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20000506.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ADDRESS I Flc[�,—,r ZIP L44 ") " '/ 9 , _7 -7 ��PHONE ADDRESS CITY ZIP clklmelt- I ADDRESS D t; CITY ZIP TELEPHONE LIM ROPERTY TAX ACCOUNT PARCEL NO. rf 71 G NEW RS!i[DEOTIAL RESIDENTIAL LUMBING I MECH 0 ADDITION 0 COMMERCIAL CONNER' o COMPL ANCE OR HANGE OF USE C] REMODEL 0 APARTMENT 0 APA TMENT F-1 SIGN 0 REPAIR 0 GRADING CYDS FENCE 0 , _ X FT) 0 DEMOLISH 0 TANK Ei OTHER GA�IAI�IT C P. A RETAKpE42LG WALL Roo 0 RENEWAL CTIVITY) EXPLAIN: NUMBER "WELLING, �—ICAL A EAS OF DUMBER NTS, NUMBS DESCRIBE WORK TO BE DONE — -m I / , lf�/4r� " PERMITEXPIRES 11-7-6-ou USE PERMIT or — ZONE NUMBER ZOL)-!�O(o ADDRESS —707 /769 S ITEIAPTO -STSh/ FLAT NAME/SUBDIVISON NO, I LOT NO, 11 11) LID FEE S PUBLIC RIGHT 01 WAY PER OFFICIAL STREET MAP R111 0 EXISTING -- PROPOSED — 00 R EQUIRED DE DICATION FT — u=.T'Zll.d NO OF FIXTURES PPII R-LIFED YES 13 NO REMARKS —RICONTRACTOR RESPONSIBLE FOR EROSION CONTRO-DRAINACE FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADS# INSPEC ION REOLD OSTED I 15ON E3YES (3 No SERA REVIEW SIGN AREA PROPOSED HEIGHT ALLOWED PROPOSED COMPLETE EXEMPT ALLOWED CO P _XP LOT COVERAGE R--U'� REQUIRED SETBACKS (FTJ PROPOSED SETBACKS FT) ALLOWED PROPOSED D FRONT SIDE REAR FRO FRONT �R SIDE FEAR I PARKING LDTA.EA DATE REO'D I PROVIDED 1PI-ANNINGREVIEWL-1 CHECK50 By I I I LOAD .....—ITInNA PFR UBC 1081FINAL INSPEZOIN E.J. VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE BUILDING PLAN CHECK NO: rESTID DATE PLUMBING ECHANICAL T—THis PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. S ESURCHARGE PERMIT APPLICATION: 1800AYS PERMIT LIMIT 1 YEAR ' PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT F DR MORE INFORMATION ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, H51AS. ASSIGNS AND SUCCEBOI'IS AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF ENG. INSPECTION FEE LANDSCAPING N NTEREST. 2 EDMONDS. WASHINGTON, ITS OFFICIALS� EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE X ALL CLAIMS FOR DAMAGES 01 WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISS ANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEOTO MODIFY. WAIVE OR REDUCEANY REQUIREMENT OFANY CITY ORDINANCE ANY ORDINANCE PROVISION.- RECEIPT 0 NORUMIT INANYWAYTHE CITY-SABILITY TO ENFORCE TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT AND THAT I AM THE OWNER. OR THE DU�Y AUTHOFIIZED AGENT 01 C TId 1-1-I —` �"-. THE 0 NER� I AGREE TO COMPLY WIT. AND STATE LOAWS F`EGULAT ING GONSTRu , W CITY C ALL d, —ly and F....l. p.Id. �II "'� �' D T AND IN DOING THE WORK AUTKO THEREBY' N PERSON WILL BE EMPLOYE ION. RIZED A N N RELATING To W Sill GTO FOR I NSPECTION --Ildgld �Paca providodg E STAT OF IN VIOLATION OF THE LABOR CODE OF TH E WORKMEN'SCElONiNSURANCEANI) RCW 1B.27 —7-6- OF ICIAL IGNATURE DATE Z6-60 AT NT� SIGNED (425) L - 771- —DATE 0220 RELEA - BY - -ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNI IL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW - INSPECTOR COLD ASSESSOR A OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OW14ER - CATE —77/ 5198 / —02,3S Y7. -Xl� !�cvrr z 9 -:4 m 0 m c M 0 0 A m z 0 -n m M 0 0 c m m z z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall........................ Plar/Porch ................. ketairunig Wall Stab Insulation PLUMBING: Underground . ........... Rough -in ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. f. Equipment . ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Coiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR -2- �01 OCCUPANCY ............... zl 0 M, c M (3 0 0 0, C � c, i [ M M c 5 vi 0 -n 'n IT! T a co, A z 0 M F THIS 4 DATE RECEIVED PERMIT EXPIRE S PERMIT .0& CITY OF EDMONDS ZONE 2.0,9 NUMBER �5' IDS CONSTRUCTION PERMIT APPLICATION ADDRESS SUlTE/APT# k/ OWNER NAMI,NAME 01 BUSINESS PLAT _ST -5 No NAMEISUBDIVISION No. LOT NO, "I'D, A/6 , 'd a LIDFEE$ I "D FEE $ AILINGADDRESS E..P A,"-.d o I-PAPPI... o P 1-7 W P_ R.qu".d o BLIC RIGHT OF WAY PER OFFICIAL STREET MAP Aw Pft R - 13 Y_ U.. . A.q d tt',_ U.. I.- A I d 0 13 EXISTING — PROPOSED o TELEPHONE P.""d Z CITY zip U_g:,_d FT — ,gl-d REQUIRED DEDICATION ., d 17 C` METER SIZE PRV REQUIRED PFV REQUIRED NAME YES . No 3 YES 0 No [3 REMARKS ADDRESS RFP-NSIEll FOR EROSION CONTROUDRAINASC CITY ---Ejm— Nion Ul 1911111 v v III I Im m I In bf elt_ ENGINEERING REVIEWEDIDATE ADDRESS FIRE REVIEWED BY DATE CITY = VARIANCE OR CU SHORELINE Oil AIBI INTP—ECTION BOND BER EXPIRATION DATE CHECKED By �E L;;;11�5 REo.D POSTED E3 YES ONO HEIGHT 0 m SERA REVIEW SIGN AREA ALLOWED PROPOSED COMPLETE PROPERTY TAX ACCOUNT PARCEL NO. EXEMPT ALLOWED I PROPOSED 0 0 EXP -I I - u / 0 - (a v) p LOTCOVERAGE REQUIRED SETBACKS ( I PROPOSED SETBACKS (FT) UPSIDE REAR = , I . a 0 NEW 11-IIIIN IMECH ALLOWED PROPOSED FRONT SIDE REAFRT FRONT t, rn c C3 COMPLIANCE OR AUDIT CHANGE OF USE PLANNING REVIEWED BY �ATE IT, 0 0 I PAQVIDED C] REMO'DoEML APARTMENT. 0 SIGN REDO I PAQVIDED 4 a m GRADING FENCE 13 X PT) RENIARII rn m REPAIR CYDS I — — 0 DEMOLISH C-] TANK E] OTHER ARAGE WALL RENEWAL 0 G.A.P.RT IRIEoi 0 o PAF r CHECKED BY TYPE OF R N c ." E - OR.. 1 to -n k n _3 ICAL NUMBER CNU"51ROF oA�"�'-TS WELL NO SPECIAL INSPECTOR AREA L '!!::] -4 = m rn OF NIT. NL "BE', , EQUIRED 0 YES rn c STORIES . DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D A 11 . : 0 0 0 Fn 5 C ce) '2,0 _c c co m 0 VALUATION FEE Z PLAN CHECK FEE cl) HEAT SOURCE GLAZING I LOT SLOPE % B ILDING Z 0 PLUMBING 0 m PLAN CHECK NO: IVESTED DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC MARQUEES, ETC.) WILL REQUIRE GRADINGIFil-L STATE SURCHARGE EWALKS, DRIVE AYS DOMAIN (CURBS, SID . SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS ENG. REVIEW FEES PERMIT LIMIT., 1 YE WITHIN 18D DAYS AR ' PROVIDED WDRK IS STARTED SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE -APPLICANT ON BEHALF OF HI S OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORs DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING IN INTEREST, AGREES TO INDEMNIFY, 2 EDMONDS� WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE RECEIPT CHECK DEPOSIT ALLCI.AIMS FOR DAMAGESoF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ERMIT SHALL NOT BE P FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE 0 FY. OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLA D5eMSDTOMOD' WAIVE 0 NOR LIMIT IN ANY WAY THE CITY'S ABI UTY TO E N FORCE ANY OnDl NANC E PROVISION.- REG TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI S APPLICATION; THAT THE INFORMATION APPLICATION APPR GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF ONSTRUC 'A AND STATE LAWS REGULATING C. CALL Thl, PplllltllI 11 'It I P"I'lit Unl` S I I ","T. .,,d Bu,g oil h, D ... I, ..d F p TIEOWNIR M PLOY D ,�. GRETiTE0,C-R-tPLYWIT.FFGITY DING '. AUTH "EDTHEnEBY. NO PERSON WILL BE E TIoN, AND N RELATING To OF WASHINGTO FOR INSPECTION d IN VIOLATION OF THE LABOR CODE OF THE STATE WORKMEN S CO lIoN INSURANCE AND RCW 18.27. OF ICIAL IGNATURE DATE (425) 7AGENTI IC 771-0220 DATE EXT 333 ATTENTION IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - PILE YELLOW - INSPEC OR ASSESSOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - 77/-0-43-5�y