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20000437.pdfDATE RECEIVED [PERMITEXPIRES -7 ZONE S PERMIT CITY OF EDMONDS —NUMBER — CONSTRUCTION PERMIT APPLICATION JOB EIAPT. ADDRESS oaA �,6vvck_ LISUul I 11AIE A111FILICI L4 PLAT NAMEISUBDIVISI LI NO, LID FEE $ MAILING ADDRESS lol PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— RE.CIFI�D.E=ATIO.— FT — F.- ..­ 0 P.— ;I�' 0 um-.' CITY C NAME METER SIZE I LINE SIZE OF IIXTUF�S Pv REQUIRED YES 13 NO 13 ADDRESS A MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY PHONE ENGINEERING REVIEWED/DATE _7�7,u) () i ' FIRE "'VIEWED By FIRE REVIEWED BY DATE CITY EF��E 'D MSPECTIO N BOND NUMBER C­KIEDBY I.ARIANCE OR CU RIA"'CE OR CU SHORELINE OR ADBN POSTED I o--2:, 0YREO" E� ONO HEIGHT P P TA CCO TPARCELNO. SERA REVIEW C-MPLE _ TE EXEMPT rALLOWED SIGN AREA ALLOWED PROP06EII ALLOWED ".,.S a C)c-' 1 0 0"�' , 0 NEW t2r�7PL MBINGIMECH LOT COVERAGE PROPOSED I.P. REQUIRED SETBACKS (Fl) FRONT SIDE FEAR PROPOSED SETBACKS (FT) FRONT UPSIDE ISAR FAUDITION 0 COMMERCIAL C MPLIAHCEOR CHANGE OF USE REVIEWED By DATE &:pEMODEL 0 APARTMENT C] SIGN PARKING REaD P IDED LOT AREA PLANNING n REPAIR C:] GRACING CYOS [:] F' E X FT) S S S C] DEMOLIS14 0 TANK 0 OTHER r o GARAGE rl RETAINING WALL 0 RENEWAL CARPORT G,,KVAY CHECKEDBY IT F. O..CUIA.lf2 I Up [_S.�P9_C1,A­LIN O—R OCCI ANT .0 RED nCyf E. LOAD J'ilyl -"�a 'a, "��6 jo�clo L VALUATION FEE ........................... PLAN CHECK FEE 1), 1 LOT SLOPE IT. BUILDING 4!W --- 7LAN CHECK NO: TED DATE PLUMBING MECHANICAL I, THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 8A GRADINGIFILL LIFE 2 DOMAIN (CURES, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE ETC I WILL REG :1 SEPARATE PERMISSION, I: "who-6 S RCHARGE 'I PERMITAPPLICAR N: 180DAYS PERMIT LIMIT. I YEAR PROVIDED ORK 19 STARTED WITHIN 100 DAYS ENS. REVIEW FEES EN SEE BACK OF PINK PERMIT FOR MORE INFORMATION JCC EN ANSPECTIONFEE 'A PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS� ASSIGNS AN SU ES -PIS I HE ITY F ML S , C Y 0 IN INTEREST, AGREES TO INDEMNIFY� DEFEND AND HOLD HAR LESS LANDSCAPING 0 E MONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FR IN ANY AN. D ) �CTLY OF INDIRECTLY ALL CLAIMS FOR DAMAGESOFWHATEVER NATURE. ARISING DIRECTLY INSPECTION FEE RECEIPT T FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS. PERMIT $HALL NOT BE PLAN CHECK DEPOSIT P. 0 Y CITY FIX NO DEEMED To Mo CEAN REQUIREMENTOF ANY CITY ORDINANCE D"YWAIVEORREOU Y PFOV'S'. NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION, - TO LAMOUNTOUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHOR ZED AGENT OF Thl. RPOM-1- I- F—il ­" THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- BE EMPLOYED CALL S� dl�l Offill-I �­Iy; .�d F... .1. P.1d. TION; AND IN DOING THE WORK AUTH0141ZED THEREBY. NO PERSON WILL CODE OF THE STATE OF WASHINGTON RELATING To I FOR INSPECTION IN VIOLATION OF THE LABOR WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, TE OFFICIAL K3 TURE DAVV� A,"R T' (425) /4 :L � �.J iO-'�JGAT 771-0220 DBY E ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY ASUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK � OWNER - GOLD - ASSESSOR 5198 z m c m MID 0 MT E: :� C-4 O.n .n m M 0 F cl) (1) M 0 z X z m RECORD OF INSPECTION$ INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall ............... Pier/Porch ................. Retainlrig Wall ........... Slab Insulation 0 PLUMBING: Underground ............. Rough -in ................... M Commercial Final M 0 HEATING: 0 0 M, Gas Test ............ IT1 Z Gas Piping ................. C > Equipment................. Commercial Final EXTERIOR SHEATHING NAILING .......................... V� FRAMING .......... 0 M FIRST FLOOR FRAMING_ C: 0 K Dy 1 IT 0 INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION ITI q MISCELLANEOUS .......... FINAL APPROVAL FOR 9 OCCUPANCY .................. Y57 ww 0 [PERMIT EXPIRES PERMIT CITY OF EDMONDS S NUMBER 0 SUITE/AFTl CONSTRUCTION PERMIT APPLICATION 'A'O'D ... SPI-n I f\-%lA­llAn L� ITY 7AMS TELEPHONE PLAT NAMEISUBDIVISION NO. LOT NO, NO, I [LI LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 EXISTING — PROPOS6D— a". a 0 EE..Hi...SDI..0._ IT a, R., urdine 0 PAV REQUIRED -(4-ldrD [3 NEW ESMENTIAL ��P.LUNIMNG I M5CH MEFGJ MR L ANCE OR OMMERCIAL CHA GE OF USE Co ,;<)AODITION )�EMODEL C] A 07PARTMENT SIGN C] 0 REPAIR 0 PENCE C] GRADING CYDS ( _ . _ ITI DEMOLISH o OTHER n TANK CARPORT 0 RETAlN ND WALL RENEWAL DO F4 .0 0 F INISI OR ACTIlITYl EXPI.AIN: UM ER OF WEELLING FRITICAL I AREAS YES 0 NO 0 R MARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z re _NGINESFING REVIEWEDIDATE FIRE REVIEWED By DATE Z VARIANCE OR CU SHORELINE OR AOBN INS.P.E.CTION D OYES ONO P101ONOD, ST. SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 9 'XP I m LOT COVERAGE REOUIRED SETBACK$ IFT.1 PROPOSED SET2ACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LHISIDE BEAR C z m 0 0 0 C: ------------ T-L" PARKING OT AREA PLANNING REVIEWED By DATE FSO-D I PROVIDED 3: m m 2 o -n "ni CHECKED ly NST T)ON C 0 Tf_3 GROUP ITYPIOIC 70 T rn rn SPECIAL INSPECTOR OCCU PANT I JAPIEA REQUIRED 0 YES LOAD 0 o rm REMA KS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REO'D C ri) t-r_,;, 71 z VALUATION FEE SIGN PLAN CHECK FEE Z 0 LOT SLOPE % BUILDING i PLAN CHECK NO: VESTS D DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGrFILL SIDEWALKS, vEWAYS, MARQUESS, ETC.) WILL REOUI DOMAIN (CURDS. DRI RE SEPARATE PERMIS RE MITAPPLICATION: 180DAYS I WITHIN ISO DAYS R. PERMIT LIMIM I YEAR - PROVIDED WORK S STA TEO ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN DEMNIFY INTS 'EST, AGREES TO It AYEE�".OLll =LESS THE CITY .1 AND bNOR LANDSCAPING �LGEIIMO X SOMONGS. WASHINGTON. ITS OPTIC , EMPL. A I. TSPROM ANY ALLCI_AtMS FOR DAMAGES DEW ATEVER NATURE, ARISING DIRECTLYOS INDIRECTLY INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I .EENHE.jT-.0.Ill.IVEOR REDUCEANY REQUIREMENTOFANYCITI ORDINANCE PROVISION.' I Er Y'S ABILITY TO ENFORCE ANY ORDINANCE LIMIT IN ANY WAY THE CIT A .... T US REG I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN CORRECT, AND THAT I AM 'HE OWNER, OR THE DULY AUTHORIZED AGENT 05 IS CITY AND STATE LAWS REGULATING CONSTRUC, T CALL 1 1, net . rall enlit elge.d by In. ia ad TMEOWI,JER. I AGREE TO COMPLY WITH TION; AND 00 NO THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO Bar, dinIt INSPECTION di ­I , his-1 Deputy: and FOOS are paid, add occripti andeeledgedid,re... p—ral- a IN VIOLAT;'ONN OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. IT) AT (425) LUIE�lll �1111A 1 771 2 -0220 R��O DATE By E ATTENfION EXT 333 IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- UBC SECTION 109 FAX 0111111,11LE 11111-INIREIT11 PINK, OWNER GOLD, 11SE11OR CATE OF OCCUPANCY HAS BEEN GRANTED.