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20000700.pdf:1 �Lc PERMIT EXPIRES CITY OF EDMONDS PERMIT ZONE 45-6,00 NUMBER 200700 CONSTRUCTION PERMIT APPLICATION B - SUITEIAPTY ADDRESS A/ �W/ OWNER NAMEINAME OF BUSINESS PLAT NAMEISUBDtV[SION NO. LOT N 0 LID NO� MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP C3 CITY ZIP EXISTING - PROPOSED . ..... --iln".1"IX 00 ITEIEPHON' 'WA REIUIREDIEDICATION- IT - 0 METER SIZE LINE SIZE 10,OFFIXTUFE� FRV REOUIRED NAME I I YES 13 No 0 t: ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE IFT1 NAME lie, 422��'# '_v M-wtv REVIEWED)DATE ADDRE�� S14/ OR FIRE REVIEWED By DATE zip 0 ELEPHO E ITELEP.. 7S 5.) INSPECTION so 0 EXPIRI%TION UAI By .-L-D I VARIANCE OR CU VARIANCE OR CU SHORELINE OR ADSO RE0.0 POSTED STATE LICENSE NU18ER 13YES SEPA REVIEW SEPA R VIEW SIGN AREA HEIGHT dED COMPLETE EXEMPT ALLOWED PROPOSED ALLOW 0 PROP05ED PROPERTY TAX EL NO. �r 73 ACCOUNT FAR EXP I 1 [3"'.EW PLUMBING MECH LOT COVERAGE Lo COV ALLOWED PROPOSED LOW Pop. REQUIRED SETBACKS (M. FRONT SIDE REAR PROPOSED SETBACKS (FT1 FRONT DR SIDE REAR C3 ADDITION 0 N I 0 COMMERCIAL [�[31"RESI o C MPUANC OR CHANGE OF USE PLANNING REVIEWED By DATE 0 REMODEL APA�RTMENT E] [3 SIGN 0 REPAIR FACING CYDE 0 FENCE X IT) REVIAH- DEMOLISH C] TANK OTHER APACE C3 RETAINING WALL El CARPORT 8 C 'R [3 RENEWAL 0 r (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKEDBY TYPEOF ON RUCTION ICODE I CCUPANT R 17 1 GROUP NUMBER ARIIIC�L / I "1111,11F I . OF WELL N. PEAS UNITE NUMBER c STORIES DESCRIBE WORK TO BE DONE HEAT SOURCE LOT SLOPE -1, PLAN CHECK N!_ 11 DATE T THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO H S BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC PERMIT AUT"O RZS' BE Do NE ON PRIVATE P 2 DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIAE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION C P LLC NT E P L A PLLCANT. ON BEHALF, OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOnS WW I N I NTERE "T , AGREE S TO INDEM�IFY, DEFEND AND HOLD HARMLESS THE CITY OF I N NTEREST, AGREES DS WASHINGTON' EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND �M4' ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY F .. T. BSU NCE ROM THE ISSUANCE .1 THIS PE 7.11 I.LIANC� .1 T.II3 PERMIT NOT BE Y WA'V. E ANY REQUIREMENT OF ANY CITY ORDINAN E C E C TO NO., � DEEMED TO MOQIFY� WAIVE OR FEDUC OF L .. T I. ANY. Y THE S ABILITY TO ENFORCE ANY ORDINANCE PROVISION 0 NOR LIMIT INANYWAY THE CITY ECIAL INSPECT R REQUIRED 0 YES AREA REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAl I VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING ECHANICAIL GRADINGIFILL CHARGE ENO REVIEW FEES ENO INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT REC IPT TO AL AMOUNT DUE REC 17 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN I CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHO-ED AGENT OF S T_ ppj_,.­ , pe,m, u.1 I,,,ed by THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL B.0d.., 0111-1 -1 D TON, AND IN DOING T WORK AUTHORIZED THEREBY NO PERSON WILL BE EMPLOYED HE RELATING 10 FOR INSPECTION ­.,pt­lk­Il g­­p-opl-do� d- IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON DATE WORKMEN S COMPENSATION INSURANCE AND RCW 18.21. (425) OFFICIALS SIGNATURE SIGNATURE (OWNER OR�A OT) ATE SIGNED,,k, 771-0220 DAW RELEASED By 74T�E "NT EXT 333 10 N 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 FILEF- YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNE - GOLD ASSESSOR �198 z m m mo 0 80 C= � r. m m z o -n n -4 m m M 0 In ca (j) M 0 Z z z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: FWIng ............ . ........ wall ...................... Pier/Porch ................. Retainirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .................. FRAMING ........................ FIRST FLOOR FRAMING INSULATION ........... Floor Insulation w, Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS . ... .... FINAL APPROVAL FOR OCCUPANCY ........... Z, 0 :4 �n C0 M 0 -40 0 M z C) 4 z o -n in --I M ITI 0 0 0!; W (D IT 0 Z z z M -,DATE RECEIVED ERMIT EXPIR ES FP PERMIT NUMBER 200700" U E NE B OR CITY OF EDMONDS r 4! 'AoDBDR -CbNSTRUCTION,PERMIT APPLICATION ESS OWNER NAMEINAME OF BUSINESS PLAT NAMEISUBolVISION NO. LOT 10. 11 No LID FEE $ P ANF,­ MAILING ADDR E SS I PLI BLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW P.1.1t R.,00 o A? �1­1 U.. P.- R�'. o EXISTING � PROPOSED -- In REQUIRED DEDICATION— FT V E, I L"ll SIZE NO* 01 FIXTURES NAME YES 0 No ADDRESS REMARKS AGE OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAIN CITY zip TELEPHONE a ­­_A,��Xl FIRE REVIEWED BY DATE —CITY— ZIP Z c TELEPHONE _�_5a INSPECTIO BON VARIANCE OR C. SH7FIEUNE OR ADS# RED 'D POSTED STATE LICENSE NUMBER XllBAll.N T 0YE NO SIGN AREA FILEI.HT SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROT M_WZ��O& XP I , PLUMBING I MECH LOT C VERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPO$EDSIETBACKStFT) FRONT UR SIDE REAR ADDITION COMPL ANCE OR CHANGE OF USE NING REVIEWED BY DATE REMODEL. SIGN FENCE 0 REPAIR GRADING CYOS cl X FT) REMARKS 13 DEMOLISH 0 TANK o OTHER AFIF l;TAI0l'N'G WALL [3 G A.GRT C] RENEWAL CAR R CKF, r: (TYPEOF USE. BUSINESS OR ACTIVITY) EXPLAIN: CHECKEDBY TYPE OF CONSTRUCTION CgE OCCUPA T r7 GROUP �7 NUMBER UMBER,, ­IICAl SPE IAL INSPECTOR AREA OCCUPAN OF STORIES D IELLIN UNITS AREAS N R UMBE REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTI dj/ & ad Allm"'e IDS GLAZING % LOT SLOPE I K NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTE., THIS PERMIT COVER WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ORADINGIFILL IRE POMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. U CHARGE PERMITAPPLICATI N; 180DAYS FEES PERMIT LIMIT',I YEAR - PRoVIDEOWORKIS,STARTEO WITHIN ISO DAY& SEE BACK OF PINK PERMIT FOR MORE INFORMATION EN6. REVIEW ON BEHALF OF HIS OR HER SPOUSE. HEIRS ASSIGNS AND SUCCESORS CITY OF ENG. INSPECTION FEE 2 ;APPLICANT N INTEREST AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE EDMONDS, WASHINGTON. ITSOFFIMALS. EMPLOYEES. ANDAGENTS FROM ANY AND INSPECTION FEE 5 A CLAIMS FOR DAMAGES OF WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY LL RE SIFT I FROM THE ISSUANCE OF THI S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 5 ANY CITY ORDINANCE DEEMED To MoDIFY.WAIVEO REDUCE ANY REQUIREMENT OF —1-11 ANY ORDINA—L "I REC IP _­lcl 0 m NOR LIMIT IN ANYWAY THE CITY*S ABILITY TO ENFORCE TOTAL AMOUNT DUE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL =BY ACKNOWLEDGE IS COB AND THAT I AM THE OWNER, OR TEE DUSyRAUTHDBLZED AGETRT OF Thl. ppj,,At,­. p­jt �td 11,11d y lhl THE OWNER. IRECT. LAW EGULA I G CONS UC AGREE TOCOMPLI WITH CITY AND S CALL P., Su,ldmg oll,,i,l , h,,jh,, D,puty: 1�d F ... ... d d ERE— DYED TION. AND IN DO No THE WORK AUTHORIZED TH BY, No PERSON WILL BE EMPL RELAT ING TO i� ­­wl.dg.� FOR INSPECTION "'SE IN VIOLATION STATE GF WASHINGTON O'Ft THE LABOR CODE OF THE WORKMEN SCOMPENSATION INSURANCE AADRCVV 18.27 IFICIAISSl..T.BE D; DATE SIG D/A� (425) rNATIURE (OWNER C!�G �T) 771-0220 RELEASED By —ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FINAL INSPECTION AS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAIL-FILE - YELLOW INSPECTOR ASSESSOR A BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD . CATE OF OCCUPANCYHHAS Z 0 j , 0 j m M -40 0 0 c rn T '0 c o'n n m M 0 0 c 0) m ch M 0 ;0 Z Z 0 q 0 m