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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEMAME OF BUSINESS
hAVIA JDL-e�JF- WATAKIAec:
MAILING ADDRESS
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CITY ZIP
JTELEP"011l
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NAME
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SS
ADORE 15-2-7 45_07'� '5AI —
CITY 9��4TE�;3
L-1,AlAljvo04 0 7V5 - 9 2-33
NAME TIM Ku M.
ADDRESS
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CITY
PERMIT EXPIRES
USE PERMIT ,
ZONE A -S NUMBER cAvQzq'E
JOB SUITEIAPTO
ADDRESS 9 1 c> 6 P?l -5 PL 5 W
PLA,T NAME)SUBDIVISION NO. I LOT NO Ll NO,
U. FEE S
_�UBLq; RIGHT OF WAY PER OFFICIAL STREET MAP P
,11 U.. P.- 1.1 d
EXISTING — PROPOSED - :
REGUIRED DEDICATION� FT
01 lIXTURlS.. PAV REQUIRED
,.S 0 NO
REM`A9RVSlNTA.T0R RESPONSIBLE FOR EROSION CONTROUDRAINAGE _
FIRE REVIEWED By DATE
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VARIANCE OR CU i RELIN
INSPEC TION BOND
ITATE LICENSE NUMBER
I ED
RE POST
C2 YSS,��_
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SEPA REVIEW AS EA
PROPOSED
ROPERTY TAX ACCOUNT lAPCSl
�LLOWSIGN
D . t
ED
COMPLETE EXEMPT I PROPOSED
— —
I
ALLOWED
'2
C30 C> - 03 0 0 2-017
EXP — —
LOT COVERAGE REQUIRED SETBACK$ (FT)
PROPOSEDSETS
U DWE(FT
AS
C] New RES105NTIAL PLUMBING MECH
ALLOWED P tOPOSEO FRONT SIDIE REA,A
5157, ?,s
FRONT, R'Sl
2-61+3/16
C. PLIA�CE OR
10 2-s'
_L5
ADDITION Cl COMMERCIAL CHANGE OF USE
PA KING LOT AREA P
ATE
REMODEL APARTMENT CD SIGN
r PROVIDED 0,000
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i 1.
o GRADING F NCE
0 REPAIR CYDS 0 ('_ X FT)
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DSMOUSH TANK OTHER
GARAGE RETAININGWALL RE EWAL
CARPORT
(TYPE OF
b G "j T I A L
CHECKED By
�1SPEO;OF-ARY
UCTION
C TV
C:ZJ.,!IECII�ANT�
.UP _3
-;QTIFT..EP
NUMBER OF
I
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AS EAS
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LOAD
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STORES 00 k7
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U.
NUMBER 9 5 (60
RECUR D
�:IA
DESCRIME WORK TO BE DONE rrc_" e 0
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO
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VALUATION FSE
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HEAT SOURCE GLAZING % LOT SLOPE %
BUILDING
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HECK NO:
PLUMBING
-NIC d?l;l
MECHANICAL
HE WORK NOTED. THIS PERMIT COVERS WORK TO
TMEOPER"T AUTHORIZES ONLY TR
E DONE ON PFUVA E PSOPE TV ONLY. ANY CONSTRUCTIO ON THE PUBLIC
GRADINGIFILL
FIVEWAYS. MARDI UEES. ETC.) WILL REQUIRE
DOMAIN (CUR , SIDEWALKS ' D
0
3 SEPARATE PERMISSION
STATE SURCHARGE
PERMIT APPLICATION: ISO DAYS
PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENO REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
5-0.
OF Hl OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
OF
ENG, INSPECTION FEE
�'Npp�'T.'�AE"�Ti,'A"'�'EEA.LFT. INDSEMNiFY. DEFEND AND HOLD HARMLESS THE CITY
EMPLOYEES, AND AGENTS FROM ANY AND
lmm�G
INSPECTION FE
5
DS, WASHINGTON. ITS OFFICIALS.
9 EDMON )FWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
CEIP —
THI PERMIT SHALL NOT BE
PLAN CHECK DEPOS
DF ANY CITY ORDINANCE
PROVISION"
RECEIPT
�RDINANCE
TOTAL AMOUNT DUE
-1 THAT I HAVE RE.AD THIS, AppTLI.CEATIONY. THAT THE INI RMATI.N
A PLICATION APPROVAL
HEREBY ACKNOWLEDGE
T U` WHE OR UL AUTHORIZED AGENT OF
THATA. '
Thil ppl-tion 1, ot P11-it unt I sl'.Gd �, Ih.
GIVEN IS
,HE OWN I AGREE TO C..pLyWITl CITY A16 STATE LAWS R-UITIN CONSTRUC-
E CORR'OT'AND G
R.
CALL
B.fld,�g 011,1 ., hi.1h., D uly:.�diF.. ,.d.nd
TION, AND IN D 0 NG THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYTED
0
FOR INSPECTION nI,ng.d in p p-ld-
IN VIOLATION OlFp THE LABOR CODE OF THE STATE OF WASHINGTON RELATING
DATE
WORKMEN SCOMPENSATION INSURANCEAND RCW IB-21
OF IALS !IGNATUR6
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SIGNATURE �JOWN�R A�NT) DATE SIGNED
(425)
771-11324w
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RELEASED Y
EXT1333
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL N PECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI_
I S
ORIGINAL - FILE - YELLOW - INSPECTOR
ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
.SETBACKS .....................
FOUNDATION:
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Pier/Porch .................
Retainlrig Wall ...........
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Gas Piping .................
Equipment .................
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EXTERIOR SHEATHING
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FRAMING ...........
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FIRST FLOOR FRAMING
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INSULATION ..............
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Floor Insulation
Wall insulation ...........
ceiling Insulation
SHEETROCK NAILING
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SPECIAL INSPECTION
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MISCELLANEOUS ..........
FINAL APPROVAL FOR V"3
OCCUPANCY ..............
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CITY OF EDMONDS Z84 As- ��2_ NUMBER a
CONSTRUCTION PERMIT APPLICATION JOB -r PL SUITEIAPT#
ADDRESS
OWNER NAMEINAME OF BUSINESS
F. .6A V1,6 4 LG.AJ C WArA FJ A6 r- P�T NAMEISUSDIVISiON NO� LOT NO, LID NO '
MAILINGADDRESS 'dCAN i—EPLAPI-1—
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c EXISTING — PROPOSED—
ITY ZIP [TELEPHONE _ t3 3,ji S.—'o-
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NAME
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ADDRESS REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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CITY ZIP TELEP 0 E 711-4- Aflrdig� 91,�;zm�wI7
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1_)1WA1,Vo04 96o3I 14A 7415-9233 7i"e,-
7 NAME , I , - _/ / ?
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CITY
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0 NEW CK RESIDENTIAL PLUMBING I MECH
COMPLIANCEOR
ADDITION COMMERCIAL CHANGE OFJUSE
CR REMODEL 0 APARTMENT SIGN
CY.S PENCE
0 REPAIR C3 I _ X FT)
OTHER
E] DEMOLISH 0 TANK
[3 GA�A.G�ET C] RMNING WALL RENEWAL
Z CA 8 f. E]
0 CTIVITY) EXPI.AIN*_!�
TYPE OF USE, BUSINESS OR I _:'f, Y�
1.
RC5lbCtJT.IAL
MEER OF CRITICAL r_A
NUMBER NU
R
OF DWELLING (),jp AUEASR
STORIES OWAF- UNTS N MEE
DESCRIBE WORK TO BE DONE VII-TcAlao R_eH0bIEL_
15C, 5F AbbITIO)J TO 51-KE OF �40
FIRE REVIEWED BY DATE
VARIANCE 08 CU ,
SHORELINE OR ADBA
INSPECTION
I PSOND
alTED
OYRE
E.VN-
SEPA REVIEW
SIGN AREA
HEIUHi
COMPLETE EXEMPT
ALLOWED 11
ALLOWED, PROPOSED
_xP I
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LOT COVERAGE
REQUIRED SETBACK$ (FT),,
-PROPOSED SETOW, (FT.)
ALLOWED P OPOSED
FRONT SIDE REAR '
FRONT, UR,SID I EAR
-S.7, 2-S
7's, to, 26,
PAR
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LOT AREA
P�31 G REV
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CHECKEDBY
JTYPEOFCO�)TR N
C071loCCUPANT
GROUP
SPECIAL INSPECTOR AR
REQUIRED 0 YES
A OCCUPANT
__D
REMARKS z
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
jteq_WA,,_ W7 U---f,&-/V/A,&
11
VALUATION
FEE
PL N CHECK FEE
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LOT SLOPE
LOT SLOPE %
BUILDING
"14 51 �9
PLUMBING
PLAN CHECK NO:
& -5q-1
DATE
VESTED DATE
VESTE�
MECHANICAL
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
m SEPARATE PERMISSION.
t:
GRADINGIFILL
STATE SURCHARGE
P R MITAPPLICATI N; IIIIIDAYS
E
T PERMIT LIMIT. I YEAR ED WORK IS STARTED WITHIN 180 DAYS
p
SEEBA K OXOVIDRMIT FOR MORE INFORMATION
C INK PE
ENG. REVIEW FEES
ENG. INSPECTION FEE
;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND
Qm ALLCLAIMSFORDAMA ESOFWHATEVER NATURE.ARISING DIRECTLY OR INDIRECTLY
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S.ALL NOT BE
DEEMEDT MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC
0
0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY ENFORCE ANY ORDINANCE PRO' SION,
W.
nlms�ING
INSPECTION FE
PLAN CHECK DEPOSI
RECE17e�C�
TOTAL AMOUNT DUE
R CEIPT
4
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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
THEON'NER I AGREE TO COMPLY WITH CITY AND STATE LAWS R EGU`ATING GO-STRU
CALL
Thl, IpPill-t— , pij u.til l.g-d by th,
d1l, 0 D,pul, Ild F111 11, PlId, I,E
TION, AND IN DOING THE WORK AU HORIZIO THEREBY, 00 PERSON WILL BE E.PLOYE%
CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
B" .ipt i, ck,owlIdg.d in space p—ided.
IN VIOLATION OF THE LABOR
WORKMEN S COMPENSATION INSURANCE AND RCW 11&27�
(425)
OFF IALS SIGNATURE DATE
T) 7—
TATE SIGNED
'771 -0220
R 0 6 1
DATE
EXT1333
FELEASEDT c
/)
ATTENTION
ITISUNL FULTO USE On OCCUPI A.UILDIN. OR STRUCTURE UNTIL
A FINAL IANWSPECTION AS BEEN MADE AND APP ROVAL OR A CERTIFI-
11
/ORIGINAL -FILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK -OWNER - GOLD ASSESSOR
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