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20000599.pdfr --7- tl-z PERMIT EXPIRES ZONE PERMIT Q-00's-fy aii OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLI CATION JOB ADDRESS SUITEIAPT$ Z-5 Zc1n, — I Lo OWNER 0AM111AME 01 011INESI P�T NAMEISUBDIVISION NO. LOT NO* 110 NO, AM. j LID FEE S A /�v PUBLIC RIGHT OF WAY PE P .1 11CIAL STRE IT MAP 0 CITY ZIF TELEPHONE EXISTING — PROPOSE REQUIRED DEDICATION— FT — W z�-A ES P911 R CURED NAME YES 0 NO 0 t: ADDRESS R MARKS OWNER(CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAME 00 C.IAPP,0 ENGINEERING HLI—EMDATE I ADD ESS 0 ol Ii, FIRE REVIEWED By DATE CITY zip TE .0 F -?330 u—jvAe:LL_) wh joa VARIANCE OR CU SHORELINE OR ADDS INSPECTION D STATE LICENSE NUMBER E RAT ON DATE CHECKED By '11 EO'D OSTED 0 YES ONO AREA HEIGHT COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED EXP LOT COVERAGE REQUIRED SETBACKS (M. PROPOSED S TOACKS FT) FRO" SIDE FEAR FRONT LJ..ICE FEAR NEW PLUMBING / ECH ALLOWED PROPOSED o COMPLIANCE OR C] AUDITION CHANGE OF USE I PLANNING REVIEWED By DATE REMODEL 0 SIGN AEO'D I PRO'VIDEO 0 FENCE REPAIR IRAIIII CYDS I X FT) RE.AEKB DEMOLISH C3 TANK o OTHER RETAINING WALL E] RENEWAL YPE OF USE, BUSINESS R ACTIVITY) EXPLAIN: CHECjEp By TYPE 0 NSTR�T.1061 UPANT CCOUPC jo UMBER NUMBER OF CRITICAL AREAS .. ....... PECIAL INt Ton AREA ... ... OF STORIES DW ING U..gi NUMBE IT 'IFEO 7 REQUIRED YES 0 YES JLOA. DESCRIBE WORK TO BE DON� FENIA KS AnD PRnrRF:SS INSPECTIONS PER UBC 1081FINAL INSPECTION REa ---- F HEAT SOUFEF LOT SLOPE I PLAN CHE VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK 110110* THIS PERMIT COVERS WORK TO BE ... 0. PHV E D N ON P 'VATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC M BID" PE' Y EA D D MARQUEES, ETC.) WILL REQUIRE OMAIN 'CURB., WAYS' A N RISE , SIDEWALKS, DRIVE SEPARATE PERMISSION. 2 Y, PERMIT APPLICATION: ISO DAYS IN 180 DAYS 1. PERMIT LIMIT. I AR * P ROVIOED WORK IS STARTED WITH SEE BACK OF PINK PERMIT FOR MORE INFORMATION �APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. A-1111,NS AND SUCCESORS N INTEREST, AGREES TO :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF I —1.1.1,T.N. TS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND LL C �"NSF.R DAMAO DIRECTLY OR INDIRECTLY A S PERMIT SHALL NOT BE OF ANY CITY ORDINANCE ORDINANCE PROVISION' VALUATION FEE PLAN CHECK FEE BUILDING P UMBiNG MECHANICAL GRADINGIFILL URCHARGE ENG. REVIEW FEES ENG, INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT RECEIP TOTALAMOUNT DUE HLCEIFI I - HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INF09MATION APPLICATION APPROVAL Y AUTHORIZED AGENT OF h, ppjicXI,O X p.I -,I b,,ld by th, GIVEN IS CORRECT, AND THAT I AM THE OWNER. STRATHEAWS REGULATING CONS T rHEOWNER, IAGREETOC YW PERSON WILL BE EMP TRUC CALL h. D bdly�� ,�d F.e. a,o p1lb, d TION. AND IN `G T U T=TEG ATN.D RE SY6N 0 LOYED I'VIOLATI H o ODE OF THE STATE , WASHINGTON RELATING TO FOR INSPECTION R I SURANCE AND RCW 18 21 OFFICIA SIGN DATE KMENPS��MP N7�; ilolot, ATE SIGNED (425) Lit 9D 51 NATURE 771-0220 EASED BY J�kw DATIE E T� EXT 333 e-- I 1W FULT.USE.R - '-'Y A BUILDING OR STRUCTURE UNTIL 771-0221 ORiGINAL-FILE - YELLOW -INSPECTOR L � Pr A tINLA N :CT,.N HAS BECEN ADE AND APPROVAL OR A CERTIFI� CATE OF OCCUPANCY HAS BEEN GRANTED, LED SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR 519B Z Cl M c: 0 m 0 80 31c m m 104 c: > 0 _1111 A M 055 0 Fn M 0 Z Z 9 0 m ............. ...... Cl RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS FOUNDATION: Fwti�g ............ !. ................... Z' 0 Pier/Porch ........... —1 0 Retaining Wall ........... ITI Slab Insulation .......... PLUMBING: a M M Underground ............. —Oka 0 C) 0 Rough-lr� ................... n5- C d K Final fh T Commercial HEATING: > Gas Test .................... Gas Piping ................. 0 -n "n LU Equipment ................. M M Commercial Final 0 EXTERIOR SHEATHING 0 C to NAILING .......................... 'co I 0 FRAMING........................ FIRST FLOOR FRAMING ;U INSULATION ............. Floor insulation Wall Insulation ........... Coiling Insulation 0 SHEETROCK NAILING IT! SPECIAL INSPECTION 51 MISCELLANEOUS .......... JIM FINAL APPROVAL FOR OCCUPANCY ...... ....... L 'Tk RECEIVED /) [PERMIT EXPIRES Ciii OF EDMONDS us PERMIT ZONE NUMBER ZO CONSTRUCTION PERMIT APPLICATION JOB -SUITFJAPTS ADDRESS —)A A, z 52t.-C) - l(n Au OWNER NAMENAME OF BUSINESS _ L_ Lo � p�,e I-NAM11SUIDIVISIONNO. I L.T.O. L No. DFEE$. L�D ULN.AG _ E. GREk AILING ADDRESS tW e PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED REOUIREDOEDICATiON_ FT T-P.1— sw P-M n. d= 21=1 0 u, 0 Yfl� -d C CITY 4_Ay"js Lx/j Z ITELEPHONE NAME METER SIZE I LINESIll I NO.OFFI—FIES P V R-UIIIEO lEsC3 NO 0 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE k CITY ZIP ITELEPHONE NAME F�Q\Ve,00 ENGINEERING REVIEWEDIDATE ADDRESS ot (T s-v-. 4 0 FIRE REVIEWED BY DATE ZI a u -.14 SLL x rn STATE LICENSE NUMBER EXPIRATION DATE CHECK 0 BY VARIANCE OR CU _,PAF"V"W SHORELINE OR ADB# _ INS :OTION PEG RE G E. NO Oy 13 PBONDO OSTE . V, I �l rn m 0 0 c: Z > -1 o"n m M 0 0 - cg: (rim) M 0 Z --1 PROPERTY TA OCOUNT PARCE-Q. COMPLETE EXEMPT EXP BIG_ 'N AREA ALLOWED , PROPOSED HEIGHT ALLOWED 0 NEW PLUMBING MECH AD ITION o C PLIANCEOR CHANGE OF USE REMODEL, SIGN 0 REPAIR E] GRADING CYGS E] F NCE X FT) E] DEMOLISH C3 TANK OTHER 0 QCAA�MPCRT P.-AINIHO WALL F D", C3 RENEWAL LOT COVERAGE AL PROPOSED 7D REQUIRED SETBACKS JFT.) FRONT SIDE REAR PROPOSED SETBACKS (n.), FRONT YR SIDE R A ITAREA IlLklININGRIVIEVIE08y DATE HhMA (TYPEOF USE. BUSINESS OR ACTIVITY) EXPILAIN: CHECKED 8 JTY��ISTR T.ION IDE OCCUPANT 7 GRO��:. j 3. NUMBER OF STORIES NUMBER F. G DWELLING NJ U TS C ITICAL A E S NUMBER SPECIAL IN CTOR AREA OCCUPANT REOUIREOSP' ILOAD C] YES DESCRIBE WORK TO BE DO AM-) Ahlb A*D k RENA KS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REQ'O z z VALUATION FEE 0 PLAN CHECK FEE 0 HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: IVESTEDIDATE PLUMBING TO MECHANICAL THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPER Y ONLY. ANY CONSTRUCTION ON THE PUB REOULIC DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL IRE SEPARATE PERMISSION. GRADIN 'FILL , IN a M ISZURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT UNIT. I YEAR -PROVIDED W RK IS STARTED WITHIN 180DAYS SEE BACK OF PINK PERMIT FOR MORE INFOR MATION ENG. REVIEW FEES 'APPLICAN-r. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOPS THE IN INTEREST. AGREES TO INDEMNIFY DEFEND AND HOLD HARMILISIROM CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS F ANYAND ALLCLAIMSFOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR IND AECTLY FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVEOR REDUCE ANY REQUIREMENTOFANY CITY ORDINANCE ENG, INSPECTION FIE LANDSCAPIN INSPECTION FEE PLAN CHECK DEPOSIT IRECEIPT NOR LIMIT IN ANYWAYTHE CITY-SABILITYTO ENFORCE ANYOR,DINANCE PROVISION.- TOTAL AMOUNT DUE IR CEIPT I HEREBY ACKNOWLEDGE THAT � HAVE REA THIS APPLICATION: THAT THE INFORMATION GIVEN IS CORRECT, AND T14AT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APP ICATION APPROVAL T E "' 0 WITH CITY AND STATE LAWS REGULATING CONSTRUC IN �13.1.'.T' 0 WTH.RIZE. THEREBY, NO PERSON WILL BE EMPLOYED T'l.`N?ANG R CALL T S'd din hi ft, Dopty: ,d Fea, d nd i 0 CODE OF THE STATE OF WASHINGTON RELATINGTO FOR INSPECTION o rY NG IfA�Ttjl CSURA EANDRCWIB.27. OFF ATE N (425) DATE BIG ED q_D0 771-0220 EASED BY DATL V�TIO EXT 333 I S UN#LAWTQSE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FIL YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD ASSESSOR sms