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20000485.pdfDATE =:'-) [PERMIT EXPIRES ERMIT ZON 2oc O,�5 CITY OF EDMONDS US E R-) 'NUMBER CONSTRUCTION PERMIT APPLICATION i a ) . SUITEIAPT# ADUAESV,� cl <� -L .1 'N, �g 3 �114 .2�TELII"l E i0y J, TELEPHONE PLAT NAME/SUDDIVISlON NO. LOT No LID NO, LID FEE S 'PAPPI—d PUBLIC RIGHT 05 WAY PER OFFICIAL STREET MAP s".. u ...... A EXISTING— PROPOSED— T 12j( REQUIRED DEDICATION FT METER SIZE LINE SIZE No. OF FIXTURES PRI REQUIRED YES 0 NO El 7RMARKS IWNFR/CONTRACTOR RESPONSIBLE FDA EROSION CONTA.L11DRAINI 0-TY zip TELEPHONE TTATE LICENSE —.UMB5R EXPIRATION DATE CHECKEDBY PRoPqRI ACCO""- ,, 1 �2 (Y43 C] NEW t& RESIDENTIAL PLIJMBING I MECH ADDITION L�bO..EACIAL C3 00"'L ANCE OR 0 CHANGE OF USE REMODEL [] APARTMENT SIGN E3 REPAIR [�E].ANG C,DS C] PENCE ITI DEMOLISH Fj TANK 0 OTHER ' CA RMNl.NGWALL RENEWAL ARA10o4 (TYPE OF USE. BUSINESS�CR ACTIVITY) EXPLAIN: NUMBER OF FITICA 11,n D SLUNG AD A Z REVIEW501DAT5 FIRE REVIEWED By DATE VARIANCE 08 CU VARIANCE 08 CU SHORELINE OR ADEN SHORELINE OF A"' ECTION BOND INSP 0 P RE 'D OST90 _S ONO EPA REVIEW S p T -'T SIGN AREA I ALLOWED PROPOSED HEIGHT POSE. ALLOWED '20 1 axp I - 11 m c LOT COVERAGE RECURRED SETBACKS (FT.) �o 'A S S 0 1 PROPOS D ETBACKS(FT4 ALLOWED PROPOSED ,I FRONT smE HEAR FRONTEURSIDE REAR MID 0, A P A X IN. LOTAREA DATE REDD I PROVIDED JPI_ANNINGREVIEWEDBY m Z 0-, CHECKED By TRUCTI.NS 0 1 "T' Im m SPECIAL INSPEC A AREA OCCUPANT I REQUIRED [] YES LOAD DFSERIBE WORK TO BE JD.� RE &�q P v 1:2 CI&CD s LOT SLOPE ZTMI PLAN CHECK NO: THIS PERMIT AUTHORIZES NLY THE WORK NOTED. THIS PERMIT OOVEAS WORK To BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 100-AYS PERMIT LIMIT: 1 YEAR -PROVIDED WORK IS STARTED WITHIN IWIDAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -A PLICANT. ON BEHALF F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS P IN INTEREST. AGREES TO �NDEMNFY. DEFEND AND HOLD HARMLESS THE CITY ANY AND V E MONDS. WASHINGTON 0 FICIALS. EMPLOYEES. AND AGENTS FROM U TS F ALLCILAI S OF TILYORINDIRECTLY W MSFOR DAMAGE WHATEVER NATURE. ARSINGOIREC x FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY WAIIEORREDU EAR REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANYWAY THE CITY'S A81LITY TO ENFORCE ANY ORDINANCE PF.VISIOA,' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFOR.Al 'ON GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGEN T 01 THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS AEGuLATINGCONSTRUC AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED TION. AND IN DOING THE WORK IN VIOLAIION OF THE LABOR CODE OF THE STATE 01 WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND ROW le.27 ATE SIGNED OCA MA KS c ROGRESS INSPECTIONS PER UBC 1081FINAL INSPE TION REO'D m ca T 01 T Z orl (j) Z 0 _1 VALUATION FEE PLAN CHECK FEE 00 BUILDING c, 0 m PLUMBING MECHANICAL ENG. REVIEW END, INSPECTION FEE LANDSCAPING INSPECTION FEE AEC IPT PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RE Elp, V APPLICATION PPROVAL ThlPPII 1.,ld bY thl CALL FOR INSPECTION 'Plll P—ld1d, FICIALS S ON DATE (425) C) s 771-0220 LEASED BY DATE - �) I r—A 1 000 �4 ATTENTION IT IS UNLAWFULTO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 L— -IN-E101OPI A FINAL INSPECTION HAS SEEN ADE AND APPROVAL OR A CERTIFI, ORIGINAL FILE YE LOW SP CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - ASSESSOR S196 C3 La 0 1 jA .61 .9c .0 N '66Z .9t .00-011 jo jL I 3HI o-' -s3la-min aNy -Sssdu-i .91 Ci 3SnOH cni to '* C-i CM m V)r ID 00 a, CO z to 100-011 en 6*, _'691 -66Z 1A .9r 'Le .0 N to HIM ...... .. .... ...... .... Lots 1 and 2 of City of Edmonds Short Plat recorded under Recording Number 18, Township 27 199908035004, being a portion of the Southwest quarter of Section North, Range 4 East, W.M. in Snohomish County, Washington. Z 0. =j, 0�: M 7i F, -4 MO 0, M C Z' -Mn M M o Fn! Z 0! Z z i 0�' 0; M SETBACKS ..................... FOUNDATION: Footing ...................... Wall ................. Pie r/Porch ................ Retaining Wall ........... Slab insulation .......... PLUMBING: 0 M C= Underground ............. rn 0 0. -40 Rough -in ................... 0 C Commercial Final M IT! HEATING: C — Gas Test .................... Gas Piping ................. 0 -n -n 20 Equipment ................. Commercial Final . ....... M M 00) EXTERIOR SHEATHING 0 0 Fn NAILING .......................... FRAMING ........................ ITI 0 FIRST FLOOR FRAMING... 50. INSULATION ................... Floor Insulation z --I X. Wall Insulation ........... : fj), z Ceiling Insulation SHEETROCK NAILING 0 SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR V,\ OCCUPANCY .................. A, -c- cujv-u VA^ ERMI� EXP _S vo) _=0-FP PERMIT CITY OF EDMONDS NUMBER SUITUAPTO JOB CONSTRUCTION PERMIT APPLICATION AODRESE—Z(�L�'2 jo llg�;EIAN�l 11 El PILAT NAME/SUBDIVtSION NO. LOT NO, 11 10 LID FEE MAILIN&A DDREIS v P'P'. 13 P BLICRIGHTOFWAYP R OFFICIAL STREET MAP U RW 1, 101' EXISTING — PROPOSED— ' 0 0 ,,,ATELEPHONE REQUIRED DEDICATION— FT — J'I, - PRV REQUIRED YES 0 No 13 ADDRESS REMARKS NER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Cl AME \-e ENGINEERING REVIEWEDIDATE ADDRESS z 'fqAE REVIEWED By iilm D E CITY ZIP L TELEPHONE m jWoRj*%%A"_ III'N �EQ'ON OYES ONO -�=.D STATE LICENSE NUMBER EXPIRATION DATE CHECKED By SERA REVIEW —SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED ROIOSIO ALLOWED PROPOSED c_ 3: 0 PRO RI ACCOUNTRk CELNO EXP I m cc) LOT COVERAGE I REOUlRED SETBACKS PROPOSED SETBACKS (FT. NEW PLUMBING I MECH 0 cl ALLOWED PROPOSED I FRONT SIDE REAR FRONT UP 1101 REAR 0 0 0 C 0 ADDITION o COMPLIANCE A OF USE � m m PARKING PLANNINGREVIMED BY_ DATE CHANGE A z 0 REMODEL SIGN REQ'G I PRO ,,�EA 10 —4 ACE c . GRADING CVOS [3 F C] REPAIR I _ , p DEMOLISH TANK OTHER 0 J- .1 GARAGE RETAKIN RENEWAL Cl CARPORT R., 'r WALL E] M —4 MITI 0 (TYPE OF USE. BUSINESS OR CTIVITY) EXPLAIN: CHECKEDBI J=�T MI FM a 0 NU BER N MEER OF TICA CRIEAS E E.IALINEPE.YT.011 CLJOAUD—N 1 OF STORIES D LUNG UNITS AR NU BE, JAPEA REQUIRED o c DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'I a M 0 X > z z 6? 114 !gge !Fe-- _5eot r c IV—) 6-13-" CA—) v "1 1 ALI L�l I VALUATION FEE 0 HEAT GLAZING Y, LOT SLOPE I BUILDING m PLAN CHECK Na: ESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL '.U.... MARQUEES. ETC.) WILL REQUIRE SIDEWALKS. DRIVEWAYS STATE SURCHARGE SEPARATE PER�ISSIONL PERMIT APPLICATION: 180DAYS PERMIT LIMIT. I YEA -PROVIDED WORK IS STARTED WITHIN IBODAYS R ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO. INSPECTION FEE I ON BEHALF OF HIS On HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ;APPLICANT. N NTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY Cl LANDSCAPING EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND INSPECT16N FEE ALLCLA;MSFOR DAMAGES OF WHATEVER NATURE.ARISING DIP CTLYOR INDIRECTLY F THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE L PLAN CHECK DEPOSIT RECEIPT DIOM Y Ono' NANCE EMEO TO MODIFY, WAIVE OR REDUCE ANY REGUIREMENT OF ANY CIT NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PFMISION.. TOTALIAMOUNT DUE RE�EIPT READ TH S APrlICATI I ON. THAT THE INFORMATION APPLICATION PPROVAL I HERE Y ACKNOWLEDGE THAT I HAVE GIVENS RECT, AND THAT I AM THE OWNE'�, OR THE DULY AUTHORIZED AGENT OF IS COR THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CO NSTRUC- CALL 09�' .1 hll/hl� DOP I . nd F ,,,d, ld TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED RELATING TO F . OR INSPECTION tl.. d'. p .d.d. IN VIOLATION OF THE LA508 CODE OF THE STATE 01 WASHINGTON WORKMEN'S COMPENSATION INSURANCE A I NO RCW 18,27, OFFICIALS SIGNATURE DATE SIGNATURE (OWNER OR AGENT) ATE SIGNED (425) j 771-0220 By DATE EXT333 �ELEASED 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-FIIP - YELLOW - INSPECTOR I HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY