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20000813.pdfDATE RECEIVED __::� 10-6- 0-6 �q PERMIT EXPIRES PERMIT ZON NUMBER CITY OF EDMONDS U'S � �2S - a00913- CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRESS73al OW ,�KTAME OF SL§�NESJ PLAT NAMEISUBMVISION No. 'I- NO V�k 11D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI br EXISTING — PROPOSED CITY ZIP REQUIRED DEDICATION IT QJMI�1�4;a4 LIMA- %fi METER SIZE LINE SIZE NO.OFF HIRES PA�9EQUIOREP. NAME YES N REMARKS ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRANAGE & -->- /'/,-W Z—Wd�m viot4_f — CITY ZIP TELEPHONE "/�4, ( . ENGINE RE FIRE REVIEWED By IT' ZIP TELEPHONE _FI_CE OR GO SHORELINE OR ADR,I ,CEX B NUMBER EXPIRATION DATE STAT�E, CHECKED BY SEPA REVIEW COMPLETE EXEMPT ext. SIG14 AREA ALLOWED PROPOSED Py/RITAX ACCOUNT RCEL NO. 6_ow—oio-02_-0 0 NEW ILU. ING I VE-- COMPLIANC R 0 ADDITION CHANGE OFCUOSE LOT COVIIAG A- W. PROP REQUIRED SET CKS(FT) FRONT SOME REAR 0, -,6 PARKING REVE 10 REMODEL SIGN a�HED JT AR- 0 REPAIR o GRADING CYDS 0 X _ FT) EZ�4-_qe-k-,ack_- III- e 9- eA5evne4,t4— 0 DEMOLISH Fj TANK tW fZ4&,r_ p—efe-v GARAGE 0 FETAjNiNyG WALL 0 RENEWAL 0 CARPORT .CK 0 CHECKEDBY TYPE OF OTION (TYPE OF USE. BUSIN Ess R ACTIVITY) EXPILAIN: NUMBER OF o STORIES NUMBER F o DWELLING C IT. CRITICAL AREAS jq, NUMBER UAL IN PECTOR BE CIISED YES DESCRIBE WORK TO BE DONE REMARKS —Anng" INqPFf'Tl0MS PER UBC 1081F FA Em VALUATION FEE PLAN CHECK FEE HEAT SOURCE 0 % BUILDING 0 IgNG PLAN CHECK NO' _7q PLUMBING 120 _3 q M�CHANICAL -70 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ON THE PUBLRIC BE DONE ON PRIVATE PROPERTY ONLt ANY CONSTRUCTION ETC.) WILL REQUI E DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, SEPARATE PERMISSION. STATE�SURCHARGE pe 'MIT APPLICATIOW 180 DAYS PERMIT LIMIT: I YEAR ROVIDEDW RK IS STARTED WITHIN 180DAYS PINK IzES SEE BACK O� F PERMITIFOR MORE INFORMATION FEE �APPUICANT, ON BDALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUC ESORS 114 INTEREST, AGREES TO �NDEMNIFY� DEFEND AND HOLD H ARMLESS THE CITY OF ANY AND AN 11 M EDMONDS, WASHINGTON TI'll'I.IAL',E.PL,.,Y,.�,i,Al�A ENTS FROM A, SING OTECTLYOR INDIRECTLY - RICE IPT C MAG,�GWHAT R NAT ALLCLAIMSFORDA ISSUA E OF THIS PERMIT ISSUANCE F THIS PERMIT SHALL NOT BE NC 0 T PLAN CHECK DE P4 FRO. THE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINA ICE _ _0 0 NORLIMI T IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION�' TOTAL AMOUI 'T G HE RECEIPT 0 a Ik 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 Tll� I� — - 0-1-11 T EOWNE . IAG E TO CO PLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL B,,jdI,,g Olfi.� I �l lIV ODP�IY ld TION. AND,IN 0 1 THE ING X AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 0 WASHINGTON RE ATING TO FOR INSPECTION IN VIOLAT ON HE LABOR CODE OF THE STATE OF WORKMEN'SCO F NSATION INSURANCE AND FICIN 13,27, OF51CIAT118IGNPARE', DATE SIGNATU _N R AG!�� ATE SIGNED 7 (425) AA 771-0220 —IT EXT 333 DA /to ATTENTION IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- /0RIGINAL - FILE - YELLOW - INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - 5198 z m mo -40, . �:,, 0 r- 0 m M ,n -4 0 0 o Fn Cl) m 0 Z z m n�5 MON, All, 0-0 . Ik ..... .. .. . . Ms p N. ti; g'. iv"v h C: m M zi, I RECORD OF INSPEcnicim INSPECTOR DATE APPROVED f,i SETBACKS ................. FOUNDATION: Footing ...................... Wall................. Pier/Porch ................. Pletamirig Wall --vp Slab Insulation .......... 0 PLUMBING: Underground ............. In C Rough -in ................... I'll 0� Commercial Final 0 r—, HEATING: Gas Test .............. z Gas Piping ................ -n Equipment Commercial Final f MM 'EXTERIOR SHEATHING NAILING Fn FRAMING t Ca FIRST FLOOR FRAMING... A 0, z INSULATION ................... Floor Insulation IV Wall Insulation ........... 1 Ceiling Insulation Coo, Z: SHEETROCK NAILING SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. A' =PERMIT E61RE9 CITY OF EDm NOS PERMIT NUMBE SUITEIAPTa V) CONSTRUCTION PERMIT APPLICATION 'A'DBRESS OWNER NAMEINAME OF ElUrs PILAT NAME)SUBDIVISION NO� LON 0 D BE L L ID IE m MAILINGAD 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP a P Ap w P", , 0 P. P EXISTING — PROPOSED — -d o.d a T, ::d V: CITY ZIP CD K'E�IPHONE If J � REOUMEDDEDICATION� FT ""a'u" W." ."na ETER JNES 0. 011JRES P RED E RV RX NAME, YEPREIN'. Y B 0 D ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE ME DATE 6 Ll E" 'e I I , 0 FIRE REVIEWS) BY DATE z m ZIP TELEPHO E 0 SHORELINE OR AD13# INSPECTIO�No 0 Y ME I m EXPIRATION DATE CHECKEDBY, C PT SIGN AREA ALLOWED PROPOSED GMT ALLOWED PROPOSE I / :I PM�FR%AX ACCOUNT PARCEL NO. 6_ow-oIo-07_-o2- EX _5 '2 am 0 NEW 10 RESIDENTIAL PLU..IN. I NEC. LOT COVERAGE ALLOWED PROPO REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SETBACKS JFT.) FRON� 1_18/�IDE REAR, r_ a m 0 COMPLIA CE OR 2 c ADDITION 0 COMMERCIAL 0 CHANGE OF USE PARKIN -LOTAREA RE Q PROVIDED PILANNINGR EVIEWED By rATE m rn 'o REMODEL C] APARTMENT SIGN �G z FENCE [3 REPAIR 0 GRADING CYOS 0 X FTII 2 M DEMOLISH 0 TANK e-l-Sevne-q- FaSet"ewf 1.9 6'Wde . . ...... �'74 evn�wl*. P-e-ki-ADO-Q100 61F/ P 0 GARAGE TI RETAINING WALL RIN EWAL CARPORT � ROOKERY 0 1 (TYPE OF USE, BUSINESS On ACTIVITY) EXPI-AIN; A CHECKEDBY ITYPIO' CIRON C CCUPAIVT ROLF CRITICAL 0 L 'w NUMBER NUMBER F MITI a vi SPECIAL INSPE CTOR OCCUPANT A' I OF DWELLING AREAS .1a..ER STORIES UP._ U. 8 EO' RRED 0 YEE LOAD L 0 f. 0 Fn 0 DESCRIBE WORK TO BE DONE REM I E REMARKS PER UBC 108/FINAL INSPECTION REO'D 'q c: c') &1 0) rn 0 1% Acrex roxx z9w,-AW- 1"I //v ey- 54,L— 611 —Mg h 14 i/dill I MeAl I Agzbn�&A= m-:7 VALUATION FEE PLAN CHECK FEE 40S z 0 I _�&j HEAT SOURCE Vop . . . .. .... BUILDING 5 m VESTED DATE PLUMBING PLAN CHECK NO� c, . -, I, , MECHANICAL -70 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BE DONE ON PRIVATE DOMAIN (QUABS'SIDEWA LKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. STATEP RCHARGS R ITAPPLICATION: 180DAYB RE M PERMIT LIMIT,. I YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS EES SEE BACK OF PINK PERMIT FOR MORE INFORMATION FEE Z-- 3z) -APPLICANT, SSIGNS AND SUCCESORS ON BEHALF OF HIS OR HER SPOUSE, HEIRS, A ARMLESS THE CITY OF L P IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD H 2 EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND A OF WHATEVER NATURE, ARISIN., D RECTLY OR INDIRECTLY -'M'=A DAMAGES S'PSAMIT SHALL NOT BE ILANCHECK011 I I q 2 FROM THE NCE .1 THIS PERMIT ISSUANCE OF T _0 D DEEMED TO MODIFY, WAIVE OR RED CE ANY REQUIREMENT OF ANYCITY ORDINANCE 'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIO -� 0 NOR LIMIT IN A" WAYTHE CITY U N SECE tT DUE TOT L MOUNT A A I HEREBY ACKNOWLEDGE THAI I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL iE 0 IVEN IS RRE TAN THAIN A. THE OWNER. OR TH )ULIAUTHORIZED AGENT OF In— WS EV'T THE NER.IA ET PLY ITH ITYANDSTATE AFEREGU TINGCONSTRUC� CALL td,,S"P j d, jaalho, Canal, and Foes 110 P,,d. and Ti WAN I I TH AKA TH RIZEDTHEREBY, RSON WILL BE EMPLOYE din ..... .. d.d. IN VI LATI HELABORC DE FTHESTATE F ASHINGTON FISLATINGTOD FOR INSPECTION AK EITSC P NSATI NINSURANCEANDFIC 18.27, OFFIC A N RE DATE SIGNED (425) SIGNATU C'I( R AGENT DATE 771-0220 FIELE BE By SAT EXT 333 ATTENTION CUIPY A BUILDING OR STRUCTURE UNTIL L UNLAWFULTO USE OR OC 771-0221 IT IS A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- /OFIIGlNAL-FILf' YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED, USC SECTION 109 FAX PINK - OWN�fl - GO I LO-ASSFSSOR