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20000820.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION MAILING ADDRESS RD M CITY ZIP NAME AJAM ADDRESS FPERIMT EXPIRES USE ZONE PERMIT NUMBER 1ALI)o9av- JOB SUlTEJAPT# ADDRESS"#/ 7,,— ,� ITA �2, �t,; PI -AT NAMEISUBDIVISON NO. LOT No LID NO, I I.I. FEE 5 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ...... ppl—d RI P-1 R.'"d EXISTING — PROPOSED- 51-11 R­— REQUIRED DEDICATION_ FT V REQUIRED —YEPS C3 NO C3 I '—E=RKl'—l—lT— FOR EROSION CONTROLIDRAINAGE i Lnz---1 BY FIRE REVIEWED By "RE RE DATE CITY ZIP VIEWED AR AN-E OR CU VARIANCE OR CU V SHORELINE OR ADB9 INSRPZEQTION JPBOOND STED STATE LICENSE NUMBER EXPIRATION DAI I, -Y' D [3YES ONO VAvlj_Tpjjoqqcm g� 1-7--e SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED pR OUNT PARCEL NO. /� EXP T COVERAGE LOT 0 REQUIRED ETBACKS (Frj PROPOSED SETBACKS (FT) C3 NEW RESIDENTIAL PLUMBING I MEOH Al -,OWED ,OW PROPOSED FRONT SIDE REAR FRONT UR SIDE REA R E] ADDITION L [3 COMMERCIAL 0 �OAP�ARTMENT 0 MPLIANCE OR cl GOHANOEOFUSE PARKING LOT AREA PLANNING REVIEWED by DATE C] REM ODEL , TME T 0 SIG. REO'D I PROVIDEDI 0 REPAIR 0 GRADING CYDS 0 FENCE X FT) MARKS 0 DEMOLISH 0 TANK o OTHER CGARAGE I CARPORT 0 RETAIN G WALL RENEWAL F.GKE�L JTYPEOFUSE.BUAIESSOR CTIVITY)EXPLAIN: CHECKEOBY TYPE 0 '.RCDU'l"`�e -t; NUMBER N BER OF Cl TICAl SP -IALINSPECTOh OCCUPANT OF 0 BILLING AF,EASR p� E'MBE RE UIRED jA8EA LOAD STORIES , U ITS 0 YES DESCRIBE WORK TO BE DONE --- 100,41--a0a --62;a� . ..... - INS, PER UBC 108/FINAL INSPECTION REQ' VALUATION I FEE PLAN CHECK FEE G­­ LOT SLOPE I BUILDING C PLAN CHECK NO' EST5D DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. CHARGE PERMIT APPLICATIoNl,SB0 DAYS 'ER' PERMIT LIMIT. I YEAR - PROVIDED WORK STARTED WITHIN 1 8D DAYS EARF' ENO IEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -'f I F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SLOCESORS HAL'-F ON BEHAL C17Y OF ENG. INSPECTION FIE ;APPLICANT, NNTEREET - AG �TNDMNIFy EFEND AYNEE�E.LB HARMLESS 'HE EES To " N INTEREST. AGREES TC FROM ANY AND LANDSCAPING S OFF ,LD EDMONDS, WASHINGTON IT EMPL. AND AGENTS E INDIRECTLY INSPECTION FEE p OFWHATEVER NATUREARI SING OIRECTLYOR L _, S C . AULCt-AIMS FOR DAMAGES LANCE OF THIS PERMIT SHAUL NOT U ISE REG IPT PLAN CHECK DEPOSIT A OF THIS PER." R T EEU N F FROM THE ISSUA CE A "a RENIENT OF ANY CITY ORDINANC a D M�.T. Mo IFY WAIVED.. ..GE EE E F DEEMEDTO MODIFY, N ENFU N.Ru. TY ORCE ANY ORDI NANCE P ROI N R IT IN ANY WAY THE CITY'S ABILIT 0 . LIMIT IN Y W YTHEC TOTAL AMOUNT DL 1; READ THIS AIR NF' ATION IPTLI�CATIUN� THAT "R"11E. APPLIC ION APPROVAL I HEREBY ACKNGW ANENT OF GIVEN IS ,,,,,LIDGE THAT I HAVE T"TA" THE OWNER B AUTH. Thla PFI-a- 'a a- P-and -" 1,gald by IhO THE OWNER. I AGRT EAN' G CONSTRUG ET GoMpLy WITH CITY AND SoTAIE LAWS REGULATIN ED CALL daqOjj,­-halhll' owy and Foos allalla, and G oWORK AUTHORIZED THEREBY. NO PERSON WILL EMPLOY TON: AND IN DOING THE BE ATMG o RE, T FOR INSPECTION p- a—allag,d,, spac. p—ld— IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN 5 COMPENSATION INSU RANCE AND =.27, T RE DATE DAT - NED (425) ULdAL2 51&�: A51 5-60 '.ELEASEDBY' 771-0220 EXT1333 ATTATION G OR STRUCTURE UNTIL IT IS UNLAWFULTO USE OR OCCUPY ABUILDIN 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR AqCERTIFI- ORIGINAL FILE - YELLOW -INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 10 FAX PINK . OWNER - GOLD - 5,96 z 0 65 c m 0 0 c mr In In 10 C 0 -n n PH m 0 0 c m (1) 9 a) . M 0 z ;u z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......................... t Pier/Potch ................. Z' Retaining Wall ........... Slab Insulation .......... M PLUMBING: Underground 101 Flough-In ........... Commercial Final AN HEATING: I Lo -0 GasTest ........... Gas Piping ................. Equipment ................. Comme rcial Final mT f 'f: E)7ERIOR SHEATHING NAILING .......................... Fn fj), FRAMING ........................ M C' FIRST FLOOR FRAMING— z INSULATION ................... Floor insulation Z Wall Insulation ........... Ceiling insulation SHEETROCK NAILING Z 0 SPECIAL INSPECTION IR MISCELLANEOUS .......... FINAL APPROVAL FOR rv%S I C) -00 OCCUPANCY .................. 1'rA W� I 7, 1620 PERMIT EXPIRES IS, PERMIT CITY OF EDMONDS — NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITIVAIT. ADDRESSC�J/ 7. FLAT NAMOSUBDIVISION NO, LOT NO, LIO NO, I LID FEE S 'AILING ADDRESS T­:Appl- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P ;W'41-7 EXISTING — PROPOSE. — F.,N­ CITY TELE, HONE L -779- 0 REQUIRED DEDICATION — FT METER SIZE LINE SIZE NO-011IXTURES V REQUIRED NAME I I p YE 0 NO 0 REMARKS ADCRESS NERICONTRACTOR RESPONSIBLE FO�CROSION CONTROUDRAINAGE CITY� ZIP ITIIEI..NE /-,47. mx /a,-- FIRE REVIEWED BY DATE CITY ZIP TELEPH ONE CMA 42:;-77!%-44�L-1 VARIANCE OR CU SHORELINE OR IDE� LY,6W� - STATE LICENSE NUMBER EXPIRATION -b D BY D4yo_TpNoqqcm 1-7-01 1W — COMPLETE, EXEMPT ' SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACC UNTRARC L NO. AFXF I WR , LO COVERAGE 7EouTREDSETBACKS(FT) PROPOSED SETBACKS (Fr.) NEW PLUMBING I VS.- ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR ADDITION c3 C MPLIANCE OR CHANGE OF USE PARKIN EA PLANNING REVIEWED By DATE 0 REM ODEL SIGN REG'a I PROVIDED 0 F GRADING CYGS C3 REPAIR (ENCE X FTJ OTH 'R DEMOLISH TANK OTHER TANK c GARAGE RETAINIRNYGWALL CARPORT HODIKF RENEWAL CT ,V,T" EX LA IN dHECKE5BY ITYPE C NSTRU I C ION GR.U`PA"�t NUMBER '-B R F E OF NUMBEIgo IIICAL PECIAL INSPECTO SP"C` AREA .. ... OF STORIES .WELL N, IELL,N. 'ITS UNITS A REAS I NUMBER REQUIRED E] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTION$ PER UBC 108/FINAL INSPECTION REO VALUATION I FEE PLAN CHECK FEE LOTS�OPE%-?- BUILDING PLAN CHECK NVj__ PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFLL DOMAIN CURB% SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REGUIFIE SEPARATE PERMISSION. CHAR R PERMIT APPLICATION: 1.0 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INIF DRMATION la I HIS OR HER Ep.LSE, HEIRS, ASSIGNS AND SUCCESO.s ENG. INSPECTION FEE ;.App�­,gA.g�oAN.SEHAIFOF FIEES To INDEMNIFY. DEFEND AND HOLD HARMLESS THE Hy .1 AND LANDSCAPING 2 EDMONDS. WASHINGTON, IT FICIALS. EMPLOYEES. AND AGENTS FROM ANY S., RECTLY OR INDIRECTLY INSPECTION FEE RECEIPT PERMIT SHALL NOT�jC31E , ANYCITY oRGINA E PLAN CHECK DEPOSIT RDINANCE PROVISION' RECEIPT TOTAL AMOUNT DUE 'HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLIC ION APPROVAL GIVEN I CORRECT. A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 S N T I, pplicati.ii,� .f. P -it ,ltil llg­ by THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATING CONSTRUC CALL 6�Ij ,�,olb­I-W-D.Fu� gdF­­p.`T­d TION AND,IN 0 ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE LEMPLoYED o T RE AT NG 0 FOR INSPECTION .c.,I.­­wI.dg Im IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON OR Ki"EN INSURANCE AND RCW 18,21, 'CoM _ SIGN TURE DATE w o TI (425) w AD/111 A�6 'GN UR -NI t2 E �l WW I UW15 - ao 1614,16 11) e 771-0220 ASED By* DAYE ATT TION EXT11333 IT 15 UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW- INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5me z 0 m c: M m 0 0 0 0 c m m z 0 -TI n In rn 0 c: m 0) M C) Z .4 ri) z 9 0 m I