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20000885.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMEMAME OF BUSINESS z7p7--__FT_ELEPHONE I�qul,t,5 I 41'�- �W-151 NAME CITY PERMIT EXPIRES 'ON USEE 12 PIEHIVIII NUMBER gq . L9 0 JOB ADDRESS �Vj LA. PI -AT NAMEISUBDIVISION NO. IDNO, LID FEE S PER OFFICIAL STREET MAP C r S,,­ P­n R.q d C EXISTING — PROPOSED- IT ME METER SIZE LINE SIZE NO.OFFIXTURES PRV REQUIRED !TRl,lIUlREllEOlCAT101— I I YES 13 NO 0 RE ARKS CWNFRJCONTRACTOR RESPONSIBLE 'OR EROSION CONTROUDRAINAGC IW E "f-D C-0 ENGINEERING REVII WEDIDATE I ADDRESS "I FIRE REVIEWED BY DATE T�, IIEP;l ITU N STATE LICENSE NUMBER 'KED BY bl, VARIANCE OR CU SHORELINE OR ADS. INSPECTI 0 PIOND RE 'D OSTED wAs 0 1 E3 ES - NO SIGN AREA HEIGHT SEPA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT 0o LA,? Le PARCEL NO. t -1 t) k 7- EXP I LOT C VER GE a REQUIRED SETBACKS III PROPOSED SETBACKS (I I NEW ;ECYE.MENT�- WFLUIOMN. I E-- ALLOWED PROPOSED FRONT SIDE REAR IF.- IJR SIDE FEAR 0 ADDITION COMMERCIAL ci COMPLIANCE OR CHANGE OF USE I I -PARKING LOT ARFAJ PLANNING REVIEWED By DATE [3 REMODEL 0 APARTMENT SIGN REDO I PROVIDED C] REPAIR C] FENCE I X FT) REMARKS C] DEMOLISH TANK c3 GCARAGE RETAKININGWALL RENEWAL ARPORT 8 U SS noc ERY OR ACTIVITY) EXPIIN: p (TYPE OF USE. ECK 8' Ty 0 CUPAO RQ.Pr, NUMBER NUMBEROF RWCAL TA SAS R -PE A IN. TO I �A �REQUIRLDED 1'1.AD OFO ST RIES DWELLING UNITS NU R MBER G I . YES E7YE. DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION FIF VAILUATiON FEE PLAN CHECK IFE ACE GLAZING I LOT SLOPE I BUILDING PLAN CHECK NO: IVETTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO tl BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUC11ON)OWITHE POOLIC GRADINGIFILL 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC. LL RE UIRE :1 SEPARATE PERMISSION, SU CHARGE PERMIT APPLICATION: 180.AYS PERMIT LIMIT: I YEAR. PROVIDED WORK IS STARTED WITHIN 180DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'AlP HIS O��, HER EPOUS�. NE�.E, ASSIGNS AND SUCCESORS ENG, INSPECTION FEE NlIOANTj0A.lEHAllT.0F IN ' FY. DEFEND AND HOLD HARMLESS THE CITY OF TER. R E, NQEM LANDSCAP NG ANYAND 2 ED'MONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM,,, INSPECTION FEE ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLY OR IN ECTLY BE RECEIPT FR TH' S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT OM THE ISSUANCE OF PLAN CHECK DEPOSIT OF DEE.E.T...D"Y.�A'��',��EDUI:EA�YR�.�l�E.E�T ANY ITYORDINANCE NOR LIMIT IN ANY WAY THE CITI'S ABILITY TO ENFORCE ANY OPOINA.- TOTAL AMOUNT DUE LED�DTT�HAATT READ THIS APPLICATION. THAT THE'NF.FMATI.N APPLICATION APPROVAL THEREBY : A-.AVTE GIVEN ,S=T, A HE OWNER, OR THE DULY AUTHORIZED AGENT OF h THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CA L L h'� ho, Dlpll, — F­ .11 olld. TION;ANDINDOIN THEWORKAUTH RIZED THEREBY, I'D PERSON WILL BE EMPLOYED 0 RELATING TO OTHE F THE STATE OF WASHINGTON FOR INSP ECTION n­M.�g A, ... P-1— IN VIOLATION OF CODE 0 COMP SLABOR WORKMEN S EN ATION INSURANCE AND RCW 16.27. OFFICIALS I NATURE D E 3,11) DATE S DIED (425) 1 0 DAT I I 4e_ f .0 RELE EDBY ATTENTON EXT 333 -------------------------- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI L 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGtNAL-FILE YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR z M rn 0 0 X m M z 10--i c 2 co o -n n M M 0 vi 05 0 c C 10 1. 0 z z ca z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ......... . ......... FOUNDATION: Footing ...................... Wall.......................... pier/Porch ................. ------ purtaining Wall ........... Slab Insulation .......... PLUMBING: 4; Underground ............. M C Rough -in - ................. ------- ITI 0. C-), commercial Final C HEATING: M ITIZ 10--I Gas Test ............. ------ C z Gas Piping .................. Equipment 0 -n -n commercial Final ....... ------- = m m EXTERIOR SHEAT14ING j NAILING.......................... 0 FRAMING ........................ C) FIRST FLOOR FRAMING ITI 0 INSULATION ................... Insulation Floor z Wall Insulation ........... Ceiling Insulation 0) SHEETROCK NAILING z SPECIAL INSPECTION M j, S. MISCELLANEOUS .......... ----------- - ------ FINAL APPROVAL FOR (v) OCCUPANCY .................. 'Iff "A o e"'VAT. RECEIVE�oj I _5 PERMIT EXPIRES -�o -5X X 6MV� oj x USE U' ND PERMIT ZONE F EDM 0 S Z CITY OF EDMONDS �S 1 NUMBER APPLICATION SUITE/APT# J N PERMIT CONSTRUCTION PERMIT AOC R E 5 Aw .0 s OWNER NAMEINAME OF SU INESS 0 FLAT NAMEISUBDIVISION NO. 0 LID NO qAPPLICATION MAILING ADDRESS _5 f j PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW­=R­.�ull- 6 EXISTING — PROPOSED. E3 E3 CITY Z, P TELEPHONE �o REOUJREDDEDICATIO�— FT — =td NAME METER SIZE I LINE SIZE I NO.OIFIXTURE8 PRV R:EOUIIED VR PR_ S . 0 fYE C3 :NO 0 ADDRESS R MARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP IIAMW ADDRESS LA-100 STATE LICENSE NUMBER -6-1 WAS IROPERTY TAX ACCOUNT PARCEL NO. 00 4ka N ( o k C)n a 10 k figj�PE.I.ENTIAL I�VFI..WN. I MEC. 0 ADDITION C] COMMERCIAL o C MPLIANCE OR CHANGE OF USE C] REMODEL y�RTMENT SIGN C] REPAIR F NCE 0 GRADING CYDS ( X F7) 0'-DEMOUSH [] TANK X#R-OjA- I`AR AD' CA P.RT 0 RETAINING WALL ROCK. Bx— ACTIVITY) EXPI-,MN: C] RENEWAL REVIEWEOIDATE FIRE REVIEWED By VARIANCE OR CU SHORELINE OR ADSN INSPECTION RM.D I BOND POSTEE 0 YES SEPA REVIEW SIGN AREA I I HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWS D PROPOSED EXP I LOT COVERAG REQUIRED SETBACKS JFT,) PROODSED SETBACKS ALLOWED PR FRONT SIDE REAR FRONT UR SIDE REAZI I PARKING L-Al Z PLANNNGREVIEWED BY. DATE REaO I PROVIDED I I I CHECKEDBY JTY��� T3 NUMBER ` F"' "TIC '.U,,,AL. EGIALINSPECTOR SE �D-�.�U NT OF STORIES ELLN. CENTS AREAS, R QUIRED E] YES t�E..AK.KLS JAREA oA DESCRIBE WORK TO BE DONE PRnrRFSS INSPECTIONS PER UBC 1081FINAL INSPECTION ,F VALUATION I - FEE PLAN CHECK FEE FIDE GLAZING % LOT SLOPE % 5 ILDING PLAN CHECK NO: P UMBING MECHANICAL THIS PERMIT AUTHOFI�ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE 1. SEPARATE PERMISSION. WAo6SU CHARGE PE MIT APPLICATION: IN DAYS I PERMIT LIMIT. I YEAR PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE. HEIRS� ASSIGNS AND SUCCESORS CITY OF WALLC�IMS ENG. INSPECTION FEE 2 ;APPLICANT. N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND LANDSCAPING INSPECTION FEE FOR DAMAGES .1 VVHATE�ER �-�RE,A.����..�R�.T-.�IN.IR�.TL-Y RECEIPT x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE PLAN CHECK DEPOSIT 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE TO EN FORCE ANY ORDINANCE PRoVISIo" REC EVIT 0 NOR LIMIT IN ANY WAY THE CITY S ABI LITY TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION (4 'it- A Ll ATION APIFICIIAL GIVEN IS CORRECT, AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGEN r NEIFL I AGREE TO DIMPLY ITH CITY AND STATE LAWS RE.UI-ATING CONSTRUC THE oW C W EMPLOYED CALL _,B Dllul 11 .... ... l"* :1— T ERSON WILL BE TION;ANDINDOINGTOEWORKAU HOR12ED THEREBY. NO P THE STATE OF WASHINGTON RELATING TO FOR INSPECTIO —Pp 1. ll� p-- IN VIOLATION OF THE LABOR CODE OF WORKMEN'S COMPENSATION INSU RANCE AND RCW 1 B.27. OFFICI��TURE DA7�?� (425) / =,,% I -2 771-0220 FELEAIIED By EXT 333 ATTENTIdN ----------- IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT BEEN MADE AND APPROVAL ORJA CERTIF1- ORIGINAL - 'ILE 111-10W,INIPECTO%�, A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 09 FAX PINK - OWNER GOLD - ASSESSOR z 0 rn C= m 0 80 c m cl) 0 -n A m m a 0 0 m ri) m z 3: 5i i .. z m , IN