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20000494.pdfRECEIVED oo, UE. PERMIT -X()CIq�j-q CITY OF EDMOND NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS l3oz'v ITEAPIN �6,4-t� STAO OWNER NAME'AME OF 8 SINESS PLAT NAMEISUEDIVISION NO. LIT". LID 11 - ' ' ' � I LID FEE S MAILING ADDRESS -Z PUBLIC IGHTOFWAY PER OFFICIAL STREET MAP B", Be, 0 TELEPHONE EXISTING �-` PROPOSED I An Am A.,. CITY ZIP 0D Irw PEOUIREDDEDICATPON� FT J an METER SIZE LINE SIZE NO OF FIXTURES IT O1IRE0 NAME I FIRI S 0 NO 0 ADDRESS REMARKS OWNERICONT-0- 9--mF FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE 9 1 - Z2- V, NAME ENGINEERING DIDATE ADDH I /-Zq- �L v FI IE CITY ZIP gel@ 5 TELEPHO /17 tA --�N­OAELINE OR ADB# INBRED STATE LICENSE NUMBER aw E W, IAN PCU 0 YE -go 0 ES e I EVIEW SIGN ARE HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. 0 2-9 02-&g DO P EXEMPT EXP ALLOWED PROPOSED ALLOWED , PROPOSED LOT COVE AGE REQUIRED SETBACKS (FT.) HEAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR 0 NEW 0 RESIDENTIAL 0 PLUMBING I MICH ALLOWED PROPOSED FRONT SIDE COMMERCIAL ADDITION 17� o COMPLIA CE OR CHANGE OF USE PARKING LOT AREA N REVIEMIEDB 0 E REMODEL 0 APARTMENT 0 SIGN REaD I PROVIDED SW 0 FENCE El REPAIR ( _ X FT) RE.A.- o OTHER DEMOLISH 0 TANK It oGARAGE F1 RETAINING WALL 0 RENEWAL CARPORT ..C�SRY I — , '�E— -M TRUCTIO1 BUSINESS OFJ ACTIVI`?`Y) EXP C.CCKEDUY �T OF CON T 'T� ==z BER OF CRITIC SEE 0, NUM ��7 AREAS SPECI DWELLING _ -,? REDUAL IN 0 YE, UNITS NUMBER IRED WORK TO BE DONE REMARKS. conna RQ ufJqPFCTIONS PER OBC 1081FINAL INSPECTION VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH IS PERMIT COVERS WORK TO ON THE PUBLIC RUCTION BE DONE ON PRIVATE PROPERTY ONLY ANYCON'T -.JWILL.EO.IRE WAYS, A .. E.E. GRAOINGIFILL DOMAIN (CURBS, SIDEWAL."E'V. :3 SEPARATE RE STATE SURCHARGE RMIT APPLICATION: 180 DAYS ITHIN 180 DAYS PROVIDED WORK IS STARTED W ENG. REVIEW FEES PERMIT LIMIT. I YEAR SEE BACK OF PINK PERMIT FOR MORE INFO I u a P LICANT. ON BEHALF 0, HIS ONRF,,,R E;.O�UEE AND SU=SS �A P BE to HARMLESS THE CITY OF �g,,,R LANDSCAPING I "OEM Y IN NTEREST AGREES TO NO 2 EDMONDS, WASHINGTON, ITS 0,FTC�,VL5 EVPUL�O�Y.IAIS AGENTS FROM ANY A INGDIA ECTLYORINOIRECTLY I T10,11FE INS ED RECEIPTq,,, ALLCLAIMSPOR AMAGES OF Wit E� NAT "'SAN. ISSUANCE OF PERMIT. ISSUANCE OF THIS PERMIT,SHALL NOT 5' THIS PL N CHECK DEPOSIT FROM THE ED OF NY C IF 0 DEEMED TO MODIFY, WAIVE OR REDUCE ANY R UIREMENT A TY OPDuNANC ' ITY-SABILITY TO ENFORCE ANY ORDINANCE PROVISION' TOTAL AMOUNT DUE ACKNOWLEDGE THAT I HAVE ReAWDTHIS, ApRpTHCEATIULN� THAT THE INFORM 'ON APPLICATION APPROVAL I HEREBY N, 0 0 AUTHORIZED AGENT OF S.CO.R,RA',C ANOTH TLYM ONSTRUC A REGULATING C GIVEN I REET. M L WE CALL T ama , Ainual until a,gn.A 1Y - e,lon Innuem, Deputy: ad Fee, am 0 -'it WITTHECITYZN TAIE THE OWN . T. D .Y ON W, L BE EMPLOYED N F'RE ' ORIZED 0 daid. m—,". ..lmau,1.dg.am a'.. P—id. TION, AND 0 E �E- 1 0 E OF TH TATE OF WAE.uN.T.N RELATING TO IN VIOL N OF THE LA80 FOR INSPECTION DATE, , FENSATIO NEU ANCE AND RCW 18.27� WORK N Coul 0 FFI L AT E SIGN U JOWNEROR EN ATE $1 ED —3 (425) t (, OD 771-0220 r- A I -3-2-J C D OAT 77FENTIO—N ITIS UNLAWFULTO USE 08 OCCUPY A BUILDING -1 STRUITURE UNTIL 771-0221 INSPEC R INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� RIGINAL - FILE - YELLOW - ASSESSOR FINAL OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - kTE OF z !R -411, 0 c: M rn 0 80 c -4 C X M M O.n M M 0 V5 0 0 c: 910 z 'o z 0 IRE Z PERMIT EXP "s USE -CITY OF EDMONDS ZON'CC-? PERMIT 2(X),19-4 N CONSTRUCtfON PERM41T ,T JITE-­ A. RgES" ST 3 FAPPLICATIOINO OWNERNAME!��M 11USINEv FLAT NAMEISUBDIVISION NO P U LOTNO� LIDNO.F,y­5D LID FEE S — MAILINGADDRESS P 'U.LIC EIGHT .1 WAY 1-G OFFICIAL STREET MAE EXISTiNp�� PROPOSED CITY ZIP T LEP Z 3" 7� -A I REQUIRED DEDICATION I ED FT Y�- ET�G SIZE IINE�SJZE NO, OF FIXTURES NAME 0 :11.1111011.1111.) YE N I I HESS F� HE ARKS OWNERICONTRACTOR RES IONSIBLE FOR EROSION CONTROUDRAIN CITY 7- tog�c:-�,VS 7z) L/ NAME CL, A-( s 7 ENGINEERING REVIEWEDIDATE A 'e /4� L z F - E F 5-Gloo a CITY ZIP TILEPHIIE 4714 0 a '%'� - -EXPIRATION U - m VARiANCEqfFtCU IH�Vl INIPEC TION 'BON D OSTED STATE LICENSE NUMBER DATE /30 rVARIAN�VE ,?51 OYPEQ'&� ES No SERA R SIGN AREA HEIGHT e A /1 0 OMPLETE EXEMPT COMPLETE ALLOWED PROPOSED ALLOWED 1ECIPOSED x PROPERTY TAX ACCOUNT PARCEL NO, eg EKE XP rn c mo 0 LOT C OVERAGE REQUIRED SETBACKS (Fr.) PROPOSES SETBACKS (FT. 0 NEW RESIDENTIAL 0 PLUMBING MECH ALL OWED PR OPOSED FRONT SIDE REAR FRONT U� St E REAR 0 o ADDITION COMMERCIAL C3 COMPLIANCE 11 CHANGE OF USE Rl PARKING REO'D LOT PROVIDED AREA AN EEVIEWED B C3 REMODEL 0 0 SIGN z �APARTMENT FENCE C3 REPAIR 'YDS Fl X FT) I z REMARKS C3 DEMOLISH TANK o OTHER GARAGE FITAINV WALL 0 RENEWAL 0 _n BOOK r ITYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: T 0 CON ODE m CHECKEDBY E mm 00 rh NU U' "" OF E L'K. �W,�TL. CRI I AL AREAS SPECIAL IN RECTOR AREA O"C" PANT GEYSER AL..E P LOAD REQUIRED C3 YES . i; C (n DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REO'D q� M 0 F-) X z 0) z VALUATION FEE PLAN CHECK FEE 0 HEAT SOURCE j LOT SLOPE % BUILDING m __GUZN­* VESTED DATE PLAN CHECK NO� //, PLUMBING 1_0 MECHANICAL THIS PERMIT AUTHb-SIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO T I 'PERMIT PUT 0 AR"" BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC G N R'VATEP t:l 8 ON' 0 P DOMAIN ECURB$, SIDEWALKS, DRIVE S, MARQUEES, ETC.) WILL REQUIRE WAY GMADINGIFILL oo - SEPARATE PERMISSION. STATE SURCHARGE P"' IT APPLICATIO N: 180 DAYS .P X, PERMIT LIMIT'. I YEAPR"AMROVIDED WOR S STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION F' 00 L, N L IRS. SSIGNSANDSUCCESORS APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HE A IN INTEREST . AGREES To DEFEND AND HOLD HARMLESS THE CITY OF N INTEREST, AGREES TO INDEMNIFY, EMPLOY EES. AND AGENTS FRO ANYAND LANDSCAPING FEE GMOmDS,WASHING N ITS OFFICIALS. E ED WASHNGT.NS LL CLA VS F.. . M To ECTLY OR IMNSIFECTLY A I AMA-ESOF WHATEVER NATURE, ARISING DIR LLC�JVSFORD AD INSPECTION FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE FROM THE '�SUAN.E OF PLAN CHECK,DEEOSIT DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE BE. T M.. Y W on LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. NOR ".IT NY W Y THE N TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION A��Ll ATI�N APPROVAL GIVEN S CORRECT. AND THAT I AM TH E OWNER, OR THE DULY AUTHORIZED AGENT 05 T IF p.,.I­tiI.i9­,Ib I THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING C ONSTRUC PERSON WILL BE EVE LOYED CALL �'II "I". P pIY:,PdFo,s - Puld'.. ED THEREBY, NO TION; AND IN DOING THE WORK �UTHORIZ WASIN OF THE STATE OF NGTON RELATING TO FOR INSPECTIO N ­.'p "K'SP, p ... P-ld- IN VIOLATION OF THE LABOFYCOPE WOEIMENS COMP11SATIQNINSUPANCE AN. FCW IS21 0 I, L DAII, EIG7 �GWNEFOIIA&V I DATE S19NE (425) '11000 771-0220 6AA A-ftENTION EXT 333 1�� (pill, lot) 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, -.FILE - YELLOW I I�SPEAR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 1P9 FAX PINK, OWNER GOLD - ASSESSOR z RECORD OF INSPECTIONS,, INSPECTOR DATE APPROVED SETBACKS ................ FOUNDATION: Footing ..;.; . ....... Wall.......................... Pier/Porch ................. Z, Retaining Wall ........... MIR 0 M Slab Insulation PLUMBING: Underground jvw rn C 00 Rough -in M commercial Final 0 0 G: HEATIN 10 Gas Test Gas Piping Equipment ................. Commercial Final ITI EXTERIOR SHEATHING 0 vi NAILING .......................... -ao- 0 r- 0 ML FRAMING ................... . ...... ... '% (a M 0 FIRST FLOOR FRAMING INSULATION Floor insulation z Wall Insulation .......... Ceiling Insulation z SHEETROCK NAILING SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR r"l S ON OCCUPANCY .................. r V000"