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20000748.pdf-7 (9 f1 PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB SUITEIAPTN ADDRESS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS FLAT NAMEISUBDIVISiON NO. LOT NC� N L FEE G BE MAILING ADDRESS 0 5. 0/ 1 ?6 go In' T" _ST'20� 1�; cu PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING -- PROPOSED -- 0 0 R Od 0 0 CITY ZIP ITELEPRONE %9037 1 IJ26- ZZ/-2-12- REQUIRED DEDICATION— PT To .1 FIXTURES PAY REQUIRED I YES 0 NO 0 NAME La< f_1= �J /_ L I R MARKS ADDRESS F-F-AORLE FOR EROSION CONTROLADRAINAGE CITY ZIP TELEPHONE L-YRNWOOP. WA 7 ;rf, 0 C)o NAME _i� d-N 't� REVIEVVED/DATE .1 ADDRESS I VI, FIRE REVIEWED BY DATE - CITY ZIP TEL (fl— __ —,-&b /6 q�lr_�68 VARIANCE OR CU SHORELINE OR ADSO s7 7N PE—CTION RED 0 YES &0 BOND STATE LICENSE NUMBER _2 SERA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. q,3qZ -00 _000 6 NEW 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE FEAR PROPOSED SETBACKS (FT.) FROW URSIDE REAP ci COMPLIANCE 0 0 ADDITION CHANGE OF USE PARKING LOT AREA PLAN INC REVIEWED BY DATE REMODEL f-1 SIGN C] FENDS C] REPAIR 0 GRADING CYD� I — X _ FT) F�EO'D PA O,rIDED 0) RE.MAHKb C] DEMOLISH C3 TANK GTR;- -r- 0 ARAGE RETAINING WALL RENEWAL GCAE'.FT 0 ROOKERY E] (TYPE OF USE BUSINFAS R ACTIVITY) EXPLAIN: JAI, CHECKeDBY N TRUCTION IT R.UPAN� OC G Up NUMBER NUMBEROF _ o OF IWELLING STOP ES _A CRITICAL AREASR NUMBE SPECIAL INSPECTOR REQUIRED[] YES OCCUPA�� LOAD DESCRIBE WORK TO BE DONE _JAH =RKS rPFqq IKIqPFrTIONS PER UBC 1081FINAL INSPECTION RED A60 da Q PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE X, BUILDING r15TE0 DATE L CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE ON PRIVATE PROPERTY ONLY ANY CoN'TRCTQ C N ON 4E PUBLIC 11111 IEWA Y, IVIAR SEE, ET .) WILL REQUIRE GRADING/FILL DoDONE SIDEWALKS 0' RES MAIN (CU SE�A m RATE PERMISSION STATE SURCHARGE PERM IT APPLICATION: 180 DAYS PERMIT LIMIT�. I YEAR � PROVIDED WORK IS STARTED WIT HIN 18D DAYS SNG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INF)SMATION -AFPLJ�C�AEI�T N�EFRALFTIGI"EE OR HER SP USE, HEIRS. ASSIGNS N S C E RS AND HOLD HARML s T E IT F DEFEND0AY`EEEoALN`GAGEN ENG. INSPECTION FEE LANDSCAPING N MNIFY, I "T �j..A A F. ,D EDMONDS, SH1NGT ITS F Y N�., 2 LEE'AR C, T ALLC IMSFORDAMA DIE A E ��'Al SING DtRECI OF THIS PERMIT SHALL NOT PLAN C ECK DEPOSIT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE AIVE OR REDUCE ANY REQU IREMENT OF ANY CITY ORDINAN CEE 9 DEEMEDTOMODI AY THE CITY'S ABILITY TO ENFORCE ANYORINNANCE PROVISION. - 0 NOR LIMIT IN ANY'Y. AR I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPTLI�C�ATIUOLN� THAT THE 'NIFORMENT OF U AUTHORIZE GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR TO COMPLY WITH CITY AND - LAWS REGULATING CONSTAUC, CALL THE OWNER, I AGREE TiON:ANDINDoINGTHEW RK AUTHORIZED THESTATIEND PERSON WILL BE EMPLOYED o FB RELATING TO FOR INSPECTI, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN*S COMPENSATION INSURANCE AND HOW 1627, AGE ATE SIGNED (425) 1 0- 771-0220 -ATTENTION u EXT1333 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX VALUATION I FEE ;��_ " I A P, ICATION APPROVAL Th'O p0l,"IdO 1� ld' - P-1-1 U'd" O'G"d by I" B.Id'19 011,111111 OIPUOY: Old Foll 11, 114 Old _O,d �O ,,d,,IddUdd,, 0 pmvldod, FmillIAT � R19/. ORIGINAL - FILE YELLOW - INSPECT PINK . OWNER GOLD - ASSESSOR 0 0 0 m m 0 0 c MITI m 10 0 -n n m m 0 Os 0 � c m c') M z CO) z 0 m r FINAL PROJECI APPROY—AL FO TO: DATE:— YMMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE — PLANNING DIVISION DATE 11-q1 o-o PROJECT -A —4— S ITE ADDRESS 2-0-3— pERNgT #_�-��.ADB#____--DATE INSPECT DESCRIPTION OF WORK TO BE INSPEC plans. Final approval denotes that A field inspection was conducted to determine compliance with approved there are no objections from the above signed Department to the granting of: inal approval of the described work ------ Yerformance Bonds associated with the project may be released CT APPROVAL FINAL PROM _GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED _FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. _____RE -INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl,doc.l:temp:bldg:fonns6/98 z 9 0 M :49i vi -4 1 0 M a M MO 0 80 a M M z 0 -1 z 0� M M 0 0 0 m ac) M C) Z 3: z -4 3: (n z 9 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ........... .......... wall ................ Pier/Porch ................. Retaining Wall .......... Stab insulation PLUMBING:� lA Underground ............. M Rough -in ................... M 0 —40 Commercial Final 0 C:: HEATING: —4 rm. rn Z Gas Test .......... C: .2, F- Gas Piping ................. -4 Equipment 0 -n i Commercial Final EXTERIOR SHEATHING M Mr, 0 NAILING _ ................ FRAMING ........................ mg Q), FIRST FLO60 FRAMING M0 INSULATION ............... Floor Insulation z Wall Insulation ........... Ceiling Insulation C& Z� SHEETROCK NAILING SPECIAL INSPECTION 41S MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. OU /-TV 7AIE RECEWT OFPERMIT EXPIRES .. PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS OWNS NAMENAMEOFOUSINESS FLAT NAMEISUBDIVISION NO. LOT NO, I'D NO. LIDFEES MAILING ADDRESS :510 If —t PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APl C3 = = pt: o (,3 EXIS ING PROPOSED 0 CITY ZIP — 0 ITELE1111E L'�NNI,vo&D %qo 3 _2 2_r FIEOUIFEDDEDICATION� FT d NAME METER SIZE I LINE.SIZE I NO.OFFIXTURES PRV REQUIRED YES 13 - NO 0 T-r— L V—P -gaj 6-, ADDRESS 18718 60. REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINA E -&-7r"-Avr- ZIP CITY L�LEPH:j� L-YNN60oajr,,. Lvj. 6�7 Ql� NAME REVIEWEDIDATE I ADDRESS HOL11 UJ4 J'Ll( DATE IF , CITY ZIP TELEPHONE FIRE REVIEWED By T z o . INSPECTION STATE LICE IENUMBEFI EXPIRATION DATE DBY CHEC EDO' VARIANCE OR CU S HOSE INS OR ADBo HE 0 Y 11 SO ;(NO LSOND POSTED m HEIGHT =i 1\ PROPERTY TAX ACCOUNT PAR 1 *3 -000o Comp" IPT SIGN AREA ALLOWED PROPOSED ALLOWED PROPOSED 9i 00 4 4 2. 00 Exp- m LOT COVERAGE REQUIRED SETBACKS (Fr.) REAR PROPOSED SSTgACKSIA(FT.) FRONT US E 1; R c m 0 NEW 0 RESIDENTIA PLUMBING ECH ALLOWED PROPOSED FRONT SIDE UI z 0 0 ADDITION COMMERCIAL C MPLIANCE OR CHANGE,QF USE ...... 0 Cc REMO DEL APARTMENT GN PARKIN Ll T All' PLANNING REVIEWED BY DAq/ m z jo FENCE REPAIR 0 GRADIN I G CYOS I X FT) OTH4_ REMARKS DEMOLISH 0 TAN� c1.GARAGE FOAMING WALL I RENEWAL CARPORT I L 0 -n 4TYPE OF USE, EBB OR ACTIVITY� EXPLAIN: BUSIN C"EOIEOOY TRUCTION OCCUPANT SOUP -n A, H k- 1 IT mm --N—umSER NUMBER OF c DW ILLING OSTFORIES CFu CAL AREAS SPECIAL INSPECTOR JARE�� REQUIRED LOAD 0 UNITS NUMLE R C3 YES 14- 0 DESCRIBE WORK TO BE DONE REMARKS PER UBC I 08TINAL INSPECTION REOT 9 PROGRESS INSPECTIONS 0 TNAwr— w6v 1 f,65p-�m S PA-K-0 Syea 6b eA.ri-LI 09rl e"A m > z �ILUATION FEE -7 s -:)2- PLAN CHECK FEE HEAT SOURCE GLAZING LOT SLOPE BUILDING 9n, m PLJ" v- rED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTEO� THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN ICURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATI N: HIS DAYS PERMIT LIMIT'. I YEAR ED WORK IS STARTED WITHIN 160 DAYS - PROV'D ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION IS OR HER SPOUSE� HEIRS. ASSIGNS AND SUCCESORS 'A PLICANT. ON BEHAL 0 H AIMLESS THE CITY 01 INPINTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD H FROM ANY AND ENG. INSPECTION FEE LANDSCAPING ZVI I 2 5 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DME, � - — —111 1 BEE `4 tA, .1 I OX FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHA�-L,)NOT H A E R FANC DEEMED TO MODIFY, WAIVE OR REDUCE NYR GUIREMENTOFANYDTY NOR LIMIT IN ANY WAY THE CITY'S ABILITY To ENFORCE ANY ORDNANCE PROVISION.- PLAN CHECK DEPOSIT Jrt�"� 10 I RECEIP I — TOTALAMOUNTDUE I HEREBY ACKNOWLEDGE TH SEA THIS APPLICATION: THAT THE INFORMATION AT: HAVE 0 APPLICATION APPROVAL GIVEN IS CORRECT, AND TH AM THE 0 NER, OR THE DULY AUTHORIZED AGENT OF W 1HEOWN.R I AG.S. TO COAMTPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL h Pilo Omci—,h1I)ho1D1P1IY: old Fool "' PI'd. I'd SPijT TION; AND IN DOING THE WORK AUTHORIZED THEREBY No PE REON WILL BE EMPLOYED STATE OF WASHINGTON RELATING TO FOR INSPECTION 1p'll Plld- IN VIOLATION OF THE LABOR ..E OF THE C RCW 18.27. DATE WORKMEN'S COMPENSATION INSURANCE AND 0 RD ATU (425) T� Z171-0220 ELEAS By DATE EXT1333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPY ASUILDING OR STRUCTURE UNTIL 771-0221 BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL - FILE YELLOW - INSPE�TOS A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR Id,a