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20000793.pdfPERMIT EXPIRES USE PERMIT /20091-73 CITY OF EDMONDS ZONE R" NUM - BER - CONSTRUCTION PERMIT APPLICATION JOB < ITEIA T# ADDRESS _E 'tffITE'l DWNEANAMEIN ME OF BUSINESS PLAT NAME/SUSOIVISION NO D NO. Ev-\(r L�. FEE S I LOT NO PUS'IG R X,.T,N. MAILING ADDRESS PUBLIG RIGHT OF WAY PER OFFICIAL STREET MAP F p-a (00 .1.1 CITY _ EXISTING PROPOSED — ZIP ITILEPHON' FE.U' BE FT F..UIRF.D�CICATICN V PEOUIRED 8 0 NO P NAII'L:ot YE ADDRESS R22'l_­mTRkCTOR RESPONSIBLE FOR EROSION CONTAOUDRAINAGE -6o>r gy�-_s FIRE REVIEWED BY DATE 1. ZIP TELEPHONE -'L 110 0 u I/zs- d/10,5 17Z Vh'.5 �Cu _INSPFC BOND 5.—UNE H AGB� TION STATELICEN E UMBER POSTED OYRE-ANO ES I HEIGHT '471 VA-^l 'f21 ff $ERA REVIEW SIGN AREA ALLOWED PROPOSE 4 PROPERTYTAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED IiXP I LOT COVERAGE REQUIRED SETBACKS (M. PROPOSED SETBACKS (FT.) &KEW RESIDENTIAL 0 PLUMBING I MECH 0 ALLOWED PROPOSED FRONT SIDE REAR FRONT UR $I DE BEAR 0 ADDITION o COMPLIA NO OR CHANGE OF USE — PARKING I LOT AREA I PLANNING REVIEWhu by DATE 0 REMODEL 0 APARTMENT 0 SIGN REO'D I PROVIDEDt —37�� 0 FENCE 0 REPAIR FT) 0 DEMOLISH 0 TANK oGARAGE 0 RETAINING WALL 0 RENEWAL CARPORT 0 (TYPE BUSINESS O�,ACTIVITY) EXRLAI CHECKEDly D CCU. ON I -Rum N PULP ITIPEOF CR—CAL T, NUMBER SPECIAL INSPECTOR OCCUPANT __4) OF 'WELLING AREAS JAF- REQUIRED 0 YES LOAD N Ts NUMBER DESCRIBE WORK TO BE DONE REMARKS GRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D ILI) _/'z VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING BUILDING PLAN p, ]VESTED DATE UMBING P — MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK I NOTED THIS PERMIT COVERS WORK TO PU BUC BE DONE ON PRIVAT ANY CONSTRUCTION ON HE ' E.PWR E. 'Y ONLY' T QU.RE op GRADINGIFILL ALI '"V -WAYS. MAR.U�... _c.) WK_L.� DOMAIN (CURBS, St. , SE �JMIATE IERM'.S'... 'aTATE SURCHARGE PERM ON: ISO DAYS IT APPLICATI ISODAYS 76rEW FEES I Inn P R IS STAAT��WITHIN PERMIT LIMIT'. I YEAR � ROVIDED W C SEE BACK OF PINK PERMIT FOR MORE INFORMATION eS OF HIS OR HER SPOUSE. HEIRS. AS IGNS AND SUCCESORS HARMLESS CITY OF PfCrr. N F 5 E cc ;NAP,PNLT'�'RA.N�T�,OA".'�EE'.A'FT. I..E.Ntl .�IIND AND HOLD THE LANDSCAPING AND AGENTS FRO. ANY AND FEE A NG ON TS OFFICIALS, EMPLOYEES, EOMONOSSWF H.A.TA Eit.r WHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY ' . INSPECTION RE P T AULGLAINI G PERMIT SHALL NOT BE ISSUANCE OF THI'DF PL CHECK DEPOSIT ANY CITY ORDINANCE RECEI DADINANCE PROVISION,' TOTAL AMOUNT DUE HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACK�NDWTLlA0�ltE;,llAATT: A GIVEN is Co THE OWNER, OR THE DULY AUT.OqIZED AGENT OF Th.l.ppj.,.j.­­w.po,mij udl�O­dby I C IN, C.NSTBLC- THIOWNER, IAGETOCOMLy,,�T�.0,TYA�l)�TATE.��E UIT CALL B"I dl hi —I D—W nd F­ .10 pal. a. 0 C'N. THE WORK AUTHO ". THEREBY. NO PERSON WILL BE EMPLOYED TION; AN IN D RELATING TO FOR INSPECTION nk­wI�d,.bI —... p—d.d. WASHI IN VIOLAT ON Or THE LABOR CODE OF THE STATE OF NGTON I DATE WOSKMEN,�S COMPENSATION INSURANCE AND SCW 18,27, GAT, SIGNED (425) OFFICIALS TUBE SI ATILLREHO!fR-;,ii�W�__ A —ASED 771-0220 BY ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 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 519. RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACK$ ........... FOUNDATION: g'. Footing ...................... Wall .............. ........... pier/porch .......... Retaining wall ........... Stab Insulation .......... a -i "n. j a, PLUMBING: Underground 0 M C: ........... iW IR 1 Rough -In -4 0 0 0 Commercial Final HEATING: M, Rill C Gas Test .................... Piping Ni Gas ............... Equipment Commercial Final M rn, EXTERIOR SHEATHING 0 NAILING ............... — C: FRAMING ........................ In C). FIRST FLOOR FRAMING IN SULATION ................... Floor Insulation za V�all Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION M UMCELLANEOUS .......... R'ct� f4�GEWT �EXORES�� CIE s USE PERMIT ZONE J0 CITY OF EDMONDS �, NUMBER SUITEIAPT$ C&STRUCTION PERMIT APPLICATION AUDIT OWNER NAMEINAMI 1, NA.El�IP3DiliSK)N NO, LOT NO, I'D NO* I LID FEE S MAILI G ADDRESS RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSE,— REOUIRED DEDICATION— FT TESCP �AW­d F.qoi, d CITY ZIP JTELEPHONE� Lvw CLWj C,t4 Ohaoq� ()-C) 7�1. NAMLE F FIXTURES :RV REQUIRED YE 0 NO 0 C ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY El..N. NAME -EN—GINSERING EX� ed A06RESS po /30Y 11-5V3 z 0 FIRE REVIEWED BY DATE t 2. cl C) CITY ZIP ,(,k0&wW4X,6 TELEPHONE I-U VARIANCE OR CU SHORELINE OR ADEN INSPEC REOT11 N G OYES ONO� BOND POSTED STATE LICENSE NUMBER EXINATIIN;�l L 9q --$l/ 6 4z),44,w�Pi,, 166 'll I EDBY SERA REVIEW SE CO.lLlIl EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO� to Xp F p I , , I :3 rn 0 0 or :0 rrn m z RESIDENTIAL PLUMBING MECH COMPL NCEOR 3?4MMERCIAL D ADDITION CHANGE OF USE 0 REMODE I L 0 1 APARTMENT SIGN % LOT COVERAGE W, ROPOSED ALLOWED PROPOSED REQUIRED SETBACKS (FT�) FRONT SIDE REAR PROPOSED SETBACKS Pl) FRONT UR SIDE REAR PARK REO'D KING PROVO I ED LOT AREA P NNING Fh7 IEWED By DATE ENCE All F X FT) '0 REPAIR 0 OR 'No CYOS DEwiOLISH 0 TANK �GARAGE D. FIE 0 CARPORT ��tl =$G WALL Z, (j) 0 All m '0 m- c cl) C 0) REMARKS AUT U ..PySiNESS09 tVITY)'EXPLAIN J�OCCUPA 'I GROUP fc� to �,NIJMSER do ��GF STORIES NUMBEROP DWELL NO UNITS CRITICAL AREAS NUMBER SPECIAL INSPECTOR JAREA REGUIRED YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS INSPECTIONS PER UBC 10WFINALINSP ION RE t2i PRO GRESS 0 07, f f VALUATION FEE PLAN CHECK FEE z GLAZING I % HEAT SOURCE BUILDING M PLAN CHECK NZ. ESTED U. E PLUMBING IV THIS PERMIT AUTHORIZES ONLY THE WORK NOTEDi THIS PERMIT COVERS WORK TO N ON THE PUBLIC BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIO I E.U,�E GRADINGIFILL DOMAIN (CURBS; SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) IN LL SEPARATE PERMISSION. STATE SURCHARGE RMITAPPLICATON: 180DAYS, P8 �6 I nc), PERMIT LIMIT�. I YEAR PROVIqEDW RKISSTAFITEDV14HIN 180DAYS EVItW FEES SEE SACK OF PINK PERMITIFOR MORE INFORMATION APP . LICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS NSFE;TIONI FEE IN INTCREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND A ANYAND INSPECTION FEE DIGENTS FROM AULCI-AIMS FOR DAMAGES OFWHATEVER NATURE,ARISING S CTLY OR INDIRECTLY OD I Fn M THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE REDUCE ANY REGUIREMENT OFANY C, TY ORDINANCE NOR LIMIT IN ANY THEC ITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION T TAL AMOUNT DUE PT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND 7 AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENJ OF. I, ho, , hohit onfil ,g,,d by the THE OWNER. DIAGSEE To COMPLYWITH CITY AND STATE LAWS REGULATING CONSTRUC CALL Srhjl�hil Ipplil 11 di 9 011oi I P, .,he, put,: ­d F ... ... peid...d h! 1) Tp DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED r I, cklmhld9ld,, space provided. ION AND IN RELATING TO INSPECTION ­Ipt N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON FOR WORKMEN'S COMPENSATION INSURANCE AND RCW 18.21. .,OFFICIALS SIGNATURE DATE st S!GNED (425) T_ Elolw=_,10�_,7—;,�� ' I , Cl _Z e_:; 00) Eu 771;-0220 �EEASED BY 4A ATTENTION EXT 333 ITIS UNLAWFULTO USEOR OCCUPYABUILDING OR STRUCTURE UNTIL 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 PtNK-OWNER - GOLD. . ASSESSOR !V98