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20000491.pdf#—'C'DATE RECEIVED I PERMIT EXPIRES PERMIT CITY OF EDMONDS ZONE NUMBER 200491 CONSTRUCTION PERMIT APPLICATION 'AOBRESS, (�VIIPTI 9, �0- mm. - OWNERNA GINAMEOF BUSINESS PLAT NAMEISUBDIVISION NO LOT NO LID NO� WYMWE aar4E� 11. FEE S MAILING ADDRES PUB 4 LIC RIGHT OF WAY Ell GET ICIAL SIREI I MAI pl,­ RlIq d 2,z(o o (. CIM po�E- V4 CITY ZIP JTELEPIEEINE 1XISIING .111., ­­d -a" NT) S IVIJ 'IN 4,2��-640-S,K- "'U'H'GG'E­"ON-'T - METER SIZE LINE SIZE I NO OF 1111UPES ,PRV RIOU11ED NAME $0 NO 0 ADDRESS .WN�ll,�ONI'l�1.1.�IIE�P.N.11�L�l....�I.N�.NTROUDRAINAGE m NAME p K ADDRESS,2 �o , BIT ZP M#10WILLIn� qU10 TELEPHONE 4z��_ -14-1, E21 STATE LICENSE NUMBER fzl�wf__ 09 4- lip, JIIATJ I ON6_ATE QJCE�E ok PROPERTY TAX ACCOUNT IAPCEL NO. `1­0 Lirb:4- uzc) \ a NEW RESIDENTIAL C) PLUMBING I MCCH ADDITION COMMERCIAL o C MPLIANCE OR CHANGE OF USE 1EMODE1 T. T 0 APARTMENT 51ON Coj REPAIR 0 GRADING GYUS FEffj ITI DEMOLISH M TANK OTHER G CA'A ' C] RETAXININY1 WALL AFPGRT 600 F E] RENEWAL ­P1 IF I lAr BUSINESS — ACTIVITY) EXPLAft NUMBER STORIES UNIT. DESCRIBE WORK TO BE DONE FIRE REVIE.LDBY DATE VARIANCE OP CU SHORELINE 08 ADEN INSPEHION RED C 'Y. ',K, ,,PA P,,,,,W ,C, AREA PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE EXEMPT ALLOWED 1 Ex., 1 1 LOT COVERAGE FIGURED SETBACKS (FT.) PROPOSED SETBACKS (FT,) ALLOWED PROPOSED FRONT SIDE REAR FRONT EIR SIDE REAR I PARKING OT AREA PLANNING REVIEWED By DATE RED D I PROVIDED - - PANT CHECKED By TYPE OCCUPANT SPECIALENSPECTOR LOAD RE U N C] YES JARIA !Fn I REMA KS oannng" INqPrCTIONS PER UBC 1081FINAL INSPECTION REQDIS, VALUATION FEE LAN CHECK FEE I LOT SLOPE HEAT SOURCE GLAZING BUILDING PLAN CHECK NO: STED DATE _V'S: rETED DATE I'LUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GFIADINGIFLL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. L SURCHARGE MITAPPLICATION: 1BO.AYS YEPE PERMITLIMIT.1 ARR PROVIDED WORK IS STARTED WIT H'. NID DAYS END REVIEW FEES SEE BAC K OF PINK PERMIT FOR MDRE INFORMATION lA ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS END INSPECTION FEE ;APPLICANT, N INTEREST, AGREES TO INDEMNIF Y. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENI I FROM ANY AND INSPECTION FEE ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY SHALL NOT BE RECEIPT S PERMIT. ISSUANCE OF THI S PER"" FROM THE ISSUANCE OF THI E ANY REQUIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY WAIVE OR RE-UC PLAN CHECK DEPOSIT 0 NOR LIMIT I N ANY WAY TH E CITY $ ABILITY TO ENFORCE AN Y OSDI NANG E FROVI SION TOTAL AMOUNT D E RECEIP I HEREBY ACKNOWLEDGE THAT I HAVE REABTHIS APPLICATION. THAI THE INIORIJADON APPLICATION APPROVAL GIVEN IS CORREC THE DUt-Y AUTHORIZED AGENT 01 T, AND THAT I A. THE OWNER, OR Ill - THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRIEC CALL G .1d B.,Id,I,gOIf,cIa­hIIPh.' ­1 —F.11—PlId. TION� AND IN Doj� 0 PERSON WII I BE EMPLOYED IGTHEWORKAUT ORIZEDTHEREBY.N WASHINGT N RELATING TO ­,.pI­.k11­AV d,.,p... P­,dod. FOR INSPECTION IN VIOLATION OF THE LABOR CODHE OF THE STATE OF WORKMEN S COMPENSATION INSURANCE AND ROW 1B.27 OF CIALS SIGNATURE ATE DATE SIGNED 425) 0-) 06 A.4 /ck) 771-0220 ( NE,.A E ATE EXT 333 L Cc TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL INS ECTON HAS BEEN MADE AND APPROVAL OR A CERTIFI- P ORIGINAL � FILE -- E LOW - IN PECTOR A FINAL GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN S198 z m 3: 0 80, I C �w 3: m M c 0 _11 m m m Z 7-1 z --I z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.......................... Pier/porch ................. z RetainlrigWall ........... i M. Slab Insulation .......... -n PLUMBING: M Underground ............. 0 -40 Rough -in ................... 0 C commercial Final M M z HEATING: C Z1 Gas Test .................... > Gas Pipin 0 -n n Equipment -4 3: commercial Final M rn C) EXTERIOR SHEATHING 0 0 NAILING .......................... FRAMING .............. In FIRST FLOOR FRAMING INSULATION ................... -4 Floor Insulation z Wall Insulation ........... Ceiling Insulation Z SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS 111.50loo FINAL APPROVAL FOR OCCUPANCY .................. (--YDATE RECEIVED EXPIRES 44-L-IZ PERMIT PERMIT 2004-91 CITY OF EDMONDS 101,IE < NUMBER CONSTRUCTION PERMIT APPLICATION 4AODRESS Sul . T. 2 o /Jvc �2 0 R NAMENAME OF BUS S W PLAT NAMEISUBDIVISION NO. LOT NO. LID NO, KIMIE Vt 71'�E LID FEE S KTAILINGADDRESS MIF- W PUBLIC RIGHT OF WAY PER OFFICIAL STREET All Appl-.d P.- ftlu­ 0 I U.. P­ R qd 0 . C CITY ZIP PHONE EXISTING — P MOPOEEO� 0 _d 0 IT11 REQUIRED DEDICATION— FT Vj,'1'­'­. 0 P V REQUIRED NAME YES 0 NO It: ADDRESS REM EIV NTRA.T. A.. AR'6 1z !!fmv CITY ZIP TELEPHONE NAME GINEERING ADDRESS,9,, FIRE REVIEWED By DATE CITY TE MA0 S\J1 LLA� 42 \4-1,�2 IN ON VARIANCE OR CU SHORELINE OR ADBO STATE LICENSE NUMBER DATE 0 YEE . NO VfL j� k\ \ r- Gq 5-,)4- T"I'Mok SIGN AREA HEIGHT SEPA REVIEW CO XEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT IAIG,L,-,,,,,,, 1 1 _+ L4qD_ nil, 1,11' 1, LOT COVERAG REQUIRED S_BACKSjFT) PROPOSED SETBACKS (FT.) NEW PLUMBINGIM CH ALLOWED PROPOSED FRONT SIDE I . FlEAR FRONT UR SIDE REAR ADDITION C MPLIANCE CHANGE OF USE PLANNING REVIEWED By DATE REMO DEL SIGN REQ.PAR I 0 ROVIDSO I -, LOT AREA, A. GRADING MARKS' REPAIR CY.S ITI) DEMOLISH C] TANK,. c3 OTHER j C'G R R�Z�. WALL 0 3 'A AGE C3 RENEWAL L=J...CARPORT (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: A. CHECKED Ply TYPE 05 U ON 0 CUPANT 174 NNBER NU"8EROF 1,11 ICAL 'A SPECJA NSPECTOR COURANT -L.A. OF —IF. I S NO EAS WELU R IT MISER U 1 JAREA REIG I REOU [3 YES I DESCRIBE WORK TO 61 DUN PF�Tln!NIS PER UBC 1081FINAL (2m UA.IMSS SIJW0�20­ VALUATION FEE PLAN CHECK FEE LOT SLOPE I BUILDING PLAN CHECK NO: �VESTEI -11 PLUMBING ECHANICAL THIS PEIMIT AUTHORIZES ONLY THE WORK NOTED , THIS 118M'T COVERS WORK TO BE .. E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL ..AN ICUR.S. SIDEWALKS, DRIVEWAYS MA QUEES, ETC.) WILL REQUIRE SEPARATE PERWISSION. SURCHARGE PERMIT APPLICATION: HIO DAYS PERMIT LIMIT. AR, PROVIDED WORK IS STARTED WITHIN 180 DAYS I YE ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUC ESORS THE CITY OF AND HOLD HARMLESS THE CITY OF ENG, INSPECTION FEE L NDSCAPING IN INTEREST. AGREES TO :NDEMNIFY, DEFEND EDMONDS, WASHINGTON. TS OFFICIALS. EMPLOYEES, AND AGENTS FRO. ANY AND INSPECTION FEE ALLCLAIMS FOR DAMAGESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY CEIPT FR M THE ISSUANCE 01 THI S PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE PI AN CHECK DEPOSIT DEOEMEDTOMODIF WED REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PROVISION.* YAW RECEIP N ORLIMITINANY THE CITY'S ABILITY TO ENI�ORCE ANY ORDINANCE TOTAL AMOUNT DUE S2_ THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION AL APPLICATION,,�,,� I HEREBY ACKNOWLEDGE GIVEN IS CORRE CT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT 01 Thl, IpPlicatl­ i� PI .7RO AWRGULA NGCONSTRUC- THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE L. CALL 11 hi.11,11 DOP 'N PFFIE..W,�LEIEEM TION; AND IN DOING THE WORK AU HORIZED THEREBY. PLOYED RELATING TO FOR INSPECTION raccip! is acknoledg.d I, p... p—ld.d. d IN VIOLATION 0, T. E LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 16.21� OF CIA S IGNATURE 3NED (425) 0L) SIG 771-0220 ATE RELEA E EXT 333 7 ITIS UNLAWFULTOUSEOR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE E LOW -IN PECTOR CATE OF OCCUPANCY HAS BEEN GRANTED . UBC SECTION 109 ' FAX PINK -OWNER GOLD-ASSESSOF z m 00 80 j c --I C X M M z p o -n rn rr 0 o c 9(n m X z m