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20000840.pdfiDATE RECEIVED,,,_ CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMENAME OF BUSINESS - ZIP IT111PHONE NAME CITY ZIP NAME 911) 1 - [PPERMIT EXPIRES 4 - I I - SE PERMIT UMBER RoDwyo SUITVAPT, OCR :lz PL tit PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED� REOUIREDOEDICATION_ FT � UI -I METER SIZE I LINE SIZE YEPRV REQUIRED so NO 0 3EMARKS �WNEFVCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAMAGE SFiel Ctfr,1PeXA7*L—hVe S FIRE REVIEWED BY DATE ZIP TIL PHONE VARIANCE OR CU SHONE ECP.N E ON., GETS 3 ELICENSENUMBER EXPIRATION DATE C ED,y E K It AW YES ONG SERA REVIEW COMPLETE EXEMPT SIGNAREA ALLOWED PROPOSED HEIGHT ALLOW 740"D IROPERTY TAX A COUNT PARCEL NO. 0- 5�90706 60 q1 0 EX woo e-�Ew 0 RESIDENTIAL Fj PLUMBING I MECH LOT COVERAGE AWLI PROPOSED FR SIDE REAR SETBACK$ Fr.) FRONT URIIIE REAR 0 C MPLIANCEOR 7 0 ADDITION G3-'COMMERCIAL [3 REMODEL 0 APARTMENT CHANGE OF USE e<.N PARKING LOT 0 FENCE REPAIR [3 GRA"D CYDS , X FTJ C] DEMOLISH [3 TANK OTHER GARAGIT A WALL C3 RENEWAL C FOR AS BMN (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 3 CHICKIDIly JTYPIOFC.N�TRII UPANT P 43 NUMBER NUMBER OF N LOF DWELLI G CRITICAL AREAS SlatClIALEINSPECTOR OCCUPANT STORIES NIT S NUMBE Fdg UR JAREA RE( [3 YES LOAD 'B's. W E .. C R ,�,IIIW 0llnKTOlET..NEl loggirfc- REMA KS PAnr.RPqq INIIIPPICTIONS; PER UBC 108/FINAL INSPECTION REO' VALUATION I FEE PLAN CHECK FEE jz=z- -__j __7._A_TSDll�_.E BUILDING PLAN CHECK PLUMBING IECIANICIL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO 7 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON HE PUBLIC ILI GRACINGIFILL S KS, D ETC.) WILL REQUIRE OMAIN (CURSS.SIDEWAL RIVEWAYS, MARQUEES. SEPARATE PERMISSION, a PER ITAPPLICATION: IBDDAYS S�HCHARGE 6-ew PERMITLIMIT',l YEAR � PROVIDED WORK IS STARTED WITHIN I80--YS NG, END VIEW 'E�s SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO. INSPECTION FEE LICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ;APP N INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING M E MONO$. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE RIC17 F THIS PERMIT, ISSUANCE OF THI MIT SHALL NOT BE FROM THE ll�SUANYC, E 0 S PER PLAN CHECK DEPOSIT Q EEMCT. ODIF VIMVJ ORREDUCEANY REQUIREMENT OF ANY CITY ORDINANC E NOR LIMIT IN ANYWAY THE CITY's ABILITYTO ENFORCE ANY ORDINANCE PROVISION.' — R DEPT if I .1 TOTAL AMOUNT DUE I I � I I I HEREBY ACKNOWLEDGE TH H E READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT AND THAATT� AM THE OWNER, OR THE DULY AUTHORIZED AGENT 01 T"I, a,p,Y.e.. a - a ', a,a l,' THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. PERSON WILL BE DYE 0 CALL B,ald,q Offic., .11 DOPWY: Ild Fell 11, Pee, ald TION; AND IN DOING THE WORK AUTHORIZTED THE REBY, NO EMP THE LABOR CODE OF HE STATE OF WASHINGTON RE ATING TO FOR INSPECTION klllhll ,.c,.pt,l .1 11-1 epace P--P. I N VIOLATION OF WORKMEN'S COM INSURANCE AND RCW 18.27. OFlICJ S IRE DATE SIGNA N IED (425) C& 771-0220 BE ASEJI RE A T EXT 333 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL ITIS LA��WIO IT 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR "a 17� j, M: m c)) ters. M C A! EO Or c 06* Z� M�- I uminated iated double CA Ilivy 'Frf J�?F- PZA" i L t--7 ------ 7 �DATE RECEIVED PERMIT EiPIR;;; .. ERMIT 9Z Z.- PUMBER CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION JOB SUtTE/APT# ADDS I - a4� Z9. &&�a6"', 5 "'o OWNERNAMEINAM1011111IN BE PLAT NAMEISUBDIVIStON NO, I LOT NO_ UON LID FEE m MAILINGADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP-4 0 EXISTING - PROPOSED- CITY TELEPHONE ZIP 311V- 7_374:, REQUIRED DEDICATION- FT IOUIRED NAME YES 0 NO 0 ADDRESS REMARKS IWINEIIINT HONE NAME al ___ ENGINEERING T%W'DIPATE I ADDRESS z 273o L- +tlr FIRE REVIEWED BY DATE CITY ZIP R TELEPHONE E IINE 0 EU, INSPECTION ON 0 m STATE LICENSE N; VARIANCE OR CU SHO 0`0 0 E ONO P STED PARG-U.,, SERA REVIEW �PLETE EXEMPT SIGN AREA ALLOWED PROPOSED ALLOWY ED M c PROPERTY TAX ACCOUNT 104 /00 0 m 0 2`NEW 0 RESIDENTIAL LUMBINGI.ECH LOT COVERAGE ALL ED PROPOSED REQUIRED SETBACKS ( FRO SIDE RE R PS OPOSED SETBACKS (FT.) FRONT URSID1 HEAR 0 c: n ADDITION 2"COMMERCIAL 0 C MILIANCEOR CHANGE OF USE m APARTMENT 2-1--l-N RE., PARKING LOTAIIA ED io c 0 REMODEL C] C] FENCE 0 REPAIR� 0 GRADING CYCE I _ K FT� REMARKS 3: ca M DEMOLISH 0 TANK o OTHER 0 'n n C] GA ING WALL CAR-P1 Cl IRlETAl'NR 0 RENEWAL R EXPLAIN: OCCUPANT MITI U YPE OF USE� BUSINESS OR ACTIVITY) "MX� a C"ECKIDBY JTYPEOFC.NSTRUCTON ;',' /A-11 GROUP fi 0, NUMBER .... CAL -,RE4S SPECIAL INSPECTOR C."PANT om F` OF .... DWELLING j,.IIUMlEROF STO UNITS NUMBE469 I JAREA REQUIRED E] YES LI.Al c: 0 S; OSEYE Av i..) REMARKS PRO GRESS INSPECTIONS PER UBC 10811FINAL INSPECTION REQ'D 0 > z -4 3: 'F BE VALUATION 0 PLAN CHECK FEE LOT SLOPE m tT SOURCE GLAZING % BUILDING PLAN CHECKI 2 VESTEDDATE PLUMBING THIS PERMIT AUTHORIZES ONLY TA WORK NOTE., THIS PERMIT COVERS WORK TO MECHANICAL BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC,) WILL REQUIRE GRADINGI;ILL SEPARATE PERMISSION. S ,VRCHARGE PE IT APPLICATIO AS - PROVIDED WOR N: 180 DAYS PERMIT LIMIT, 1 YE K IS STARTED WITHIN 180 DAY ENO, SEE SACK OF PINK PERMIT FOR MORE INFORMATION ,P ;APPLICANT ON BEHAL OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS F N NTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ENG. INSPECTION FEE LANDSCAPING , ED ALS MPLREy.EBS, NODAIGECNTTLSYFROM, ANY AND V MONDE, WASHINGTON, ITSOFFICI �E VE MAT ARIBA, DA WHATE IN RE OR INGI ECTLY 6LLCLMMSIEEU MAGEE SHALL NOT BE FORANCE INSFECTION�EE RECEIP x FROM THE OF TOK�IS PERMIT ISSUANCE OF, THI S PERMIT I DEEMEDT MODIFY.WAIVEO REDUCEAN REQUIREMENT OF ANY CITYORDINANCE 1 0 Y SABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 0 NORLIMITINANYWAYTHECIT 'GIVEN PLAN CHECK DEPOSIT TOTALA.OUNTO E RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLIC ION APPROVAL I IS CORRECT; AND THAT I A. THE OWNER, OR THE DULY AUTHORIZED AGENT OF - OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC T CALL 5WIdIN, -'hl`h-'C-p`XY7 -P F.-I. 1.1P. b, IHE TtON; AND IN DOING TM WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CODE OF THE STATE OF NGTON RELATING TO WASHI FOR INSPECTION -.Ft ., d,.dp.PPpl.vid IN VIOLATION OF THE LA80 WORKMEN'S COMP N RANCE AND RCW 18.17. 0 11/1�E DATE DATE SIGNED (425) 1, Ica 00 771-0220 EN EXT 333 TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 T IS NLAW.W HAS BEEN MADE AND AP PROVAL OR A CERTIFI- ORIGINAL FILE YELLOW INSPECTOR A FINAL INSPECTION HAS BEEN GRANTED. USC SECTION 109 PINK - OWNER GOLD * ASSESSOR FAX CATE OF OCCUPANCY