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20000852.pdf1__7_GA_TlE __RE_IVEG - PERMIT EXPIRESe412-07A-L CITY OF EDMONDS ZONE PERMIT "M-ER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS S TEIAPIII ;:5aT_ ,HERNAME114ANI IS OW P— lAMl!SU..IlIEI.N No LOT 10 IID NO, f LID FEE S MAILING ADDR SS V-1 OI,�13 -z-zo 5v, -5 w PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI EXISTING — PROPOSED- TES :App—d �d SR,� —P-1 0 I.— R.,d 0 1.10- 0 ,I Z(3 ITILIP"OlE REQUIRED DEDICATION— FT 1­1- 0 u=l%ll_1. 9 PRV REQUIRED NAME YES 13 No R MARKS WNER(CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ADDRESS CITY ZIP -7TEL7P..NE ­N­ 1 s 1 103c) I I FIRE DATE EL E VP TELEPHONE fITI �STAT 03-? -45' BOND By FAEVIEW6DBY VARIANCE on cu SHORELINE OR ADRI INSPECTION HERZ( POSTED I U�GENSE NUMBER EXPIRA TION E CHECKED f7 ES N I A PIE —StGN AREA P 'HEIGHT p_RJ_PT�l� ACCOUNT PARCEL!NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWE PROPOSED I mb ML 'X, _ I — I -_ — LOT COVERAGE REQUIRED SETBACKS IFT.) PROPOSED SETBACKS (FTI IEW & F.SI.E.TIAL PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP U��E REAR I 0 ADDITION E] COMMERCIAL 0 C MPLIANGEOR CHANGE OF USE T'lklz"' 116' 1, PARKING LOTAREA PLANN OR IS C3 REMODEL APARTMENT SIGN REQD I PROVID D C3 REPAIR GRADING CYoS (FENCE X _ FT) RE.AH" DEMOLISH —TANK THE ARAGE Cl oAR FORT R`Y6 WALL C] RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY� EXPLAIN: B CHECKED BY TYPE OF CON TRUCTIDN OCCUPANT ic :Z GROUP NUMBER NUMISEROF DWELLING CRITICAL AREAS SIECIALMSPECTOR AREA -,A-.U-NT L. OF STORIES UNITS NUMBE P REQUIRED 0 YES DESCRIBE WORK TO BE DON REMARKS 011lnr�RF:qg INSPECTIONS PER UBC 108/FINAL INSPECTION REa VALUATION FEE 1,,2 PLAN CHECK FEE HEAT SOU GI-AZING —'.,I LoT�— BUILDING DATE PLAN CHEZ;O. lLUllllG 1116TED MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To BE DONE ON PRIVATE PROPERTY ONLYL ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATESURCHARGE PERMIT APPLICATION: IMIDAYS PERMIT LIMIT. 1 AR- ADVIDEDWOR S STARTED WITATIloN.180 DAYS YE P X, END. REVIEW FEES SEE BAOK OF PINK PERMIT FDA MORE INFO FEE FHISORHER POUSE. HEIRS. ASSIGNS AND SUCCESCAS ;NAPPNLT'�',A,.S'io�"'.E"EA�L'To' DEMN11 AND HOLD HARMLESS THE CITY OF 1. ECTI LANDSCAPIN 1.11E.NIly, AlHINGTON ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION F E I DIMOND TLY ' LCLA &� RDA.A.Ei.FWHXTEVER NATURE, ARISING DIRECTLIOR INDIRECTLY A I. F. BE PERMIT SHALL NOT ORDINANCE PLAN CHECK DEPOSIT 3F ANY CITY )ROMANCE FROVISION.� E -,p TOTAL AMOUNT DUE Nl.F.ATl.N HERE Y ACKNOWLEDGETHATI HAVE READ HISAPITLI.C�ATI.OLN� THAT TF'�)Eo APPLICATION APPROVAL AGENT OF GIVEN BS CORRECT. AND THAT I AM THE OWNER, on C ALTH. IN ONSTRUG NEC CALL Foos THEO NER I AGREE TOCoMPLYWIT STATE 'AWSRSo`N`LA W Y AND FE WILLE, IMP E�"T" I,W­ D.Pul a�ad �110 d AN EDTHE FELATILOY TED TION� D IN DOING THE WORK AUTHORIZ' RED, No OF WASHINGTON NG 0 ly� IF FOR INSPECTION IN V, DILATION OF THE LABOR CODE OF THE STATE COMPEN RCW 11.27, ON I IALS SIGNATUR. DATE 4RKMEN'S tAN2ND ATE SIGNED (425) GE )Z-60 1 771-0220 R EASEDRY ATE EXT1333 ATTENTION IT IS UNLAWFUL 70 USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- C, YELLOW - INSPECTOR RIGIf AL FILE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR 519. z T m c 0 m 0 80 c M M z 10 ca 0 _11 n m M 0 5 rl c r V) c. m 0 z fj) z m r z�o 00 Ir RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... ___w -S FOUNDATION: qwT ,U-o Footing ...................... wall................ PleT/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... 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 I Rrl a 103 0 C MZr c -4 rj) 0 1.5 Fri (J) M 0 Z (D Z 0 0 M 'DATE RECEIVED Fp— ERMIT EXPIRES Z#zo/o CITY OF EDMONDS USE zqNE �?:57 UIM T E - g� P l'ER :ICAT7IONp CONSTRUCTION PERMIT APPLICATION joB ADDRESS s TE)APTN OWNER NAMEMAME OF BUS NA E. AMEOFIB:US�:�� n PILAT NAMEISUBDIVISION NO, LID NO. I 1 5-( LI. FEE S 0 tWNE AILING ADDRESS M L, G S I _Z 3 o ER OFFICIAL STREET MAP TkSCP �App­d 0 11 3 j,­I R.q d ZIP,(, I 51,00 JTELIP"ONI qz5' 7)�j aaa EXISTING— RoposEo— REQUIREDDEDGATION_ FT -i METER SIZE LINE SIZE NO. OF FIXTURES I PRV REGUIRED NAME YES 0 NO ADDRESS REMARKS IMAGE OWNERYCONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDPA __1 EXPIRATION IA I I_, 11 FIRE REVIEWED BY VARIANCE OR CU BY SHORELINE OR ADEN INSPECTION RE I BOND POST ED j'...PLET. YESkNO — - SERA REVIEW SIGN AREA 'HEIGHT EXEMPT ALL OWED PROPOSED ALLOWED PROPOSED XP E EX, I , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS UFT) ALLOWED PROPOSED FRONT SIDE REAR FRONI URSIDE REAR 15' I 1 30' Q241 [—PA. �j p IEW DATE EDO F_ ,V4 :THE- RESIDENTIAL PLUMBING I MECH C] ADDITION COMMERCIAL C ci COMPLIANCEOR CHANGE OF USE C] REMODEL [3 APARTMENT SIGN C] REPAIR o GRADING CYDS 0 (FENCE X FT) DEMOLISH 0 TANK ci GARAGE CARPORT 0 RETAININYG WALL ROCKE I E] RENEWAL ITYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: .0.F..: R::::�G NUMBER OF OR ICAL :�,E DWELLIN� I �ARETAS _/42 T F E. UNITS NU BER U.. R DESCRIBE WORK TO BE DONEj- I . I \ I '? "� .5 6 I'L-, ,64, , i �A, _�r� �1� -"&7 HEC�50 BY TYWOF CONSTRUCTION GO 0 Ty' q CCURANT .o ROD P SPECIAL,I,NSnPECTOF,.l AREA OCCUPANT REOUIR D E] YES LOAD REMARKS E [ON REQ'Dj 5 _.�Ft HN, oonrRP.qq INAPECTIONS PER UBC 1081FINAL INSP OT VALUATION FEE PLAN CHECK FEE HEAT GLAZING LOT BUILDING PLAN CHE!j VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO E DONE ON PRIVATEP OPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC B DOMAIN ICURBS. SIDEWALKS, DRIVE S, MARQUEES, ETC.) WILL REOUIRE WAY SEPARATE PERMISSION. GRADINGIFILL STATE SURCHARGE R MITAPPLICATI PE A IS STARTED WITHIN 180 DAYS PERMIT LIMIT: I YEAR ' PROVIDED WO FOR MORE INFORMATION END. REVIEW FEES SEE BACK OF PINK PERMIT CTI 'FEE ;APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESOnS N NTEREST, AGREES TO �NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF I EDMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALLC IMS FOR DAMAGES oFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE FS m OR REDUCE ANY REQUIREMENTOF ANY CITY OPPINANCE DEEMED TO MODIFY, WAIVE ORDINANCE PROVISION.- 0, NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY LANDSCAPN INSPECTION F E PLAN CHECK DEPOSIT TOTAL AM T DUE 7-d RE, IP SM I HEREBY ACKNOWLEDGE THAT I HAVE READTHIS APPLICATION: THAT THE INFORMATIO APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AUTHORIZED AGENT 01 t,­, ­ . .-111111 llg­ by th, THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CDNSTFUC LL Bu"dlg offi,imlall hl-11 OlPltY: -d F­ ­ p,d. -d T D THEREBY, NO PERSON WILL B EMPLOYED ,ION; AND IN DOING THE WORK AUTHORIZE STATE OF WASHINGTON RELATING TO FOR IN PECTION ­oip­.lkll.Ildgod­p­ ,­,d.d. N VIOLATION OF THE LABOR CODE OF THE WORKMEN'S COMPIENS�PO CE AND RCW 18.27. DF, ALS Sl NATU% L -DATE DATE SIGNED GNED (425) 10 -a; Z-0 L) 771-0220 EASEDBY"" ATTENT ION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL ORjA CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 09 EXT1333 771-0221 FAX ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR 1.6 z a rn c: M C3 0 --lo 0 c: � m : , m m z 10-1 c 0 -n n -4 x m fn 0 0 a m C', M 0 z 71 z X z 2 0 m