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20000756.pdfDATE RECEIVED I_A42-0� I PERMIT EXPIRES 311�7 [ CITY OF EDMONDS USE '-N' L5-,,�c.', P T EuRim.E. .2,00756, CONSTRUCTION PERMIT APPLICATION J.. ADDRESS SUIJ�APTI Av LZ, OWNER NAMEMAME OF BUSINESS P�T NAMEISUBDJVISION NO. NO� LOT NO L — r-,I, I r, J� y -1 rt'x fn _V DFEES L�D MAILING ADOPSks PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TEIl.PAl CITY ZIP TELEPHONE EXISTING— PROPOSED —da­l� I,.qull.� 6'f6b:)�, ASOUIRED111DICAT"N FT METER SIZE LINE 511E N1,01111TI)RES PRV REQUIRED NAME I I YES 0 NO 0 I ADDRESS REMARKS RESPONSIBLE FOR EROSION CONTRO�DRAINAGS ZIP I -A _J FIRE REVIEWED By DATE 'RE IIWED By 'REMAH- C Ty P I r T TELEPHlE,,,,, ) R' I , , SHORELINE OR �DB. INSPEC N N CE PC OR AD5# VARIANCE OR OU VA A 'U SHORELINE STATE LICENSE NUMBER XlI�Allt OAT E ­CKEDBY OTI oy RE 0 ES ONO I PBOND OSTED LAJ.A-�,U�_ �__) Lfh SEPA REVIE SIGN AREA SIGN AREA HEIGHT PROPOSED ALLOWED PROPOSED ALLOWED ALLOWED PROPOSED PROPERTY TAX ACCOUI PlAl EL NO. I I EXP VO R LOT COVE AGE REQUIRED E�TEAOK- I_, REQUIRED SETBACKS I"T I PROPOSED SETBACKS (FT) EW IAL P�J-E.I.E�,ITIAIL FLU." '.ECH PLUMBING' -ECH ALLOWED PROPOSED FEAR FRONT SIDE REAR FRONT S, FRONT UPSIDE REAR COMPLIANCE DR ADDITION .A I AL , E US _HANG OF E CHANGE OF USE PARKING LOTAREA PLANNING FEVI. DATE C3 REMODEL I tzL&AM 'T [3 APARTMENT SIGN C3 I. N R G�D E I PROVIDE .1 11I.ANNINIIEVIEWEDIN FENCE FENCE E] REPAIR GRADING CYDS X FT) E. R ARK B 0 DEMOLISH C] TANK OTHER RA E Cl GAFPGRT RETAI.N�-WALL 0 RENEWAL I,,, c USE, U OR ACTIVITY1 EXPLAIN: OCCUPANT `17 (VPE 'qNESS CHECKED By W�EMA.K� ITYIE 01 TI.N TYPE O'C N GROUP NUMBER NUMBER ITICAL CAREAS SPECIAL INSPECTOR AREA U­ -CA OF OF OWELLINO YES JAHEA L. STORIES I__ UMBER Kr%A4*m lot 0 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RED VALUATION I FEE Irl ILA _,A" CHECK FEE LOT SLOPE I BUILDING cv VESTED DATE PLAN CHECK NO�___ PLUMBING ECHINICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADtN 011ILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION, ARGE PERM T APPLICATION: ISODAYS ' 11 PERMIT :LIMAIT: 1 YEAR * 'PROVIDED WORK IS STARTED WITHIN 160 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION C -APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUC ESORS ALF OF END, INSPECTION FEE I I N INTEREST. AGREES TO INDEMNIFY. OFFEND AND HOLD HARML ESS THE 1111 .1 LANDSCAPING DMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND E ED INDIRECTLY INSPECTION FEE A L CLAIMS FOR AMAGEI - WHATEVER �ATUF�. ARISING DIRECTLY OR AL or F LL IS FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE RECEIPT PLAN CHECK DEPOSIT A, , REQUIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY. WAIVE OR REDUCE ANY T 0 ENFORCE ANY ORDINANCE PROVISIOW CEI RECEI .F::: TH�5C I NOR LIMIT IN ANY WAY THE CITY'S ABILITY U E READ THIS APPLICATION; THAT THE INFORMATiON APPLICATION APPROVAL I HERESY ACKNOWLEDGE THAT I HAVE GIVEN CORRECT. ANDTHAT I A.THE OW.�.6�0T�ATTHE .�LYRAUTHOTt'110 AGENT OF IS In -PPI­".n P—a an", n9n.d �' ". THEOWNER. IAGREETOC LYWTHOTYAN LAW EGLI, NG CONSTRUC- OMP CALL aro -2 a', 'u, dl g 0[kial .1 h,llhll D,P,ty: and Fe.. P TION.ANDIN DING HE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTION , a—p- acknowlodgod in space pro '. ad IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORKMEN S COMPENSATION INSURANCE AND HOW 18.27. 0 IALS. ONATURE - DATE SIATURE (OW"(` ' Ill[INE1 (425) ') i -, 771-0220 RELEASE .1 'TION EXT 333 A17EN IT IS UNLAWFULTO USE 08 OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD 519B z 0 rn =i 96 55 C= m M 0 0 c: Fri z c r- o -n m rn 0 o C ch c co) M z X z z 0 m RECORD OF INSPECTIONS CITY OF EDMONDS Z84 P:5- J,-)C:t�2 PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION 'A'DoD R E S s Ua Cl A' - J L OWNER NAMENAME OF BUSINESS FLAT NAMEISUBDIVISION NO LOT NO I N non.Ta fn p r, a LID DFEE$ ADDRE S MAILING ADDRE PUBLIC FIGHT OF WAY PER OFrICIAL S7 FEET MAP ESp AP-1— A Exi TING � PROPOSED o CITY TELE HONE REQUIRED DEDICATION— IT METER SIZE LINE SIZE NO, OF FIXTURE$ P"V REQUIR D NAME YES C3 NO 0 ADDRESS R MARKS nVINF—ONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAMAGE CITY ZIP NAME :foa c E FIRE REVIEWED By DATE S...ELI.E H AD84 INSPEC� JPSONEO XPIHAII 1. 11— 'ED BY 1AIIA111 OR 011 REO DON DST E LICENSE NUMBER YES 0 NO Co, SEPA REVIEW SIGN AREA HEIG14T FEEL NO. ILITE I EXEMPT ALLOWED P OPOSED ALLOWED PROPOSED M! EXP I - 0 10 m r_ rn REQUIRED SETBACKS( PROPOSED SETBACKS (FT.) LOT C VERAGE PTI >Z3 EW ESIDENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 0 C3 ADDITION OM.ERCIAL o COMPLIANCE HANDS OF USE EDBY DATE ro 0 PARTMENT E] REMODEL A SIGN c FENCE rn m REPAIR GRADING CYDS X FT) ReMAF- DEMOLISH [3 TANK OTHER > 0 ARA RETAINING WALL RENEWAL cn lG:AFPGRT .GK., 0 INESS OR ACTIVITY) EXPLAIN Cq OCCUPANT 0 -n (TYPE USr, E EDSy ITYPE.E�(j;OCTION I GROUP NUMBER NUMBER OF C ITICAL SPECIAL INSPEIT11 OCCUPANT A IA rn LOAD AREAS Go I' OF DWELLING R REQUIRE YES L"nq NUMBS m I o STORIES DESCRIBE_!yE,,K jo�OI(E REMAR S 0 o nj�Q no RIESS INSPECTIONS PER U.0 108/FINAL INSPECTION REQ'D C co A(c Luin' M 0 z 7`1 (Ao Yll 'n 4"'9- v in z � N in-4 k2- VALUATION FEE qa p _Jc: If) PLAN CHE K FEE bwtr rn z �Ll CE GLAZ I LOT LOPE % BUILDING 9 6-".l eo 0 VESTED DATE PLUMBING PLAN CHE > CK Nq_ m MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCT ION ON THE PUB LIC GRADINGIFILL DOMAIN (CURB% SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE D SEPARAI E PERMISSION. ARGE 2 PERMIT APPLICAT19N: ISO DAYS P K IS PERMIT LIMIT, 1 YEAR. ROVIDEDWOR STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INF ORMATiON 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ENG, INSPECTION FEE IN ,N.TNEFEST�AG,,,.E.ETSGN,. �TG.E.NIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING ANYAND ES H FC EMPLOYEES, AND AGENTS FROM INSPECTION FEE ED W INDIRECTLY EIALS. ALLCLAIMI IORDAMAGE SOFW"AT VER NATURE. ARISING DIRECTLYOR RECEIPT OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT FROM HE .UANCE OF THIS PERMIT. ISSUANCE TO MODjFy�yWTAHVECoRV�SE%LjCE ANY REQUIREMENT OF ANY CITY ORDINANCE DEEMED W 6 IT LITYTOENFORCE ANYORDINANCEPRO-1— RE El T6 -1� ORLIMITINANY TOTAL AMOUNT DUE 14 IHEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL T I, pp,ca,.e ie p­t, u,fil eglld by GIVEN WNEE, .11 TEE DUlyRAUTH0,R'll.ED AGENT OF IS CORRECT. AND THATA. THE: N h TRU C. CITY AND STAT LAWS ULA , C CALL Bu,l EMPLOYED dilg OII,Fel , hilft," DIPUtY: end Fee. .10 p d. ,d THE OWNER. I AGREE TO COMPLY WITH . AUTHORIZED THEREB N RE ON VAL BE TION: AND IN 001 NO THE WORK Y' 0 FSNGTONL RELATING TO FOR INSPECTION ­,P1 il 11—lodgad in space plevidle. WASH' IN VIOLATION OF THE LABOR CODE OF THE STATE 0 F WORKMEN'S COMPENSATION INSURANCE AND HOW 18.27. (425) ?S11 �NAT:URB(DW =F4,;O E. [I-- , ) J2,( I .1044v — EXT 333 ATTENTION UNLAWFULTOII-q, OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ITIS ORIGINAL -FILE YELLOW - INSPECTOR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ASSESSOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - CATE OF OCCUPANCY HAS 5m.