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20000732.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION CITY 0- 1 " I PERMIT EXPIRES �o USE PERMIT ZONE NUMBER 2007-�3 SUITEIAPT# JOB ADDRESS401 kjj�� PI -AT NAMEISUBDIVISION NO, LOT NO. LID NO. LID FEE S T-1 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P., - .-l- 0 � I. ..... ... 0 EXIS ING - PROPOSED- I.P.. �F.. 0 0 REOUIREDDEOICATION� FT .TEATE�E LINE SIZE T NO� 01 FIXTURES PAW REQUIRED YES 0 NO REMARKS _7_7�] _NPRICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAIN7AGE N NAME M 0 ( - ENGINEERING REVIEWEDIDATE m ADDRESS 010� c4lfl U, FIRE REVIEWED BY DATE 0, CITY ZIP fj, TEL HOf VARIANCE OR CU SHORELINE OR ADqIIJI�,,;� INS El.N RED . ;-AD 'B.N OSTED STATE LICENSE NUM�Bll E.Pl T SERA REVIEW COMPLETE EXEMPT P SIGN AREA ALLOWED I PROPOSED HEIGMT ALLOWED PROPOSED ACCOUNT ADEL NO. 0 NEW fF-1 P MBING MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT,) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UR SIDE FEAR COMPLIANCE OR E3 ADDITION o CHANGE OF USE REMODEL 0 SIGN PARKING REaD I PROVIDED LOTAREA REPAIR 0 GRADING C,GE C3 FENCE X X FT) REMARKS DEMOLISH 0 TANK IG�AAAFGAT 0 RETAINING WALL RENEWAL A ' ROCKER C3 0 r 7r. � .Sl��SSOR A IT EXPLAIN CH By 'AUCTION W-ona ICODE I OC'.uup"K jqj IG A NUMBER OF STORIES OF NUMBER - OWELLIN UNIT. AR AS N MBER U SPECTOR REQUIRED 0 YES AREA COU PANT 10L.A. .................... . . DESCRIBE WORK TO BE DONE )W REMARKS GRESS INSPECTIONS PER UBC 108/11NAL INSPECTION RE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLUMBING PLAN CHECK NO: JVESTIO DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY TH. WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL N DOMAIN ICURBS, SIDEWALK% DRIVE AYS, MARQUEES, ETQ) WILL REQUIRE STATE SURCHARGE n SEPARATEWERMISSION. PERMIT APPLICATION� 180 DAYS PERMIT LIMIT'. 1 YEAR' PROVIDED WORK IS STARTED WITHIN 18S DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -A PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SU ES S A CIT FND AYN.D IIOL,%=�ESI THE ENG, INSPECT] N FEE LANDSCAPING IN INTEREST. AGREES TO INDEMNII�Y ALC S A FROM AND S NOS, WASHINGTON. ITS OFFIC . E.PL. INSPECTION FEE SOMO INDIA, TLY A CMMSFORD INDIA il AMAGESOFWHATEVER NATURE, ARISING DIRECTLY OR BE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE 01 THIS PERMIT SHALL NOT PLAN CHECK DEPOSIT OF ANYCJTY ORDINANCE PROVISION.' ORDINANCE TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION THE DULY AUTHORIZED AGENT OF GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR OW I AS E'To 0 WITH CITY AND STATENLOAWE REGULATING C.�STI=- THE NER CALL PERSON WILL BE EMPLOYED �JLY TLO, C I - F WASHINGTON RELATING T I AN - D-I� FOR INSPECTI, IN V LAT,.N Q E A 0 E F E �UTH"E' , N NO WCA I. G .. EN AT NV U A D K 7� 77W SIGNATU Q E 8 T) DATE SIGND (425) q�Z-JVV 771-0220 EXT 333 ATTENTION ITISUNLAWFULTOUSE OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR,A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED, LED SECTION 09 FAX VALUATION I FEE T, jg�', Cg�,, uM. 11, 9 �ld by th I Id D"'y �I,d F .11 ,d� ��.d �'y " Ilk-lbVII-1 p,o p-,d,d OAT 0 ICIALS SIGNATURE DATE RELEA D CAT oRtGINAL-FILE YELLOW -INSPECTOR PINK -OWNER GOLD -ASSESSOR z 0 :4 �n 0 m C M 0 80 C: m m c > 0 -n 3: IT! m 0 a o C: mz o z -4 Z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............ wall.............. I ........... Z, N' Pier/Porch ................. 0 Retaining Wall ........... Slab Insulation .......... -4 -n PLUMBING: Underground ............. m O� 0 1 0 Rough -in ................... Commercial Final M Z� to HEATING: C: z GasTest .................... > 5 Gas Piping .......... 0 Equip m �mm Commercial Final 00) 0 EXTERIOR SHEATHING NAILING .......................... a co). A FRAMING .................. 0i FIRST FLOOR FRAMING INSULATION ................ Z, Floor Insulation Wall Insulation ........... 0), k Z� Ceiling Insulation SHEETROCK NAILING 0 m SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ........... 01vW :%4. CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMETIAME OF BUSINESS CITY 61_�z TELEPHONE f)�J (�� OZ PERMIT EXPIRES USEE PERMIT NUMBER '2 () 0 73,?, '08 SUITEIAPTN ADDRESS 401 �� PLAT NAMEISUBDIVISION NO, I LOT NO 10 NO. U. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ==L, EXISTING — FROPOSEO 14EOUtREDDEDICATION— FT NO. OF FIXTURES PRY REQUIRED _, YES 0 NO 0 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE REVIEWEDIDATE FIRE REVIEWED BY OAT CITY 14,7 C A-PLV 1LL:t_,, J -1417Trz � -1 6Y STATE LICENSE NUMBER 'APIMI tON DATE CHECKEDBY VARIANCE OR CU EICRILIN OR AIIIU� INSIPICTI I G 'BON OSTEO 14�ez 1-r 0-4 7-7 ;L - 7 ES OYRE(A�oo SEPA REVIEW COMPLETE EXEMPT Co E'�FIN SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED ACCOUNT PARCEL NO. 0 NEW 0 RESIDENTIAL 0 PLUMBINGIMECH LOT COVERAGE ALLOWED PROPOSED RECURRED SETBACKS III FRONT SIDE HEAR PROPOSED EETBA�KS III FRONT UPSIDE REAR 0 ADDITION 0 COMMERCIAL o COMPLIANCEOR CHANGE OF USE PARKING D I PROVIDED LOTAIEA [;NJ,7�E1IEW..Y DATE Wti, 0 REMODEL APARTMENT 0 SIGN o F NCE REPAIR 0 GRADING CYDS (E X FT� REM-- 0 DEMOLISH 0 TANK Cg oGARAGE F-T RETAINING WALL RENEWAL CARPORT L` ROCKSBY ICODE I� OCCUPANT GROUP SPECIAL INSPECTOR OCCUPANT EOUIRED JAREA 0 YES LOAD REMA KI PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTIONREO' Ac,PM,< 711,11) A-,-, P" L,-r r o)xAPt)4, rt it_—,J 4, ti J1 VALUATION I FEE IA. F PLAN CHECK FEE HEAT SOURCE LOT SLOPE % Lo'E LoTES BUILDIN� PLAN CHECK NO: T _- DAY ;TED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO SWT COVERS Wo L R. TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC i"'. o.'.B PUD 'RE DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUI RE .T..'W'L'R GRADINGIFILl STATE SURCHARGE SEPARATE PERMISSION. PE MIT APPLICATION Tia DAYS T PERMIT LIMIT. I YEAR WORK IS STARTED WITHIN 180 DAYS SEE BACK of� PROVIDED PINK PERMIT FOR MORE INFORMATION CAI 1 J#L PLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AN ;A P DsuccEsoRs N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD ESE THE CITY - .E� EMPLOYEES, AND=L 2 EDMONDS, WASHINGTON� ITS OFFICIA1 TS FROM ANY AND g ALL o cumms FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLY RINDIRECTLY x FROM THE ISSUANCE OF THIS PER -IT. ISSUANCE OF THIS PERMIT SHALL NOT BE , DEEMED MODIFY WAIVE OR REDUCE ANY REQUIREMENT 01 ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'$ ABIUI Y TO ENFORCE ANY ORDINANCE PAOVT ENG, INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN C.ErK DEPOSIT =CEIP� , — REOEIP TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION THE OWNER OR, GIVEN IS CORRECT. AND rHAT HE DULY AUTHORIZED AGENT 0 1 ,-it fil �.g b, E UI ' g TOE OWNER, I AGREE TO COMPLY WITH CITY AND ITAT NO PS RIGUW, ING 1111,1111 C- CALL S dl� oil"., 0�0�ty: ll�d F .1. p ..d TION AND IN DOING THE WORK AUTHQRIZE2'TREREBY, , SITE N LL BE EMP ED S U" 'o' o,,,pi I. nk—Ild9ld � 1— P—d- IN V;6LATION OF THE LABOR (;DOE QF T E S76-e ASHIONGT N FIE ATILOYTO FOR INSPECTION WORKMEN'S COM/ENSATIONRISURAN!��A! R18.27. 0 A CIA S SIGNAT�Rl OAT I L .7 _—SIGNATUM%gg�> at (425) DATE SIQN�G 771-0220 DATE REL�EA 0 XT -ATTENTION 4LJ EXT 333 _Z IT IS UNLAWFt IL TO -TRUCTURE UNTIL' 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE IELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER COLD � ASSESSOR sms z 9 :c 0 0 m m _.j 0, 0 C M mz jo r— —4 0 m m 113 0 o Fn C 0) C, z z m