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20000808.pdfPERMIT EXPIRES CITY OF EDMONDS S E U "E Zo NE C G PERMIT NUMBER 9,10 0 CONSTRUCTION PERMIT APPLICATION JOB 'AODDRESS R w SUITFJAPTP OWNER NAMItNAMI OF BUI NEES K- V,0'� C-0 PLAT NAME/SUBDIVISION NO. I LOT NO. LI NO, LID FEE S 0- MAILING ADDRESS -3 to o R-0 c- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TF�FP4,d 0 M P A,qd 0 t R.qd IT-Y "P St " � , M'L 00 N IIELEP40 E bq3 _14k`7 EXISTING — PROPOSED EXH R50UIPED DEDICATION— R5C — FT — SM-k Nq.1- 0 1 = =1 z 11.1 0 Me NO� OF FIXTURES PRV REQUIRED NAME YES E3 NO 13 RESPONSIBLE NAME D w-t Y, elu v 15 alL ENGINEERING REVIEVEDMATE ADDRESS Nv-p__ s FIRE REVIEWED BY CAT: CITY AIP,,/jTlLlPlllE s " 5Z - '�C VARIANCE OR CU SHORELINE OR ADS# INSPECTf STATE L CENSE NUMBER EXPIRATION DATE OHECIIII BY REOT) YES J?-NO P'O'S"TE. I V-7 C) Q -2 -t -�-ok BE. REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO� -5 li 110 COMPLETE I EXEMPT I PROPOW ALLO D �w 1 ff 2-ci,5--7 oLf 0 0 7— EXP pK-L WR.Illt.EU. 'o 1A AL 17.1 XNEW 0 RESIDENTIAL 0 PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED PEOUIAEOSETSACKS(FT�) FRONT SIDE HEAR PROPOIS SETBACKS (FT) FRONT EDUR SIDE HEAR 0 ADDITION PF COMMERCIAL PL 0 COMPLIANCE OR CHANGE OF USE L7] REMODEL f-I APARTMENT 0 SIGN .N. RE"'PPR I LOT A LOT AR14 PLANNING REVIEWED By DATE ZAIAle� lAlkh- REPAIR FENCE C:] GRACING CYDS X — FT) KS 0 DEMOLISH 0 TANK OTHERS I o GARAGE 0 RETAININGWALL 0 RENEWAL CARPORT - ROCKERY JTYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: TYP NUMBER NU"11111 I DWELLING I "INCAL AREAS SPECIAL INSPECTOf OF STORIES UNTS �jp, NUMBER REQUIRED C3 YES DESCRIBE WORK TO BE DONE U p ��C k,4_9,, �L_ yrkr-t- I I p I - I— , :� , 1, - I OCCUPANT,B GROUP OCCUPANT LOAD ym.' VALUATION I FEE PLAN CHECK FEE HEAT S0646E GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING --7-.:z — - MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURDS. SIDEWA LKS, DRIVEWAYS, MARQUEES, ETC�� WILL REQUIRE GRADINGIFILL SEPARATE PERMISSION. STATE SURCHARGE IF PERMIT APPLICATION: 100 DAYS I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS PERMIT LIMIT. I ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS �APPLICANT, N NTEREST. AGREES TO IN SMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF IN LANDSC PI G EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND I INSPECT FEE FWHATEVER NATURE� ARISING DIRECTLYOR INDIRECTLY ��LAIMSFORA.MA P IT SH HIS PERMIT. ISSUANCE OF THIS SAM ALL NOT BE PLAN CHECK DEPOSIT RE SIFT v 7 A FANY tTYORDINANCE IDINANCE PROVISION.* RECEIP TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN RRECT. A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF ISECO "Hi tY III. THE OWN R E LAWS REGULATING CONSTRUC� I AGREE TO COMPLY WITH CITY AND STAT CALL SuildTibi,sO�P11PIVI lh'..l d. d TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO P_ P_'d FOR INSPECTION jptilllA,,wIedg di� IN VIOLATION OF THE LABOR CODE OF THE STATE OF WORK.ENS COMPENSATION INSURANCE AND RCW 18.27. EMNATUR - - — DATE IGNED ®R (425 SIGNATURE '0� AGENT' I 77 ASED V EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 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 - 5�8 u. r7 r- -;Poo ig� AS oZAOUddV SOONG �O 110 U13 P301AOS INBiqdO-13A30 booz 9 NN UO3 Alla *, 3. 171- it r 7 Q. M.< a z - --------- CITY OF EDMONDS Z RE CG PERMIT NUMBER .02,0 0 138 CONSTRUCTION PERMIT APPLICATION JOB EBB ') ADD. .2- 5 1 t 14 w v SUITE/APT# OWNERNAME AMEOFOUSINEIS P AT NAMEISU ODIVISION NO. I LOT NO, LID NO. M MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREIT MAP I III A, .1 =,.A q.1— E TELEPHONE Y_ os &43. 114 117 EXISTING — PROPOSED— REQUIRED DEDICATION FT NO. OF FIKTURIS _1�1112.171111 I VREOUIRED NAME METER SIZE I LINE SIZE YEP $0 NO 0 CITY I IIP JTELEPMO�E I V L,(,x bf S, c CITY W AIR( :(=)Jr =(Isd -,2qg 18�5 T;�:E 7TATE LICENSE NUMBER EXPIRATION U RopERTY TAX ACCOUNT PARCEL NO. HO" 0 NEW RESIDENTIAL LUMBING / MECH C] ADDITION COMMERCIAL 0 C MPUANCE OR CHANGE OF USE C] REMODEL APARTMENT 0 SIGN 0 REPAIR [] X FT) 0 0 TANK S?t GE 0 1�1�TAII�IRO WALL 0 RENEWAL 0 G�AAFR.ITT CC PH (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: NUMBER OF STORIES STO 11 MI, VIEROI DI�IELLING UN A, ITICA AREAS CRMBER DESCRIBE WORK TO BE DONE 0 a 4�- I . _'11 . � ( I � , -"J V�_D vk - si-Lu'o, I P.% a T'c :4GINEERING FIRE REVIEWED BY DATE VARIANCE OR CU _jRQREUN5 OR ADBN INSPECTION FEO'�(No _00_7 1, ci YES $EPA REVIEW SIGN AREA ALLOAV* FpOpOS A _00111-111 LOT COVERAGE REQUIRED SETBACKS IFT) PROPOSED SETBACKS (FT,) FRONT UP SIDE REAR ALLOWED PROPOSED FRONT SIDE HEAR 771AFK'1� R H [CHgCKEDBY TYPE gF CONS�TUCTION c E OCCUPANT GROU GROUP -sic, SPECIAL NnCT.H OCCUPANT R REQUIRED LOAD 0' 1 YES, JAHIA RE.AWS � ' / HIFO�. 9 D D hp,:A� lhSPECTIbfjsi PER UBC 10dw-NAL INSPECTION BEQ'D I. VALUATION FEE PLAN CHECK FEE co HEATSOURCE LOT SLOPE % BUILDING z VESTED DA TE PLAN CHECK NO: PLUMBING 0 MECHANICAL m THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO !=I BE DON§ ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GAADENGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE pe MIT APPLICATIOK!j 180 DAYS PF R PERMIT LIMIT I YEAR PROVIDED OR S STARTED WITHIN 180 DAYS AR' END, REVIEW FEES YE SEE BACK O� PINK PERMIWT FOR MORE INFORMATION BA K ASSIGNS AN D SUC ESORS ELF o' ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. HE- TO NDEMNIFY. DEFEND AND HOLD HAP LESS THE ITY F ' N INTEREST, AGREES TO rM � LANDSC fl G H MPLOYEEELAN AGENTSFRo A EDMONDS. WASHINGTON, TSOFFICiALS.E NYAND 2 N : FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY S- INSPECTIO FEE RECEIPT AL CLAIMS UL THE LANCE OF I PERMIT. IS$ ANCE OF THIS PERMIT SHALL NOT BE IS .. F F . THE IS.. H c UREQUIREMENT PLAN CHECK DEPOSIT YWA'VE OF ANYCiTY ORE DEEMEDTOMODiFY, WAIVE OR REDUCEANY U B T ." 'S ANY ORDINANCE PROVISION, RECEIPT oc' NOR LIMIT IN ANY WAY THE CITY ABILITY TO ENFORCE NO R U. T I NY WAYTHE TOTAL AMOUNT DUE 5 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPI-1011, GIVEN DO RECT. A D THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IS R Ruc. LAWS REGULATING CONST CALL T pjI �Itil IIE— by Ih, THE OWNER. I AGREE To COMPLY WITH CITY AND STATE TJON: AND iN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOY ED To FOR INSPECTION B'ild, .k1I1d9,d m p— prov1dod. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING RCW 18.27, S SIGNATUR OA7 WORKMEN'S COMPENSATION INSURANCE AND (425) OF11 1/ LD F�1_.NAT..E (P—<.Il A. nATESI NED 771-0220 DATE ____T__ EXT 333 o ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI ORIGINAL - FILE - YELLOW - INSPECTOR A FINAL BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR CATE OFIOCCUPANCY HAS 5198