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20000752.pdf1"'�GATE lIlClIV DATE RECEIVED e4� li!�X L LP ERMIT EXPIRES 3.421 USES PERMIT CITY OF EDMONDS ZON NUMBER jOB CONSTRUCTION PERMIT APPLICATION ADDR SUITFJAPT# OVV�, NAM111AMI 01 BUSINESS 1 PLAT NAMEISUBDIVISION NO. NO, �D 0 FES S IF MAILING ADORES S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP iMI-1— b 0 I U.- P-1 ".0 0 P., - 0 EXISTING — PROPOSED— I.L.IHONE -ZIP REQUIRED DEDICATION— FT METES SIZE LINE SIZE NO. OF FIXTURE$ PRV REQUIRED NAME I YES 0 NO 13 ADDRESS REMARKS ONTRO OWNERMONTRACTOR RESPONSIBLE FOR EROSION CI JDRAINAGE CITY ZIP JTILEIHONS OATS FIRE REVIEWED By TELEPHONE 0—,Y(, VARIANCE OR CU SHOREMINE OR AOSII INSPEC ..N DID LICENSE NUMBER OTION OYRE G ES dNO OS TE I L SERA REVIEW C PLETE EXtMFi SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED OSED rp&PERTY TAX ACCOUNT PARCEL40. 0 3 SXP I LOT COVERAGE REQUIRED SETS CKS 11 PROPOSED SETBACKS (FT.) NEW L 'S' OlNTJlA FLUME N., NIECH, A ED PROPOSED FRONT SIDE FEAR FRONT UllIDK FEAR ADDITION -M SRC' AL �..P,�ANCE OR CHANGE OF USE ��IAI LOT AREA REVIEWED By REMODEL TTNI.T SIGN 67NING 0 REPAIR GRADING CYDE 0 m F NCE C] DEMOLISH TANK m OTHER oGARAGE CARPORT 0 FIETAiNIN.G WALL ROCKER O..RENEWAL 041 s TV-7�OFU—SE,BUSINESSOFkAOT,iVITYI EXPLAIN: CHECKEDBY NSTRUCTION C E 011lPAk ITYqOFC GROUP NUMBER OFORIES SPECIAL INSPECTOR REQUIRED OCCUPANT JAREA LOAD NUMBER 0 Yes DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC I OUIFINAL INSPECTION REG' A I soz VALUATION FEE to HSATSoURCE GLAZING % LOT SLOPE % BUILDING PLAN ECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO E BE DONE ON.P.Bl�VATE.P.R=T.I.0,VN�LWY',,Ay��' CON TRUDTION ON THE PUBLIC MARQUEES. ETC.) WILL REQUIRE GRADING/FILL DOMAIN (CU , I. , M SEPARATE PERMISSIOW I- STATE SURCHARGE P MTAPPLICATION 180DAYS gn I PERMIT LIMIT: I YEAR PROVIDED ORK IS STARTED WITHIN 16D DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION __Y A ANT N A F F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS '_ ___�H PPL" NDEMNIFY. DEFEND AND HOLD HARMLESS CITY F iHA ­� ' T ' o T I IF .. NO AND o o R L S HANYAND o LANDSCAPING I NT' , T ' AG... 'D N R 'S I -T. I FRCIALS. '-'LoYEES A' D A G'NTS' ON E N N TE o 2 ED. D WA INSPECTION FEE , F-CTLY W N TU IN.' F�l �l GO E L - MA ES F HATEVER A BE , AN' - H TLY. HALL NOT BE A F L C .E o -A U E . IS I C T. 'S"N"T S BE AN F PLAN CHECK DEPOSIT RECEIPT . IT THE BELA E F THIS G PC I NO - .. E ANY FECUK.-NIENT oFANYC'TY GQ'NAN�r M G To .. E RE EE E IFY . WAV . C Y OR A.,LTyTo ENF.A EAN GNANCE PROVISION R E I T OF ".IT IN NY W Y T.E�CTy'. 0 N A A T.TALAM.IN, DUE L DOE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION A OVAL IHEFEBy ;HATT: AIAVI GIVEN 'E=TEAN. 'A M THE OVVNER� OR THE DULY AUTHORIZED AGENT Or ThIl IPPI-1— 11 Pu'm't .,i b 11. THE OWNS . I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTAUC CALL OI(,,,aI 11 hIlIhel DOWY TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL 81 EMPLOYED OF WASHINGTON RE ATING TO FOR INSPECTION .�k..­,I,d �� ,p­ pFv.dd. IN VI ON OF THE LABOR CODE OF THE STATE WOROLATI ACW 18,27. KMEN'S COMPENSATION INSURANCE AND OFPICIA ION DATE -1 DATE SIGNED (425 A]HATUR (CWN,R<� �N, f4l,,l /4.gg 771-0220 ELEAFED BY OATE EXT 333 ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IT IS UNLAWFUL 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPE TOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD - ASSESSOR z 0 c') Ol m 04 0 n mm 0 5i 0 C: M C-) X z m 5 RECEIVED PERMIT EXPIRES BE PERMIT "o7_5 �7 CITY OF EDMONDS ZONE NUMBER PPLI _!T40,� IUITEIAPTI CONSTRUCTION PERMIT APPLICATIOJN�'�-�.RESS / / i,�. I, 44),a-4-2 - OWNER NAMEINAME OF BUSINESS FLAT 1AMEISUBlIVIVOIN NO, --7—NO, LID NO. LID FEE $ MAILING ADDRESS PUBLIC RIGHfbF WAY PER OFFICIAL STREET MAP lnu&k .1­1 U.. P.— N,�,f 0 D 0 EXISTING — PROPOSED— CITyr ZIP JTEL�PNONE REOUIREDDEDICATION— FT PAV EOUIRED NAME YE 0 NO 0 REMART(S' ADDRESS RPGNSISUZ FOR EROSION CONTROIJOHNI­ CITY ZIP TELEPHONE NAME ENGINEERING REVIE E MATE A DDRE� FIRE REVIEWED By DATE _121P TELEPHONE Y 4 9 1 1 z t SHORELINE OR ADS' INSPECTION 1 80 D VARIANCE OR CU -4 STATE LICENSE NUMBER EXPIRATION UNI h BY REaD. POSTED . . ..... hl' A" 0 YES AND 35 IPA REVIE SIGN AREA HEIGHT .0. EE �,M,, ALLOWED PROPOSED ALLOWED PROPOSED PROPEFITYTAX ACC-U­ EX P 0 rn OVERAGE REQUIRED SETBACK$ (FT.) PROPOSED SETBACK$ (FT.) REAR NEW I.M.IN.IMICH' AULD".0ED0 PROPOSED FRONT SIDE REAR FRONT UPSIDE c: In COMPLIANCE OR 0 ADDITION' CHANGE OF USE REVIEWED BY DATE 8 c: PARKING LOT AREA ��NING RE��EPROVIDED 0 REMODEL SIGN L m FENCE GRADING I REMARKS REPAIR C,Ds 0 X FT) — o OTHER DEMOLISH C3 TANK GARAGE FIETAKINING WALL, 0 RENEWAL lb HOW CARPORT _ F Y Rog _7Ty_pEOF USE BUSINESS OR ACJIVJT�) EXPLAIN: CHECKEDSY TYR OFC NSTRUCTION C E 0 o -n n UPA�k GCCOU P NUMBER UMBER OF DWELLING AREASP SPECIAL INSPECTOR AREA OCCUPANT LOAD 3:9 m m OF S IS 'IT, TOP S W q NUMBS REQUIRED YES fn DESCRIBE WORKTO BE DONE REMARKS PROGRESS INSPECTION S PER UBC 1081FINAL INSPECTION REO" c cl) m 4 ao lyclsom'r 4i 3 z VALUATION FEE ob vi PLAN CHEC HEAT GILA ING I BUILDING 2E VESTED DATE PLUMBING m PLiANOHECK NO: MECHANICAL THIS PERMIT AUTPHORIZEI ONLY THE WORK NOTED, TH L EEG.NEO R,�ATE PROPERTY ONLY. ANY C.NrTRUClION.NTHElUSl_IC GRADINGIFILL .1 DOMAIN JCURB SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE BE. SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION:, 18(1 DAYS V, 4�� WITHIN III DAYS PERMIT LIMIT." YEAR - PROVIDED WORK S STARTED YEAR SEE BACK OE PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS 08 HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS L 0 IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING AND EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY INSPECTION FEE I ALLCUIMSFOA -AMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY RECEIPT R 2 OF THIS PEnMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE boll E PLAN CHECK DEPOSIT T I SU �2 FROM THE ISSUANCE q DEEMED TO MODIFY. WAIVEOR REDUCE ANY REGUIREMENTOF ANY CITY ORDINANCE PROVISION.- RE '��D I I N L MIT I Y IN Y '. ENFORCE ANYORDINANCE IP'T NOR LIMIT IN ANY WAYTHE CITY'S ABILITYTO TOTAL AMOUNT DUE IL4 I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL AT[ I� GIVEN IS CORRECT. AND THAT I AM THE OWNEP� OR THE DULY AUTHOR ZED AGENT OF Th�. aPPlicall­ M P­il LATING CONSTRUC- B'll THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU CALL Nm1h., ­d F.Z ­ p..d. ­d BE EMPLOYED TION� AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL OF WASHING TON R LATING TO FOR INSPECTION ­IpI I ..­wI.dg.d -p— p—ld.d. IN VIOLATION OF THE LABOR CODE OF THE STATE ,RKMEN'S COMPENSATION INSURANCE AND RCW 18.27. ATE IGNED (425) IATII �(OWNER(,ifa, -U44V kLE4SED By EXT 333 . ATTENTION NG OR STRUCTURE U NTIL IT IS'UNLAWFUL TO USE OR OCCUPY A BUILD[ 771-0221 0' �INAL- FILE - YELILOW'I.SPOCTOR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- RI GOLD - ASSESSOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - CATE OF OCCUPANCY