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20000854.pdfOAT PERMIT EXPIRES LX& ILSE PERMIT �,q CITY OF EDMONDS ZONE NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS /w N OWNIRNAMIINAMI DID SINESS NO� CPLAT NAME�SUBDIVISJON NO. IOT NO, LI 7_ I lei "Ci 12. LID ISE S TESCP Alp—d MAILING ADORES PUBLIC RIGHT OF WAY PER OF51CIAL STREET MAP MP- ft4—d czV14,41c- P EXISTING — PRO OS90 — CITY/_ ZIP 11EPHO11 FT — =_w IT alVIOXJ4� 7 REOUISo DEDICAJIO METER SIZE LINE SIZE NO. OF FIXTURES P v REQUIRED NAME yes 0 No 0 Z ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR E ROSION CONTROUDRAINAGE CITY A M NAME lAie, ///v go Al 1&r _CEA?VIL7�', �0 "'V ENGINEERING HEV—DIDATE c A DDR L?1--,f17-AdZ Q,4)7�� FIRE REVIEWED By DATE TY TELEPHONE , G y zip 0 STATE LICEN�SE NUMBS�R VARIANCE OR CU SHORELINE OR ADEN INSPECTION REQQ 0Y5S ONO I BOND IPOSTED Y, e - 6 ew kl, 9 SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPERT TAX ACCOUNT PARCEL NO. I _// 0195, 051 ex, 1 1 - — LOT COVERAGE REQUIRED SETBACK$ (FT.) PROPOSED SETBACKS (FT.) NEW C3 PLUMBING I MCCH ALLOWED PROPOSED FRONT Sloe REAR FRONT UPSIDE REAR [3 ADDITION [3 COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE C] REMODEL 0 SIGN RECRI I PROVE) o 0 REPAIR C] GRADING Eyos 0 FENCE X FT) -?FE—.AAKS 0 DEMOLISH TANK wag 1.11TAKINI.NG WALL C) RENEWAL GI�ZRIPO�ET GO �CTIIITY) I'll": CHECKEDBY N EGGS CCUPA T �YPEOF _7 GROUP jo -NUMBER F �IIICAL A" EAS PPCIALINSPEII _d'C`GI PANT LOAD OF NUMBER 1111A REQUIRED C STORIES DESCRI85 WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC Joe/FINAI INSPECTION REQ'D Z 6VIZ211f VALUATION FEE PLAN CHECK FEE HEAT SQURCE GL.AZING/� LOT SLOPE % BUILDING PLAN CHE�� VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZE$ ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ETC.) WILL REQUIRE GRAWGIIILL DOMAIN (CURa% SIDEWALKS. DRIVEWAYS' MARQUEES, SEPARATE PERmtssioN. s AGE PERMIT APPLICATION: IIA) DAYS A, PERMIT LIMIT. I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG, RE Fees SEE BACK OF PINK PERMIT DR MORE INFORMATION -APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCES-FIS ENG, INSPECTION FEE IN INTEREST. AGREES IN_. iARMt ESS THE CITY OF To FROM ANYAND LANDSCAPING 2 EDMONDS WASHINGTON ITS OFFICIALS. EMPLOYEES� AND AGENTS NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE RECEIPT ALLCLAIMS FOR DAMAO E OF WHATEVER FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEP051T I DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE PROVISION.' 11 I NOR LIMIT IN ANY WAY CITY'S ABILITY TO ENFORCE ANY ORDINANCE 'THE TOTAL AMOUNT DUE REC THAT I HAVE READ THIS APPLICATION: THAT THE IRFoRm TIoN AP LICATION APPROVAL I HEREBY ACKNOWLEDGE IF AUTHORIZED AGENT OF GIVEN 15 CORRECT AND THAT I AM T. VVNEF� A TH EADWSLYREGULATtNG CONSTRUc. CITY AND STATE b by I, - TUI IPP11-t— 11 - I P11111 12Z .1 CALL ,..,LyWITH WN. "ORE. To, THE 0 IN I D INC THE WORK AUTHORIZED THEREBY, No PERSON WILL BE EMPLOYED TIO., AND 10 P-1-b FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING AND RCW 18 27 CIA, 'u" DATE WORKMEN 'S COMPENSATION INSURANCE foll IOWNEA TE SIGNED (425) (�ATUAI It, -/9 __1D1,vd1J12 771-0 220 u4ee , 1 RELEASEDBY ENTION 4de-all EXT1333 IT IS UNLAWFUL TO USE OR QfCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINAL FILE Y5LLOW-INSPECTOA GOLD - ASSESSOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER CATE OF OCCUPANCY 5.8 Z 0 0 80 a -49 , 1� x m m io c ch 0 -n m M 055 1 : 0 0 c: w 8 0 Z_ ;u Z 3: Z 0 4 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................ FOUNDATION: Footing.......... ........... Wall ........................ z i Pier/Porch ................ i fp, Retamirig Wall ........... M j i�i� Slab Insulation .......... PLUMBING: M, Underground . ............. C, a Rough -in .. ................. Commercial Final M M Z 1 HEATING: z Gas Test ............ 3� , I L 0) Gas Piping .............. . Equipment ................. .7 K, Commercial Final rn M EXTERIOR SHEATHING NAILING ....................... FRAMING ........................ M 0 A FIRST FL06R FRAMING Z� INSULATION ................... Floor insulation Wall insulation ........... Ceiling Insulation Z, SHEETROCK NAILING 0 i M, SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 600000��", 'DATE RECEIVED lElllIT 'CITY OF EDMONDS ZONE NUMBER JAPTI,' PERMIT APPLICATION JOB SUITE CONSTRUCTION ADDRESS F OWNER NAMEINAME� 7e0i PLAT NAMOSUBDiVISION NO, IOT NO. 1111 NO, 4 UD FEE $ MAILINGAODR11 xhewj�, PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 00. EXISTING — PROPOSED a 0 CITYC ZIP JTELEPHONE 7/,7 REQUIRIDDEDICATION— FT METER SIZE LINE SIZE No, 01 FIXTURES PRV REQUIRED ME NAME I YES 0 .00 t- lz R MARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE lz (NA AODRE:S-S� CITY ZIP TELEPHONE NAME lAfe, —06c*?Vld REVISWSDiDATE I ADDRESS Ja DATE 741411 FIRE REVIEWED BY z CITY ZIP TELEPHONE elv 7- e�Ve-1,7 P53 -?59-V77 VARIANCE OR GO SHORELINE OR ADS' 70!11�.N INSPE.. 8 N D 0 STATE LICENSE NUMBER 9 DATE CHECKED By R , NOT OYES ONO STE. POO rp -l01-1A1.9Ae,- 0 ?k 09 —SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWE PRO". 4 -fi PROPER" TAX ACCOUNT PARCEL NO, I vj 00 P I I . C; M 0 LOT C V5RAGE REQUIRED SETBACKS PROPOSED SETBACKS FTJ SIDE REAR C- a 'I, 0 N EW RESIDENTIAL PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE FEAR FRONT UR m 0 AUDIT N, I? COMMERCIAL o COMPLIA CE OR CHANGE OF USE PLANNING REVIEWED by DATE -4 PARKING LOT REO'D PROVIDED AREA 3: rn REMODEL APARTMENT 0 SIGN I M Z F. REPAIR 0 GRADING CCS (ENCE X _ IT) .............. C] DEMOLIS H C3 TANK ri GARAGE lIlTAlN NO WALL 0 RENEWAL CARPORT cl 0 n Ft (Type OF us BUSINESS 0 R ACTIVIT PLAIN! CHECKED BY -�YPEII ON ION ICODE I Occu P NUMBER BER OF CRITICAL AREAS SPECIAL INSPECTOR PANT m M OF DWELL NO NUMBER JAREA RECLI C RE C] YES o STO RIES 0 DESCRIBE WOR TO BE DONE REMARKS PER UBC 10S/PjN8%JW PECTION REO'D c: c') c PROGRESS INSKCTIONS QL A'C5 - At Z H S z VALUATION FEE PLAN CHECK F�EE z HEAT SOURCE GL�z !NG LOT SLOPE % m PLAN CHEC COATE MECHANICAL TE PERMIT COVERS WORK TO THIS PERMIT AUTHO Of C06NITSHTIRSUCTION ON THE PUBLIC GRA�T21HLL M BE DONE ON PRI%:IZTEESpORNOLpYETAHT�yWOONLRYKANN DOM KS RIVFWAYS RQUEES, ETC.) WILL REQUIRE. (CURBS. S!DEWAL alMA 'AIN AATEPE SSION.! ee�Ao S PERMIT.APF.LICATIONI. "'I D.AY' PERMIT LIMIT. I YEAR � F. VRI D_..K SBTA TED WITHIN 180 DAYS ENMRE FEES SEE BACK 0 PINK PERMIT .. ....... RMAINON I PLICANT.ONBEHAL,0,8,�ON,,"HYRS,,O.,,.S, ll.lS,AES*NE U EB B ENG. INSPECTION FEE ;A T.'N.eM .E XNg OLD HARMLES THE CITY F N INTEREST AGREES LANDSCAP NO r G FR ANY NO EDMONDS. WA SHI NG N�,.TFWPKEALl, E 5 ENT INSPECTION FEE HE AITI�L�OEY.E E AT Ve. AR'SANDA 0 INGDIRE—, ALLCUUMSFOR AMAG ISS ANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT FROM THEISSUANCE OFTHISPERMIT DFEMEDTOMODIFY� WAIVE OR REDUCE ANY R50UIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY'S AB LITY To ENFORCE ANY ORDINANCE PROVISION-� TOTAL AMOUNT DUE SEC IP B I I T THE INF RMAT;ON AD THIS. APPTLCAT OLNY I HERE Y ACKNOWLEDGE THAT I HAVE Re"Ne, AP ICAT ON A I AHAT GIVEN YA � 0, DO UTHORIZED AGENT OF CORRECT, AND THAT I AM THE NO STATE LAWS LATING CONSTRUC CALL urR IjI.i Thil Ppill-tl" 11 'It I P'llit �tttI -I 'i DIPIW'� F. d MER. I AGREE TO COMPLY WITH CIT THE OWS DOING THEREBY, .0 PF= WILL BE EMPLOYED TION: AND IN THE WORK AUTHORIZED 8111-9 OMI'll 11 hIlftl —.ip IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO RCW 18,27. FOR INSPECTION ATURE E WORKMIN�S COMIIIIIATION INSURANCE AND (425) C$Al-S SIG DATE SI GNED RE �,ONE,, 7�ENT la -15� - 7 -044v DATE 1 1 RELEA— - if -WFE—N 10�N fE OR STRUCTUREUNTIL EXT1333 —.NI.I.L IT IS UNLAWFULTO US— PYA(BUILDING I�RCCU' 771-0221 FILE YELLOW INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- - GOLD - ASSESSOR CATE OF OPCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER