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20000823.pdf­`1 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS ZIP I TELEPHONE ADDRESS 17T I— ZIP NAME IUD PERMITEXPIRES �Z/I�LW USE PERMIT ZONE NUMBER LRIT��IAPT� 77 ADDRESS PILAT NAMEISUBDIVISION NO. ro- 11 NO - LID FEE PU�L'��l.�TI)IIIAIPE�.IFIC;IAL�TRI�T�AP 0 10, EXIST NO — PROPOS60 - 0 0 REQUIRED DEDICATION— FT � U., 0 METER SIZE LINE SIZE No. OF FIXTURES PAN REOUIRED I IES 11 NO 0 ARKS F FOR EROSION CONTROUDRAINAGE 15 REMARKS INC ENGINEERING REVZEWED/DATE ADDRESS FIRE REVIEWED By DATE CITY ZIP ELE HONE 0 I,) -S -1-1(2 67 VARIANCE OR cu SHORELINE OR ADBN SHORELINE OR ADDN T E N INSPECTION INS' CT'O ... BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKEDBY REQ'D RED D DYES ONO E 0 IPOSTED SIGN AREA IS HEIGHT CC (N %�2 C—: )k COMPLETE EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCO UNT PAnCELNO. I -A 73LI c,o EXP LOT COVERAGE REOUIRED SETBACKS (Fl) PROPOSED SETBACKS (R.) NEW Ey<.IDEt,ITIA1_ [y PLU..IN.1.EC. ALLOWED PROPOSED FRONT SIDE REAR R T B 'R NT U E F FRONT UPSIDE REA 0 COMMERCIAL ci 0 MPLIANCE OR AUDITION CHANGE OF USE PARKING T RE LOT AREA PLANNING REVIEWED BY DATE P, I G EV E, Y 0 REMODEL APARTMENT 0 SIGN REDID I PROVIDED 0 FENCE REPAIR El OR" CYD5 ( — X IT) -HEM-11 DEMOLISH C3 TANK C] OTHER RA' LL G R b E A A 'E C] R' WAL 0— CGA.1b.FT WA C (TYPE OF USE, BUSINESS OR ACTIVITYI EXPLA7W. _,5g2��E �U IN CIIECKE11Y E 0 TRUCT;ON -.-�.UPAVT -SSO.-ACT' A —1 ITY I NUMBER .1 NUMBER OF CRITICAL PECIAL INSPECTOR AREA OCCIPANI OF DWELLING FL' I AREAS REQUIRED YES LOAD 0, STORIES — U N IT E UMBER C] ESC.I.E WORK TO BE DONE PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION -4— is ;psi or ' closed, expans'on tanks are I ranuired on ali nof via cr all s per HEAT SOURCE GLAZING I PLAN CHECK NO: 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. MARQUEES, ETC.) WILL REQUIRE :3 SEPARATE PERMISSION. t: 2 PERMIT APPLICATI N: 100 DAYS WITHIN 160 DAYS PERMIT LIMIT 1 YEAR - PROVIDED WORK IS STARTED SEE RACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ;APPLICANT. w N NTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF , 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND X ALL CI_AIMS FOR DAMAGES OFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY BE Q m FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THI PERMIT SHALL NOT E m DEEMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITYOFIDINAN ORDINANCE PROVISION." NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY I HEREB—CKNO.LEDGE 'HAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION .1 GIVEN IS CORRECT: AND;.HAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT C'NIPSLT.RYU�C. THE OWNEFN AGRI , O"%YU�IT."�CITY AND STATE LAWS REGULATING WIL HE F 01 TION; AND ORK �ED THEREBY, NO PERSON I DING!/ STATE OF WASHINGTON RELATING T. IN VI LAT, ABOR CODE or THE WORKMEN ATION INSURANCE AND RCW 18 21 AT F(7AGENT) ATE SIGNED A /!2 - /.� -or) VALUATION I FEE PLAN CHECK FEE I ,5o.vo MECHANICAL GRADINGIFILL V� C.ARGE ENG. REVIEW FEES ENG, INSPECTION FEE LANDSCAPING ,P TK)N , INSPECTION FEE E RECEIPT PLAN CHECK EP.BIT RECEIPT DUE APP ICATION APPROVAL CALL 81"1 Tb,, ppj­,.­,, T., b ­­ Ttij ,,,ld by 17-d ­9 ojf� 111 h1­11 Dep,,Iy: a.d Foos "' "I FOR INSPECTION ,,,,pt �� 11k­.I1dgDd T, IP1.0 PI—d.b. OFF) ALS SIGNATU (425) 0 771-0220 ELEASEDBI v MAI E' IT 71U.LVI'! G OR STRUCTURE UNTIL ILTO USE OR OCCUPY A BUILDIN 771-0221 ORIGINAL FILE YELLOW -INSPECTOR A A 'INAL �,P FIN ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX �198 z rn c m IT, 0 80 c m m z ri) 0 m M 0 om� C co 9 , , m z z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING........................ . FRAMING ............ ......... FIRST FLOOR FRAMING INSULATION Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS FINAL APPROVAL FOR OCCUPANCY .......... Z� 0 C) IT, C C, M 0 0 M 171 z C rA 0 -n _n M M 0 V5 ", : 0, 0 M C Cn z z 0 0 IT! -.7 7- W, j, PERMIT EXPIRES USE PERMIT NUMBER CITY OF EDMONDS ZU082�a, I CONSTRUCTION PERMIT APPLICATION JOB SUiTE1APTN ADDRESS INESS OWNER NAMEINAMEOP BUS PI -AT NAMEISUBDIVISION 110. LOT NO. LID NO. LID FEE MAILI GAD R IE-411— N ESS :T MAP PUBLIC RIGHT OF WAY PER OFFICIAL STREI P­ P.I.— 0 —.1 u.. P.— ".0 01 9-1 Lk) EXISTING PROPOSED— 0 CITY ZIP ITELEFRONE 0 FEOUIREDDEDICATION� FT OF FIXTURES PRV REQUIRED NAME yes 13 NO 13 REMARKS OWNERICONTRACTOR RESPO ROSION CONTROUDRAINAnE ADDRESS CITY EPHONE NAME JAI,= lie ENGINEERING REVIEWEMDATE ADDRESS Z FIRE REVIEWED By DATE CITY ONE 0 IRD;Lo VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REQ-D POSTED OYES C3NO STATE LICENSE NUMBER CCpj=C- 'A MA 41/o/ 0)( SERA REVIEW AREA COMPLETE EXEMPT ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED I PROPERTY TAX ACCOUNT PARCEL NO. n,4(-C)-7 EXP I — I . a m c IT! 0 LOT COVERAGE REQUIRED SETBACKS (FT) SIDE REAR PROPOSED SETBACKS (PT) FRONT UR SIDE REAR V NEW RESIDENTIAL OKLU.13IN.IME.- ALLOWED PROPOSED FRONT 0 0 E:i COMPLANCE R 0 ADDITION 0 COMMERCIAL C HANGE OF USE c NING REVIEWED By DATE M M z 0 REMODEL C3 APARTMENT 0 SIGN REQQ I PROVIDED 0 REPAIR GRADING YDS C] FENCE X FT, X FT)) c > EMARKS OTHER 0 DEMOLISH C] TANK AR BE 0 RMN [3 G A. WALL 'ARiF FIT a ��EWAL 0 -n -n 3D rn rn 0 0 Y57 JYPE 01 USE. BUSlIE85 OR A1111IT LAIN A-n.- CHECK506Y TYPE I/yh 0 PANT CODE CCU GROUP Cl 2 OF CRITICAL SPECIAL INSPECTOR AREA OCCUPANT OF STORIES NO OUNITS AR EAS N MEER U M EQUIRED C] YES LOAD 0 DESCRIBE WORK TO BE DONE RENA KS PROGRESS INSPECTIONS PE R UBC 1081FINAL INSPECTION REQ'DIZ peprele. nf whelh-r Ih- x MO Z r L'/ p is opert or closed, �expansinn tanks aLe_ raquired on all hot VjRler tni%Vs per z eily Code. ECDC MM-020TCT VALUATI N FEE z PLAN CHECK FEE 9 GLAZING % LOT SLOPE % BUILDING 0 m �g�IILRIE . VESTED RATE P LAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO "EVAO'NI(ONP.R.IVAT�P�.PERTY..LI.A�IC:(,..R.CTI.�-NI THE PUBL,'C RADIN IFILL gl CUP SIDEWALKS . DRIVEWAYS, MARQUEES. ETC.) W LL.E. E SEPARATE PERMISSION. )URCHARGE PERMIT APPLICATION: 180 DAYS T. PERMIT LIMIT', I YEAR. PROVIDED WORK IS STARTED WITHIN 180.AYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION P LICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND BUD ESORS A P ENG. INSPECTION FEE S THE CITY OF �j IN INTEREST. AGREES TO INDE.NI Py. DEFEND AND HOLD HARMLES FROM ANY AND LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR-— INSPECTION FEE FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 0 DEEMED TO MODIFY. WAIVE OR REDUCEANY REQUIREMENTOF ANYCITY ORDINANCE RE EIPT NOR LIMIT IN A.YWAYTHE CITY'SABILITYTO ENFORCE ANYOROINANCE PROVISION.- TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT HEINFORIVA TION APPLICATION APPROVAL EN ECT AN HAT I AM THE OWNER. OR THE DU LY AUTHOR ZED AGENT OF 0 I d by hd 11111,1 OF T G. ULATMG CONSTRUC �11RE "WUFORIA EE T PLY WITH CITY AND STATE LOWS kSEOGN CALL B Y�t -d F... PER L G K THEIR W1 !T EWOR AUTHORIZED . EBY. N EMPLOYED RELATING TO 'p— P, FOR INSPECTION r ' IA. OR CODE OF THE STATE OF WASHINGTON IATI ATION INSURANCE AND FCW IS.V. . S T" __SIGNATUR AD NT) ATE SIGNED TV (425) A I V&eu /RELEASED By V EXT 333 TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771 -042 1 UL APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW. INSPECTOR A FINALWSPECTION HAS BEEN MADE AND UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED.