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20000463.pdfOAT' 8'c""D [7PERMIT EXPIRES CITY OF EDMONDS U US' S' PERMIT ZONE NUMBER AOOq6s CONSTRUCTION PERMIT APPLICATION 19ADDRESS JOB SUITEMPTO OWNER OF PLAT NAMEISUBDIVISION NO, LOT NO, PL U NO. Tz-\ MAII-INGADDRESS VA -_-�,A --ww - PUBLIC RIGHT OF WAY PER OIIIOAL STREET MAF LID FEE TEII:A"1-11 �I, F CITY ZIP ITELIPH011 EXISTING — PROPOSED REQUIRED DEDICATION— IT NAME METEASIZE, i LINESIZE NO, OF jIXTURES 5 PW REQUIRED YES 0 NO ADDRESS REMARKS OWNERICONT- E FOR EROSION CONTROUDRAINAGE CITY NAME ENGINEERING REVIEWEDIDATE I ADDRESS FIRE REVIEWED By DATE CITY ZIP IS .1 1 q8m:� TELEPHONE , _��5 --1+,2 0 PE INS OT'O' STATE LICENSE NUMBER EXPIRAII NOR' r - CHECKED BY D V I CEORCU SHORELINE OR ADBI - Y S 0 N.± 77_:� _ 4w,-r -I T5i%� SI EVIEW SIGN AREA HEIGHT PROP� PROPERTY TAX ACCO T RCEL NO. Co PL EXEMPT ALLOWED PROPOSED ALLOWED /A C (4, Up NEW PL ... I--' ECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACK FRONT BE C MPUANGEOR JYIC tg AUDITION 0 COMMERCIAL 0 COANGE OF USE LOT AREA I'M DUEL APARTMENT C] SIGN PARKING I NCE 0 REPAIR 0 GRADING CYUS 0 , _ X FT) REMARK. DEMOLISH F-1 TANK o OTHER PEACE RETAINING WALL [3 RENEWAL 2AFP.RT Flo, P W r (TYPE OF USE BUSINESS R ACTIVITY) EXPLAIN: CHEC, 50 TYPE OF CON 0 CUA C 0 C 0 CUPAR UP SPECIAL INSPECTOR AEA A Lo D :,!Ct7L.1��ACDIANT REQUIRED C3 YES DESCRIBE WORK TO BE DONE F:* IA�> REMA KS INqPrCTIONS PER UBC 1081FINAL INSPECTION I 7- z .1 ltiq6 VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % B ILDING PLAN CHECK NO: VESTED DATE PLUMBING ox> -\ 9 z, MECHANICAL NLY THE WORK NOTEM THIS PERMIT COVERS WORK TO THIS PERMIT AUTHORIZES o ' NSIRUCTION ON N POPE TYGNLY� C. W,T"LEREUUL.E 8 DONE o PRIVATE P R ANY ROD MA EES, ETC GIA.INGIFILL 9 t: DOMAIN C URGS, SIDEWALKS' DRIVEWAYS, SEPARATE PERMISSION. STATE SURCHAIGE PERMIT APPLICATION: 180 BAY$ PEPMtTLIMItl YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW,�ES N. WFEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLI I BE LF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS DEFEND AND HOLD HARMLESS THE CITY OF ENG, INSPECTION q PEE llm7sTm`mr �NDEMNI;Y, IN INTE EST. A REES TS OFFICIALS. EMPLOYEES. AND AGENTS FRO. ANY AND N S, AS IN I N. lmmmoKH� ED ALL I BE RDA A ES F HATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY THIS PERMIT SHALL NOT BE DEPOSIT RE IPT 0 pp THE ISSUANCE F THIS PER IT. ISSUANCE F R REDUCE ANY REGUIREMENT OF ANY CITY RDINANCE PLAN CHECK D E T DIFY. AIVE ER ED G EPR Isl AYTHE iTY'S ABILITY TO ENE A EANYORDINANC OV ON N Ll ITINANY HAVE READ THIS APPUCATION� THAT THE INFORMATION APPLIC ION PFfOVAL ,GHEF,BY ACXNOWLEIl�G.l'T.lAATT � A. THE OWNER. OR THE DULY AUTHORIZED AOENT .1 VEY "CoRPECT A .,—K 0 ll'-V �, ll� THEOWNE IAG EE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- PERSONVALL HE EMPLOYED �f.11sl_ TION A , THEWORK AUTHORIZED THEREBY, NO STATE OF WASHINGTON RELATING TO dl plwldlpd TION IN VI L TIED0 HE LABOR CODE 0 THE WIDE E ED ION INSURANCE AND HOW 18.27 11 SSIG ATURE e DATE D (425) 'A I,- OR � NER ADEN ) -, 1, 771-0220 RELEAS DBY DATE EXT 333 tb IT ISUNLAWFULTOUSEOR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 - YELLOW-INSPE 'OR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- L oRIGI.A-FILE GOLD -ASSESSOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PIIN, �OWNEA CATE OF OCCUPANCY 5198 z 9 1 _:� 0 m MO 0 80 m Z > 0 _n 3: M M a 0 0 Fn a c 0) r , M 0 m 414 THIS FRAME Is LESS cLEART H-A'N THIS NOTICE -'DtUMENT NOTICE: IF THE D IT IS DUE TO THE QUALITY OF THE DOCUMENT. Iw J-4 09 010 03 0&9 0 3WAM M19DG 01 UN30 NI cNO W-W IC69(1-1 giroastma 0 Qiaum M34 cm vmiglxa lw M24M 1 qb� e TIV vsw m 111i ;,.WLg.IL N I lh— -- 141- (3 oo,9411 N) 3Aowgs (,rsoep (M.0=021. N) (3 "loolesu N) I— N 00re a SSW-91 N .9rszI m �-R—LIVL N oorLe M WLSIL N INW.U00.4 agnoH I, igxa do swuw- 39rd" IG>G 01 Tsivis >090 .0c MaN mo ami (M .00,ZO.ZL N) do smi 31GWO-rw.cm 060"GUS .606 1 - t/ L99 'S � ''l 0 A .gig: 0 AaoD A113 Awee 9 AWN V, 9NVI HYgNISHIISON ggn ,,rr U RECORD OF INSPECTIONS INSPECTOR DATE APPROVED 3D e- SETBACKS ................... FOUNDATION: a Footing ...................... Wall...................... Pier/Porch ................. Retaininig Wall Stab Insulation .......... PLUMBING: 10 M C M 00 Underground ............. -40 0 C Rough -in ................... M Mz, Commercial Final HEATING: LA -1 C > Gas Test .................... Gas Piping ................. Equipment ............... m M Commercial Final 0 EXTERIOR SHEATHING NAILING .......................... C1 J10W6 to, ma FRAMING vla2s -:- _00 d ...................... FIRST FLOOR FRAMING INSULATION .......... z Floor Insulation If) Wall Insulation ........... Z Ceiling Insulation M SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .................. �441:� 0 Ak AE-ff Be [MERMIT EXPIRES op, CITY OF EDMONDS Z8NE PERMIT NUMBER �'O 2NO, CONSTRUCTION PERMIT APPLICATION JOB ADDRESS —7Q2 SUITFJAPTA OWNER N�AME/NAME OF SUE�INESS L 110 PLAT NAMElSUSDIVtSION NO, LOT,00, LID FEE S w 0 ES MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— 0 0 CO3 S.—R., CITY ZIP 0 C REQUIRED DEDICATION— FT NO. OF FIXTURES 11 PRV REQUIRED NAME MET!TSIZEI I I LINESIZ 1 1. YESC3 No 9 ADOR KS OyMARICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME ENGINEERING REVIEWEDIDATS ADDRESS 152. AlVe FIRE REVIEWED BY DATE CITY ZIP 9 505.:� TELEPHONE +S5 -Z +-z 9 o BOND VARIANCE OR CU SHORELINE OR AOBI! INSPECTION z E PIRATI N C STATE LICENSE NUMBER A7 ......... OYES ONO i4l I CC) s SERA REVIEW SIGN AREA HEIGHT ALLOWED PROPOSED PROPERIY TAX ACCO NT RCEL NO� 'ETE EXEMPT ALL GEED - q - 0 6 Co 6 �O O� EXP I ME CH _g( LOT COVERAGE REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSk6E BACKS (FT.) FRONT UP, JOB, REAR 0 N& t2CRSSIDIENTIAL IL ... IN- ALLOWED PROPOSED 1� I o . , , I � �,i z- \ a ADDITION 0 COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE m PARKING LOT R GO PROVIDED AREA EVIE.E.. m 0 .... DEL 0, APARTMENT SIGN 0 FENCE CYDS� X FT))) C3 REPAIR 0 GRADING I X FT, MARKS L 3: m 0 DE40USH 0 TANK OTHER M z jo RETAINING WALL' C] RENEWAL 0 0 r (TYPE OF use �.TIVITY, ��XPIIN BUSIN SS OR, 11; CC 1! OCCUPA GROUP NUMBER NUMBER OF CRITICAL AREAS (00,� OCCUPANT LOAD, 0 OF DWELLING LIN ITS NUMBER IA6 STOF'. m m DESQRIBF, WORK TO BE DONE - RENA HE G EBB INSPECTIONS PER UBC 108/fINALINSPECTION'RE D PRO R 0 0 Fn lvtw vc*1655 uo 14 c: cA L Amec 3) c co M 0 W. (40 r /v v P i T-_ br( I z J�- VALUATION FEE z PLAN CHECKFEE I L T SLOPE% fill H AT SOU GLAZING BUILDING z cq PLAN CHECK,NO: VESTED DATE PLUMBING M ECHANICAL m L THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ETC.) WILL REQUIRE GRAOINGIFILL DOMAIN (CURSE, SIDEWALKS, DRIVEWAYS, MARQUEES, PER ON. SEPARATE MISSI STATE SURCHARGE s PERMIT APPLICr I' XT�AR 180 DAYS 40�N: A20 v FEES ROVIDED I WITHIN PERMIT T ARI;P INFORMATION NG. REVIEW 1��IMIE 0 PINK PERMIT FOR MORE �APPUCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. A SSIGNS AND SUCCESORS OF ENG. INSPECTION FEE IN INTE EST, AGREES TO;NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND MON2 , ED- CS ALL CLAIMS FOR DAMAGESOFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT L) -1 17 0 1) FROM THE ISSUANCE GFEMEDTOMODIFYWAIV E OR REDUCE ANY REQUIREMENTOF ANYCITY ORDINANCE C� S ASIUTY TO ENFORCE ANY ORDINANCE PROVISIOJV' TMANYWAYTHECIT C NOR LIMI Y RECEIPT TOTAL AMOUNT DUE 2 THE INFORMATION I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLI ION XP ROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF LY WITH CITY ING CONSTRIC THE OWNER. I AGREE TO COMP AND STATE LAWS RIG"'AT D pb,,� I Jil by II,. CALL -P-ld-�� TION AN HE K AUTHORIZED THEREBY NO PERSON WILL BE E P,.YE. 01 WASHINGTON RELATING TO FOR INSPECTION /,d..,p,wI,,d9.d IF ... Xbv,d�d, IN V,. A�,,C. �4,T,� L= CODE .1 THE "TATE WOFKt5NlS$oMP�N=ION INSURANCE AND RCW iS.27. DATE fFFI IA0 SIGNA�U ER Al , - ) Ift DI 1/00 /;RE (425) 771-0220 RELEAS D BY DATE _XfTENTIO!i EXT 333 j (o IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDIN . 0 OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF'k ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK � OWNER GOLD - ASSESSOR 5198