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20000692.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 07 �AIUNGADDRESS I I CITY ZIP jlElEPH011 CITY ZIP TELEPHONE M ADDRESS 0 [PERMIT EXPIRES PERMIT ZONE Rs -l? IOB SUIT -I'll ADDRESS _ FLAT NAME/SUBIXVISION NO. LOT 11, NO LID FEE 'E PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP A-0 E T XIS ING � PROPOSED- U_ 0 U REQUIRED DEDICATION— FT — .11, P I . EZ, P V REQUIRED E I N TURES PRV FEDU P Y Y�. . NO ES 0 No RE -l=U--T- FIF-IFONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE 1. CITY ZIP TELEPHONE 0 VARIANCE OR CU SHORELINE OR ADB# INS TE-C�ION ZONED N DATE CHECKED By OYES (3.0 SERA REVIEW COMPLETE EXEMPT SIGN REA PRO ALLOWED POSED HEIGHT ALLOWED PROPOSED FRO��T PARCEL NO. 2- -0606— EXP LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS JFT.) SIDE REAR NEW RESIDENTIAL C] PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIR cl ADDITION COMMERCIAL COMPLIANCE OR cl C HANGE OF USE PARKING LOTAREA DATE 0 REMODEL 13 APARTMENT C] SIGN REOD I PROVIDED I 1PILANNINGREVIE—by f 0 REPAIR o GRADING CYDS 0 PENCE X IT) I X E.A.- 0 DEMOLISH 0 TANK C] OTHER GARAGE 0 CARPORT RETAIN FOCKr2 WALL 0 RENEWAL (TYPE 0 USE. BUSINESS 0 VITY) EXPILAIN. CHECKED By TYPE 0 NSTR ON CCU Alk3 .1 R. P NUMBER N BER OF CRITICA veg SPECIAL INSPECTOR AREA .. U- OF 07L`2� D AR EAS NUMBER 91000-3-11 REQUIRED E] YES IL.AD 0 STORIES U�LING DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQl c, VALUATION I FEE PLAN CHECK PEE LOL;LQ� BUILDING PLAN CHECK NO: ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURDS. SIDEWALKS, DRIVEWAYS . MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION- STATE SURCHARGE PERMIT APPLICATION: IBD DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APp,,CANT,.o,N.8l.HALl ol IIES OR HER EP.US�. HEIRS. ASSIGNS AND SUC�ES.RS THE CITY OF I NTEF�S R S T.,N. DEFEND AND HOLD HARMLESS IN MINIFY. EDMONDS. WASHINGTON. ITS oFFICIALS� EMPLOYEES. AND AGENTS FROM ANY AND LANDSCAPIN INSPECTION FEE RECTI-YOR INDIRECTLY PERMIT $HALL NOT BE PLAN CHECK DEPOSIT RECEIPT 'FANY CITY ORDINANCE RDINANCE PnoVISION.� REI[ IP TOTAL AMOUNT DUE A THIS APPLICATION. THAT THE INFORMATION ACKNOWLEDGE THAT D APPLICATION APPROVAL IHER5B Y GIVEN ISC.ARECT-AND THAT � A�ATEHE` OWNER. OR THE DULY AUTHORIZED AGENT OF Thl� PPIMAl- Pb-' Id by THE OWNER ,,,GR.,E T�oWoMKPLY�Wff. CITY AND STATE LAWS REGUILATING CONSTRUC CALL B1111-1 0111-I 1, h.-I D,p.ty: II�d I... - d, ION THEREBY. OPERS NWILLBEFMPIOYED AND, IN TH OR A THoRIZED T N WASHIoNGTON RELATING TO FOR INSPECTION acknowiod9od, ,,, l-ld.d. E STATE ON I N VIOLATION OF THE LABOR CODE OF TH III, WORKMEN S C=ION INSURANCE AND RCW 7� OFFICIALS SIGNAT URE DATE S*N—.URE 7- =-S-ED, (425) I H--,d 0 105) 771-0220 ELS E 'DATE 1. EXT1333 ENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTO A FINAL INSPE TION HAS BEEN MADE AND APPROVAL OR A CERTIFI- C ORIOINAL - FILE YELLOW GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER S192 z 0 M c: 0 0 0 m m z 0 -ni rn m 0 o Fn C (0) r- co 'o z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS..................... FOUNDATION: Footing ...................... J. wall ............... 0 Pier/Porch ................. Retainlrig Wall ........... Slab Insulation .......... M ITI PLUMBING: --I C-J i Underground ............. x A q Rough-19 ................... M z -1, Commercial Final > HEATING: r 0 -n 1 Gas Test ................. g Gas Piping 171 Equipment ............ 0 Fn Commercial Final ca EXTERIOR SHEATHING NAILING .......................... M FRAMING ........................ FIRST FLOOR FRAMING z INSULATION ................... -4 Floor Insulation Wall Insulation 0 Ceiling Insulation ITI SHEETROCK NAILING i SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .............. . 7 7"7., 7 7 :A' .:;i. -� �� I �, -. , .�: 7 0 0 EFMQ,�� cr 0 Fp ERmiT ExPIRES USE ZONE PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPT# lD0RElSR15;25*_ U7NAM111A S); L PLAT NAME/SUBDIVISION NO. LI NO. FEE S MAILING ADDRESS _UD —PAPP.1 u PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 13 .1 U.. P-0 ft 0 CITY 'HONE EXISTING— PR POSED— REQUIRED DEDICATION— FT - d 0 [3 0 METER SIZE I LINE 511E I NO.OFIIXTUIIES I REOUIREO 71111-0`101 'ES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ZIP TELEPHONE Nj�ENGINEERING DIN D x 0 RIEVIeVIEDIDATi ADDRESS FIRE REVIEWE..Y DATE CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADOII INSPECTION r PIEOD .3YES ONO IIOND POST ED -STATE LICENSE N EXPIRATION DATE CHECK EOSY SERA REVIEW SIGN AREA HEIGHT PROPOSED PROPERTY TAX. ACCOUNT PARCEL NO. . COMPLETE MPT I . ALLOWED PROPOSED . 1: ALL E a 1 . .. -703 -060 . . SXP. I , - I . c: m 0 0 LOT COVERAGE REOUIFIED SErSACKS (Fr.). PROPOSED SETBACKS (FT.) FRONT URSIDE REAR RESIDENTIAL PLUMBING / MEG H ig NEW � 9 ALLOWED PROPOSED FRONT SIDE REAR, . 0 I= COMMERCIAL ci COMPLIA CE OR ADDITION CHANGE OF USE -4 K = M PARKING LOT AREA PLANNING REVIEWED By DATE M Z 0 REMODEL 0 APARTMENT SIGN REO'D I PROVIDED to -4 REPAIR GRADING CYGS FENCE cl X FT) EMARKS s 0 DEMOLISH C] TANK o OTHER R o GA R=:,NYG WALL RENEWAL C OPORT cl 0 _n _n M M JTYPEOF USE; BUSINESS OR ACTIVIT.Y)rXPI*IN: dHECkEdBy flFfiL OF occo" GROUP E! .1 1 co:) _co NUMBER OF NUMBER. A EA. R Pi OCCUPANT 0 OF RISE STO DWELLIN UNITS NUMBER LOAD 0 m a cl) DESCRIBE WORK TO BE DONE IEMARKS PROGRESS lNSF IONS PER UBC 108/FINAL INSPECTION REO'D M 0 Z D�e_ z VALUATION FEE z 0 PLAN CHECK FEE llrrUR� I �j� I BUILDING 4-M PLAN CHECK NO: VESI ED DATE PLUMBING MECHANICAL THIS IN GRADINGIFILL PE.A.MNIT AUTPH.O.,RIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO E , N ATE PROPERTY ONLY. ANY CONST LICTION ON THE PUBLIC L 'WALKS, DRIVEWAYS, MARG 1�1125, ETC.) WILL R�OUIRE a U (CUR S. SIDE DOMAIN T M SmON 'SERA E PER I TATE SURCHARGE PEOMITAPPLICATIO 18DDAYS PEI A. PERMIT LIMIT. I YEAR PROVIDED ORK IS STARTED WITHIN ISODAYS M 'MIT. YEAR ENO. REVIEW FEES SEE BACK 0; PINK PERMIWT FOR MORE INFORMATION SEE BACK OF -APL ANT ON, -EHAIF.F - OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOR N -EHA".' OF 'AlPlICA Ti.oA R HOLM FEND AND HOLD HARMLESS THE CITY SEE TO, Y. GE .1 AGREES T.' I I E E I9N61MN9:RS E! WASHINGTON, ITSOFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND :ED S E N -To--I I-ANDSCAPIN INSPECTION FEE LLCUAIM[s - OXMAGEF�TOF*HATEVER NATURE A ISING DIRECTLYOR INDIRECTLY �' A UL I . F. A . 9 FOR -AG RECEIPT - FROM THE ISSUANCE OF' PERMIT. E OF THIS PERMIT SHALL NOT BE 'SSU N 0 IS ISSUANC PLAN CHECK DEPOSIT 11 G G TO ME REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 'DEgMEOTOMODIFY.WAIVE OR 'EA BILITYTO ENFORCE ANY ORDINANCE RECEIPT 0 OR U.Il.. ANY AY THE CITY .OR LIMIT IN Y . TOTAL AMOUNT DUE -1 N�FESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL G,QB14.1 ARECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF R I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Thl, - a permit until,ign,d by the Me, Deputy: Fee, .. P. d. THEOWNECO TION;ANDIND IN THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED OOF GTHE RELATING TO :,d FOR INSPECTION ..gipt,lp.�kh-l.do.din e.p-,d.d. IN VIOLATION LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'SC ION INSURANCE AND ROW 18.27. — OFFICIALS SIONATUR� DATE EI.NATUR.(!!";F� 175 Evo (425) 771-022( 5UE E DATE ATTENTION EXT1333 IT IS LINLAWFULTO USEOR OCCUPYABUILDING OR STRUCTURE UNTIL 771.0221 A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW-INSPECTO CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR sm