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20000598.pdf__7DATE `Ec"`E�7 FPERMITEXPIRES LL USE ZONE P ERMIT CITY OF EDMONDS NUMBER SLITIAITI CONSTRUCTION PERMIT APPLICATION JOB ADDRESS )�)7"15 2e 5,00 7_�S h/ — OWNER 01 BUSINESS T NAMEISUBDIVISION NO. LOT No, LID NO, I LID FEE S FEES PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T ES PAPPI—d 0 ZIP EXISTING — PROPOSED— ...... a =., - 0 REQUIRED DEDICATION— FT METER SIZE ---77=IXTURES PFW REQUIRED YES 0 NO 12 ZE NAME ADDRESS OWNEsicaNTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Iva bomd ITY 19 NAME '49 Ile e /ti, ADDS SS FIRE REVIEWED By DATE j;PI!L9PHCN CITY ZIP E OYCS (:]NO STATE LICENSE NUMBER SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED IdICL !�_! * PROPER" TA ACCOUNT lAF.EL NO. EXP I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) D NEW 0 PLUMBING I ME H ALLOWED PROPOSED FRONT SIDE REAR FRONT US SIDE REAR C MPLANCE OR 0 PARKING AREA PLANNING REVI ED ADDITION CHANGE OF USE REMODEL SIGN REO'D I PRO VIO TOT FENCE REPAIR GRADING CYDs 0 ( — x FT) REMARKS DEMOLISH 0 TANK C] OTHER GARAGE RETA.IN,1�,CWALL. [3 RENEWAL CARPORT C (TYPE FUSE.BUSI SS OR ACTIVITY) EXPI-AIN: CHECKEDBY �TRV CUPA GOD' O.C.Up 040 JTYPEOICON!TR�� 5.17 -E V NUMBER NUMBEROF CRITICAL SPECIALEII OCC UPAN OF DWELLING AS EA. RE." R 1A.- LOAD I S 2— STOR E UNIT. NU MEER 0 YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSFk:u I lu- VALUATION FEE PLAN CHECK FEE HEATSOURCE LOT SLOPE % BUILDING PLAN CHECK NO: PLUMBING MECHANICAL T.I..'E.A.M.IT AUT"ORIZEII ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO E . PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GR WAYS, MARQUEES, ETC.) WILL REQUIRE DOMAIN ( US , SIDEWALKS, DRIVE 'CUR.S. SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS P. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS END, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ING. INSPECTION FEE m 'APPLICANT. ON BEHALF F HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. AGREES T DEFEND AND HOLD HARMLESS THE CITY OF SCAPING :NDEMNIFY. 2 EDMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY-D INSPECTION FEE INDIRECTLY I. A OFWHATEIER NATURE, ARISING DIRECTLY OR RECEIPT SHALL NOT PO T S = AlArM. ADES DE SI IS PERMIT. ISSUANCE OF THIS PERMIT PLAN CHECK TH OF ANY CITY ORDiNANB EE ORDINANCE PROVISION,' RECEIPT TOTAL AMOUNT DUE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL IHEREBYA KNOWLEDGE R AND THAT I AM THE OWNH6 .,0— b, le. GIVEN IS CO RECT' OULY�AUTHGRINIIEG AGENT OF SoTRA7HE 'AN TE LAW E.U, CONSTRUC- CALL THE CW I AGREE TO COMPLY WITH CITY Call.. , "a"'o Dop,ly ld Fall ale PlId. ld EMPLOYED TION; ANDIN DOING THE WORK A THORIZEDTHEREB . 'EPSON WILL BE P llklZ WASHINGTON RELATING TO FOR INSPECTION ..Nl 'Ne .1 THE LABOR CODE .1 THE STATEY NCE A�.WTCW I B. DATE K.EN'S MPENSATI INSUR OFFICIALS SIGN TURE W E A (425) ql_Z�)o GNA URE ILZZQ� 771-0220 RELEASED Y DATE I I If EXT 333 E ION AWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 ISU HAS SEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW- INSPECTOR A FIN L INSPECTION HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR CATE F OCCUPANCY 5196 z a m a . . 0 80 c In M z cl) o -n n rn m a 5 0 o F, C fn 0 Z z rj) z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE AP PROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. 0 Retaining Wall ........... Slab insulation .......... In PLUMBING: 0 M 0 Underground ............. 0 2 Rough ............ -in K x , f.-'i Final ITI z commercial jo—I HEATING: Gas Test .................... Gas Piping ... .............. Equipment .................. M M commercial Final 0 EXTERIOR SHEATHING C (j) NAILING .......................... ITI 0 FRAMING........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... z $ Ceiling Insulation 0 SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FO R OCCUPANCY .................. M,4 �40ap W r__� 1 'DATE =RECEIVEO USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITEIAPT# 200 77) 5r,514/ OV�NER NAMEINAME OF BUSFNESS IeS'00 P NAMSISUBDIVISION NO. IOT No LO NO.1 I U. FEE S M MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IESCP Ap - �M=P.1111111%.� 0 CITY ZIP TELEPHONE EXISTING — PROPOSED— 1. R.q.— SMI-kR.I.— C RgOUIRED DEDICATION— FT — PRY EQUIRED NAME YES 0 No 0 ADDRESS REMARKS WNERICONTRACTOR RESPONSIBLE F R EROSION CONTROVIDRAINAGE CITY ZIP I'--- r rl �i NAME CTI ZIP LEPI, r —YM " f — w C3 NEW 1:1 R 0 PLUMBING / MECH 0 ADDITION C". [,�,IIDENTIAL C MPUANCE OR C3 CHANGE OF USE 0 REMODEL 0 APARTMENT C3 0 SIGN 0 REPAIR GRADING CYOS SINCE DEMOLISH C] TANK m OTHER oGARAGE CARPORT RETAINlNGWALL --- RENEWAL TIVITY) EXPI-AINf NUMBER OF NUMBER OF DIELLIN C ..... AL AR MBE R &W PIZ— STORIES UNITS NUEAS DESCRIBE WORK TO BE DONE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADB# N INSPECTION RED., BOND POSTED 0 YES OKO SERA REVIEW SIGN AREA HEIGHT ALLOWED COMILRE �EIIMIT �ALLOWIOPROPOIEO LOT COVERAGE REQUIRED SETBACKS IFT) 'K PROPOSED SETBACKS (PT) ALLOWED PROPOSED FRONT SIDE FEAR R. FRONT R B REAR u PARKING LOT AREA PLANNING RE" DATE.. RED G I PROVIDED CHECKED BY TYPE — u— 1 H,�41 It P6 1 Sp5CIIALEIDNSPECTOR JAREA OGADUPANT REOU R Cl YES I Lo R MARKS con—qq INqPFCTIONS PER USC iOS/FINAL INSPECTION Rki,*q VALUATION I FEE ILAN CHICK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT C VERB WORK TO THIS PERMIT "' ` M, HE PUBLIC BE ..E ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT10N ON T U MARQUEES. ETC.1 WILL RED IRE R.Qlbr.�L I r DOMAIN 'CURES, SIDEWALKS. DRIVEWAYS. SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: III DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STA TED WITHIN 180 01 Av, ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG INSPECTION FEE 'APPLICANT, ON BEHALF OF HIS 08 HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING IN INTEREST. AGREES TO INDEMNIFY, I E MONDS WASHIN TON ITSOF ALS, EMPLOYEES, AND AGENTS FROM ANY AND INSPECTION FEE ALLGI.AIMSFOR AaAGEBGFWHFA'TCE'V R NATURE. ARISING DIRECTLYOR INDIRECTLY IF G E RECEIPT PER. T SHALL NOT BE LAN CHECK DEPOSIT F ANY CITY ORDINANCE RDINANCE PROVISION.' TOTAL AMOUNT DUE HAVE READ THIS APPLICATION: THAT THE INFORM TION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I G N WNENR6 OFATHE -USLY AUTH OR IZED A ENT OF IVE CORRECT. AND THAT IA. THE CTYA ISER. 1 P T, ST LAW GU I NO CONSTRUC- THE OWN RE I AGREE TOCOMPLYWITHO CALL d, 001i'li :_h's- D op -I RK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TION� AND IN DOING THE W T WASHINGTON RELATING 0 FOR INSPECTION ... lN dgOd ��ll 01 THE LAO R CODE OF THE STATE OF IN VI N ' C SLIRONCE ANUPGW 1821 .1 K.E ..�-ISNSAT�I_lm OFFICIALS SIGN TURE DATE AJE (425) 771-0220 RELEASED Y EXT 333 ATFE ION IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTOR -If A FINAL I NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTiFl- OFLGINAI_-FILE YELLOW GOLD ASSESS08 - OCCUPANCY HAS BEEN GRANTED. UBC SECTION 10 ,ATE OF 9 FAX PINK -OWNER z 0 d 0 =i _n c m mo 0 80 m z 10-4 o -n n --I m 0— O"a 0 rn cl) M 0 ;o z V) z 9 0 rn