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20000876.pdf- loll� I I _—RMIT EXPIREs FNE CITY OF EDMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS III, i're�' :7X)4b SUITUART. OWNER N�/EJNAME OF BUSINESS PLAT NAMEISUBO[VtStON NO. —No. LID NO� "I — de�—� .cl i [-:�7T FEE $ MAILING ADDRESS _ _UD ..... . ppl— u BLIC RIGHT OF WAY PE R OFFICIAL STREET MAP P.—I 0 CITY TL" EXISTING — PROPOSED� 0 REOUIREDDEDICATION— FT S qREMARKS ME, PRY REOUIRED YES EJ NO 0 t: RM OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ZIP ITELEPHONE -7,?r.-335­. / :;i "/ ;9� / - TELEPHONE . E 1�90 CITY ZIP 7 �Z� S "'I J'6 '1'6'6 Ve AllAlCl &R CU SHORELINE OR ADD# INSPEC M D _'o j�7 STATE LICENSE NUMBER EXPIRATION BAT I PBO OYRE 'D OSTED ES 0 NO /-;l A SEPA REVIEW AREA HEIGH T CC) MPLETE EXEMPT ALLOWED PROPOSED ALLOWED P ROPOSED �RopeRTYTAj-ACC OUNT PARCEL NO. q --a,-,-7 n L� p I I -p LOT COVERAGE REQUIRED SMACKS (FT.) PROPOSED SET A KS (FT.) NEW Fj RESIDENTIAL 0 PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT URSIDE REAR ALL 0 C] ADDITION Ig COMMERCIAL C MPUANCE OR 0 OF USE CHANGE PARKING LOT ARETIZ7NNING REVIEWED By DATE REMODEL C] APARTMENT SIGN FtEaD I PROVIDED C] REPAIR 0 GRADING C,CS C] FENCE x FT)) ANXS DEMOLISH 0 TANK A clGARAGE r-1 RETAININ WALL RENEWAL CARPORT — ROCKE-Y' (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: ,4�AV775A, CHECKED By 0. CIIIANT, FO.p NUMBER I I NUMBER OF RITICAL DWELLING AREJAS SPECIAL.JNSPECTOR JAREA OC.UlAN. LOAD 05 g7 UNITS NUMBER REQUIR -STORIES DESCRIBE WORK TO BE DONE REMARKS Pnnr,Rr%S INSPECTIONS PER USC 108/FINAL INSPECTION REQ' PLAN CHECK FEE PLAN CHECK FEE LOT SLOPE % LOT 'LO' '* 'ULONG BUILDING DATI EE PLAN CHECK NO: ED AT FLUM-'�. rESTED M JMEG A�CAL MECHANICAL H ,.IT C.V ... VOR� To THIS PERMIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO 0'. . THE PUBLIC BE DONE ON PRIVATE PROPERTY OOLY, ANY CONSTRUCTION ON THE PUBLIC RE.U'FE ETC.) WILL REQUIRE DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS �TG WILL �A , ,FILL GRADINGIFILL D N P,,,,llAAIlUEES, SEPARATE SSION. MARGE PERMIT APPLICATIM, 180 DAYS PERMIT LIMIT'. I AR - PROVIDED WORK S STARTED WITHIN 180 DAYS Y. ENG. REVIEW FEES See BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS 5NG. INSPECTION FEE IN INTEREST AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FRO. ANY AND ALL CLAIMS FOR DAMAGESOFWHATEVEF� N UBE, ARISING 01--, — ­­ ­ - I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE PLAN CHECK DEPOSIT Ty ' 'NAN" DEEMEDTO MODIFY, WAIVE 0 85DUCE ANY REQUIREMENTOF ANY CITY ORDINANCE ' NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINAN­R VISION TOTAL AMOUNT DUE TOTAL AM' FMA'�OF` I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION e -�NT OF GIVEN CORRECT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IS STRU NG G C THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGU�TING CONSTRUC- NJ CALL L Be PL , D TION: AND DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED , e TIN . OF WASHINGTON AELAT NG TO 0 it FOR INSPECTIi VIOL ON F LAB 'I CODE OF THE STATE WORK. NSC EN AND ROW 18,27. �W ktN &ATIINSURANCE SIGNAT HE NT TG.�q (425) 771-0220 T-rr-- EXT 333 A7FEN ITIS UNLAWFULTOUSEOR OCCUPY A BUILDING OR STRUCTURELINTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ,,198 VALUATION I FEE 7T APPLICATION APPROVAL Thl, ppj­j,0­ ­ � 0.­1 �bjil 1�g­d by th, Bllildilg Otf Al V, h,-., D�pll: -d F ... ... ­d. ,,­p­.,,k,,bAlld9ld 1� sPam p­dod� —11— — DATE ORIGINAL o�r �'s'pem PINK -OWNER - GOLD -ASSESSOR Z 0 m C 13 ;� 0 m 0 -n m m Fn co 0 z z IT! JyLr,lyj� _.���.�FIRE DEPARrAENT DATE_A:::I�� FROM: ENGINEERING DIMVISION PLANNING DIVISION DATE — PROJECT SrrEADDPESS-&L--21�2--&'��----S-- PERMrrftl,-O�- 7 (,.ADB#__________PATEINSPECTED-a-�L(�� DESCRIPTION OF WORK TO BE INSPECTED_L—_((z_C_ A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of Final approval of the described work 11-� G FINAL PROJECT APPROVAL .............................. PROJECT APPROVAL WITH CONDITIONS NOTED l. N FAILED FINAL INSPECTION - OUTSTANDING ISSUES IT 2. 3. —RE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL =prv1.docJ:temp.bIdg:fb-6/98 m0i z Z�, M -v1 [;;T EXPIRES 1 11 CITY OF EDMONDS -E PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION 'A00,0RESS .4,4jz) FUITEIAPTN OWNER MAMEINAME 01 BUI NESS 7- PLAT NAMEISUBDIViSION N& LOT NO, LID NO, LID FEE I MAKING ADDRESS MAP I E IC P A�';,_-. 1 D " PUBLIC RIGHT OF WAY PER OFFICIAL STREET PROPOSED - _ _ "ll 0 0 ". U 0 p B."k 0 CITY ZIP ELEPHONE REQUIRED DEDICATION— FT ­Ik "'."o 'oo"d p METER SIZE LINE SIZE NO.OFFIX TUBES PRV RECUIRED NAME I I YES 13 NO 0 E REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDSAINAGE -FIT—Y _4r S., /Z� ENGINEERING ENGINEERING ADDRESS 7 CITY ZIP TELEPHONE -7 t,"O 5. x0XI-5157-114 E &A DO r -SHORELINE OR ADS. INSPEC!ION ON.. STATE LICENSE NUMBER EXPIRATIONU— �-Y PRIAN RED D BE OCT. [3 YES 0 NO J�r_By /6 SEPA REVIEW EEPA G SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO CIMPLETE PROPOSED ALLOWED PROPOSED -1 n 0 q .p EXP I L.TC.'ERA.. 7E­ct EDSETBACKSJFT) PROPOSED SETBACKS (FT.) NEW n RESIDENTIAL 0 PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT I DE REAR L4REI ADDITION COMMERCIAL n COMPLIANCE OR CHANGE OF use 0, REMODEL 0 APARTMENT 0 SIGN Day DATE 0 GRACING CYCE 0 FENCE 0 REPAIR K ITI C] DEMOLISH 1. C:] TANK n GARAGE RETAININYG WALL RENEWAL CARPORT F.DK.R 0 1 'r _�TYPE OF —USE. BUSINESS OR ACTIVITY) EXPLAIM HECKEDDY TPUCT%M� OCCUIANJ ,��j GROUP UMBER NUMBER OF CRITICAL Spe SPECIAL IN OTOR OCCUPAN I OF DWE-NG ;?27, AR AS I R QUI RED LOAD STO UNITS NUMBER 0 YES DESCRIBE WORK TO BE DONE REMARKS - P ROGRESS INSPECTIONS PER UBC 1081FINAL INS; -5 y s '4-1 VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LO SLOPE % BUILDING CHECK NO: PLUMBING rpLAN IVESTE-1 m -a// 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 (CURIS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. _m1;--HARGE PERMIT APPLICATI N: 180 DAYS F. PERMIT LIMIT'. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAYS END. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, IN PECTION FEE 'A PLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS p THE CITY OF 'C e IN NTEREST. AGREES TO:NDEMNIFY' DEFEND AND HOLD HARMLESS 'M TE OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND P G EDMONDS,WASHMGTON� ALLCLAWS FOR DAMAGESOF HATEVER,NATURE,A ISING DIRECTLY OR INDIRECTLY IN 8 FROM THE ISSUANCE OF THIS PERMIT. SSUANCE OF THIS PERMIT, SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TOMODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANYCTYORDINANCE ORDINANCE PROVISION.� 0 NOR LIMIT IN ANY WAY THE CITY'S A131LITY TO ENFORCE ANY TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF . p­ t �o,d .�qo.o[ by ft THE OWNER. I AGREE TO COMPLY WITH CITYAND STATE LAWS REGULATING CONSTRUC- CALL Bu'kll�g Oliscial o"FiN',ot Oeputy':,d Flo, — P.d. ,d TION: AN I 'G THE WOR AUTHORIZED THEREBY, NO PERE N WILL BE EMPLOYED 0 L 0 STATE OF WASHINGTON RE ATING T FOR INSPECTION IN VIOLA N F LA CODE OF THE WORK. �S c Ell INSURANCE AND HOW 18.27, _,...jp,j­kF—I.dg.di OFFI DATE (425) :m � � [�"i N 771-0220 RELEASED By — 7 �EX A��TENOA — 'T 333 441ZI-VI) IT IS UN�AWFVL.To USE OR OCCUPY A BUILDING OR STRUCTUREUNTIL 771-022, A FINAL INSPECTION HAS BEEN MADE AND APPROVALGA A CERTIFI- _ GINA- -FILE - YELLO�� - INSPECTOR ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - z 9 � J, 0 m m c Ma 0 80 c m m c _z 0 m M 0 vi 0 0 C cl) z z 0 m