAT I AM THECGWNENA H TYA 6S LA , U T, C C. BTFUC W G THEOWNER I AGREETO COMPLY Wil RE LATING CONSTRUC CALL 7 ION AND IN DOING THE WORK AUTHORIZ THEREBY, No PERSON WILL BE EMPLOYED TO FO R INSPECT11 T'D 1 N VIOLATION OF THE LABOR CODE OF HE STATE OF WASHINGTON RELATING WoRKMENSCOMPE=ION INSURANCE AND RC,718.27 (425) sIG7 ,�/E(DWNE OR GENT 71 7 -0220 A17ENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX I �c) IN I LOAD PER UBC I 081FINAL INSPECTION VALUATION I FEE ­ � ­l ­1.1 �1,­ b, 11 ,Vho, Dop.ly — IW�- .1kl­Ild9ld � W." P-1dod ORIGINAL -FILE - YELLOW INSIECTCR PINK OWNER- GOLD ASSESSOR z 0 Rl '49 ra � 0 rn c: a m 0 80 c m � z U) io! Dos 0 0 z '9 0 m . . . . . . . . . . . . . :,koTice7"IF tHE'DbCIJMEkT IN THI, Ff��Mt 'S� LESS CLEAR tHANTHis NOTICE IT IS DUE TO THE QUALITY OF THE DOCUMENT. ............ 07 3: g 59 u cm at Al kw MAILING J PERMITEXPIWES USE CITY OF EDMONDS ZONE PERMIT NUMBER AlIr S CONSTRUCTION PERMIT APPLICATION JOB ADDRESS ER NAMEJ��E OF A PILAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE I= PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP R. ­P­ 0 EXISTING � PROPOSED� C TELEPHON 0 REQUIRED DEDIOATION— IT — VIM, 1­11.d 0 TER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED NAME YES E3 NO 0 ADDRESS REMARKS OWNERICONT-C— F F,R F.nPiGN CONTROU11111111 CITY ZIP �REV'EWED'G�ATE NAME NGINEERING ADDRESS FIRE REVIEWED By DATE z J ZIP TELEPHONE VARIANCE OR CU SHORELINE OR AD5N INSPECTION OYREG-D ES E3NO 80 D POSTED STATE LICENSE NUMBER INV-rT-:74 SEPA REVIEW COMPLETE EXEMPT AREA ALLOWED PROPOSED HEIGHT ALLOWED I PROPOSED CEL NO. EXP I LOT COVERAGE HEOUIRED SETBACKS tFT.) PROPOSED SETBACKS I" PLUMBING I M C] NEW CH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0 o C MPUANCE F ADDIT ON I CHANGE OF USE -40 C: PEO"ARIKING PROVIDE AREA PILANNIIN GAT E G REVIitO BY REMODEL Cl SIGN m E] FENCE REPAIR GRADING GYDS x I C z DEMOLISH TANK D ARAG RETAKINIRNYG WALL QWN:E-WAL GGAFPOET F.0 F 0 -n -n p EXPLAIN: CHECKED STIRUC ION ON occur ;R P ROU t -4 3: m m NUMBER NUMBER OF CRI.TICAL AR S SPECI IN 0 A�i� OCCUPANT OF DWELLING STORIES UNITS NUMBER UALDSPE REG IRE [] YE LOAD C��o - 0 0 C DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER LIBC 11081FINAL INSPECTION REO'D C v) M 0 z z --I 29 VALUATION FEE CID z PLAN CHECK FEE 0 �EAT SOURCE GLAZING BUILDING 1, 0 m PLAN CHECK NO: PLUMBING MECHANICAL T.I.,PE..'T AUTHOFIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO E DONE .. FVAT PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL RED IRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATIO ; ISO DAYS PERMIT LIMIT. I YEAR -PROVIDED WORK 15 STARTED WITHIN ISODAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEE S F M OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ON BEHALF 0 S END. INSPECTION FEE ;APPLICANT. N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS ROM ANYAND INSPECTION FEE MAG OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY ALLCI-AIMS AC NOT Be =AN RECEIPT F.. THE E CEST.IM PERMIT ISSUANCE .1 THIS PERMIT SHALL DEEMED To MODIFY, WAIVE OR REDUCE ANY REOWREMENT OF ANY CITY CRDINAN E PLAN CHECK EPOSIT D 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINAN m RECEIPT TOTAL AMOUNT DUE I HER EBY ACKNOWLEDGE THAT t HAVE READ THI S APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN I CORRECT. AND THAT 1 AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF S Thil ppl­,­ ­t , po,mil u.jid 11,1d by - THEOWNER. AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRU E C D 'ONG CALL Bui,­, 011i-I ., 1,m1h., D�pdI, -d F­ .1. p-, TION; AND THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY 'No I TO OF WASHINGTON RELATING I J­­p­ld�d. FOR INSPECTION ""'pi-, -we IN VIOLATION OF THE,.LABOR CODE OF THE STATE ATUR WORKMEN$ COMPE=ION INSURANCE AND R41B.27. FFICI LS 510 (425) SIGN / / =a2_ 771-0220 le ASEDBY CATE EXT 333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPE CTION HAS BEEN MADE AND APPROVAL OR,A CERTIFI- ORIGINAL - FILE YELLOW INSPECTOR BEEN GRANTED. UBC SECTION 09 FAX PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS Sme