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20000468.pdfDATE RIC' �PERMIT EXPIRES PERMIT 2061GIR CITY OF EDMON S NUMBER CONSTRUCTION PERMIT APPLICATION AoD`D R I S S L6— / 1911111U ai OWNER IN ME OF z + PLAT NAMEISUBDIVISION NO. LO r NO, LID NO. LID FEE I MAILING ADDRESS 0 PUBLIC RIGHT OF WAY PEI OFFICIAL STREET MAI EXISTING — PROPOSED- ;TE7�P —1--10 I— P.— P., 0 0 CITY ZIP ITELEPHO 77�� REOUHREDDEDICATION— FT NO,OFIIXTORES PRV REOUIRED NAME METER SIZE LINE SIZE YES C3 NO 0 ADDRESS REMARKS FOR FROStONCONTROUDSAINAOE CITY NAME Awt L'Ar- r ENGINEERING REVIEWEDIDATE ADDRESS FIRE REVIEWED By DATE t CITY ZIP 2 TELEPHONE VARIANCE OR CU SHORELINE OR AOB# INSPEC FIOTI N 0 OYES [3NO BON D POSTED STATE LICENSE NUMBER SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED I PROPOSED HEIGHT LOWED , PROPOSED EXP I C] BW 0 PLUMBING I MICH LOT COVERAGE ALLOWED PROPOS50 REQUIRED SETBACKS (R) FRONT SIDE REAR PROPOSED SETBACKS (FT. FRONT URSIDE REAR COMPLIANCE OR 0 AD017ION CHANGE OF USE —�,D�TF PARKING --F LOT AREA fpaNNING REVIEW ED [3 REMODEL 0 SIGN RICO I PROVIDED FENCE 0 REPAIR 0 GRADING CYDS I X FT) REMARKS OTHER DEMOLISH 0 TANK AGE SETAININGWALL RENEWAL 0 CAARIORT (TYPE OF USE, BUSINESS OR ACTIVI CHECKED By- S ON 0 CCUT'Al 2GOUP NUMBER OF STORIES NU MSEA OF DWELLING CRITIC L F A EAS NUMBER SPECIAL INSPECTOR JED RECUT 0 YES OCCU HT LOAD ..UNITS DESCRIBE WORK TO BE DONE REMARKS ION REOT GRESS INSPECTIONS PER UBC 1081FINAI INSPECT VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L B I DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBU GRADING/FILL 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS R P,,,,MA QUEES. ETC.) WILL REQUll SEPARATE SSION. SURCHARGE PERMIT APPLICATION: 180 DAYS I PERMIT LIMIT: I YEAR - PROVIDED WORK I STARTED WITHIN 100 DAYS END REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIR . S� ASSIGNS AND SUC 5SORS END. INSPECTION FEE R LANDSCAPING FF �LGEFEND AYNE%HOL�%HA MUESS THE CITY OF N INTEREST, AGREES TO :NDE.MN.FY I EMPLO A IN LA, " . A .A EVER NATURE, ARISING DIRECTLY OR INFIFECTILY I OND WASHINGTON ITS 0",T,,,L,, AGENTS FROM ANY AND NIPICTION FEE RECEIPT F MA -F ANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I ALLC I 'I - - , I. PERMIT ISSU C HE ESUAN '. 'H CIA REMENTOFANYC$TYORDINAN I ROM I T To M.." C W 0 1 F �E.0 Ul REM D A VE. NY REG ORCE ANY ORDINANCE PFOlISK)N,- RECEIP NOR UNIT IN ANY WoI Y THE CITY I ABILITY TO eNF TOTAL AMOUNT DUE I 14CRE ACKNOWLEDGE TH I HAVE READ THIS APPLICATION THAT THE INFORMATION APPLICATION APPROVAL GIVEHUY ARECT. AND TH T I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF - . w- L, COMP iZ 5 LID BIT TO Ty 6 STATE LAI hl�— D-,ly: ..� F— THE OWISN CC I AGREE IWITICI 'STIFLATN"ESTR CALL TtON. AND IN D ING THE WOR THE E., No P WILL BE " LOYE K AUTHOR ED I I R - EPSON ELATP C NSPECT ON F,I I, --110dg d,� p plo-od IN V1 LATtON OF THE LABOR CODE OF TH TATE 0, WASHINGTON R IN T FOR I WORKMENE C.MPE�SAT�OqWSUPANCE AND RCW 18,27. OFFC L SIGNATURE ATE SIGNATURE (OWNER OR K.E DATE SIGNED (425) 6-66 7 -0220 ASEOBY DATE 71 ATtENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ORIGINAL - FILE YELLOW � INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD � ASSESSOR -8 z 0 0 �Z a m c: mo 80 c m m r 0 -n m m 1:3 vi 0 0 c: ca co z z 0 m RECORD OF INSPECTIONS INSPE CTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... Pier/Porch ................. Z, Retainirig Wall ........... 0 -4 Slab Insulation .......... PLUMBING: Underground ............. Rough -In ........... C M 0, Commercial Final -40 1 0 C, :0 C. HEATING: Q 171 z -4 Gas Test ................... Gas Piping ............... Equipment Commercial Final EXTERIOR SHEATHING M M If, NAILING .......................... 0 Fn;; FRAMING ........................ FIRST FLOOR FRAMING... mo� INSULATION ................... Floor Insulation Wall Insulation ........... Coiling Insulation 0% SHEETROCK NAILING Z, SPECIAL INSPECTION m MISCELLANEOUS FINAL APPROVAL FOR -00 OCCUPANCY .................. k I EXPIRES. -PERMIT PERMIT RIB CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION '�O.GFEEE al OWNER NAMEINAME OF BUSINESS PLA' $ MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AWP..'. (03 7"?L) CITY "P ITELEPH NE EXISTING— PROP 0 16�vs';7 SQUIRED DEDICATION— FT 0 PRV REQUIRED NAME Q YES 13 NO 0 9 ADDRESS —REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUORAINAGE CITY ZIP ITILIP:E NAME te ENGINEERING J21M IRILIVATI Ep ADDRESS FIRE EVIEWEDBY DATE CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADS. INSPECTION BON Z STATE LICENSE NUMBER CHECKED UY POSTED C3 YREO'D ES ONO SERA REVIEW SIGN AREA HEIGHT m 0, COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Mm"70MOT11 Exp I L — LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACK$ IFT.) 0 NEW PLUMBING MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE FEAR m 2 A ""'N C] ADDITION COMPLIANCE OR CHANGE OF USE m 00 PARKING I LOTAREA PLANNING REVIEWED BY DATE P. 0, REMODEL R B MODEL 0 SIGN REDD I PROVIDED IR REPAIR [3 GRADING C3 FENCE FmTj REMARKS M CYDS c X M z L'SH C] OTHER DEMOLISH 0 TANK G E C] GARAGE ETAINING WALL 0 11 RENE L 0 I —I CARPORT R 30OX By r (TYPE OF USE� BUSINESS OR ACTIVII CH KEDITY ED CGCU-p��3 7"r, nkoN GROU i 0 _n w Q NUMBER NUMBS 0, 0 NUMBEROF OW LLING AREAS E A SPECIAL INSPECTOR 7., LIMB AREA C�..UPA.T U. -n ST 0 'ES CRIES UNI'TS NUMBER 6.TO�M! , U'.E. E Y. REQUIRED C] YES m M OESCIIII WORK TO BE DONE Cc) REMARKS PROGRESS INSPECTIONS PER UBC 10811FINAL INSP ECTION REQ'D 0 c: 0 M -4 —UATiON FES z PLAI,ICHE K FEE HEATS JACE GLAZING LOT SLOPE -1. BUILDING z PLAN CHECK NO: VE TED DATE 0 MECHANICAL In 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, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE GRADING/FILL SEPARATE PERMISSION, I: SURCHARGE PERMIT APPLICATI N: 180 DAYS PERMIT UMIM I YEAR , PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A PLICANT, ON BEHALF OF HI 08 HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG, INSPECTION FEE I SINLESS THE CITY OF INPNTEREST AGREES TO iNDSEMNIFY, OEFEND AND HOLD HA LANDSCAPING 2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYFES� AND AGENTS FROM ANY AND LCLAIMSFORDAMA SOP WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE —RECEIPT R THEISSUANCEOFT tSPERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE OM THE ISSUANCE OF T PLAN CHECK DEPOSIT DEEMED TO MODIFY� WAIVE 0 A REDUCE ANY REQUIREMENT 0, ANYCITY ORDINANCE 0 Y'S ABILITY TO E NFORCE ANY ORD NANCE PROVISION NOR LIMIT IN ANY WAY THE CIT US I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF � Thi, ppjt,, -I , permil 111 �Iv." Y T EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC� H EMPLOY50 CALL di, OIL6.1 ., -1— D.P.t,: .,Id F... — p.,d.,,,d TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION �,j m .., g d p,,o p—dod. I N VIOLATION OF WORKMEN'S COMPENSATION INSURANCE AND RCW � 8�27. OFFIC AL SIGNATURE AT SIGNATURE, WNEROI AGENT) 11-1 SIGNED (425) 771-0220 DATE t AS'D BY ENTION EXT 333 --------- IT IS UNLAWFULTOUSE OR OCCUPYABUILDING OR STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL . FILE YELLOW - INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5198