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20000500.pdfDATE PERMIT EXPIRES 1 �74� USE E U' ERMIT P -"500 SZ CITY OF EDMONDS N E ZONE ; NUMBER LICATION CONSTRUCTION PERMIT APPLICATION 8 JOB JA. G A ..GRESS SS SUITEIAPTO 7-ld ER NAMEMAME OF E S P,AT NAMEISUBDIVtSION NO, LOT NO LID NO. LID FEE $ ING ADDRESS ,!ice TE 'E.-P App'-1 I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P ZIF ITELEPHONE EXISTING PROPOSED - qM2d -74 REOUIRED DEDICATION— FT P_'d .P "P. E LINE SIZE V TER SIZE URED ll,OFIIKTUAES FEW REOUIRED FXT FEW IS YES 0 NO I IRESS REMARKS W—C—TRACTOR RESPONSIBLE FOR EA.El.N CONTA.I.JCRAINAGE ER TELEPHONE FIRE REVIEWED By DATE CITY ZIP TELEPHONE (� '-B go -t C4, VARIANCE� rU SHORELINE OR ADB� INSPECTION STATE LICENSE NUMBER EXPIRA110N 111. .1 I PIOND 0 YRE OSTED SERA REVIEW SIGN AREA HEIGHT PE 11 ACCOUNT IR111 N COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED EXP �JPAOAT LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT,) E] NEW RESIDENTIAL PLUMBING I MECH ALLOWS D PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR C] ADDITION COMMERCIAL COMPLIANCE A CHANGEOFUSE PARKING LOT AREA PLANNING REVIEWED BY DAI E A EMODEL C3 APARTMENT SIGN REOD I PROVIDED REPAIR E] GRADING CYDS 0 FENCE X X FT)) MARKS DEMOLISH C] TAN� c OTHER 'RA E lG�F.PG11T SREOTAKINIRNYO WALL r C] RENEWAL 0 F JTYPE OF U Y CHECKED By I E F 00 DICTION 0 ou I GAQ CRITICAL SPECIAL INSPECTOR AREA OCCUPANT AREAS REQUIRED YES LOAD NUMBER [] _7 &ONV 1pf f7l A MARKS AL INSPECTION REQ INSPECTIONS PER UBC 1.8/FIN PROGRESS VALUATION FEE c� LOT SLOPE PLAN CHECK NO: V STED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO U BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE P BLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PER MIT APPLICATION: 18B DAYS PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND S CESORS I CITY F IN I NTEREST, AGREES TO INDEMNIFY, DEPEND AND HOLD HARMLESS I EDMONDS. WASHINGTO�SITS OFFICIALS. E PLOYEES.AINDAGENTSIROM ANYAND NATURE. ARISING DIRECTIOR INDIRECTLY ALL CLAIMS FOR DAMAGE OFWHATEVER FROM THE ISSUANCE 01 THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE ANCE m DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDI �BIUTY TO ENFORCE ANY DROINAICE PROVIll— 0 NOR LIMIT IN ANYWAY THE CITY 5 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATI N I GIVEN IS CORRECT, AND THAI � All THE OWNER, OR THE DULY AUTHORIZED AGENT 01 THE OWNEA� I AGREE TO COMPLY WITII CITY AND STATE LAWS REGULATING C.NSTAUC EMPLOYED Tlo�. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE I OF WASHINGTON RE ATIN. 0 I N VIOLAT ION 0, THE LABOR CODE OF THE STATE WORKMENS COMPENSATION INSURANCE ANDHCW 1821 lIGNITUll IOW NT) DATE ll:Gl LAN CHECK FEE LUMBING MECHANICAL GRADINGIFILL STATE SURCHA ENO REVIEW FEES LANDSCAP G INSPECTION FEE PLAN CHECK DEPOSIT RECID 0 0 — REC IPT o TOTAL AMOUNT DUE . AP LICATION APPROVAL CALL Th.. Ppi—l'o. " h'I . p".'l .'F' h, th. B ldho Ojh­1 .1 11.1)he, Dlplty, �,,P F­ — F..d, FOR INSPECTION Pd,h �p recop! is acknow!Odocd phA.dod. OFFICIALS SIGNATURE DATE (425) 771-0220 A LEASED BY BATE __:ivl�,ON - r A 1 .31313 ')Aa ITISUNLAWFUL OUSE OR OCCUPY A BUILDING OF STRUCTURE UNTIL 121 1 T - 771-02 YELLOW INSPECTOR A FINAL INSPE CTION HAS BEEN MADE AND APPROVAL OR A CERTIFI I PINK OWNER GOLD -ASSESSOR CATE OF OCCU FANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5�8 z ca rn C m u 80 MITI z ca 0 -n n m m 0 c 0 z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SUBACKS ..................... FOUNDATION: -'MtIng .................. H ............. ........... Plar/Porch . ................. Z, w........... Slab Insulation .......... PLUMBING: Underground ............. rn Rough -in ................... 0, Commercial Final M M HEATING: Gas Test .............. F —4 Gas Piping Equipment .......... 0 -n "n Commercial Final M fn EXTERIOR SHEATHING NAILING .......................... 0 C FRAMING ................... 0) M 0 FIRST FLOOR FRAMING Z ff INSULATION ................... Floor Insulation z Wall insulation ........... -4 Ceiling Insulation (j) Z. SHEETROCK NAILING 0 SPECIAL INSPECTION IT MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. —f)o OK ATE RE C) PERMIT EXPIRES PERMIT Z NEP NUMBER CITY OF EDMONDS �S 1'2 jos CONSTRUCTIO N PERMIT APPLICATION sUITUAPTR ADDRESS IN u IN -SS PI -AT NAMEISUBDIVISK)N No. LOT —NO LID NO. =A�:OF UD FEE S MAILING ADDRESS PUBLIC 3 RIGHT OF WAY PER OFFICIA L STREET MAP B EXISTING — PROPOSED— oo CITY u . ...... c �,JTIELEPHONE REQUIRED DEDICATION— FT � 1-- 2DITO-A& 7/4.Z- METER SIZE LINE SIZE No, 01 lIXTURES PRV REQUIRED NAIVE YEE 13 NO 0 I q REMARKS ADDRESS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE C CITY ZIP TELEPHONE NAM as. ENGINEERING ADDRESS AV FIRE REVIEWED By DATE z ZIP LIPIONI CITY JTE_ VARIANCE OR CU SHORELINE OR ADB� INSPEC STATE LICENSE NUMBER Q�K)N C3YRt D P.ov�. ES 0 NO m 04 M!t� �11LIIW14 - SEPA REVIEW SIGN AREA HEIGHT ED PROPE FTY TA EL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOS (--,C:z EXP am c M 0 0 LOT COVERAGE REQUIRED SETBACKS (Frl PROPOS D ETBACKS iFT) FRONT SIDE REAR R SIDE REAR I MECH FRONT E Us wP ALLOWED NEW RESIDENTIAL LUMBING Igr PROPOSED 0 CoMPLIANC OR I= ADDITION C] COMMERCIAL CHANGE OF USE PARKING LOTAREA PI.ANNINGREVEWEDBY X m REMODEL APARTMENT SIGN REGO I PROVIDED M Z FENCE 10-1 E] REPAIR GRADING CYDS cl , x FT) R-ARKS z _ DEMOLISH 0 TANK ci OTHER A -GE ElAININ. WALL 0 RENEWAL ZI C] CARPORT R.CKEY 0 -ri I r TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: TVF CON RUCTION C UPANT CHECKED By GROUP q, mc : f? c R NUMBER OF CRITICAL OCCUPANT SPECIAL INSPECTOR AREA m M DWELLING AREAS CFO NUMBER UNITS LOAD REQUIRED CD YES 0 rm 0 ST FIES 'r 0 DO tO REMA KS R UBC 108/FINAL NSPECTION REO'D v 0 1 PROGRESS INSPECTIONS PE C co c 0 't A Z r- E z (300 tlT, o,-, -1 VALUATION FEE PLAN CHECK FEE z LOT SLOPE % EAT S RCE GLAZING % BUILDING m PLAN CHECK NO: IIESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED Is PERMIT COVERS WORK TO BE GONE ON PRIVATE PROPERTY ON ANY C6NT7RUCTtON ON THE PUBLIC Ly. ETC.) WILL REQUIRE GRADING/FILL oMA. C.R.S. SIDEWALKS. DRIVEWA YS, MARQUEES, SEPARATE PERMISSION. STATE SURCHARGE IT APPLICATI 14: 180 DAYS PE M o IS WITHIN 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK STARTED ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFO MATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS THE CITY OF IN INTEREST, AGREES TO :NDEMNIlY. DEFEND AND HOLD HARMLESS TIOFFI.IALS N.,.A,.EN�TlLSlF.. ANIAND LANG'CA' G INSPECTION FEE EDMONDS. WASHINGTON� ,p.L.,Ey.EAE.S I ALLG-ME,,F.oRDAMEllEI OF WH E IN F, ORINDIREGTLY 'E�'E'A 's, OF THIS PERMIT SHALL NOT 82 'PLAN CHECK DEPOSIT REC(I FROM TH B A.. . THI S PERMIT. ISSUANCE DEEMED T MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE o 'S ANY ORDINANCE PROVISION. CEIPT RECEI W OR Ll MIT IN ANY WAY THE CITY ABILITY TO ENFORCE I TOTALAMOUNTDUE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APP ICATION APPROVAL I HEREBY ACKNOWLEDGE GIVEN 11 CORRECT, AID THAT I AM THE OWNER, OR THE OLLY AUTHORIZED AGENT 01 T`� ,­_ i� A p.,­ u�jfl by THEOWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- D CALL -1 Offi-I -1 D.pull! -d F— — I Id. -V TION, AND IN DOIN THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY WASHINGTON RE ATING TEO FOR INSPECTION I N VIOLAT ION OF THE LABOR CODE 0 THE STATE OF WORKMEN S COMPENSATION INSURANCE ANDRCVV IB.27. OFFICIALS SIGN URE DATE (425) 771-0220 RELEASED BY F-x I '333 ' -7�E-NfION 61)(LCL- U IT 13 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE NTIL -A 771-0221 IN4PECT6R PPROVAL A CERTIFI- A FINAL INSPECTION HAS BEEN MADE AND A OR ORIGINAL- FILE YELLOW GOLD ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK. OWNER