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20000805.pdf0 DATE RECEIVED DATE RE "v� FPERMITEXPIRES o-4 __oD JlE PERMIT OFEDMONDS 0 N E CITY OF EDM NDDRS ZONE 9_�_l NUMBER S ITEJAPTN CONSTRUCTION PERMIT APPLICATION 1. A f 6 ER TA ATION 'A ES. 1 N P MI PPLIC N 0 PI -AT NAMEISUBDIVISION NO, —] LOT 10. LI NO, �! 4 SION 6) I OVJNI�fi;ll�A7r IIINE,S,S, AP04 OXI Lnt r LID FEE S noW 4 1. "All-Ir ADORE TE11P 0 S, PUBLIC RIGHT OF WAY PER 'OFFICIAL STREET MAP ....... 0 .", 0 T O� EXIS ING— PROPOSED� 0 CITY Z� REQUIRED DEDICATION— FT It S PRV REQUIRED METER SIZE LINE SIZE NO. OF FIXTURES — . T R EZ NAME YES 13 NO 0 I REMARKS ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE CITY NAME �hm ENGINEERING z A DRESS I DATE FIRE REVIEWED By CITY IZIP TELEPHONE BON D P VARIANCE OR CU SHORELINE OR ADS. INSPECTION RE POST D :If STATE LICENSE NUMBER ESO"N. 0 Y D IF r,06m)eo. SICIN AREA EIGHT SERA REVIEW EX PT ALLOWED PROPOSED ALIO ED PROPOSED m 1. PROFEAT T PAR E�L COMPLETE I I m h 01 hAA t__ EXP 0 0 0 LOT COVERAGE REQUIRED SETBACKS (FT-) PROPOSED SETBACKS FT.) NEW RESIDENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR 3: o C MPLIANCE OR ADDITION COMMERCIAL CO HANGE OF USE ED By DATE m Z C) --I REMODE1 C] APARTMENT SIGN REDD I PROVIDED c 2 -4 FENCE REPAIR cl GRADING CYDS t _ X FT)) REMARKS E: 3: I ra DEMOLISH TANK c3 OTHER om -n GARAGE RETAKJ�N4NG WALL C] RENEWAL z LEJI CARPORT FOC m m 'a 2 (TYPE OF USE. BUSINESS 0 EXPZ 10 TYPE CHECKED BY OF CCNST� .C,8u.pp )UCTION 0 o 4= v) NUMBER Nu� SPECIAL INSPECTOR AREA CA...PA.T Lo OF ---- STORIES D REQUIRED C] YES m C/) M 0 Z r- DE CRIBE WORK TO BE DONE S REMARKS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'Dl a -1 PROGRESS out 0 Q a LAq > z u --I z 0 d VALUATION FEE PLAN CHECK FEE. 0 m HEAT SOURCE GLAZING V, LOT SLOPE % BUILDING DATE PLUMBING PLAN CHEQK22L. 111SIED IVECHAMCAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE 0 N PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFLL WILL AEOUIRE DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) SEPARATE PERMISSION, STATE SURCHARGE PERMIT APPLICATION: IBO DAYS PERMIT LIMIT. 1 YEAR, PROVIDED WORK IS STARTED W ITHIN 180 DAYS ENO REVIEWIEFS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF FHISORHERSPOUSS XNHDEIHROSLASHSAIGNSAS�S-TS�U�CES'R CITY OF I No C RMLE LANDSC ING N INTER T. AGR IWDEMN `Y,DEFE INSPECTION FEE E ON S.WASHINGTON. TSOFFI C S. EMPLOYEES AND AGENTS FROM ANY AND j1A A LCI-AIMS FOR DAMAGES OFWHAT VER NATURE. ARISING DIRECTLY OR INDIRECTLY RECEIPT NOT BE X FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHAII PLAN CHECK DEPOSIT OF ANY CITY ORDINANCE . . . . . . . . . . . . . . . . . . . . . . . . DEEMEDITTO MOM U NT Y ORDINANCE PROVISION,� RE ll� WE NOR Ll. IN AN Y jF�.OIAINBICLI I - TOTAL AMOUN r DUE I HEREBY ACKNOWLEDGE '.AT I HAVE READ THIS APPLICATION. THAT THE NFORMATION APP ICATION APPROVAL TW� 'Y GIVEN 15 CORRECT. AND THAT I AM THE OWNER, OR X.E DULY AUTHORIZED AGENT OF ! LAWS REGULATING CONSTRUC .. .1. THE OWNER, I AGREE 70 COMPLY WITH CITY AND STATE CALL Bu'l-0 OIL —I .1 1,111her DIPU TION AND IN DOING THE WORK AUTHORIZE. T H E FEBY NO FIE R SON WI ILL BE E MPLOYED -.,pill -k—l-gld Iii � 0 d RELATING TO FOR INSPECTION IN VIOLATION OF THE LABOR CODE 01 I.E STATE OF WASHINGTON WORKMEN S COMPENSATIO INSURANCE AND RCW 18.27. OFFICIALS SIGN RE DATE 9=z;:, (425) IIGNATURE,OWNER NADE.ri DAIEB11 NE. 1 771-0220 E EAEFD.Y DATE 'l_j EXT 333 ATTENTION xIT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 FILE - YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - GOLD ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER 1198 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing .............. wall.......................... Piet/Porch ................. Retainlrig Wall ........... Rr Stab Insulation PLUMBING: i C) M underground ............. 0 Rough -in ................... Commetclal Final M HEATING: > Gas Test .................... Gas Piping ................. 0,n n -I 3: Equipment ................. M IT! commercial Final Fn f EXTERIOR SHEATHING C cl) NAILING ........................... FRAMING 7-1 FIRST FLOOR FRAMING INSULATION ................... Floor Insulation 3: wail insulation V) z 0 Gelling Insulation 4 0 sHEETROCK NAILING 171 SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. ATE RECEIVED EXPIRES e4114 I CT PERMIT PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION job ADDRESS 90) SUITEJAPT. 0 ME USINEss per pmcj PLIT NAMEoSUBDIViSION NO. LOT NO. LID NO. 14 I LID FEE S MAILI, '7 c PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 83 _.I _ P._ R.qd 0 o CITY P TELEPHO E EXISTING — PROPOSED— REQUIRED DEDICATION— FT — o METER SIZE ME SIZE 10,IFFIXTURIS PRV REQUIRED I I YES E3 , No C13. M�IA2K)r—TFACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIT—y zip I TELEPHONE LICENSE NU BER 60pb) 11 1 b I I 1 11 - V-SIDENTIAL N---ILUMBING I MECH C] NEW ADDITION 0 COMMERCIAL Ei C MPLIANCEOP CHANGE OF USE 0 REMODEL C3 APARTMENT n SIGN C] REPAIR E] FACING GY.. 0 PENCE X ITI C] DEMOLISH 0 TANK m OTHER 0 GA�RPOE CA RT E] RETAKI.ING; WALL R.0 EF 0 HENEWAL TYPE OF USE, BUSINESS OR ACT ITY EXPTL NUM55R N MSEROF CRITICAL OF DWELLING ARE AS STORIES UNITS ..NUMB R DESCRIBE WORK TO BE DONE GILAIING 1, LOT SLOPE ILAN CHECKAQ--. iVESTED DATE -- THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MAROUEES, ETC.) WILL REOUIRE SEPARATE PERMISSION. 'APPLICANT, ON BEHALF OF IS .11 HER SPOUSE, EIRS. ASSIGNS AND SUCCES-IRS IN INTEREST, AGREES TO :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 'I E T IN TS OFFICIALS. EMPLOYEES. AND AGENTS FRO. AMY AN. DNG 0 � 0 W ER ARIS ALLMCO��OIMS'WOASRHIA AGE 5 14ATEV MATURE ING DInECTLYOR INDIRECTLY FR M THE ISSUANCE OF THIS PERMIT. iSSUANCEOF THIS PERMIT SHALL NOT BE 0 OFA -TY ORDINANCE DEEMED To MODIFY, WAIVE OR REDUC A REO I. NOR LIMIT IN ANY �Y�Hj CI�Y`S ABILt ENF;�FOF.,`�`AN��'PIROIISI.N. FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR AD5 INSPECTION REO-D I BOND POSTED OYES ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PRO POSED ALLOWED I PROPOSED EXP I I - LOT COVERAGE REQUIRED SETBACKSIFT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR PARKING LOT AREA FP NNI.G RIVIEW70 BY DATE Go , PFOV'o or TE E 1 CHECKEDBY I TYPE OF'CONSFUCTION 'CCU"6 1. GROUP SPECIAL INSPECTO ' R - Aild REQUIRED E] YES .'--'-7CACDUINT Lo REMA KS ROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REO'D a VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL OQI GRADINGIFILL STATE SURCHARGE ING iNSPECT'ON FEE PLAN CH IPT TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF Thl, ppli,,I,,. I, n1t I PlIlit lltll 11911d by — T E OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTnuc CALL 13�11-9 OtfIclal , hiVhot Doputy: ,,d F— — p.. TH AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED ION; ANDIIN DOING THE WORK TON RE ATING TO OF WASHING FOR INSPECTION bbbpI I, ,k,.wi,dgad,n p,,, p,ov,d,d. , N VIOLAT ON OF THE LABOR CODE OF THE STATE WORKMEWICOMPENS:12 INSURANCE AND RCW 1827 FFICIALS SIGNXRE DATE 0-1111INED (425) AA 771-0220 kEtEA ATTENTION EXT 333 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- ORIGINAL - FILE Yl.L'L.0W -,INSP'CTOR r CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNG P A EE... Z 0 j 0 ,J) c: m m a --10 00 c: --j x m M Z D —1 C Z 0 -n m M 0 0' c: m M 0 Z q Z --I co Z 9 0