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20000514.pdfDATE RECMVED� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNERNAMEIN 01 BUSINESS Oick'-L , J'Eu s C, MAILING ADDRESS CITY ZIP TELEPHONE m PERMIT EXPIRES PERMIT ;9,005L.-q US Z [ONE IRS 4 NUMBER SUITVAPT4 A DC DDRESS PLAT NAMEISUBDIVISION NO. LOT No LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING RROPOSEO� S_ REQUIRED DEDICATION FT PSV REQUIRED YES C3 NO C3 REMARKS MNFRMONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE CITY ZIP TELEPHONE VARIANCE OR CU I SHORELINE 09 ADEN IN RE N I BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED By YRIO'D NO IPOSTED ES iL — R E� SIGN AREA X'EMPT ALL OWED PROPOSED EIGHT ALLOWED PROP BED PROPERTY TAX ACCOUNT PARCEL NO. LOT COVERAGE PEOUI E SET ACKS (FT I PROPOSED ETBACKS (I.) REAR 0 NEW RESIDENTIAL C3 PLUMBING I MECH ALLOWED PROPOSED FRO T SIDE REAR FRONT UPSIDE C] ADDITION COMMERCIAL COMPLIANCE OR CHANGED. --- PARKING LOT AREA REMODEL APARTMENT SIGN C3 REPAIR C] GRADING CYDS PENCE I — X FT) REMARKS DEMOLISH TANK :!u-Ll-- GARAGE CARPORT RETAI NINO WALL ------ RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKE D By TY�E OF CONSPUCTION lcm CCUPA 10 Z-3— GROUP NUMBER U11111F l"t'IICAL A, S EA SPECIAL INSPECTOR AR occi7p-ANT OF STORIES DWELLING UNITS NUMBER REQUIRED C3 YES LOAD DESCRIBE WORK TO BE DONE R MARKS ILOGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REQ 7�,, ,, �7.w n14 U&I ?' /6f- Ille -5-10'eA VALUATION FEE PLAN CHECK FEE HEAT SOURCE 9 BUILDING of PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC WILL REQUIRE GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVE AYS, MARQUEES, ETC.) SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION7 180 DAYS PERMIT LIMIT. I YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT ON BEHALF OF HIS OR HER SPOUSE HEI.I.SL.AS.1,11NI AND SUCCESORS OF ENG. INSPECTION FEE IN INTER T.=.ETS.TO DENIN'll DEFEND �N. F.LSSE THE CITY :N LANDSCAPING ED..ND:.SW N. TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND INSPECTION FEE ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY ISSUANC OF THIS ERMITISHALL NOT BE PLAN CHECK DEPOSIT IIECEIPT/S-// �j I 7�S7— FROM THE ISSUANCE OF THIS PERMIT REQUIREMENT OF ANY C TY OROINANC E DEEMED To CD'FY. WA�VE ORREDUCEANY CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION 'T, RECEIPT1,5. NOR LIMIT I N ANY WAY THE TOTAL AMOUNT DUE ()-7, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL AND THAT I AM THECOWNER RAT,�HE GU�Ly�AUTHDT�',�,E. AGENT F GIVEN S CORRECT. 0 Thil IPP11-1- 11 "1 P" 'TY AN6 .T LAW SOL, �.NS RUC - THE OWIN I AGRE E TO CO.PLYW'TH Y ER ED CALL B111dim9offi-111hi—I 'P*la�,IF— ... ... d. -d D TION. AND IN DIN THEWORKAUTH T BY. NO PERSON WILL BE EMPLO G RiZED HERE G REL To OOF FOR INSPECTION m Ilk—t.dgad �n cop—ld- IN VIOLAT ON F TH LABOR CODE THE STATE OF WASHINGTON 1 0 E WORKMEN'S COZENWION INSURANCE AND RCW 18,27, OFFIC LS-Si ATU DATE 5 lE0 (425) 771-0220 R Eq_7 DATE ,�AGENTI EXT 333 ATTENTION ITISUNL FULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL AW 771-0221 —.1IIINAL-111-1 A FINAL I NSPECTION AS BEEN MADE AND APPROVAL. OR A CERTIFI- . YELLOW- INSPECTOR - ASSESSOR CATE OF OCCUPANCYHHAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD �4)8 z 0 0 c 1 m m c: 2 r > -4 cl) 0 -n m cm a 0 o Fn c in c (1) M 0 Z r- z z 0 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED f SETBACKS ..................... FOUNDATION: i Footing ...................... Wall ................ Pier/Porch ................. 0� M Retainlrig Wall ........... Stab insulation PLUMBING: M, I M, Underground rn 13. 0 a Rough -in ................... x rn Commercial Final M Z; HEATING: C _Z, > Gas Test .................... Gas Piping ................. 0 -n n x P� Equipment ................. mT Commercial Final C5 0 OR EXTERIOR SHEATHING C M NAILING .......................... mo� FRAMING........................ - -------- -------- FIRSTFLOOR FRAMING.;. INSULATION ................... Floor Insulation Wall insulation ........... z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .............. CL=L= OFIERMITEXPIRES 7 ZZ u- PERMIT 514� CITY OF EDMONDS ZONE NDS NUMBER CONSTRUCTION PERMIT APPLICATION joB APPLICATIONd 20 sUITEIAPTN ADDRESS :7_q6--Z:2 / A4 uAg- bc OWNER NAMUNAME OF BUSINESS Ark -EL 15,.1FAjso^) 'o PLAT NAMEISUBDIV15ION NO. LOT No LOT NO. No LID No. LID FEE I'D FEE MAILING ADDRESS T AjE OFFICIAL STREET MAP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 'PoE . . EXISTING PROPOSED E W A,"d 0 11 A,,�=,,. o R- P._ B.".. B. P In _ ". F" d �11. o ........ . "".d 13 CITY ZIP ITELIPHONE REQUIRED DEDICATION- FT NAME Sz METER SIZE LINE SIZE . NO. OF FIXTURES Do I PRYREQUIRED YES 0 No Cl z- Aj D S ADID�RESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION TROUDRAINAGE CITY zip ITELEPHONE NAME 2A w ADDRESS Z FIRE REVIEWED By WE CITY zip 0, ENU�MEEIR ITELEIHONE VARIANCE OR CU SHORELINE OR ADEN INSPEC ION REQ'D YES KNO B NO OSTED m STATE LICENSE EXPIRATION DATE CHECKED By D 0 rn c 0 0 m A REVIEW COMPLETE EXEMPI EKP N AREA ALLOWED PROPOSED HEIDH I ALLOWED PROPOSED P-ROPERTY TAX ACCOUNT PARC L NO. cl NEW 0 PLUMBING I MECH COMPLIANCE OR ADDITION CHANGE OF USE REMODEL 0 SIGN LOT COVERAGE ALLOWED PROPOSED REOURED SETBACK$,BFT� FRONT SIDE, BEAR PROPOSEOSETDAC KS (FT) FRONT UPSIDE REAR PARKING REDD I DED =EA J��N��IGREVI-lo -I C] GRADING CYDS C] FENCE REPAIR X FT) DEMOLISH TANK JA OT11ILLt > r BE.- cjGARAGE C] RETANINYG WALL CARPORT RoC FR 0 RENEWAL 0 in n m M a 0 r- 0 m c co) 0 _F�PE OF -USE. BUSINESS OR ACTIVITY) EXPI.AIN: CHECKED BY TY E OF CONgT,�,.UCTION o E o C GCRCoUppA c Z-a- NUMBER OF NUMBER 11 C I G WELL N NITS "'ICAL A PEAS NUMBER SPECIAL INSPECTOR AR REQUIRED 0 YES OCCUPANT o , LOAD L.A. DESCRIBE W68K To BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D le 44411 164 fj'r_-_4Xk�V c Q) , m Z mll-A 20 d4 vi ISC14 1j,-V4,t X VALUATION FEE 5 1 Z PLAN CHECK FEE 0 LOT SLOPE I BUILDING 0, m PLUMBING PLAN CHECK NO: rESTEI DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE GRADINGIFILL SEPARATE PERMISSION. s ESURCHARGE PERMIT APPLICATION: 1-0 DAYS . PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW PEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGN$ AND SUCCESORS ENG. INSPECTION FEE IN INTEREST AGREES TO DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAP No �NDEMNIFY, 2 EDMONDS, WASHINGTON, TS OFFICIALS, EMPLOYEES AND AGENTS FROM ANY AN. INSPECTION FEE AILO-IMSF�ORDNAMAGIFITO.'WPHATEIER NATURE.ARISING DIRECTLYOR INDIRECTLY OF THI S P RM T SHALL DEPOSIT 7S- F . S ER.IT ISSUANCE ROM THE SUA CE T OF ANY CITY ORDINANC , .1 o,,MEo T=VY�WAIIE .� REDUCE ANY RE.UIRENEN RDINANCE PROVISION. 0 AN CHECK cE177 �Fb 0 YTHE CITY'S A61LITY TO ENFORCE ANY NOR LIMIT MOUNTDUE 11 TOTAL AMOUNT DUE f 7-1 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPI ICIATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF 1� - I P.Im" _0 "g- 'y THEOWNER. I AGREE TO CoMPLYWITH Cl Y AND STATE LAWS REGULATING CONSTRUC- CALL B.ildi'SO hislh., o�,Iy: .,I ED THEREBY. NO PERSON WILL BE EMPLOYED TON K AUTHORIZT AND N Do No TH THE STATE OF WASHINGTON RELATIN) TO FOR INSPECTION I. .--l.da.d 1. p... P-ld- IN Vj; OLATION F THE LADD CODE OF COM ENS ION INSURANCE AND RCW 18.27. OFFICIALS�SlkATURE WORKMEN'S SIGNA U E R AG NT) A77STED (425) , 1. 3L_7�) I I I -ur-r-u A Y 77ENTION EXT 333 1-01Z-7, IT IS UNLAWFUL TO USE .14 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK- OWNER GOLD ASSESSOR 51.8