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20000884.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION cTT Y ZIP JTELEINCNE () q 1�:A _ — 11 ladt"10 uo<R1ziIx _ CITY ZIP NAME FPERMIT EXPIRES _54�A USE ZONE 4 PERM" q,(5 7o—B -NUMBER $UtTEIAPTO ADDRESSJ .LjIA- PI.AT N MEISUBDIVISION NO. LOT NO* U NO* I LID FEE $ PI IS, IC RIGHT OF WAY PER OFFICIAL STREET MAP P All ­ All, 1- ,, t,".. Lt. P­, P, EXIS ING — PROPOSED� "A A .. ........ F'OU'R" DEDICATION— 'T TER SZ T NO OF fllXR...�TR PAV REQUIRED �MEET YES 0 NO E3 REMARKS NEIIIC.N FA AD , OUDRAINAGE .W DID FOP EF.S'. fkv IL LIL). FIRE REVIEWED By DATE �ITY IF 5e_,AV(__ 14LLPHONE - %01?1 . t"Ad VARIANCE OR CU SHOP LINE OR ADS# INSPECTION BOND 'TATE NUMBER EXPIRATIOND E CHECKED By REO'O POSTED I jrNIE _z- SEPA REVIEW I NAREA HEIGHT R PER ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWE, P OPOSED ALLOWED PROPOSED oro FXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT) F2rNEW RESIDENTIAL 9 P UNSINGIMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR 0 ADDITION COMMERCIAL o COMPLIANCE 08 CHANGE OF USE A PLANNING REVIEWED By DATE 0 REMODEL C] APARTMENT n SIGN REOD 1PROVIDED 0 REPAIR 0 GRADING CYCE [] FENCE ( X FT) EMARKS C] DEMOLISH C] TANK 0 OTHER n GARAGE C3 RETAINING WALL RENEWAL CARPORT RGGKPEy 0 ACTIVITY) EXPLAIN: CHECKEDBY TYPE FCON RUCTIO r N CCUPA ic I SOUP NUMBER ... Lg INS, AR 111CIAIINSPECTOR AREA 0 CUPANT LOAD ?f STORIES ._.L UNITS 2 NUEMABSER 4k REQUIRED 0 YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO' 7; _c _Ir", ^�t =o 10 3 I_ I I iVALUATION I PLAN CHECK FEE LOT SLOPE % BUILDING PLUMBING PrAN CHECK NO: VESTED DATE MECHANICAL THIS PERMIT AUTHOR 'HIS PERMIT COVERS WORK TO IZES ONLY THE IN RK NOTED, I IC ONLY� ANY CONSTRUCTION ON THE FUEL GRADINGIFILL BE DONE ON PRIVATE PROPERTY DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUI RE LRC.ARGE SEPARATE PERMISSION. PE RMIT APPLICATION; '80 DAYS PERMIT LIMIT, I YEAR, PROVIDED ORK U3STA.TE. WITHIN ISO DAYS ENG, REVIEW FEES SEE SACK OF PINK PERMIT FOR MORE INFORMAT10N ' ALI IF HIS on HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS CITY OF ENG. INSPECTION FEE A, ;APPLI.CANT N I , i."AG`.`E` INDEMNIFY. DEFEND AND HOLD HARMLESS THE NT ES TO EMPLOYEES� AND AGENTS FRO AN�ANO L NO =N FEE TSOFFtCIALS. F WHATEVER NATURE, ARISING DIRECTLY OR IND.—- - L PERMIT SHALL NOT BE PLAN CHECK DEPOSIT A ANY CITY ORDINANCE ROINANCE PROVISION' TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ APPLK`ATIULY, T"AT TH"N.FORMATION A ENT OF B OR G ALT. GIVEN IS CORRECT: AND THAT I AM THE OWNER. THE FIZE CITY AND STATE LAWS REGULATING CONS TRUC CALL THE OWNER. I AGREE TO COMPLY WITH TION; AND,IN 110 NG THE WORK AUTHORIZED THEREB�. NO PE PSON WILL BE EMPLOYED TO F INSPEC Tit IN VIOLAT ON OF THE LABOR CODE OF THE STATE 01 WAIHINGTO N RELATING O-R WORKMEN�S COMPENSATION INSURANCE AND RCVV 18,27 - (425) 171—PY 7ED C51 _ =11A�l c5 :z, 771-0220 '�TTENtION EXT 333' UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- A FINAL BEEN GRANTED. UBC SECTION 109 FAX CATE OF OCCUPANCY HAS ThIA A1PI1­­` ­1 pA,-,' BL,d.AO Olt,.,., �, 1,,h., D.PUIY: -�d F.11 ­ p,.d. ­,,pnAA,knowI,dgld 11 "... P­­d, OIIICIAL,IATUI)�� ///A)E ORIGiNAL-;ILE YELLOW, INSPECTOR PINK -OWNER GOLO-ASSESSOR z m c: rvi 0 0 c: m m z 0 _n m M 0 0 C (1) 0 4 cl) z 0 m , E tjss"�'P�ng ................. K (a P,': Equipment ck Commercial Flnal\�.;: EXTE IOR SHEATHING R NAILING .......................... 0 FRAMING ................... mo FIRST FL60R FRAMING 7Pj 1, INSULATION ................... -4 Floor Insulation Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING SPECIAL INSPECTION 0 IT! MISCELLANEOUS FINAL APPROVAL FOR —*Pam OCCUPANCY .................. ATE RECEIVED OF RMIT EXP S PPERMITEXP 0c) USE PERMIT CITY OF EDMONDS ZONE A. Q --,/ CONSTRUCTION PERMIT APPLICATION . � - � '. — —NUMBER JOB SUITE/AFT, ADDRES9 I I OWNER NAMENAME OF BUSINESS - P NAMEISUBDIVISION NO. LOT NO, 111) NO, LID FEE S MAILING ADORE S -R OFFICIAL STREET MAP PUBLIC RIGHT OF WAY PC T'llp 1, -11 0 8 EXISTING — PROPOSED— 0 0 CITY ZIP TELEPHONE 0 REQUIRED DEDICATION FT METERSIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED NAME I YES 0 NO 0 -ADDRESS REMARKS OWNER(CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDITAINAGE P CITY NAME REVIEWEDIDAXE I ADD ESI W. FIRE REVIEWED BY DATE PHO CITY NE 'ttZ t 5e- VARIANCE OR GO SHORELINE OR ADO# INSPECTIO BOND EXPIRATI. CHECKED BY OYREQ G ES 0 NO POSTED 5 ISEPA REVIEW SIGNARFA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPER Y TAX ACC LINT RCEL NO. I I MECH LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT) FRONT SIDE BEAR P80POSED SETBACKS IFT.. FRONT URSIDE BEAR rn a NEW PLUMBING P, PROPOSED 0 C) ADDITION C MPLIANCE OR CHANGE OF USE c REMODEL 0 SIGN PARKING LOT REO'D I PROVIDED AREA PLANNING REVIEWED By O� -1 r. 3: m 0 F,ENCE X REPAIR GRADING CYDS X FT) RE.A.- z OTHER > -4 C] DEMOLISH TANK 0 A'AGE 0 RETAINING WALL C] RENEWAL Cl2 cl) 0 Alll.NT R.��.Y IVITY) EXPLAIN: N 0 O"n ROLF qE) GOCUPA NUMBER lUllll OF OCCU NT mT 0� OWELL NO UNIT. LOAD 10 c 0 1) -STORIES DESCRIBE WORK TO BE DONE REMARKS pROr.lFtESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 0 M c CA 'A C\Q I, �e_ I 0 z VALUATION FEE 3: F N CHECK FEE z 9 LOTSLOPE% BUILDING F5 PLUMBING m 13CAN CHECK NO: IVEST111 DATE MECHANICAL WORK NOT 0. TNIS PERMIT COVERS WORK TO 'CONSTRUCTION �T'..q;ZTIS=Tll JHIS FERMI E '.. . ANY ON TH GRADI NGIPILL L 36L?AjN"(ZURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) ILLERPU IRE tz I` SEPARATE PERMISSION.. ZTURCHARGE PERMIT APPLICATION: 180 DAYS E PERMIT LIMIT'. I YEAR - PROVIDED WORK IS STARTED WITHIN 1IID DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPUCANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUGCESORS ENG. INSPECTION FEE IN INTEREST AGREES TO I DEMNtFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTSFROM ANYAND ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ANY ORDINANCE PROVISION." PLAN CHECK DEPOSIT JFIE��IPT NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE TOTAL AMOUNT DO E EIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THI S APPLICATION; THAT THE lNlOHMA.Tll.N APPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OW EGULATING CONSTRUC- NER. IAGREE TO COMPLY WITH CITY AND STATE LAWS P,,. P—it u0l..'­ I,, CALL I TION; AND,IN DING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED ITOMTPI; —, puty:,ndF... ­pd­d i� rOR IN VIOLAT ON OF THE LABOR CODE OF TUE STATE OF WASHINGTON RELATING To F 0 1 o­pI I, ,k,,.Iodgod p-d- INSPECTION — - I WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27. OFFICIA ' ATE ��61G ATUR S G112A WN R RAI (425) 'f 4AEN; 717f 1 'VC-r-V RELEASEURY I I 0 N 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- ORIGINAL - PILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER - GOLD . ASSESSOR