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20000646.pdfDATE IEIEI��l C) C) I PERMIT EXPIRES I USE PERMIT �2�'_CG CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION '26D R E S S UITEIAPTI OWNER NAMEINAME OF BUSINESS cLID PI -AT NAMEOSUBDIVtSION NO. LOT NO. LID NO� "AILINGADDRES 7,� j" PUBLIC HIGH T OF WAY PER OFFICIAL STREET MAP FEE S TESCPAP" d 13 P., ell "w- U1.1 1.111.1111.1.1 0 e 0 EXISTNG— PROPOSED— , 0 0 ZIP TELEPHONE - FT — ==h '�,k METER SIZE LINE SIZE NO� OF FIXTURES PRV REQUIRED NAME YES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRA.NA.1 1. e_ CITY ZIP TELEPHONE TTATE LICENSE NUMBER EXPIRATION DATE CHECKED By c c c 0 /1/ "r -' / / 0 PROPERTY TAX ACCOUNT PARCEL 1. 1!�v ;7c) v — -'? — 0'!�'6 — v 00 C] NEW C] RESIDENTIAL C] PLUMBING i MECH 0 ADDITION [�S'RMEMRENALL COMMERCIAL C MPLIANCE OR CHANGE OF USE REMODEL APARTMENT SIGN 0 REPAIR GRADING G,CS ED FENCE X ITI a DEMOLISH C] TANK Fj OTHER oGARAGE CARPORT C] RETAININGWALL b , FRY 0 RENEWAL FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR ADBN INSPECTION REO'D POSTED r3 Y '8 `` NO SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED EXP I I LOT COVERAGE REQUIRED SETBACKS (F7) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR LOT AREA PLANNING REVIEWED By DATE RE;'PARKIN. ED PF.V�"7 I CHECKED By NPE.OF CONSTRUCTION 1-2— UUUh I Z _> GROUTP IUMBER NUM8E' POP CALC Co - C' TAS 'Al"IE CTOR Sp CIAL C YICR ARET OCCUPANT LOAD OF STO IES WE', NIS UNITS UMBER NUMBER 7 7 U REQUIRED YES E RED YES E]E DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION f o VALUATION FEE PLAN CHECK FEE HEAT E G IG % LOT SLOPE Y, BUILDING 4�URCj a PLAN CHECK NO: VESTED DATE V PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERN41T COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING;FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS . MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED W RK,S STARTED WITHIN 1BDDAYS END REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORM ION or-) ON BEHALF OF HIS OR HER SPOUSE, HEIRS. Arli-S AND SUCCESORS CITY Or ;APPLtCANT. N NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE C IALS, EMPLOYEES. AND AGENTS F OM ANY AND LANDS PING INSPECTION FEE 2 EDMONDS. WASHINGTON. ITS OFF, x ALLCLAIMSFOR DAMAGES OF WHATEVER NATURE. ARISING IRECTLYOR INDIRECTLY BE RECEIPT m FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PER MIT SHALL NOT PLAN CHECK DEPOSIT D DEEMEDTOMODIFY. WAiVEOR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE CEPROVISION,' RECEIPT OR LIMIT IN ANY WAY THE CITY 'S ABILITY TO ENFORCE ANY DRUM', TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CDR ECT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT OF R Th., PPIb-tlll Is .,el ,ge.d by the eol per"' THE oW NER. I AGREE TO COMPLY WITH C ITY AN6 STATE LAWS REGUtATING C ONSTRUC CALL he, phy:lPdFeo'lepl,dd Blddleg Offic-11 11 1 D TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTION IN VIOLATIo DE OF THE STATE OF WORKMEN-S:C R11N.�I'lRA1,11E AND RCW 16,27. OFF1 sIG URE =-F:T:HhLTAlBoN DATE SIGNED 425) �ALS & �AIE o SKINATU WNE GGNT vc, 771 -02-20 ELEASED By EXT 333 ATTENTION ITISUNLAWFULTOUSE.R CCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk ORIGINAL -FILE YELLOW -INSPECTOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5198 z 0 d 0 m c: m m 0 0 0 0 c: Im m m z —z F- 0 _In _n m M 0 0 m 0) m z M z z 9 0 m ATE RECEie C, 0 PERMIT EXPIRES 0 DS F EDM N C CITY OF EDMONDS TY 0 US" U" '0 PERMIT NUMBER .F1 T A PLICAT'ON MI P CONSTRUCTION PERMIT APPLICATION '05 AOD'D' Fl c S S SUITUAPTO OWNERNAMEIN MEOFOUSINESS PLAT NAMEISUBDIVISION NO. T LOT No. LIO NO. MAILINGADDRESS 7 7,� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I EXISTING PROPOSED— L L ID FEE $ p P;d P. U.N.. F�. 0 13 MTY TELE11101S 7 2,0 T 0 REQUIRED DEDICATION� FT — 0 wft. 0 PRV IRED -T NA.E METER SIZE I LINE SIZE NO. OF lIXXUURll YES 0 NO 0 YES . 1-1 m a 1014 e_ ZIP TELEPHONE EXPIRATION DATE CHECKED By lPOIIRTY TA� ACCONNI PAHCEL NO. 9�,2 70 C) 00 I� 0 NEW RESIDENTIAL n PLUMBING I MECH AUDITION E 'AL ... . [3 COMPLIA CE OR CHANGE OF USE REMODEL IA"T.E.T 0 SIGN E] REPAIR 0 FENCE AD .. 13 1. _ FTI DEMOLISH n TANK o OTHER 0 RAGE GAF�I.RT A —NESSORACTIVIT WALL 0 C] RETAIN RENEWAL EXPLAIN; FIRE REVIEWED BY DATE VARIANCE OR CU I SHORELINE OR AD" INSPECTION REG-0 I 111NO POSTED 0 YES ONO SERA REVIEW SIGN AREA HEIG T COMPLETE EXEMPT AL WED PROPOSED Lo ALLOWED PROPOSED I EXP I — . LOT COVERAGE REQUIRED SETBACKS (FT) pKuPNOTSED SETBACKS (FT) ALLOWED PROPOSED I FRONT SIP& HEAR . FRO UR SIDE REAR (TYPE OF USE. BUSI ECK BY 0 P-0 ARFASR E So �:T.R C: OF 'AL �S NUMBER NUMBER,, lAq C70 U YES OF MELLIN '11E HED U.— NUMBER REQUII �C] YES o STORIES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTI �,e %ns �Q2 I PLAN CHSCK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO: �E.T AIL_ PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO BE ... o. PR.YATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL ..A'N C .. S. ALKS, DRIVE S, MAROUEES� ETC.) WILL REGUIRE 'S'oEW STATE SURCHARGE SEPARATEWAYMISSION. PERMIT APPLICATlOK;,S80 DAYS PERMIT LIMIT. I YE AR, P�OIIOEO WOR STARTED WITHIN III DAYS ENG, REVIEW I'll SEE BACK OF PINK PERMIT FOR MORE INFORMATION AND SUCCESORS 'A F Hl OR HER SPOUSE. HEIRS. ASSIGNS PPLICANT. ON BEHALF o HARM LESS THE CITY OF IN INTEREST AGRSES TO INDSMNIFY. DEFEND AND HOLD AND AGE NTS FROM ANY AND LANDS APING FEE 2 ED o o FICIALS, EMPLOYEES. Mo. S,WASHiNGTON, F NATURE. ARISING DIAECTLYOR11, - L INSPECTION ALLCLAIMS FOR DAMAGE OF HATEVER FRDM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS pEFIMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEDTO MODIFY. WAIVED REDUCE ANY REQUIFIEM9NTOFANY CITY ORDINANCE N MANCE PROVISION.' 0 DA LIMIT IN ANY WAYTHE CITY'S A81LITYTO ENFORCE ANY OR TOTAL AMOUNT DUE IH5REBYACKNOVYLEMETHAT�H E READ THIS APPLICATION; THAT THE INFORMATION AND THAT AM THE OWNER. oFAtTEHE DUSyRAUTHyTrljlNZGED AGENT OF GIVEN I Co FlEqT. S R ST T LAW EGU� CoNSTRuc- THE OWNER. I AGREE TO COMPLY WITH CITY AND CALL TION; AND IN o MP ED DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE � LOY IN VIOLATION OF T LABOR CODE OF THE STATE OF WASHINGTON RELATING 10 FOR INSPECTII NS 'r WDFtKMEN'=P V=ION INSURANCE AND ACW 18.27. IAT2�N (425) "5� L 771-0220 ExT 333 ATTENTION IT IS UNLAWFULTO USE 04CCUPY 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 REVIEWED ly DATE TION CODE I OCCUPANX., �!:Nr7j GROUP �CCIUFANT ER UBC 1081FINAL INSPE&nC VALUATION FEE APPLICATION APPROVAL Thi,,ppli,at,,nis,,I,pormitu.iii,ig�edbythO —aipt i—k—todgad in space provided. FFICIALS SIG _(A�URE ELEASED BY ORIGINAL - RLE YELLOW - I.SPECT6A- PINK, OWNER GOLD -ASSESSOR z 0. 0 M m 0 0 x m m z 0 'n n rn M 0 0 0 0) m z z 9 0 m