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20000819.pdfDATE RECEIVED PERMIT EXPIRES PERM T CITY OF EDMONDS N"MI'ER gCO 61!q F-- CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPTN ADDRESSA OW§Z �IMAME OF�J'IEIl il '�d PLAT NAMEISURDIVISION NO. LOT NO, LID 10, LID FEE 5 MAILING ADDRESS TES PAlp—d PU BLIC RIGHT OF WAY PER 01 FICiAL ST RE ET MAP R U.. P.— ..I 27� �� 1-11-3 CITY ZIP TELEPHONE EXISTING — PROPOSED — C-1) jm'-)�Jjp 6 Z-6 REQUIRED DEDICATION FT NAME ES P V REQUIRED YES C3 NO 0 ADDRESS B MARKS WNERIC..TBACTOfl REEP ... I&E FOR EROSION CONTROUDRAINAGE NAME ( � A f. -n. A REVIEWED/DATE ADDRE 0 7A FIRE REVIEWED By DATE CITY ZIP TELEPHONE 11. VARIANCE OR CU SHORELINE OR ADB# INSPECTION BONO 1 Ily REG D POSTED STATE LICENSE NUMBER OYES ONO SEPA REVIEW —SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED P7,1-917 AW EXP I I LOT COVERAGE REOUIRED SETBACKS (FTJ PROPOS D SETBACKS (FT.) 0 NEW RESIDENTIAL ILB.IIIN. I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UH SIDE REAR ADDITION C3 COMMERCIAL COMPLIANCE OR OF USE lz [3 CHANGE PARKING LOT AREA NI., R.IIEMIET. BY DATE 0 REMODEL APARTMENT C] SIGN REGO 71- I PROVIDED E3 REPAIR E] GIA1111 CYDS PENCE I — X IT) REMARKS DEMOLISH C] TANK o OTHER G RGE z CARPORT C] gETAINVWALL R OX RENEWAL OK (TYPE OF 'USE. BUSI CTIVITY) EXPILAM: IECNEDRY C 7 ITYPE ZUCT�10'k 4C I NUMBER NUMBEROF Sll�IALINSIE GTOR OF _ D WELLING A' JARIA REQUIRED YES LOAD c STORIES UNITS NUMBER E] DESCRIBE WORK TO BE DONE R MARKS PROGRESS INSPECTIONS PER USC loa/FINAL INSPECTION REO'D VALUATION PLAN CHECK FEE H IU 'AE GLAZING I LOTELOPEI BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO E PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRA INGIFILL BE DON PRIM F ON DOMAIN ICURBS,ASTIDEWALKS, DRIVEWAYS . MARQUEES, ETC.) WILL REGLIIAE :3 SEPARATE PERMISSION. T HARCE PERMIT APPLICATION: ISO DAYS YE IS STARTED WITHIN 180 DAYS PERMIT LIMIT. I AS 'PROVIDED WORK ENG, VIEW FEES M SEE BACK OF PINK PERMIT FOR ORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE� HEIRS. ­S1,G .S AND SUC ESORS LESS TH CITY a F AYNEDEH 0 BY E ENG. INSPECTION FEE LANOSCAP NG ;APPLICANT. N INTEREST. AGREES TO NDEMN,,,Fy EFENG ALNDDHA OFF E LO AD D WAS ON ITS OF""L" S AGENT1110" ANY A ' "'NOT �L, INSPECTION FEE EDVOO WHATEVER NATURE, ARISING DIRECTLY OR IND19ECTLY 0 9 PERMIT SHALL NOT BE ALL.-IMS FOR DAMAGE R.LT ISSUANCE OF THI OF '.I B PE PLAN CHECK DEPOSIT OPT ... OPT I FROM THE ISSUANCE DL.EA REOU BEMENT OF ANY CITY ORDINANCE I Fy WA VE. R E NY GE ENED T .. D W �y T 'E S A."'TY TOENFO'RCEA�YOROINANCEIROVISION AN .'Ty� NOR I, IT,. Y TOTAL AMOUNT DUE CEI RECEI THIS APPLICA71ON THAT THE INFORMATION APPLICATION APPROVAE-- IHEREBY ACKNOWLEDGE THAT I HAVE READ I AM THE OWNER OR T. - ILLY AUTHORIZED AGENT OF GIVEN 11 111111TEANO �e 0 T, �THOAT THE OWN. G GONSTPH R 'AGR To MPLY WITH CITY AND STATE LAWS REGULA'TINS Ec '�'LAT`,22TO CALL D,,ty I`— — P� TION AND IN DOING THE WORK AUTHORTZTED THERE By N 6 ' E "ON W , ING 'ON B FOR INSPECTION IN VIOLAT$ON OF THE LABOR CODE OF HE STATE Or WASH WORKMEN S COMPENSATIO AND RCW IS 27. IALS SIGNATURE DATI _��R�NCE DATE SIGNED (425) 7 -0220 71 ILEASE..y ATTENTON EXT1333 IT IS UNL FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL AW 771-0221 IF OR AqCERTI I- ORIGINAL FILE YELLOW INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 10 FAX PINK OW NER GOLD ASSESSOR �198 z 0 M c m ma 0 80 c Fri io c: o -n m M a 0 0 c M 0 7 -1 Z � X z co z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Z t- Wall.......................... Pier/Porch ............. Retainirig Wall ........... —I 'n Stab Insulation .......... M, PLUMBING: ITI 0 -4 C-) Underground ............. Rough -In ................... 3:� M rn 2; commercial Final HEATING: Gas Test ................ 0 -n -n La Gas Piping ................. IT, rn Equipment ................. Commercial Final 0 C 0) EXTERIOR SHEATHING E (j) M 0 NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... z Floor Insulation Co Wall Insulation ........... Ceiling Insulation ITI SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR L7 OCCUPANCY ...... ........ 77 I EERING DATE RECEIVED PERMIT EXPIRES USE CITY OF EDMONDS ZONE PERMIT NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESSC;o SUITE/APTN 1�12 OW=aESS PILAT NAMEISUBDIVIStON NO, LOT No, LID NO, LID FEE S S MAILING ADDRESS ?L (A-) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED— REQUIRED DEDICATION— FT TE—SCP AM—' 13 A.P­­.='%.�d 0 `­­- P.- 13 D 0 0 CITY ITELIP"Ill NAME METER SIZE I LINE SIZE I NO, 01 IIXTURES V RllUIRED YEPS 0 NO 0 ADDRESS R MARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAM REVIEWED/DATE _e LA 4-fAQ ENS N .1 Yj 9 m z 0 FIRE REVIEWED By DATE CITY ZIP TELEPHONE —.7 VARIANCE OR CU SHORELINE OR AOR� INS EC�.11 7 'YES N. TED STATE LICENSE NUMBER XPIRATI DATE HECK D BY 0 rn rn 0 0 0 c COMPLETE EXEMPT EXP I SIGN AREA ALLOWED PROPOSED I HEIGHT ALLOWED PROPOSED PLUMBING I ME. E3 NEW H LOT COVE AGE' ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS Fr.) FRONT URSIDE REAR .1 ADDITION COMPL ANCE OR CHANGE OF USE REMODEL SIGN GRADING C] FENCE [3 REPAIR CYDE X DEMOLISH E] TANK o OTHER --A-e 0 FETAININGWALL RENEWAL 1-�AIIIORT R..KEFY CTIVITY) EXPLAIN: �6 m M Z 10 -.1 om n m m 0 F; c 0) M 0 Z PARKING REDD LOT AREA I PROVIDED F PLANNING REVI DATE u REMARKS BY CHECKED Y IlYPEO10011TRUICTION I- n OC UPA T,, G AOUP NUMBER OF — STORIES 0 NUMBER I ELL NO DW ITS UN AF.TA'.o.AL NUM E SPECIALEINISPECTOR JAPEA REQU R [] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMA KS PROGRESS INSPECTIONS PER UBC 108/1FINAL INSPECTION REQ'D J-11 z -5D A VALUATION FEE z 0 PLAN CHECK FEE -I 0 HE LOT SL2�-u PLAN CHECK NO: E­ LA. E BUILDING PLUMBING -MECHANICAL m THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO !:I BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN ICURBS. SIDEWALKS. DRIVEWAYS, MARQUEES"..) WILL REOUIRE SEPARATE PERMISSION. — GRA IN IFILL T HAnGE PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR . PROVIDED WORK IS STARTED WITHIN 186 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. IEW FEES ;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS IND SUCCESORS NPINTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON. ITSOFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FR M THE ISSUANCE OF TH S PERMIT. ISSUANCE OF THIS PERMIT SHALL NO' BE DeOEMEDT MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE P NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE ROVISION ENG. INSPECT ON FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RECEIPT REC I N I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAT 0 APPLICATION APPROVAL GIVEN I CORRECT. AND THAT I A. THE OWNER OR THE DULY AUTHORIZED AGENT OF hi. P-1, _.1 Mg- �,.ft 8 AGREE TO COMPLY WITH CITY AND CALL THE OVINIR. I STATE LAWS REGULATING CONSTRUC Su'l T 9 O,_l ., hWh., DMul,: - 1- A,. P Id. -d TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED .Mipl m .�k­tl NG TO IN VIOI.ATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELAT FOR INSPECTION WORKMEN 5 COMPENSATJO>0�4R�NCE AND R W111.27. DATE ATE SIGNED (425) SI AT R G 771-0220 1 ENT16N EXT 1333 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD ASSESSOR �`Ss