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20000647.pdfDATE RECEg 00 PERMIT EXPIRES a�5�� USE �eS PERMIT '_70C,)Gq7 CITY OF EDMONDS ZONE g NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITEJAPT# uj AME OF 6USIN BE )WNER NAME /,1/4, IkI1,10-1 Lfi 7-1 PLAT NAME/SUBDIVISI-N No I LOT N LID NO. LID FEE S VAILING ADDAESS PUBLIC RIGHT OF WAY PEI .11ICIAL STREET MAP PROPOSED S1­1 U.. P CITY ZIP JTILEIHINE -1-7,11 REOUIRED DEDICATION— METER SIZE LINE SIZE FT � Will.g 1­1— NO. OF IIXTUREI 91,UIREO NAME I YEPRV S 0 NO IJ CITY ZIP ITEIEPHO!,IE NAME AEVIE.EDID�TE ENGINEERING ADDRESS FIRE REVIEWED BY DATE If CITY ZIP 0 T7;;5�NE74/'7- Q9A A Nuxla-zz VARIANCE OR CU SHORELINE OR ADB# STATE LICENSE NUMBER P.OND REO'D OETED YES 13 No 1q1,LjA,4;4-6166w SIGNAREA EIGHT -D ACCOUNT RCELNO. COMPLETE EXEMPT 0wo EXP I -- ALLOWED I PROPOSE ALLOWED PROPOSED LOTC E AG E OVI..PO — REQUIRED EETBAC- III PROPOSED SET.AG. 11) SIDE REAR FRONT UR SIDE HEAR NEI R151DENTIAL ALLOWED So FRONT ADDITION COMMERCIAL C MPLIANCE OR CHANGE OF USE PLANNING REVIEWED BY DATE REMODEL APARTMENT C] SIGN REPAIR GRADING CYDS F,'NOE X REMARKS DEMOLISH 0 TANK OTHER RAGE 0 GARl..T (3 RMFINY3 WALL RENEWAL CA BUSINES OR ACTIVITY) EXPLAIN: (TYPE OF USE� CHECKED By =L IT21 NUMBER OF S ECIAL P '11 INSPECTOR JAREAl HE iRE DOYES OCACOPAN Lo STO ISE T, DESCR18E WORK TO BE DONE MARKS ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REDID ig VALUATION FEE PLAN CHECK FEE HELT� BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE Y ONLY' ANY CONSTRUCTION ON THE PUBLIC PROPER' W E ETC. ILL H UIRE GRADINGfFILL DOMAIN (CURBS, SIDEWALKS .TE.AY..,M...LEES- EPERN E,.N SE�ARA STATE SURCHARGE x PERMIT APPLICATION: 180DAYS IS PERMIT LIMIT, I YEAR ' PROVIDED WORK STARTED WITHIN I.. DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS 0, HER SPOUSE ll,ASSWN� AND SUCCESORS N".11.. D HARMLESS THE CITY OF LANDSCAPINO TONgENIN" DEFEND I EST S To T ' - N NT AGREE m",` A " E"; ' -y`E-E;,AND'�lENTS FROM ANY AND I ER ' L' M Lo 2 E WASHINGTON IT" INDIRECTLY INSPECTION FEE C ' DAMAGE 'AT EV NATUE.A" IN", RE TLYO E A IS ISSUANCE 0, THIS PERM T SHALL No r BE LL, PER T PLAN CHECK DEPOSIT RECEIPT FROM THE .. A", OF ""IDT WAIVE 11 R ... SAN F ANY CITY ORDINANCE ANY ORDINANCE PROVISION." RE -, 'To 'FORCE 0 NAN A E A E NOR "'IT ' , , Y T, CITY., "LIT TOTAL AMOUNT DUE s:� THAT I HAVE READ THIS APPLICATION; THAT THE INF RMATION APPLICATION APPROVAL IHERE ACKNOWLEDGE By IZED AGENT OF IS ARECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORI GIVEN GO S ATIN G CONSTRUC CITY NDSTATE CALL pb­1 -,I , g-d by Ih. ThIl PPIK-tlll D P ­ ­b ­,OIb.,.l—I.1h. ­Iy—dF-- N _AGREE TO COMPLY WITH THE OW ER I E =1 BE EMPLOYED TION. AND .,.� THE WORK AUTHORIZED THEREBY. NO P WILL TO Bu" d FOR INSPECTION b—.wl.dl.b,,, �p.­ P,.vld. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING RE DAT WORKMEN'S COMPENSATIO S RANCE AND HOW 16.27, SIGNED (425) OFFICIALS SIGN 0 AGEN DATE _�MIER 771,0220 DAT ELEASED By EXT1333 ATTENTION IT 15 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL IN SPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - ASSESSOR z m 4 9 c m IT, a 0 80 c --I r. X M M z 0 -n n m M 0 YJ 0 0, cm M C) z ;u z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ..................... Wall.......................... z Pier/Porch .. ............... Retaining Wall ........... Slab Insulation .......... PLUMBING: M IT! 0 Underground ............. C, C Rough -in ................... IR ITI commercial Final 10 a HEATING: Gas Test .......... Gas Piping .............. Equipment ................. x MITI Commercial Final 0 Fn EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... z Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .......... L j, el"ll ATE REC117 cc PERMITEXPIR S Zo NE PERMIT 2000/47 0 NDS CITY OF EDMONDS NUMBER PPLI CATION CONSTRUCTION PERMIT APPLICATION j.B jA-.C.ESS ADDRESS UtTVAPTN v c�� OWNIP'NAMENAM101 BUSINESS �A P11,T NAMEISUBDIVISION NO, T LOT NO, LID NO. U14. 1$11,AIA L197-1 11. FEE S MAILING ADD E S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP PU.UCR NTo, P RE— Ap'.-. u P M,;? /0 .1-1 Us. I.— P. o I-" o —SED� s -P ,k s.­I, nsul- ITY zip [,TELEPHONE Y7 REQUIRED DEDICATION- FT U.nine d ld ME, — SIZE LINE SIZE No. OF FIXTURES LIP D P RED P V RE U NAME 9�=E�A NO 0 YE No Y —Fl, RKE S T SoNC. FOR EROSION CONTI F .. DNI—E FOR E Plo �CFA', E 0 D A NAGE NAME E�tEW nwT ENGINEERING ADDRESS 42 X 1067 DATE Is CITY ZIP TELEPHONE Z FIRE REVIEWEDBY U, azo �ARIANqli OR CU SHORELINE OR J�OBN INSPECTIO BOND. POSTED STATE LICENSE NUMBER EXPIRATION ATE RED o 0 YES AZL jAh;l� 66W S�PA REVIEW SIGN AREA HEIGHT PROPOSED X AC�OUNT PAR EL NO. _ W_ w — COMPLETE EXEMPT EXI AL OWED PROPOSED L ALLO WED t1PR NEW A SIDENTIAL PL .. INE� LOT COVERAGE AL OWED PROPOSED REQUIIEDSITBACKSIFT*l FRONT SIDE REAR T. I.'- PFICF- IK REAll ON, ADDITION COMMERCIAL C MPLIANGEOR 'cl COHANGEOFUSE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL APARTMENT [:) SIGN REO'D I PROVIDED C] REPAIR GRADING Yo, [3 PENCE X _ FT) REMAR- DEMOLISH TANK [3 OTHER ARAGE NING WALL PENEVIAL CAR ORT BQQN�RY C E3 G t.- E.'DITIA111) - (TYPE OF USE, BUSINESS -:7- 157 J_Ale- CHECKED BY IWE OF U TION p4Z OCCUP G ROD Is Ini 46 NUMBEROF CRITICAL AR 5PSCI INSPECTOR OCCUPANT —A LOAD OF DWELL N UNITS' "EAS, MEE AEOUAL RED 0 YES I STORIES DESCRIBE WORK TO BE DONE REMARKS 151111111111 Z 0 0 m m a 0 80 c: A rn 2 —1 0 n m M 0 uj 0 F 0 n c CA 9 cl) M Z Z x 0) 1 Z PLAN CHECK FEE 0 rn GI BUILDING PLAN CHECK NO: JVESTED �CATE PLUMBING MECHANICAL P AMIT COVERS WORK TO VALUATION I FEE THIS PERMIT AUTHO IZES ONLY THE WORK NOTED. THIS E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL BE 00MAIN (CURDS. SIDEWALKS, DRIVEWAY . MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SU CHARGE PERMIT APPLICATION: IGDOAYS PERMIT LIMIT. I A - PROVIDED W RK IS STARTED WITHIN 180 0415 YE R 0 ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ot V, 'APPLICANT. ON BEHALF Fill OR HER SPOUSE, HEIRS, ASSIGNS AND EICCES.FS S AND "OLD ESSTHE CITY D' LANDSCAIIN IN INTEREST, =AGRE.ITS T INDEMNIFY. DEFEND I TER EMPLOYEES AND=L 'S E, W Al....T III ITS 0 FLCIALS. OM ANY AND INSPECTION FEE END NOS .0 OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY RECEIPT THI S U NICE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT OF ANY CITY ONOINANC� ORDINANCE PROW SION - — I TOTAL AMOUNT DUE .9- ACKNOWLEDGE -AT I HAVE READ THIS APPLICATION� THAT THE INFORM TION T APPLICATION APPROVAL I HEIE.Y A ENT OF GIVEN IS CORRECT AN. THAT I AM THE OWNER. OR TIE —Y AUTHORIZED The ppl,,al,,. is not. Pon., t -11 sIg— el THEOWNER I GREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- BE CALL BnIdmqOinPnI P, ms-, Dop,IY:,nd Feesso, P11—nd TIONANDIND ING THE WORK AUTHORIZED THEREBY. No PERSON WILL LEMPLOYED 0 OF WASHINGTON RE ATING TO FOR INSPECTION ,O.pt,l Ilk ... l,dgld In sp­ pnol.dool.. IN VIOLATION OF THE LABI R CODE OF THE STATE C..PEN.All..� OFFICIALS SIONACAE D SIGNED A. (425) C;(� E i777�� 7 M-1 .fATE 771 -0220 ELEASED B Y EXT1333 ATTENTION IS UNLAWFUL USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 IT -TO INS FIE HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL-riLE YELLOW INSPECTOR -ASSESSOR A FINAL :CTION CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK OWNER GOLD W8