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20000663.pdfAW4 DATE FECEK71) I I A 1 1 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS tVARK,-V MAILING ADDRESS Qoc'- � 7< ;K. sev CITY �z ;IP �TELEPHO�E b s -ftlo NAME NAME ri PERMIT EXPIRES J� PERMIT -3 S6066 -NUMBER JOB UITEJAPT# ADDRESS SAJ ZJ�2L,A Rol%,A - E — PLAT NAMEISUBDIVISIC' NO LOT NO* LID NO, I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPA,,pl— ­�d EXISTING — PROPOSED REQUIRED DEDICATION-- FT PRV REQUIRED YES 0 NO 0 REMARKS GANERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 12 'p U, fio-.W 212 2 FIRE REVIEWED By DATE RE REVIEWED By zip VARIAN E OR ` VARIANCE OR CU C U SHORELINE OR AGE. SHORELINE OR ADB# INSPEClIol SrLICENSE NUMBER DATE .1 REO' E3YES C]NO JFBON.D. GET -0 c Itipu t (Cult SERA REVIEW COMPLETE EXEMPT I SIGN AREA SIGN AREA WE. PRO POSED ALLOWED PROPOSED I HEIGHT ALLOWED PROPOSED I PROPERTY TAX ACCOUNT PARC L NO. 0 Exp -_ LOT COVERAGE RE - 'RED BETCKS I- REQUIRED SETBACKS IF` PROPOSED SETBACKS (FT. 0 NEW PLUMBING / MECH ALLOWED PROPOSED NT SIDE REAR FRONT SIDE REAR FRONT UPSIDE REAR COMPLIANCE OR o ADDITION CHANGE OF USE PARKING LOT LOTAREA PLANNING FEVE, DATI E 0 0 REMODEL 0 SIGN REOD I PROVIDED 0 REPAIR ..A.ING C... 0 PENCE X FT) REMAHKb T DEMOLISH TANK L c3GARAGE E] RETAINING WALL RENEWAL CA PORT I (TYPE OF USE. BUSINESS OR�AWWTVx;PLAIN .55' rp I I ' c.EcKEDBY CU NT /6,— ITY=O oU P�A "fCRP _�IUMGER N OF CRITICAL MNI E AL�INSPECTOF REA C CU A T 'umBER WELL NO OF U —FIES NITS' AR F NUEAS IMBE RPECI E.UIRE E] YES JAPEA AD DESCRIBE WORK TO BE DONE KS 1REMA omnl.AFRS INSPECTIONS PER UBC 1081FINAL INSPECTION RED r,14a 41-d Ls$f &lad /51� VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING NO VESTED DATE PLUMBING MECHANICAL —THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DAON%1�114 P.R.IVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GfMDINGIFILL N UR , SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. W~ E HCHARGE E PE MITAPPLICATIO ; 1800AYS PERMITLIMIM 1 YEAR. PROVIDED WORK ISSTARTEDW ITHIN 18D DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEISS. ASSIGNS AND SUCrESORS ENG. INSPECTION FEE IN INTEREST. AGREES TO NI". DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING :NDEM E 2 EDMONDS. WASHINGTON. TSOFFICIALS. MPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE LCILAMSFO ARISING DIRECTLY OR INDIRECTLY AL I R AMAGES OF WHATEVER NATURE NOT BE RECEIPT SUD E OF THIS PERMIT SHALL FROM THE IS ANCE OF THIS PERMIT ISSUANC PLAN CHECK DEPOSIT D E OR REDVCEANY REQUIREMENT OF ANY CITY ORDINANCE , DEEMED To MODIFY. WAIV PROVISION.' RECEIPT 0 NOR LIMIT IN ANY WAYTHE CITY'SABILfTYT0 ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE 4/ THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL I HERESY ACKNOWLEDGE GIVEN ERECT, AND THAT I AM THE OWNER, OR THE DUI AUTHORIZED AGENT OF Ppl PV .11 u,fil..9— ", — THE WNECRo TYANDSTAIT LAWSREGUtLATIN G CON5TRUC I AGREE TO COMPLY WITH Cl CALL B'�.,T, ­, 1­ 11, plId 1�1 o.,,., .1 . D ED TION: AND IN D ONG THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY, OF WASHINGTON RELATING 0 FOR INSPECTION �p __d lodg. P IN VIOLATION O'F' THE LABOR CODE OF THE STATE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, LS IGNATUR _SIGNA!��NNEROqAG (425) WGD DIFTE 771 -0220 HE ASEDBY EXT 333 ---------- ATTENTION 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- ORIGINAL -FILE YELLOW INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK -OWNER GOLD "a Z 9 1 0 a rn c: m 0 c: �. c m m c 2 CA o -n n -I x m m o c:: Fn c . I m Z 7-1 ;u -4 Z co Z m FINAL PROJECT APPROVAL FORM TO: -DATE: MEMO TO: P T COORDIN OR, BUILDING DIVISION FROM: AT ---FIRE DEPARTMENT DATE - ENGINEERING DIVISION DATE — PLANNING DIVISION DATE PRojEcT—LLQ—Y,—/ SITE ADDRESS PERMIT (7-2-6cJcl t �ADB#—DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECT C—AR A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: __4--Final approval of the described work Bonds associated with the project may be released GRANT FINAL PROJECT APPROVAL GRANT FINAL PROJECT APPROVAL wITH CONDITIONS NOTED _—YAILED FINAL INSPECTION - OUTSTANDING ISSUES I 2. 3. ______—RE-INSPECTED, OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:forms6/98 z 9 0 C: rri rn a --10 00 C --I C X M M Z 0 C: 0 -n M M 055 0 r- 0 M C: co C C/) M 0 z X --i z z 0 i 0 rn Gas Test .................... Gas Piping ................. Equipment . ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING .......... FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Cow 0665 Z 0 0 M C M 0, 0 IT1 M j�4 0 -n n MITI a 0 0 to: M 0 z 0 IT 'y ....... .. KD PERwExOIRES' o o PERMIT 'S CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS w lU TE11T OWNER NAMEINAME F BUSINE�� L D NO. PILAT NAMEISUBDIVISION NO. LOT NO, LID FEE S dLICATION MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 'EICP 4p­1 0 A� P.-It R-I- 0 St­t­PP.lR.qd 0 C CITY ZIP EXISTING — PROPOSED-�— [3 0 ITELEPHOW2 mwo 425--774— REQUIRED DEDICATION— FT .,.d 'NAME METER SIZE I LIN.SIZE I ...OFFIXTURES YEPRV REQUIR 0 S 71 NO 13 �F_ADDRESS /11 1A RE.ARKS MN5RICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAWAGE CITY NAME V,O,,66)e 21Z2? CIT TELEPHONE �- ru sMSE NUMBER t CHECKE dy A_� 11,1161n a-L Co C /64 PROPERTYTAX ACC UNTIARLEIN.. /_Lr�Z-7 — o I o - M - I I — NEW 4 RESIDENTIAL C] PLUMBING I MECH C MPLIANCEOR ADDITION 0 COMMERCIAL El CHANGE OF USE REMODEL [3 APARTMENT SIGN GRADING FENCE REPAIR 0 CYDS ( x FT) OT! DEMOLISH 0 TANK CA C] R Cl oAFlA..ET MNING WALL RENEW Hy NUMBER NUMBE OF or DIN LLING A�_ STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE ENGINEERING FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBI INSPIECTION E ID I PBOND osTED OYEs ONG __TEPA —REVIEW SIGN AREA HEIGHT EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ECOMPLETE I XP , __ToT —COVERAGE REQUIRED SETBACK$ (FT) PROPOSED SETBACKS IT ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE FEAR I PARKING LOTAWE PLANNING REVIEWED BY DATE REO'D I PROVIDED I 5Y OCC.PANTR_�_ GROUP PECIAL INSPECTOR OrAC.UPANT [CHECKED REOUIRED [] YES JAREA Lo REMARKS DRnrRF-q.q IMAPIRCTIONS PER UBC 1081FINAL INSPECTION REO'D139 ��A 9 - VALUATION FEE I PLAN CHECK FEE HEAT SOURCE G�Z'N !�/Q, Q PLAN CHECK NO: JVISTEO DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WOAK NOTED. THIS PERMIT COVERS WORK TO PERMIT AUTHORIZES C =1 THIS BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BE DONE ON PRIVATE P DOMAIN (CURBS. SIDEWALKS, DRIVE S. MARQUEES, ETC.) WILL REQUIRE 00 V SEPARATE PERMISSION. GR6DINGfFILL IBIHIIIIIII! SUAFHARGE, PERMIT APPLICATI N: 180 DAYS PERMIT LIMIT'. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION C FLLC�JMS ENE. REVIEW FEES 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOAS IN NTEREST. AGREES TO INDEMNIFY. DEPEND AND HOLD HARMLESS THE CITY OF ONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND ARENT5 FROM ANY AND 2 EDNI C FOR DAMAGES OF WHATEVER NATURE, ARISING DI ECTLYOR INDIRECTLY = A L C OF, M Q FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE 0 Y W 'VE I OR REDUCEANY REQUIMEME.TOP ANYCITY ORDINANCE I DGEMEOTO MODIFY.WAIVE NOR LIMIT IN ANY WAYTHE CII Y'S ABILITY TO ENFORCE ANY ORLI-1- 0 OR I, MIT IN Y W Y ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTA AWOUNTDUE RECEIPT _S I HEREBY ACKNOWLEDGE THAT 111.1 READ THIS APPLICATION� THAT 'HE INFORMATION Give. CO RECT, AND THAT I AM THE OWNER. OR THE CULY AU I HORIZED AGENT OF IS A TOC CONSTRUC TH E OWNER, I AGREE OMPLY WITH CITY AND STATE LAWS RE GULATING TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WAS14INGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27 �All "HE[) APPLICATION APPROVAL B"I T j, ppl,­j­s p,,.it lIg-d by thl CALL ,lIg Olh-I , hi—, O,p.ty: :,d F ... ... ­d P FOR INSPECTION rocap! Is acknowlOdgab 1� P. provided. OFFICIALS lo�ATV //DA .IE/ 61 uj I f 1 -li4law RE DAE EASED By ATTENTION EXT 333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 1 ORIGINAL -FILE . YELLOW -INSPECTOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD ASSESSOR 5198 z rp 55 c in rn 0 800 c m m 0 c 0 In n m M 0 0 OR C (1) c Iq �O z z m