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20000868.pdfDATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION O��NAMEINAMIOI BUSINESS '); I/ -t AQ YV�, TQ', 7P A,' A, i I 41-e- MA '��;;SS _ CITY ZIP TELEPHONE ZjA'5'— L�.1mo&)A6_,t,)A9,5o2 &-7j2-L)&3 NAME 7--10% 0� PERMIT EXPIRES USE ERMIT ZONE NUMBER 866 JOB ADDRESS -7 PT ? /_ � FLAT NAMEISUBDIVISION NO. LOT NO LID NO. LID FEE S PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP TESCP 4pl—d F. P-11 R-1- EXISTING — PROPOSED REQUIRED DEDICATION— FT REQUIRED 0 No 13 YESV ENGINEERING 7�_7 ADDRES 7 FIRE RE IEWEDBY DATE �TE CITY rl ONE 0 �l VARIANCE OR CU SHORELINE OR ADBI INSPECT;ON OYRE T ES 0 NO PION�D. CST le 'F N UMBER STATE LICENSE NUMBER 611, . o m x I 7D/ t'90 I SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED I PROPOSED EIGHT ALLOWED PROPOSED u PFOPr�,TAX ICIO T PAICIL[O, q _lEXP q LOT G E AGE L OT Go AG OVPROPOSED REQUIRED SETBACKS (FT) REO PROPOSED SETBACKS (FT.) CX NEW RESIDENTIAL PILLIA.I.. I E-- ALLOWED FRONT SIDE REAR FRONT UP SIDE REAR 0 N ADDITION COMMERCIAL ci COMPLIA CE OR I CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED by DAT E REMODEL C] APARTMENT 0 SIGN I REaD I PROVIDED] NCE E] FENCE I ( REPAIR GRADING CYDS ( X _ FT)) REMARKS DEMOLISH TANK OTHER ARAGS C] R TAIN RENE VAL .10 GCAFl.FT RE CK'r WALL � TIVITY) EXPLAIN: pj_7Ty_pEOF USE. SUSJ�e�02M lVERoTYEPSEEnFLoGT0NSTnulCvm ... _T I Cgo E OCCUPAITq DVIEULIIN. ST.F'.E UNITS DESCRIBE WORK TO BE DONE I IC L AR As SPECIAL INSPECTOF NUMBER R5OUIREO C] YES LOAD PER VALUATION I FEE PLAN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. URCHARGE PERMIT APPLICATI ": 180DAYS PERMIT LIMIT. I 'AR, PROVIO ED WORK IS STARTED WITHIN 160 DAYS YE P Y ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MQRE INFORMATION or CKP' P PLICANT. ON BEHAI F Or HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESCAS ENG. INSPECTION FEE ;A CITY OF NTEREST. AGREES TO INDEMNI DEFEND AND HOLD HARMLESS THE I' ;Y. I N TE �S T I LANDSCAPING I ED MONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND 1NSPECTION FEE FORD MA ESOFWHATEVER NATURE. ARISING DMECTLYORINOIRECILY CLAIMS FOR DAMAGES.' ALL CLAIMS NOT BE RECEIPT b FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL M T 'SSUA CE - PLAN CHECK DEPOSIT EoEMEDTo MODIFY, WA VE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE DE o MOD' IFY WAIVE o' 1-1-1-1 RECEIPT NOR LIMIT IN ANY WAYTHE CITY'S ABILTY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE b; HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVE14 IS CORRECT, AND THAT I AM rHE OWNER. OR THE DULY AUTHORIZED AGENT OF Th,, ppI­t,­ ­ . p.­1 ��Ifl llglld by tha THE OWNER , I AGREE To CoMPLYWITH CITY AND STATE LAWS REGULATING CONSTRUC - CALL B,d, o1j,­1 ., 1—r D­ly: ld F­ rl PlId. TIOM. AND IN DO NG T. E WORK AUTHORIZED THEREBY, No PERSON WILL BE EM PLOYE D " INSPECTION .,pli,,.kl,.Iodg.dl�,p,.op,.,dad. E L IN VIOLATI ON OF THE LABOR CODE 01 THE STAT OF WASHINGTON RE ATING TO WORKMEN S COMPENSATION INSURANCE AND PCW 18.27. FOR oFFIG SIGNAT DATE s E NER DATE S DINED (425) lol, _�—/z 2% �A7g t) 771 �'?Z -0220 RELEASED By ATTENT1014 EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OBIGINAL-FILE - YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5198 z m m ma 0 80 c: m m z 0 3: m M 0 o Fn c ch 9(n - M C) -1 Z X -i m z 3: z 0 0 m RECORD OF INSPECTIONS A INSPECTOR DATE AP PROVED 0 C K T S FOUNDATION: �o6tlng ............... Wall............... : .......... PledPorch ................. Z Retainlrig Wall ........... M Slab Insulation .......... PLUMBING: Underground ............. 0 rn.. M Rough -In ................... -4 0 0 Commercial Final C -4 M HEATING: _(�t M z 0-4 �:,. it Gas Test .................... c Gas Piping ................. Equipment ................. Commercial Final rn M EXTERIOR SHEATHING rM NAILING .......................... 6 FRAMING ........................ in, C, FIRST FLOOR FRAMING z .4 INSULATION ................... Floor Insulation z Wall Insulation ........... 0 Ceiling Insulation z SHEETROCK NAILING 0 SPECIAL INSPECTION IT! MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ........... weas .00e -77. -----7- — ----- :7 - --- - ------- :qATE =RECEIVEDO PERMIT EXPIRES CITY OF EDMONDS US' PERMIT NUMBER 'Aov'!a66-""' CONSTRUCTION PER ,MIT APPLICATION JOB ADDFESS SUIT1111TI OWNER NAMEINAME OF BUSINESS I 7—os 7,- AJ, /,u d-e- PU LOT NO. LID 140. MAILING ADDRESS / ' LID tEE S '77/3 - �sr sl"') PUBLIC RIGHT OF WAY PER OFFiCMl STREET MAP Sw 11—lp".1-111".. ­l—, 0 0 0 �2p��_ CITY EXISTING — PROPOSED— 11 (o 3 L, REQUIRED DEDICATION— FT — u will.9 1-1111 0 NAME METER SIZE LINE SITE_� PFV REQUIRED I YES El NO lz ADDRESS [REMARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAMAGE I CITY ZIP ITELEPHONE C L EAJ(— I-opirea an ull �30.020 ARRESt ,21 _71d - FIRE REVIEWED BY DATE a CITY ZIP TELEPHONE "-/,Z dBY w/l/l 4 1're� �10 77.1/- 01�1// VARIANCE OR CU SHORELINE OR ADS. INSPECTION REGO I PBO D OSTED STATE LICENSE NUMBER EXPIRATION DATE D BY @KED OYE� ONO BE. E�IEW 1-1- EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED (�/i' . .6 M.T I I D D 1-2�-o INCIOINT PARCEL[O. ,P-R-OPEr�,TAX --Oq Ll - 0 0 EXP I I Ex NEW RESIDENTIAL PLU BINGIMECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACK$ (F`E) FRONT SIDE REAR PROPOSED SETBACKS (F"r) FRONT UPSIDE REAR. C] ADDITION COMMERCIAL C IUAKCE OR CHANGE OF USE LAMMING REVIEWED BY DATE REMODEL APARTMENT SIGN REC C] REPAIR GRADING CYDS 0 1 FENCE X rT) REMARKS C) DEMOLISH n TANK 0 OTHER o GARAGE 0 R.T/KNING WALL E] RENEWAL C ARPORT P., . ITYPE OF USE, BUSIEMIVITY) EXPI-AIN: CHECKE -E C.lANT_ GROUP L NUMBER NUMBEROF DWELLING CRITIC L AREAS SPE.CIA OCCUPANT .",j OF STORIES UNITS NUMBER RE( LOAD :L DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPEC TION REO'D t4w;T f�_O A A D VALUATION I FEE "I PLAN CHECK FEE L A HEAT SOURCE LOT SLOPE % D - N BUILDING U 'L PLAN CHECK NO: ED DATE M I PLUMBING P U H A MECHANICAL L C cx� THIS PERMIT AUTHO IZES ONLY THE WORK N.TEI). THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE F GRADINGIFILL SEPARATE PERMISSION. URCHARGE PEAMITAPPLICATiON! 1.0 DAYS PERMITLIMr. I YEAR -PROVIDED WORK ISSTAR175DWITHIN IGODAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATIDN ENG. INSPECTION FEE ;APPLICANT. ON BEHAL F OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESDRS HOLD HARMLESS THE CITY OF N NTEREST. AGREES TO INDEMNIFY. DEFEND AND :E EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AMID AGENTS FROM ANYAND LANDSCAPING I SP INSPECTION FEE ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDI RECTLY RECEIPT FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERM T SHALL MOT BE DEEMED TO MODIFY. WAIVE R REDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE PLAN CHECK DEPOSIT NOR LIMIT IN ANY WAYTHE Cl Y'S ABILITY TO ENFORCE ANY ORDINANCE IROV SlaN, RECEIPT fil - TOTALAMOUNTIDUE o !�7 tAO I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE IN50RMATION APPLICATION APPRO L GIVEN 15 CORRECT. AND THAT I AM THE OWNER, GT.ATHI ULLY LIIHG�,�ED AGENT OF �AVY Thi. ppli,iiI6,1 rIt 0 �d"F' 'YA'.`.'�%rd THE OWNER. I AGREE TO COMPLY WITH CITY AND S TE FE.U' CoNSTRuc- EEMP , LOYE CALL Bu,fdlrg Offici,l or hl,ih,, DI T. 1) _ TIOWANDIN DING THE WORK AUTHORIZEDTHMREBY� NO PERSON WILL IN VIOLAT ION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ­pt j, p— ­,dod. WO RKM ENS COMPEN SATION INSURANCE AND RCW 18,27. DATE DATE SIGNED (425) L eL_ca_') , 4 _ _Z I I ­­ RELEASED BY ATTENTION EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- ORIGINAL -FILE - '.E�L�LOWINSPECTOF CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX BE _AS ESSo SS PINK OWNER - GOLD - ssoR q z 0 0 m m 0 0 0 M m om A rn m 0 o -M c: v) fj) 0, M z z m