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20000668.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMEINAME OF BUSINESS CITY ZIP L-:-DMONDS q3oz NAME PERMIT EXPIRES USE, PEI MIT ZONE "M.ER JOB TADDRESS let FLAT NAMUSUBDIVISION NO. LOT NO, LID NO. LID FEE S PUBLIC RIGHT 01 WAY PER OFFICIAL STREET MAP P. P:Al E.ISTING - PROPOSED - REQUIRED DEDICATION IT OF FIXTURES V 8EQUIRED _YEPS 0 NO 0 R MARKS FWNEIVCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY TELEPHONE NAME C L) ENGINEERING REVIEWEDIDATE B m ADDRESS 0 1 '15 691 WLICE�NSE E W DATE PFIREREVIEWEDBY CIT� TELEPHONE �n�2 1,300 INSPECTION BOND. VARIANCE OR CU SHORELINE OR AOB# VARIANCE OR CU REG STE G STATE N�UMBER -7 �;5;g�r4j OYE� ONO L) 0 Is� 5 C_ 0 6 HEIGH S P W PROPOSED CO SEPAREVIEW SIGN AREA G MPLITE EXEMPT ALLOWED PROPOSED ALLOWE .I PROPERy��jXUNT PARG EL 0 I cro - In q E. P _01�.VEIAGE PlIOURIUSET.ACKSIll PROPOSED SETBACKS (FT) NEW FLUIV.M.I.E.. ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE FEAR COMPLIANCE ORI ADDITION CHANGE OF USE 0 L7 PARKING LOT AREA PLANNING REVIEWED -1 DATE REMODEL SIGN REGO I PROVIDED REPAIR 0 GRADING CY.S PENCE _RE.APlb k ci OTHER DEMOLISH TANK 0 RAG RUAININYG WALL RENEWAL G.AARIWEIT P CX'l 0 TYPE 01 BE, BUSINE D TIlITYl E.11IN: CHECKEDBY TYPEOrC A COD O00UFA T GROUP NUMBER UMBEROF CRITICAL SPECIALEINSPECTOR JAREA OCCUPANT 0 5 OF WELLIN AREA LOAD REOI R 0 STORIES �'TS DESCRIBE WORK TO BE DONE REMARKS -Z PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECT 6 yJad Is, J'yle v,�4- 412 VALUATION FEE LAN CHECK FEE HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK NO: MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GFADING�FILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAROUEES. ETC.) WILL REQUIRE M SEPARATE PERMISSION. aj 01� FICHARGE SL PERMIT APPLICATION: 180 DAYS YE KI PERMIT LIMIT. I AR � PROVIDED WOR S STARTED WITHIN 'SO DAYS ENG, REVIEW FEBS SEE BACK OF PINK PERMIT FOR MORE INFOnM ION ON BEHALF OF HIS OR HER SPOUSE, HEMS ASSIGNS AND SUCCESOFS CITY .1 ENO. INSPECTION FEE ;APPLICANT. N INTEREST, AGREES TO INDIMN,IC� TESS THE AyNEDESOLND.=_ A S FROM ANY AND LANDSCAPING FEE '�'DEIF,ND 2 EDMONDS. WASHINGTON TSOFP S EMPLO EiOFWHATEVER NATURE.ARISING OTECTLYOR INDIRECTLY INSPECTION RECEIPT I PERMIT $HALL NOT BE PLAN CHECK DEPOSIT OF ANY CITY ORDINANCE PROV lStON.' FEC IPT 3RDINANCE TOTAL AMOUNT DUE -1 I HAVE READ THIS APPLICATION: THAI THE INFORMATION APPLICAT11 N A ROVAL HEREBY ACKNOWLEDGE THAT GIVEN IS CORRECT. A 11 THAT I AM THE OWNER. 02 THE DULY AUTHORIZED AGENT OF N T IPP-Ilt'll 11 - PI-L �'G by I" THE OWNER. PEE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC I AD CALL Olfi 1 11 1,1111,01 OP.IY. D TION; AND IN DOING 'HE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TO b FOR INSPECTION IN VIOLATION OF THE LA50R CODE OF THE STATE OF WASHINGTON RELATING WORKMENS COMPENSATION INSURANCE AND RCW 18.27, g;WNER OFFICIALS N URE /11E/M (425) XTU:RE WN DAIGENT) 771 -0220 EASED By EXT 333 A17ENTION ------- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW - INSPECTOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD -ASSESSOR S,98 z 3: c m M 0 , 0 C: M M z cl) 0 _n -n m M a �5 , 0 o C A C., Z z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Z Wall .......................... Pier/Porch ................. m Retaining Wall ........... (j) Stab Insulation .......... m PLUMBING: 0 Underground .............. Ir Rough -in .............. M z 10 Commercial Final a =; > H EATING: r Gas Test ............. 0 -111 Gas Piping m A -ed Equipment .................. 0 )F c n commercial Final EXTERIOR SHEATHING m 0 ;�j NAILING .......................... FRAMING ................... FIRST FLOOR FRAMING > INSULATION ................... Floor Insulation Wall Insulation ........... z 0 Ceiling Insulation m SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS InRIFINAL INSPECTION R INSPECTIONS PER UBC OE 51 R 17- FINAL APPROVAL FO F7— P�F16GRESS OCCUPANCY ............ A PERMIT EXPIRES us ZOENE S CITY OF EDMONDS PERMIETR NUMB :.Zo()&66 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS I a I ), - � (/ ;- N � ill =* OWNER ANBN�ANEOF BUS vv� T FLAT NAMEISUB01VISION NO. I LOT NO, LID NO, LID FEE S ILING AD MESS A -ING ADOM B L 'S -(I _Z I PUBLIC R15HT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED 0 (03 0 ITY zip C C 'Y L� ID 0) o � S)" 11 e) az 0 DS TE L �l N E 1 s__ REQUIRED DEDICATION� FT OF FIXTURES FRY REQUIRED NAME YES 0 NO 13 zz ADDRESS CITY ZIP TELEPHONE NAME T, p L_ _COT p ADDRESS 900 1 �_D O� lIT �EN_j 01 STATE LICENSE NUMBER A f� G 5 c L) S-7 R Cl PROPERTiALITOUNT PAR EL NO. tliD — ADDITION COMPLIANCE OR CHANGE OF USE REMODEL C3 APARTMENT SIGN REPAIR C] ..A.N. CYGS FENCE ( . FT) DEMOLISH C] TANK OTHER GARAGE ARPORT E] RETAININGWALL RENEWAL ROOKERY !UMIB�M 0 MBER.OF CRITICAL DWELLIN AREAS 'E. UNITS NUMBER DESCRIBE w6RK TO BE DONE I EROSION ENGINEERING I I I FIRE REVIEWED BY DAI E 5��CR CU SHORELINE OR ADBN INSPECTION tE 'D F 0 PBOND OSTED [3YES ONO SEPA REVIEW SIGN AREA HEIGHT COMPLITI EXEMPT ALLOWED P-POSED ALUOWEO PROPOSED E.P I I I LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SE7BACKS(FT.) ALLOWED P ROPOSED FRONT SIDE REAR FRONT URSIDE BEAR PARKING ___FP7NNlNG LOT ARIA REVIEWED By DATE REO'D I PROVIDED I CHECKEIBY ITYPEO' CODE I OCCUPANT 19 1 -MoUP :SPECIAL INSPECTOR JAREA REQUIRED [:] YES I I INSPECTIONS PER UBC I 08/FINAL INSPECTION REG'Dj VALUATION I FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE % 03 PLAN CHECK NO: j,,8TED DATE MECHANICAL THIS PERMIT AUTHO RIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS . MARQUEES. ETt) WILL REOUI SEPARATE PERMISSION. RCHARGE PE RMITAPPLICATI .: 1---Ay- PERMIT LIMIT: I YEAR ROViDED ORK IS STA TED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF His OR HER SPOUSE. - HEIRS, A S' ED ES RS ENG, INSPECTION FEE ;APPLICANT. E N NTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD A THE I F LANDSCAPING m EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND A A NO AULCU�IMSFORD MAG ES OFWHATEVER NATURE, ARISING Di E MINOR TLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE . 0 NOR LIMIT I N ANY WAY THE CITY S A51LITY TO ENFORC E ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE IPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFO MATION APPLICA-1 ION APPROVAL GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE GULY AUlN.MllED AGENT .1 ,j� _ . _i, .011119- THEOWNER. I AGREE TOCOMILY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL III I hi 1hl' Dop., :'d BE EMPLOYE TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL RE ATING Too WASHINGTON FOR INSPECTiON ,lldood .11 plll.dl I N VIOLATION OF THE LABOR ODE OF THE STATE OF WORKIIEN'ICOMPENSIIION INSURANCE ANIRC* 11,11 (425) OFFICIALS N TURE �Xlu) 97�TUR Wll�%QR�ENT 771-0220 EASED B DATE EXT 333 ATTENTION TO USE OR OCCUPY A BUILDING 08 STRUCTUREUNTIL 771-0221 1 IT IS UNLAWFUL MADE AND APPROVAL OR A CERTIFL ORIGINAL FILE YELLOW INSPECTOR A FINAL INSPECTION HAS BEEN CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK.oWNER GOL ASSESSOR S'98 ---- -------- z c m In 00 10 0 C -4 C m: rn M z 0 n M M 0 0 o c: cl) 980 't m z 71 z —1 x . I vi i z