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20000792.pdfPERMIT EXPIRES 6SE PERMIT CITY OF EDMONDS ZO"E NUMBER Q'w CONSTRUCTION PERMIT APPLICATION JOB '(_ "I El ADDRESS 1 _4 v? C) OW A FIAME/NAMEOF BUSINESS 'T'Ckr�, PLAT NAMEISUBDIVISION NO. LOT NO* 11 WO, I LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — REQUIRED DEDICATION FT T FESC U W P:App­d 00 0 CITY ZIP TELEPHONE NAME METER SIZE I LINE SIZE NO* 01 FIXTURES PRV EQUIRSD Es 0 No ADDRESS REMARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE N E NAME ENGINEERING REVIEWEDIDATE X A E B DR� ADDRESS I not L FIRE REVIEWED BY DATE 0 VARIANCE OR' VARIANCE OR CU SHORELINE OR ADD# INS (3 Y A E S B STATE LICEN E NUMBER TyM T U E.�� 1� BY SERA REVIEW Mp EFA R� M COMPLETE EXE PT DO 'ETE EX' EXP SKI, SIGN AREA ALLOWS PROPOSED HEIGHT 0 ALLOWED , PROPOSE PROPERTYTAX'ACC UNRAAHU I d bi T— 0 fAL 0 14EW ... M.NTIAL PLO.. N M.ECH LOT GOV HAI LOT COVERAGE D '.WE .I ALLOWS. PROPOSED REQUIRED SETBACKS 'T') FRONT SIDE REA(Il PROPOSED SETBACKS (FT.) FRONT Lill SIDE REAR CIDNIZAIGIVE R 0 ADDITION 0 COMMERCIAL 0 CHANGE OF USE OFXUIE PLANNING REVIEWED By DATE NNN E BY 0 REN40DEL F-1 APARTMENT 0 SIGN ReaD I PROVIDED F NCE T' REPAIR GRADING CYDS X FT) REMARKS EMARKS DEMOLISH TANK o OTHER A AS 0 RETAININYG WALL.., 0 RENEWAL AL 0 GCAIRIP.IEIT ROCHE RC108/FINALINSIPECTIONREO O`Ypq�;," BUSINESS OR ACTIVITYJ EXPLAIN: CHECKE!f:�ON PAN E OCCUPANT GROUP 2'� OCCU NUMBER OF o STORIES NUM111101 I DWELLING 'I.— CR ITICAL AREA NUMBER IPECU%LINSPECTOR REQUIRED [3 YES I OCCUPANT 1A.1A AN�� LOAD DESCRIBE WORK TO BE DONE REMARKS 0 U PROGRESS INSPECTIONS PER UB VALUATION I FEE PLAN CHECK FEE E LOT SLOPE % BUILDING �T. PLAN CHECK -NO: PLUMBING MECHANICAL THIS PERMIT AUTHOAOTSS ONLY THE WORK NOTED, THIS PERMIT COVERS WORKTO A U Ly THE WORK N' FE MIT A THO"ES ON _ PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC E E A R Ly' AN 8 DON 0 PR`V T P OF T' ON BE .. E ONPRVA E GRADINGIFILL S D DOMAIN ICURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE OMAN I 'RO' ' QEWAKS '0 ' S I., PER SEPARATE PERMISSION, SEPARATE ' SURCHARGE 2 MIT APPLICATION: 180 DAYS P SIR PE A. . PROVIDED WORK IS STARTED WIT PERMIT LIMIT'. I YE W HIN ISO DAYS E , L Y ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION CK 0 LCN ON BEHALF F HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS 0 F OF HIS 0. �Ed EF-U ENS, INSPECTION FEE ;APPLICANT T R To , :NDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF IN INTEREST. AGREES TO FROM ANYAND f LANDSCAP! G �R E To TSOFFICIALS� EMPLOYEES� AND AGENTS OR INDIRECTLY INSPECTION FEE �EWAY R A A E OF WHATEVER NATURE, ARISING DIRECTLY r SPO S N L I. E R AT' A L ' - P PM T '.SU 5 PERMIT SHALL NOT BE PRO. THE ISSUANCE 0, THIS E . PLAN CHECK DEPOSIT FEC—EIPT , CEE..D To .."Y . WAVE OR REDUCE AN R OF ANY CITY ORDINANCE E ORDINANCE PROVISMN.� RECEIPT NOR ".IT IN ANY WAY TH. CITY.. ABILITY To TOTAL AMOUNT DUE 4-1142- 1 6�� I IER.Y ACKNOWLEDGE THAT I HAVE READ TH S APPLICATION; THAT THE IN ORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNE'�, OR THE DULLY AUTHORIZED CENT CITY AND STATE LAWS REGULATING CONSTRUC CALL Tla A1111­11- A 1—d "On-1 dl THE OWNER. I AGREE To COMPLY WITH THEREBY. NO PERSON WILL BE ED Suftng OjIj­I ., Ns-1 Doplty! and F­ ­ p.d. TION: AND IN DOING THE WORK AUTHORIZED EMPLOY OF THE LABOR CODE 0 THE STATE OF WASHINGTON RE ATING TO FOR INSPECTION .Fa,I­­­IdoP dap... p,o,dNd, IN VIOLATION WORKMEN'S COI,PENSATION INSURANCE AND RCW 18.27. OFF NATUR D R A EQWN 0 U T; mTE S (425) I 771-0220 L IVEASED BY ATE EXT 333 T E NT`ION Al I OR STRUCTURE UNTIL IT IS UNLAWFUL To USE OR OCCUPY A 13UILDINO 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD ASSESSOR SAKI z j, m 0 m M 0 80 c m m z jo-4 o -n M M 0 Ovi V) M C), Z .-I M -4 Z -4 x r z 0 4 m .... ...... RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............... FOUNDATION: Footing ............ Z, 0 -4 wall ................. Pier/Porch Retainlrig Wall ........... 4 n; Slab insulation .......... j 0C M PLUMBING: Ma Underground ............. C :0 Ig Rough -in ................... M z commercial Final C HEATING: w Gas Test .................... Gas piping ................. ------------ Equipment .......... so 2ffi� 0 0 F. commercial Final C 6, ExTERIOR SHEATHING NAILING .......................... A �RAMING .................... FIRST FLOOR Fl,� �`IING INSULATION ........... Floor insulation Z Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 4 7fal F P; �IRMIT EXPIRES 17: .. PERMIT CITY OF EDMONDS ..E 9 -� - ) _" NUMBER a'o Diu CONSTRUCTION PERMIT APPLICATION JOB <�JEIAPTI ADDRESS `I,__ - I 1 �6 u C�z:) UNIM 01 BUSINESS PLAT NAMEISUBDIVISION NO, LOT No, LID NO- b — I 11. FEE E MAILINGADDRSSS 0 5 1 +� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P.— I I'll 0 ...' U.. P." 0 EXISTING PROPOSED— 'S"W­�- P__ 0 CITY ZIP JTEIEPIOIE 0 REQUIRED DEDICATION— FT 71n MPTL. 11Z. LINE SIZE NlL011IXTUREl PAV REQUIRED NAME I YES C3 No 0 16- ADDRESS REMARKS ­YMPPInONTRACTOR RESPONSIBLE FOR EROSION CONTROLMSM�GE ----TE—VIEWEDIDATE z FIRE REVIEWED BY DATE Z 0 (Sllll E - 4 0 RI VARIANCE OR CU SHOREUNE OR ABDO INBRED TIC PF. 7 STATE LICENSE NUMBER BEN El 111"ITI.N LA. I, _T� 'PE.OTTONTI�llc " . . 0 Y E. 0 NO POISTEL F EEPA REVIEW SIGN AREA HEIGHT PROPOSED P p X RCRLflTl TAX ER COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED , rn FT) 0 NEW R" 'GENT" PLUMBING I ECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS 11,1 FRONT SIDE REAR PROPOSED SETBACKS AS FRONT US SIDE Rl' 0 c ADDITION COMMERCIAL 0 COMMERCIAL 7EN COMPLIANCE OR CHANGE OF USE ----p-,-RK—IN—G----r—LOT—AR—EA7P�NNING By DATE m 0 REMODEL A PA STY T [:)' APARTMENT 0 0 SIGN REO'D I PROVIDED] REVIFWED m REPAIR 0 FENCE GRADING ONCE X FIT REMARKS REMARKS TITER 0, A DEMOLISH 0 TANK 0 0 _n GAR GE RENEWAL 0 RETAINING WALL E L C] 0 -n CARPORT R.CK.Y 8 ACTIVITYI EXPLAIN: CHECKEDBY TYP E CONS'RU. TJDN CCUPANTK 10 SOUP m M NUMBER NUMBER CA L AREAS SPECIAL INSPECTOR OCCUPANT LOAD 0 0— I F I. ?­RIES DWELLING UNIT S EE NUMBER IAR­ REQUIRED C] YES a nPFCRiBE WORK TO BE DONE j.: 9 ca m PLAN CHECK FEE LOT SLOPE % BUILDING PLUMBING ESTED DATE MECHANICAL PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO - 14 ON TH EDONEON PRIVATE PROPERTY ONLY. ANYCON RUCTIO ONTH`S.p.'�',IRC RA INGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MA GUEES. ETC�) WILL M SEPARATE PERMISSION, : .. 0 Y PEI!M ION AT S P R IT PERMIT LIMIT. I YEAR )RK 1S STARTED WITHIN 180 DAYS END FIEVIEWISES SEE BACK OF PINK PERMIT FOR MORE INFORMATION F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS END N.I..TI.N FEE ;,AFPEANST,.0Al.8EHALFO AT RSEE To INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF NOSCARING 2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYC., AND AGENTS FROM ANY AND INSPECTION FEE ALLCLAIMSIORDAMAGE SOIWHATEVER MTUMARISiNGOIDECTLY S'�B'RECTLY ISSUANCE OF THIS PERMIT SHALL NOT 55 PLAN CHECK DEPOSIT FF THE'ESUANCE 0, THIS PERMIT. DEEMED TO MODIFY. WAIVEOR REDUOSANY REQUIREMENTOF ANY CITY ORDINANCE I NOR LIMIT WANYWAYTHE CITY'S ABILITYTO ENFORCE MY ORDINANCE PROVISION.' TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONY. THAT THE INFORMATION ZED AGENT OF GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE OUL AUTHOR AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL THEOWNER. I TION;ANDINDOIN THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTI, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMCN'$ COMPENSATION INSURANCE AND SCW 18.27, DATE (425) 771-0220 '77TENI'ION EXT 333 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� A FINAL HAS BEEN GRANTED. LED SECTION 109 FAX CATE OF OCCUPANCY ER UBC 1081FINAL INSPECTION REC'D 11 0 M z z 9 0 m VALUATION FEE L fiVALUATION T i2i�ik)N APVR _iVAL TIN. Ppk-I­ 1- ­1 � �pl -'-I' -'il F �1'­ b, hl---1 DO GNATUR CEASES By ORIGINAL - PILE YELLOW INSPECTOR PINK - OWNER GOLD - ASSESSOR