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20000639.pdfA DATE P IPERMITEXPIRES u SE CL-52 PERMIT CITY OF EDMONDS ONE NUMBER 2tW­0 CONSTRUCTION PERMIT APPLICATION 3 B SUITE/APTO ADDRESS I U p LPILAT NAMEISUBDIVISION NO, 111 NO. :y_,S7-6t45oN LID FEE S MAILING ADDRESS TES PAPPI—P PUBLIC RIGHT OF WAY PER OIFGA STREETMAP — I.- A— — p L 's LJ Ib—, p—, EXISTING — PROPOSED — CITY ZIP P 61 VZ REOUTREDOEDICATION FT r-_ Dni & MQ �o FRV RECUIRED NAME METER SIZE I LINE SIZE NO, OF IIXTUFEE YEB 1:1 No 0 AnnRESS ��tF!�lS��IT..Il�..�l-..1.1.1.�E�OSIONCONTROUDRAINAGE CITY NAME 16� J�L?oq A)6� 12,44 5-r '0- zi 3 FIRE REVIEWED By DATE i CITY ZIP TELEPHONE cyl 3, So i 9a5 ?zojlll� CU SHORELINE OR ADB# PECT �NIREQON I BOND EXPIRATION .... Y VARIANCE OR POSTED STATE LICENSE NUMBER OYES ONO ACT) I) WHO --,G VP 12,j -!,jIJj_v SEPAREIIEW SIGN AREA HEIGHT COMPLETE —mvi ALLOWED PROPOSED ALLOWED PROPOSE. PROPERTY TAX ACCOUNT PARGEL AU. 00 FXP 1 I I NEW RESIDENTIAL 1 M51NG / MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT3 FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UPSIDE REAR 0 ADDITION C] COMMERCIAL o C MPLIANCE OR CHANGE OF USE -BY jD DATE REMODEL APARTMENT 0 SIGN PEO'D I PROVIDED REPAIR C] "'DING FENCE CYDS 0 ( — X FT) REIVAHI. DEMOLISH TANK c3 OTHER ARAGE 0 GAFP.FT RE IRNYG WALL RE14EWAL F RQN 0 — Ft ACTIVIW) EXPLAIN: UIAZ! 9 CHECKEDBY YPE OF CON TRUCTION 'pl-om AD C. Up I e> NUMBER IR NU M' OF "IT CAL 'AREA. PECIAL INSPECTOR AREA OF WELLING UNITS B HUM E R REQUIRED [] YES c STORIES DESCRIBE WORK TO BE DONE R 4 SOURCE LOT SLOPE % kHEAT LA-.--C-.E­C-K-N-.--'-_ IESTE..ATE THIS PERMIT AUTHOTUIES NLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC a DOMAIN (CURBS, SIDEWALKS, DRIVE AYS , MAIAOUEES. ETC.1 WILL REQUI RE :I SEPARATE PERMISSION. P RMIT APPLICATION: 1BODAYS 6 1 TED WITHIN 180 DAYS IS STA P. AR - PROVIDED WORK A PERMIT LIMIT.- 1 YE SEE BACK OF MIT FOR ORE INFORMATION PINK PEA ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS �APPLICANT, NINTERISWT IT.T.0 I.DolMN,FY GEE AN. HOLD AFNILESE THE CITY 01 2 E ... S, :T F CV�LS. EEM`PLOYEES. AND AGENTS FROM ANY AND ALL11-AIMS 'OR DACllAGlST0FWplATElER AAfUIlE. AI DIRE�TIIOR INDIRECTLY NOT BE FROM THE SSUAN . R EAMIT. ISSUANCE OF THIS PERMIT SHALL ORDINANCE DEEMEDTO MODIFY, WAIVE 08 PEDUCEANY REQUIREMENT OF ANY CITY N LITYTO ENFORCE ANYORDINANCE PROVISION.' OR LIMITIN ANYWAYTHE CITYISABILITY I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION: THAT THE INFORMATION C DULY AUTHORIZED AGENT OF GIVEN IS CORRE T, AND THAT I AM THE OWNER6 OR THE t CONSTRUC THE OWNER. I AGREE TO COMPLY WITH CITY AN STAT LAWS REGULATING THEREBY, NO PERSON WILL BE EMPLOYED TION; AND IN DOING THE WORK AUTHORIZED IN VICLATIO OF THE LA R CODE OF THE STATE 0 WASHINGTON RELATING TO WORKMEN'S COMPENSMARANCE AND RCW 18-27. 4 SIGNATURE E"ARIS ROGSESS INSPECTIONS PER UBC I08/FINAL INSPECTION RED � , o-4-,- . L�l, - VALUATION FEE PLAN CHECK FEE BUIlDI-G PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE CALL FOR INSPECTII (425) 771-0220 ATTENTION EX 1 .33.1 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5198 0 APPLICATION APPROVAL Th,l ppl—til-, Pt A p­II ­iI ig-d by th, oll,.i.1 ., h,Ill.r .�d F­.,d..­d. i' .­.­d,.d­p­Pl­ d I lCIALS SIGN RE BATE oo E ASEDBY ORIGINAL -FILE - YELLOW INSPECTOR PINK - OWNER - GOLD - ASSESSOR -$ z 9 0 m 0 m c M 0 80 c � c m m ,0 c o,n A rn M a 0 o C CA co 0 ca z 0 d 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... Zo 4�, PlerlPorch ................. Retainlrig Wall ........... blab Insulation .......... q :q PLUMBING: 0 CM M 0 Underground 0 0 0 Rough -in ................... , r. 3: M Commercial Final M z HEATING: C 1:6 Gas Test .................... x Gas Piping ................. 0 -n -n Equipment ................. rn M Commercial Final 0 n 0 F EXTERIOR SHEATHING C Cl) NAILING .......... ............... ITI C) FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Z Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............ Im"11100111" L. L C FP ERMIT EXPIRES USE CITY OF EDMONDS 1..E PERMIT NUMBER EOW-10(o3q. CONSTRUCTION PERMIT APPLICATIOW,­� 'AOBRESS SUITFJAPTI U ;�Cj '�)U 'PI 5W OWNERNAMENAMEO BUSINESS J 6 Ff Fill NAMEsSUBDIVISION 1 1111 NO, LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— 0 I.W..7U. Plnnhft�d 0 ='.. — - 0 ZIP ELEPHONE lgc,,,y rnhmf)<� EDIC ION_ FT REQUIRED DEDIC NAME O.OFFIXTURES PAV REQUIRED YES 0 NO 0 ADDRESS M REMARKS OWNERUCONTRAC 7OR*pfdSP6fjSjDLE FOR eROS[CtLrON.TRQjJQRA CITY NAME W M 9EXIEV4RIDATE, Is ADDRESS I a-71W A;g 114 5-r 0 Y-3 CITY ..ZIP KX94LIARAO: 23) ?zo-v all 8, z 0 0 m PIRE REVIEWED BY DATE VARIANCEOPICU SHORELINE OR ADS9 INS'P'E'71ON OYES C3NO P101ONED. IIT STATE LICENSE NUMBER EXPIRATION DATE KED BY ACT) o WHO'5G Ve f?-j-6jj/)L> 9 in -4 x 0 m SEPA REVIEW COMPLETE EXEMPT E P I SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED PROPOSED I PROPERTY TAX ACCOUNT PARCEL NO. 55"M of C)c) 00 C] NEW RESIDENTIAL PLUMBING MECH COMPLIANCE OR C3 ADDITION E] COMMERCIAL CHANGE OF USE REMODEL APARTMENT 0 SIGN REPAIR 0 GRADING C... '"CE X FT) o OTHER DEMOLISH C] TANK. LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (F.T.) FRONT �'SIDE FEAR PROPOSED SETBACKS (FT.) FRONT JR SIDE REAFt c: m C':) 0 0 cz -4 K = m M Z c: > r— —I PARKING LOTAREA PIS 10 I.PROVIDED A 15 Pi_ANNINGREVIEWEDSY DATE REMARK. inTMI— I Imw 0 GARAGE RETAIN NO WALL. CARPORT ROCK RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 0 3: MITI CHECKED BY T FE OF CON RUCTION 13 MSEROF IELLING ITS CRITICAL AREAS NUMBER R JAREA NT IL 1) AD REQUIRED C] YES E 4.ARKS ONS PER UBC 108/FINALINSP TION 4EQ'D WSPECTIO 8 C ri) M 0 z 05SCHISE WORK TO BE DONE A as 11 , o "�-o . 1 5 H - s(& n lo- vJC z VALUATION PEE z PLAN CHECK FEE 0 LOT SLOPE % PLAN CHECK NO: IVESTEI DATE B ILDING UD. PLUMBING 0 m ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK T. BE D NE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUULIC D 0 S. MARQUEES, ETC.) WILL RED ME OMAIN (CURBS,SIDE LKS,DRIVE AY SEPARATE PERMISSION, GRADINEPFILL STATE SURCHARGE PE MITAPPILICATI N: 180DAYS PERMIT LIMIT'. 1 YEAR � ROVIDED WORK IS STARTED WITHIN ISODAYS Is SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ;A PLICANT. ON BEHALF 0 S1 E"USSIQNSA NO SUCCESORS F' 'R PER -P= NPINTEREST. AGREES TO W.E.101. -I-- -4HC-HAFIMLESSTHE.4ITYOF a EDMONDS. WASHINGTON. ITS OFF ALS. EMPLOYEES. AND AGENTS FROM ANY AND OF HAgV DIRECTLY ALL CLAIMS FOR DAMAGES W ER NATURE, ARISING onRECTLYOR IN x FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY To ENFORCE ANY ORDINANCE PRO"ISION� ENG. INSPECTION FEE TANDSCAPING, INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 THE OWNER. REETOCOMP WITH CITY AND STATE LAWS REGULATING CONSTRUC JAG N LY TION: AND IN DOING THE WORK AUTHORIZED THEREBY. N PERSON WILL BE EMPLOYED IN V! LATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27. 0 S12URE JOWN:M j DATE SIGNED anj APPLICATION APPROVAL CALL In, applic.liGn is not a penatil until signed by the di g'ohj,j I IsMen Deputy: Ild Pass am P". and B'jjTh 'h FOR INSPECTION ecoipl is ucammuedged In &Ipaw provided. ; L -01CIALI 1ICNAILRE DATE oo (425) DATE 771-0220 REIlEASED BY ATTENTION EXT 333 IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI�1- ORIGINAL - FILE YELLOW - INSPECTOR DO CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR - ' 5 SA)S fo