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20000432.pdf'�� I PERMIT EXPIREST pi DATE RECEIVED USE PERMIT ZONE � <� _ g CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB Ess SUITE/APT# ADDR US OFEDMONDS ZO 'ON PERMIT APPLICATION 'AD N E D DRE S B RIGHT -'WAYPEFO'F .. AL G OWNER NA.B,.,.I.F I IINESS L E PI -AT NAMEISUBDIVISION N;7 'I y L�ON D FEE S Cl MAILINGADDRESS KEIC PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP e EX xI-TP,IG � PROPOSSD� tTY ZIP TELEP NE EDCAT"N_ REQUIRED DEDICATION— PT — -4 LINE IIIE NO, OF FIXTURES P V REQUIRED NAME MEfEP SIZE IES 0 NO 0 REMARKS ADDRESS __" T --l—T.Al-H F.I.N111BLE FOR EROSION CONTPI.lJD.AINA.E ll FIRS REVIEWED By DATE STATE LICENSE NUMBER DATE CHECKED BY -'-� No YEr SIGN AREA HEIGHT PROPERTY TAX ACC L NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED 54 lic- Lrz�'Q��_ I— 413 EXP I -;ROPOSED EDSETBACKS(FT.) SETBACKS (FT.) "Er NEW FEEMENTIAL LUMBINGIMECH AU_6l;iED_ PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR 0 ADDITION COMMERCIAL C MPLIANCE OR CHANGE OF USE PARKING LOT AREA 0 REMODEL APARTMENT 0 SIGN PEO'D I PROVIDED 0 REPAIR --E­��� 0 FENCE FTI MARKS 0 DEMOLISH 0 TANK c3 OTHER 0 CARAG OAFPOl'lT 0 PETANING WALL SOCKEI RENEWAL Q (TYPE OF USE. BUSINESS ACTIVITY) EXF IN: CHECKED BY TYPE OF ON= s NUMBER N SEP OF G CRITICAL AREAS SPECIAL INSPECTOR AREA LOAD 7 OF STORIES D ELLIN U TS NUMBER REQUIRED CD YES DESCRIBE WORK TO BE DONE REMARKS OGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REQ' fuo.ncLa atv, "I- cam, i-n VALUATION FEE PLAN CHECK FEC HEAT SOURCE 5 ILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO I: BE .. E . PRP'ATE PROPERTY ONLY. ANY CONSTRUCTION N THE PUBLIC 2 .MAIN 'CUR..' SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE :1 SEPARATE PEA�ISSION. I GRADiNGIPILL URCHARGE IS P MIT APPLICATIONZ 180 DAYS E W PERMIT LIMIT. I YEAR ' PROVIDED ORK IS STARTED WITHIN 180 DAYS SEE SACK OF PINK PERMIT FOR MORE INFORMATION ENG, REVIEW FEES — ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HERE, ASSIGNS AND N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTONj ITS OFFICI I.S. EMPLOYEES, AND AGENTS FROM ANY AND ALLCILAIMSFORDA AGE OFWHATEVER NATURI,A RISING DIRECTLY.,,,,,-,,.-- - x FROM THE ISSUANME OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE TO ..'WAY THE CITY'S ABILITY TO EN FORCE ANY ORDINANCE PROVISION,' NORLIMITINANY ENG. INSPECTION FEE LANDSCAP NO INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT REC I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT AND THA LY AUTHORIZED AGENT OF TI AM THE OWNRIOR THE OUSITEGULATING CONSTRUC THE OWNER, I AGREE 70 COMPLY WITH CITY AN lATIl LAW T ; AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED ION RELATING TO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMENS COMPENSATION INSURANCE AND SI TURFIZ OATS SIGNED XMi 2LL APPLICATION APPROVAL omttl�,­bylhl di 9 Ojj,­I ., hi,A,o, o,p,ly: a.d F­ .1. PA 1. _­­ ..­wI.,fg.d 1� �p... p-ld.d. TION DATE (425) 1\ 771-0220 Aytgro By � ATTENTION v IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 EXT 333 771-0221 FAX ORIGINAL -FILE - YELLOW- INSPECTOR PINK - OWNER - GOLD . ASSESSOR 5198 z 0 80 c m M a — o -n n;o. Im 0 Fn m ro z Ij z 0 m ... .... ().j �PESMIT EXPIRES R;r PE M z URMIT CITY OF EDMONDS N BER ��j CONSTRUCTION PERMIT APPLICATION JAOGRESS ZIP ADDRESS TITY NAME (XVI'la a&" ocrk ADDRESS CITY ZIP TEL PHONE FLAT NAMBISURDIVISION NO, LOT NO. �40 NO. LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P-1:NZ-1- .. u. P.— I., C. EXISTING � PROFOSED-- S4 REQUIRED DEDICATION— FT LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 0 No 0 — 14 U_Q� - Ln u u NEW RESIDENTIAL LUNGING MECH ADDITION C] COMMERCIAL o C MPLIANCE R COANGE OF USE REMODEL C] APARTMENT, SIGN C] REPAIR FENCE I X FT� DEMOLISH f-I TANK o OTHER 0 OARAGET ARPO R 0 1,11TAIININGINALL OC ", 0 RENEWAL CTIVITY) EXPI-Aft NUMBER OF NUM5,go, GWE'L NO ­11CAL AREAS _- STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE �EMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJDRA�114 EW�=AT� FIRE REVIEWED BY DATE Z VARIANCE OR CU SHORELINE OR ADBN INSREEO�TICTN BOND C 0 0 NO oYFS 0 IPOSTED SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I EXP LOT COVERAGE REQUIRED SETBACK$ IFT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR 0 C m 0 0 I=ARKIN. E.. PROVIDED ni c REMARKS cn O"n CHE K DGY 'H 0 C D CCU X in M �TYPI ,;PE.,AL,.S TOR AREA ;lE .. .U'FE. E7 0 REMARKS CTION REG' 1) PROGRESS INSPECTIONS PER UBC l0B/FINAL INSPE 0 c: (a rn M C) Z VALUATION FEE W PLAN CH5CK FEE PT z HEAT SOURCE GI.AZINQ I LOT SLOPE % BUILDING 9 - PLAN CHECK NO: PLUMBING 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, SIDEWALKS, DRIVE A S, MARQUEES, ETC.) WILL REQUIRE GRAOtNGIFILL R WAY SEPARATE PERMISSION, WIWK URCHARGE M P L CATION -S DAYS PERMIT APPLICATION: I W PERMIT LIMIT 1 YEARRPROVIDED WORK IS STARTED WITHIN 180 DAYS ENE, REVIEW FEES SEIEBACK OF PINK PERMIT 'OF MORE INFORMATION ENG, INSPECTION FEE -A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS P IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING I MON.S WASHINGTON iTS OFFICIALS EMP ANYAND EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM INSPECTION FEE ALLCLAtMS FOR DAMAGES0 IS U CTLY OR INDIRECTLY F WHATEVER NATURE. ARISING LL CLAIMS R MA . T, DIRE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT D C M To ..' Y IV. 0 RED NY F F Y ORDINANCE EEMED TO MODIFY. WAIVE 08 REDUCE ANY REGUIREMENTO ANYCIT RECEIPT NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINAN11 TOTAL AMOUNT DUE RECEI I HEREBY ACKNOWLEDGE TH - HAVE READ THIS APPLICATION; THAT T A PLICATION APPROVAL GIVEN - AND THAT: AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IS CORRECT, AT R - STATE LAWS REGULATING CONST UC CAL L T hj� pp,-,.- p.,.jj u,jil .1p.d by .. p1d, ,I THE OWNER. I AGREE TO COMPLY WITH CITY AND THEREBY, NO PERSON WILL BE EMPLOYED S.i"i�g Ofim! :ld TION: AND IN DOING THE WORK AUTHORIZED CODE OF THE STATE OF WASHINGTON RELATING TO I,— p—ided. FOR INSPECTION IN VIOLATION OF THE LABOR WORKMEN'S COMPENSATION INSURANCE AND ACW 18.27. ___l OFFICIALS GNATUIF DATE DATE SIGNED (425) �A TrA �Tll 00 771-0220 R By EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR 5198