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20000507.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 7 �EIIANE 010INE11 r C(S) ADO ss c�IIZX a_'5_ZJ ? ? ZIP JTELEI�ONE )m0A)D_<_ 0,76 4U -5- 7 CITY ZIP _"' F____ KRMITEXPIRES PERMIT ZONE NUMBER 7_0('L07 '06 UITEIAPTO ADDRESS z__:D'N""Ds FLAT NAMEISUBDIVIStON NO. I LOT NO, LID NO. LID F ES PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED� REQUIRED DEDICATION— FT METER SIZE I LINE SIZE I NO* OF FIXTURES PRV REQUIRED YES 0 NO 0 I REMARKS lWNFRI—INTRACTOR RESPONS15LE FOR EROSION CONTROUDRAINAGE 17, 1/ /4/ TILEPHO E _?74 STATE LICENSE NUMBER EXPIRATION DATE CHE-E. .1 PROI 0 FIRE REVIEWED By VARIANCE OR CU SHORELINE OR ADS# SEPA REVIEW SIGN AREA COMPLETE I EXEMPT ALLOWED PROP05ED Exp DATE INEFECTION I BOND C3 YRE-o POSTED ES 0 HEIGHT WE" FR ALLO OPOIED 'OT C BA KS (F7.) OVERAGE REQUIRED S C REAR ... SE. SETRA.K."T T El PlF.N D REA. RESIDENTIAL NEW LUMBING/MECH ALL ED ROPOSED FRONT SIDE OW P COMMERCIAL C MPLIANCEOR CHANGE OF USE LOT AREA PLANNING REVIEWED By GAT E C] REMODEL APARTMENT C) SIGN REaD I PROVIDED I F NCE GRADING 'E X F T)) C] REPAIR CYDS 0 _ — DEMOLISH TANK c OTHER GARAGE, F RETAI IIIYG WALL CARPOR _3 ROCKER C] RENEWAL IT OF USE. BUSINE S OR CTIVJXhl EXPI-AIN: CHECKED BY TYPEOF ON RUCTION 0 11 ,6-/j 11 e N MBER OF CRITICAL AREAS SPECIAL INSPECTOR AREA LOAD DWELLING jqff NUMBER '4 'V REQUIRED C] YES UNTS WORK TO BE DONE REMARKS PpnnRFSS INSPECTIONS PER UBC 1081FIMAL INSPECTION RE.]. VALUATION I FEE lbg, mo '�m PLAN CHECK FEE I I LOT SLOPE % BUILONG JW��FCE PLWN CHECK NO: ESTED DATE PLUMBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WO.KTO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURDS, SIDEWALKS, DRIVEWAY% MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. STAT SURCHARGE PERMIT APPLICATION; 180 DAYS PERMIT LIMIT'. I YEAR . PROVIDED WORK 15 STARTED WITHIN 16D DAYS ENG. REVIEW FEES SEEBACKOFPI K PERMIT FOR MORE INFORMATION PPLICANT, ON BEHALF OF HIS OR HER S'poUE, HEl.R.SASEI.NSAN.SUCCES.AS XN CITY OF ENG. INSPECTION FEE ;A INTEREST. AGREES To IND N E. F E G ARMLESS THE N ANY AND LANDSCAP NG E EDMONDS. WASHINGTON ITS oFFgl'AES. AND A ENTSlF.M IN D RECTLI INSPECTION FEE NIMFU�OEY.EEE, _C�IMSFORDA ARISING DIRECTLYOR AL MAGE�.FWNAT F AT ULNOT ISSUANCE OF THIS PERMIT SHA BE PLAN CHECK DEPOSIT AEC IPT FROM THE ISSUANCE OF TH IS= NY REOUIREMENTOF ANY CITY DEEMED To MODIFY. WAIVE OF A ORDINANC PROVISION.' 11RECEIPT NOR LIMIT IN ANYWAYTHE CITY 'S ABILITY TO ENFORCE ANY ORDINANCE DUE THE THIS APPTLIHCEATIULN� AFPLIL;AI ION APPROVAL AHAT EM�FoRMATX`N I HEREBY ACKNOWLEDGE THAT I HAVE READ GIVEN IS CORR EC D UTH.FZ AGENT OF T AND THAT,LyA" F""."n "I TNE�GWNER3 S'TRATE LAWS REGULATING CoNSTRUC THE OWNER. I AGREE To C, M W, . ITY AN CALL D'­` Bu"T apul TION. AND IN DOING rHE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED HINGTON RELATING TO � �y�, �'d FOR INSPECTION p—ld.d. IN VIOLATI OR CODE OF THE STATE OF WA WoRKmE RCW 1B.27. NzuiiE=0-- (425) OFF IAL5 SI NATURE DATE :)—)- "L2 1 771-0220 1 DATE RELEASED EXT 333 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 FIL E - YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD ASSESSOR 519B z 0 c ma 0 80 c mm > Z 0 MITI 065 . .11 0 0 c: c c. z 7-1 z cf) z 0 0 m RECORD OF INSPECTIONS INSPECTOR DATE AP PROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment .............. Commercial Flnal'm! EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ............ Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. �4 z 0. i F. 0 !M9 A M M -4 0 0 M In z C > n -A I ITI M 0 0 Fn C (A Z, 01 IT, ATE RECEIVED 01 PERMIT EXPIRES. USE PERMIT 07 1,d/ ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB T�EIAPT ;j N AODRESSq�/!� OW -R AMEMAMEOF INESS P - LAT NAMEISUBDIVISION NO LID NO - A K- LID FEE S c, MAILIN ADD SS 0 PLEI IC RIGHT OFWAY Pll� OFFICIAI:STREET MAP P i A- 0 0 EXISTING � PROPOSED F.'u".. 0 S.­ A-l- 0 Zip TELEPHONE REQUIRED DEDICATION_ FT MEIER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED NAME YE� C3 NO 0 M A—— RlEZAV'­TlIr.TOA RESPONSIBLE FOR EROSION CONTROUDRAINAGE .. Zip CRY j�)Fl rd i)A&- /-; zz ENGINEERING DDRE L I- fel A-- f f A) fi FIRE REVIEWED By DATE 1. 1 9: ry �� TILEPHO E - �l VARIANCE 02 CU SHOREUIE OR AD.' MEIECTI N REO-C I B=DD POST ,TATE LICENSE NUMBER ON DATE r9EOKID By OYES rINO )aiF bli HEIGHT ri fl# SERA RE VIEW I COMPLETE EXEMP ALLOWED PROPOSED ALLOW"' PROPOSED 00 ROI'f __C ,FZ7U I g NO, 0 7 EXP I LOT COVERAGE REQUIRED SMACKS (FT.) PROPOSED SETBACKS III FRONT UPSIDE REAR C] NEW REVIDIENTIAl- PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR I COMMERCIAL COMPL ANCE OR USE I CHANGE OF LOT AREA PLANNING R VIEWED By LAII, j 0 REMODEL Cl APARTMENT Cl SIGN REO'D I PROVIDED C3 REPAIR FADMG Y., 0 11N.E X III ARKS DEMOLISH TANK o OTHER GARA E RETAIIINY1 WALL G RENEWAL CARPORT F..F TIVJX*) EXPLAIN; CHECKEDBY ONSTRUCTI N CID ITYPEOF GROUP NUMBER NUMBER­oqC AREAS SPECIAL INSPECTOR AREA OCCUPANT LOAD OF WELLING NUMBER ,4 OU E RE IR G 0 YES Do STORIES UNITS DESCRIBE WORK TO BE DONE R2=AR,-K.Slll INCEIRII.TICINS PER USC 1081FINAL INSPECTION REQ'Dj 91 74- lknt d 109, XV 0 7 U� AT 0 RCE LOT SLOPE % P CHECK NU: THIS PERMIT AUTHORIZES ONLY THEWORKNOYTED THIS PERMIT COVERS WOR TO 0 BE ST DONE ON PRIVATE PR PERTY ONLY AN Co�jo FRICTION ON,T E P 0 B IRE E BRIVEWAYS.MAR UEES.ETC.)WLHLREUUUC DOMAIN CURBS , SjB5W ALK ' E ATE PERMISSION �EPAR PERMIT APPLICATION: 180 DAYS PERMIT LIMIT, 1 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 SUCCESORS OF IN NTlCRtElWT ITICT�0, �TC.E- FY DEFEND AND HOLD HARMLESS THE CITY FROM ANY AND =. ED..N FF,i CIALS. EMPLOYEES, AND AGENTS ARISING DIRECTLY OR INDIRECTLY AULCLAIMSFOR DAMAGESOFINHAT VER NATURE, THIS PERMIT. ISSUANCE OF THIS PERMIT SH�Ll­ NOT BE FROM THE ISSUANCE OF DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIN41T IN ANY WAY TH E CITY'S ABILITY TO EN FORCE ANY GRUINAh­ -1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INF RMATION AUTHORIZE. AGENT OF GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE OULY CITY AND STATE LAWS RIGU LAI TING CONS"UC THEOWNE I AGREE TO COMPLY WITH R I F. Y NO PER ON W 'L BE EMPLOY' WORK AUTHORIZ D HE B C TION; AND IN DING THE I, IN VIOLATION OF�THE LABOR CODE OF TH STATE .1 AS 'N.T.N R ELA NO 1. E WORKMEN'S CqMPENSATION INSURANC5.4NO ROW 18.27 SIGIA I� A). EN�Frl,- .,,,TIE VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGI;ILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT — RECEIPT TOTAL AMOUNT DUE 5-00 APPLICATION APPROVAL I` .1pl­i­ ie ,I . P—it uhill 119tIld by the CALL .idllo 0111-10, IX ,,t1hDI D,p,ty: Ild Fell wo p d, ,d FOR INSPECTION foco!pl is acknowl0d9c,l � �p... F It_ OFF IALS SI TURE DATE (425) -,!�Z) 771-0220 N LEASEDIII' DATE ATTENTION r-Ai J,,;) IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTII. 771-0221 -- YELLOW INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR,AqCERTIFI- ORIGINAL 'ILE - GOLD -ASSES OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 0 FAX PINK - OWNER z m c m M a : 0 80 c X M M z 0-4 c E: 0 -n m M a 0 o -M C co 9 ch M 0 z z m