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20000747.pdfDATE RECE ED , ; [PERMITEXPIRES ou, -31119)ol ... PERMIT QCC57q7 CITY OF EDMONDS ZONE y5b NUMBER CONSTRUCTION PERMIT APPLICATION '�0080RESS SVITiDAPTb OWNEr BUSINESS ffMEljW y rnti�� ffi,� 'UBDI PIAT NAMEIS VISION NO. LOT NO. LID NO. LID FEE 31: MAILING ADDRESS 0)e I I �A - PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 - �pll.11 2111-11-4,, 00 0 CITY ZIP ITELEPHONE , y�K y EXISTING — PROPOSED— .�.UIFE..E.I.AXIO-- IT 0 um.,— 0 wa_� METER SIZE LINE SIZE No OF "XTURES P V REOUIRED NAME YES 0 No 0 3 ADDRESS REMARKS -N-1 I FOR EROSION CONTROLIDRAI-1, CITY NA ME NAME z ENGINEERING RI,VI—./DATE ADDRESS 01 '59od ave fig 0 DATE TELEPHONE FIRE REVIEWED BY M CITY nd jq I INSPEC TION STATE LICENSE NUMB ER ST VARIANCE OR CU SHORELINE OR AOB# RE 'D 0 0 Y No ES JPBONO I OSTE. -vu :,a p 12-0 Ju f T ou SERA REVIEW - SIGN AREA EIGHT m DO PLETE EXEMPT ALLOWED PROP OSED ALLOWED PROPOSED rn U31 PROPERTY TAX ACCO F-1 0 0 XP I , 0 0 8 c T COVERAGE LOBS REOUIRED SETBACKS -) FRONT 0 REA(V BI E PROPOS 0 SETBACKS (FT) FRONT URSIDE REAR -4 r 2: RESI ENTIAL D 0-51LUMBINGIMECH ALL PROPOS50 m IT! Z C] ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE --i PA KING EWEOBY DATE REMODEL 0 APARTMENT 0 SIGN 0. RE D PROVIDE FENCE GRADING I REPAIR Cyos X FT) EMARKS DEMOLISH TANK C] OTHER 0 -n WALL 0 RENEWAL m m p YPT OF USE. qVg_ ACTIVITY) EXPILAIN; C BY OC s LTY N TIV(ION ca� OU 'CURL 0', U SER M NUMBEROF — u 4vklv) 0 m P INS 7 C A OCCUPANT F OWELLIN G UNITS AREAS NU�SER �a YES LOAD m 0 STORIES DESCRt WORK BEFOO MIAC7 kil+ ffli� REMARKS z 71 PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RE. Vel- L-c-oc lot - D3,C) I -z-0 14 Q z F-r- re,%,); re c�� L/ z VALUATION FEE PLAN CHECK FEE m LOT SLOPE I BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO 0 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRA.INGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWPAYS, MARQUEES. ETC,) WILL REQUIRE SEPARATE AMISSION. STATE SURCHARGE PERMIT APPLICATION: 180 SAYS A, PERMIT LIMIT: I YEAR � PROVID 0 WORK IS STARTED WITHIN 180 DAYS E ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;A N F OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS PLTERA�'STTOAD.EEHEA�'T. INDEMNIFY' DEFEND AND HOLD HARMLESS THE CITY OF C7 LANDECA fIG NP I 2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMILOYEES. AND AGENTS FHO.,ANY AND INSPECTION FEE F` ALLCI-AIMIFOR DAMAOESO' WHATEVER NATURE, ARISING DIRECTLY OR IN $RECTLY REG IPT ROM THE ISSUANCE OF THIS , SHALL NOT E F ISSUANCE OF THIS IERMITTY PLAN CHECK DEPOSIT ORREAMIT DEEMED TO MODIFY, WAIV E EDUCE ANY REOUIREMENT 01 ANY Cl ORDINAN8 TO ENFORCE ANY ORDINANCE PROVISION,' RECI PT 's 0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INF IMITION APPLICATION APFHUVAL GIVEN I RRICT, AND THAI I AM TIE OWNER 01 THE DUlY AUH" R ZED AGENT OF S CC LAO I AGREE TO COMPLY WITH CITY AND STATE LAWS BEGU TINGCONSTRUC A LL T111 11 - - C ... 1, �,I F- THEOW ER N NO PERSON WI L BE EMPL.YED NOR. AND IN DOIN THE WORK AUTHORIZED THEREBY, TO FOR I SPECTION IN VIOLATION OF THE LABOR CODE 09 THE STATE OF WASHINGTON RELATING DATE WORKMEN 6 COMPENSATION INSURANCE AND NCW ISZ7, (425) FFICIALS SIGNATURE SIGNATURE (OWNER Q��ENTI DATE SIGNED 771-0220 POLLEASED BY ATTENTION EXT 333 ------ IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS SEEN MADE A NO APPROVAL OR A CERTIFI- ORIGINAL YELLOW INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. LED SECTION 109 IIN� OWNER - COLD - FAX SM. RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall ................ pier/Porch ................ —4 Retaining Wall ........... ITI, Slab insulation .......... PLUMBING� 3: IR Underground ............. ITI 0 Rough -in _ ................. Commercial Final rn IR HEATING: Test Gas .................... Gas Piping ................. 0 -n' n Equipment ................. In M Commercial Final EXTERIOR SHEATHING 2ft NAILING .................... FRAMING .................. FIRST FLOOR FRAMING_ INSULATION ................. z Floor Insulation Wall Insulation ........... Z' Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 2L OCCUPANCY ........... — — — — 2. 00N7&ww-1 DATE RECS q�ID 00 O[PERMITEXPIRES CITY OF EDMONDS ZONE PERMIT 9�,Sb NUMBER joB CONSTRUCTION PERMIT APPLICATION ADDRESS SUITEJAPTP OWNS ..A EJNA E OF BUSINESS INA E OF �IUS ' I T NAM�IS68DIVISION NO. LOT NO, 11 NO. LID FEE S 'L R SS MA�ILINQA�DDRESs PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI EXISTING — PROPOSED REQUIRED DEDICATION— FT — o o 0 In CITY Zip ITELEPTr.,, NAME METER SIZE LINE SIZE NO. OF FIXTURES YePRV REQUIRED SO NO 0 ad L ADDRESS REMARKS TRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE NERICON 1z Id I I CITY lip TELEPHONE Li La I I Im W, NAME ym /"I If ENGINEERING R—E—MIDATE ADDRESS 01 Al2-01-00 z t m 0 0 c FIRE REVIEW50 By DATE z CITY TELEPHONE OR CU SHORELINE OR ADBI jNSPEOTIO REQ-D OYES ONO 80 D POSTED STATE LICENSE NUMBER 1 SEPA REVIEW CoMPL�7E I EXEMPT Ex P SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED I P1OPOI§ED DUAPARCEL NO. RESIDENTIAL I MECH E� LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UP SIDE REAR 1 0 ADDITION COMMERCIAL 0 CoMPL ANCS OR c RANGE OF USE C] AEMODSL APARTMENT 0 SIGN GRADING GYDE 0 F NCS REPAIR X FT) m m 10 PARKING LOT RSG`D I PROVIDED AREA PLANNING REVIEWED BY DATE EMARKS f-1 DEMOLISH C] TANK o GARAGE RETAIN NO WALL CARPORT FoCKE4y_ 0 RENEWAL 0 -n "n m rn 0 r- c m m co M 0 M 0 (TYPE OF USE. INES$ XTtVIT ) EXPLAINt y CHI [TYPE OF TNFJR�(ION ... 91 F-upR NUMBER OF s� STORIE NUMBER F, DWELLIN-Go UNIT OR ICAL AREAS Q R N MBER SF CIALINSPE.T.R REQUIRED C3 YES OCCUPANT REA LOAD DESCRIB WORKT B lPo?5 (Acz hotuo 11 V [A IfIdit'n REMA KS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTIO EGO m z VALUATION PLAN CHECK FEE 0 m HEAT SOURCE LOT�,LOPEI', BUILDING 7��_Z IN PLAN CHECK NO: iVES7-E. 6ATE; PLUMBING MECHANICAL THIS PERMIT AUTHORIZES OWTHE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADINGIRLL m DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAPOUSES, ETC.) WILL REQUIRE :I SEPARATE PERMISSION. STATE SURCHARGE I: PERMIT APPLICATIoNl .. DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 18D DAYS END. REVIEW FEES HIS OR HER SPOUSE. RCIRS, ASSIGNS AND SUCCESORS 'APPLICANT. ON BEHALF o CITY OF LANDSCA ING IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE aa ANY AND M EDMON%WAS"IN.1,T,1N S OFFICIALS. EMPLOYEES, AND AGENTS FROM INSPECTIONFEE If ALL.". FORD Ei' FWHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY RECEIPT .1. FROM THE ISSUANCE OF THIS PERMIt ISSUANCE OF THIS PERMIT $HALL NOT BE PLAN CHECK DEPOSIT -A q DEEMEDTO MODIFY.WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE a 'NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTAL AMOUNT DUE RECE P H 6 READ THIS APPLICATI= TH 7HEINFORMATION APPLICATION APPROVAL ',HVEERN'oly�ACC.K.NlloE�CTL�'ANoDETT'�'AATT: AAT�E WNEF.OR THE DULY AUTHORIZED AGENT OF TIa, app,a l.t a p.laad alfid ,glad bY T" I THEOWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING coNsTRuc CALL Blild,,g o,, ., l,alld, O.pud,: ld Fad. .1. P.1d, ld TION; AND IN GOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE LMPLOY D ,k,owl,dgld I, IF"' ploVidod. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATtNG TEO FOR INSPECTION DATE WORKMEN'S COMPENSATION INSURANCE AND HOW 18.27. FFICIALS SIGNATURE ID, (425) SIGNATURE (OWNER E2-,-T;-) TE SIGNED , -( b 771-0220 R EASED By DATE t -FENTI EXT333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 W - INSPECT R oniGINAL-FILE YEL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFk PINK - OWNER GOL -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX -- ---------