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20000462.pdfDATE FEGEIvhU CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMEINAME OF BUSINESS 0,_,Q%5jM ,ING A5DRESS u ZIP ADDRESS CITY el"� (�& I I PERMIT EXPIRES JL74� USE PERMIT 200462 'ONE LIP NUMBIER JOB sulTUAPTR ADDRESS ts T PLAT NAMEISUBDIVISIDN NO. 11, NO, III NO, LID FEE S PUBLIG RIGHT OF WAY PER OFFICIAL STREET MAP I ... PA111- .-I U.. P... EXISTING - PROPOSED - REQUIRED DEDICATION- IT - METER SIZE SZ LINE SIZE NO, OF FIXTURES REQUIRED PFV FEC I YES NO rl YES IREMARKS INFAICONTRACTOR RESPONSIBLE FOR EROSION CONTRoUDRAINAGE DDRf��,5 &t, I FIRE REVIEWED By DATE U_tP .. E INSPECTION I BOND VARIANCE OR CU SHOREUNE OR ADB# I POSTED -H-ON DATE ;IM C3 YREO'D I ES ONO Kqv '7 IIBN AREA HEIGHT io REVIEW CII ILETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I VERAGE EQUIRED SETBACKS (M. 0 R PROPOSED ETOACKS (FT) R'S 0 NEW 9SIDENTIAL C] PLUMBING I MECH AILLDICTEDC PROPOSED FRONT SIDE REAR FRONT USR SIDE REAR 0 ADDITION 0 COMMERCIAL 0 COMPLANCEOR C3 CHANGE OF USE REVIEWED By DATE [3 REMODEL 0 APARTMENT SIGN PEO'D PROVIDED E] REPAIR GRADING CYDS PENCE I - X - FT) REMARK OTH )�EMOLISH C] TANK o�GGARAGE CARPORT RETAINING WALL RENEWAL ROOKERY 0 (TYPE OF USE. BUSINESS OR ACTIV I y N: C c )Y I TYPE OF COfN La� p NUMBER NUNME CRITICAL" SP JAREA OF OWELLF.' G AR EAS MBER ��JALEINSPECTOR EEC, A R [] YES LOAD STORIES UNITS NU DESCRIBE WORK TO BE DONE REMARKSF., .,.. _ONS P RE 'D I ER UBC 108/FINAL INSPECTION RE . PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: I PLUMBING ECHANICAL THIS PERMIT 4 TH lIZES 0 E FK .TE.,NT.IS PERMIT COVERS WORK TO B "LY TH W. BED RE . U , FRIATE PROPERTY ONLY. AN, Co 'TRUCTION ON THE PUBLIC GRADINGIFILL U DOMAIN S� S.._AL... DRIVEWAY.. MAR. EES. ETC.) WILL REQUIRE ICUR SEPARATE FER.BISI.N. SURCHARGE PERMIT APPLICATION: 18D.AYS PERMIT LIMIT: 1 YEAR � PROVIDED WORK IS STARTED WITHIN 1.0-Y9 END REVIEW FEES SEE BAC OF PINK PERMIT FOR MORE INFORMATION OR HER SPOUSE. .1INS A 11" -APPLICANT ON BEHA r HI NS AND SUCCESORS L, , AND HOLD HARMLESS THE CITY OF END INSPECTION FEE LANDSCAPING NgS I FEES TO "NIFY, DEFEND N NT�FES�.,CACB ITS OFFICIALS. E PLOYEESSAND AGENTS FRO. ANY AND INSPECTION FEE EDMONDS. WASHIN TON AMAGEi OF WHATEVER NATURE. ARI INGDIR CTLYORIN ALLCLAIMEFOR D G YORIN IRECTLY PERMIT SHALL NOT BE RI DEP051T FROM THE ISSUANCE 01 THIS PER -IT A SS ANCE OF THIS o MoD,Fy�yW7A.jvEGoRy�$EA,.LjCEYN REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEEMEDT [SION.' NORL-TINANY W E IT IIT TO ENFORCE ANY ORDINANCE PRO' I HEREBY ACKNOWLEDGE THAT I HAVTE READ THIS APPLICATION, THAT THE INF RIVATION AGENT .1 GIVEN IS CORRECT; AND THAT I AM rTHE OWNEN� RATHE ULl�A.lHCTI-D 'T EAW LA NO CONSTRUC , CITY A 6o ECD CALL THE OWNER. I AGREE TO COMPLY IN, TION, AND IN D THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED DIN TO FOR INSPECTION HE IN VIOLATI ON 01 THE LABOR CODE OF T STATE OF WASHINGTON RELATING WORKMEN'S Co MPENSATION INSURANCE AND RCW 18,21, p SIGNATVEVhNEHORAGENTI ATE SIGNED (425) 771-0220 EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCI URE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A,CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. uBC SECTION 10 FAX 1198 kPPLICxTION APPROVAL DA TE .S SIG NATURE 11) RUNAL FILE - 4ELLOW( INSPECTOR PINK - OWNER - GOLD - ASSESSOR Z 0 m c rin 0 80 a M M z 0-1 c > 0 _n n m M 0 0 o C 90) .. M 0 ;u z co z 0 0 m RECORD OF INSPECTIONS . .. ......... ... if INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .............. ZO' Pier/Porch ................. Retaining Wall ........... 0 M Stab Insulation .......... PLUMBING: rn Underground ............. M C,3 0 Rough -in ........ ........... C Commercial Final M HEATING: Gas Test .................... r— Gas Piping ................. 0 -n, Equipment ................. Commercial Finil rnT EXTERIOR SHEATHING 00 NAILING .......................... 10 FRAMING ........................ IT, FIRST FLOOR FRAMING INSULATION ................. . Floor Insulation z Wall Insulation ........... Cl) Ceiling Insulation z SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. DATERECEIVE [PERMIT UkPIA`Fr9 USE PERMIT C)TY OF EDMONDS ZONE NUMBER PERMIT APPLICATION JOE SUITEIAPT - N CONSTRU&ION ADDRESS r3,-- u OWNER NAME.AME OF BUSINESS PLAT NAMEISUBOIVISION NO I LID NO. 0-e-.C-CAAT LID FEE Sj MAILINGA DRESS L till, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP cp �p a 'Elc :=d.. 0 U.. P ".". 0 "d C11 ZIP TIIE7,,_t/ EXISTING � PROPOSED REQUIRED DEDICATION— IT — 0 _K__ CO3 _",.b Ld METER SIZE LINE Sill No, 01 FIXTURES P RV REOUIREO NAME YES 0 NO 11 REMARKS Fl—N-1 F FOR EROSION CONTROUDRAINAGE ADDRESS CITY ZIP TELEPHONE N (hll If PliIi7AI 661 6W ENGINEERING H—lb—DATE I ADDR I FIRE REVIEWEDBY DATE CI TE21R.NE T7 z 0 11 7 7-DATE VARIANCE OR CU �H®RELINE OR AD5. INSPECTI REQUON BONO POSTED 5 S ELICENSENUM OYES rjN0 SERA REVIEW b,.N —n COMPLETE ElEMPT LLOWED PROPOSED HEIGHT ALLOWED PROPOSED PE T I CC I EXP PROPOSED SETBACKSIFT) m RESIDENTIAL PLUMBING I MECH -54 LOT COVERAGE SOURED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR m 0 NEW 0 cD C MFLIANCEOR C3 ADDITION /E] COMMERCIAL CHANGE OF USE PLANNING REVIEWED By UAIh 0 c PA KING IDED LOT AREA m 0 REMODEL APARTMENT SIGN FEO� D PROV M FENCE GRADING X FT) REPAIR c CYDS EMARKS io EMOLISH El TANK RAG' 0 RETAINING WALL C] RENEWAL [3 �AAFP..T O,.K by 77T�p-, USE BUSINESS 0 N I Y TYPE OF TRI 0 FCO GC 0 CUPAr� FOUP o -n n �; NUMBER / "ECANjpECTOR RE ED n D ACOEA LO AD m M OF o STORIES YES DESCRIBE WORK TO BE DONE REMARKS CTI N R .—,,mVbtQ IMqPFnTIONS PER UBC 1081FINALINSPE 0 C cl) Aj c CA M 0 z #A peko r --I -z!EgL2 Q A-(- 0 r— > 30 L j z VALUATION FEE, --I cl) PLAN CHECK FEE z % L 11 OT SLOPE BUILDING 0 PLAN CHECK NO: PLUMBING IT! MdCHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. iHIuEhM.lT.C.oTV.ERS WORK TO CT'O PUBLIC BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTR SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE GRADINGIFILL DOMAIN (CURBS, SEPARATE PERMISS It SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT: I YEAR . PROVIDED WORK IS STA TED WITHIN 180 DAYS ENG. REVIEW F EES SEE BACK OF PINK PERMIT FOR MORE INFORMATION S ;A PI T. 0 AL F HIS OR HER SPOUSE� HEIRS. A SIGNS AND SUCCESORS T Y' DEFEND AND HOLD HARMLESS THE CITY OF ENG. INSPECTION FEE LANDSCAPING EES :NDEMNIF N I TE EST.. A" S OM ANY AND ED NEE. GTOM T OFFICIALS, EMPLOYEES AND AGENTS FIR INSPECTION FE M URE.ARIS[NG DIRECTLYOR INDIRECTLY ALL 1 S F RDA A ES F HATEVER NAT I THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT PLAIN CHECK DEPOSIT FA THEISSUA CE A FIEDU E AN' FE.LIREINENT .1 ANY CITY ORDINANCE IS E 0' Y ENFORCE ANY ORDINANCE PROVISION. RECEIP IT H"E`C TY'SABICLITYTO N F Lt T NANY YT I TOTALAMO NT DUE ACKNOWLEDGE THAT I HAVE READ THIS APPLIHCEATI APPLICATION APPROVAL I HEREBY E�N Ol'RECT AND '17 E -WHER6 OR T 0 V IS C Thl. IPPlillb—b n., unijbign1d by thO CHATPLA� E WNEI. EE I HCITYAN STATE LAWS REGULATING CONSTRUC THI ACR To . W WILL BE CALL BOd, bnd F ...... P d—d 01 D-P"Iy: E WORK AUTHORIZED THEREBY. NO PERSON EMPI.OYED TION AND IN DOING TH RE ATING TO OF THE STATE OF WASHINGTON FOR INSPECTIO N ... ipt I� lbk,.wTodg.d in b. F—nl- IN VIOLATION OF THE LABOR ODE 'ORK.EN'S COMPENSATION INSURANCE AND RCW 18,27. OFFI LS SIGNATURE DATE OR AGENT) DATE (425) SIGNAT E NER 771-0220 DA EXT 333 By A) ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 4ELIOW(IN5PECTUR IT IS UNLAWFUL INSPECTION HAS 13EEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL - FILE GOLD - ASSESSOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER CATE OF OCCUPANCY HAS