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20000889.pdfCITY OF EDMONDS LEE PERMIT ZONE NUMBER c 0<6t,� _ CONSTRUCTION PERMIT APPLICATION 'AOBDRESS SUITEIAPT# .=ME OF BUSINESS Q'-,( Pci Q_�c PLAT NAMEISUBDIVISION NO, LOT NO- U NO, LID FEE $ MAILINGADDRESS PUBLIC IGHTOFWAYPERO FFICfAL STREET MAP ............ EXISTING — PROPOSED— r3 0 0 CITY ZIP CPHON1 ITE 9)nn) REQUIRED DEDICATION— FT NAME METER SIZE LINE SIZE NO, OF llXTUlll V REQUIRED YES 0 NO 0 1. — lz ADDRESS REMARKS p—l—R, F —SON CONTROUDRAINAGE z CITY ZIP ITELEPHOI,IE NZ, 'N I ERNG RSVIEWEDIDATE ENGINEERING ADDRESS E (m �u FIR. REVIEWED BY DATE CITY ZIP TELEPHON IL VARIANCE gORCU V E -H-R �HoFtELINE on Am tNSP A YE! STATE LICENSE NUMBER EXPISIA N DATE go CHECKEDBY SERA 85VIEW ­­­ SIGN AREA ALLOWED , PROPOSED HEIGHT ALLOWED , PROPOSED PARCEL NO. IRG� 41T"T x> EXP I NEW PLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED REOUIRED SETBACKS (FT) FRONT SIDE HEAR "Q�' PROPOSED SETBACKS ET1 FRONT URSIDE HEAR ci C MPLIA CE OR ADDITION DO RANGE OF USE PARKING L� AREA PLANNING REVIEWED BY DATE 0 REMODEL 0 SIGN REGG I PROVIDED FENCE 0 FADM. Cy.. M ( C3 REPAIR X ITI REMARKS 0 DEMOLISH 0 TANK c3 OTHER o GARAGE 0 RITAIIIINOWALL RENSWAL CARPORT R..F C3 0- C"ECKIDBY ITIPEOFCONST 'TNU RUCTION CODE OICUP GROU PAP E.Up NUMBER OF c STORIES NUMSEIRO' DWEL LNG UNITS Lml I BCAlo AR EAS NUMBER AREA SPEC1,AL.INSPECTO�R REOU A C3 YES F OCCUPANT LOA. LOAD DESCRIBE WORK TO BE DONE REMARKS ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ'D VALUATION FEE PLAN CHECK FEE URQE LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PL MBING MECHANtCAL 0. f7l) THIS PERMIT AUTHORIZES ONLY THE IN..K NOTED. THIS PERMIT COVERS WORK TO It: SEDONEON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC GRADING/FiLL DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS . MARQUEES, ETC.) WILL REOUI­ SEPARATE PERMISSION. ACHARGE PERMIT APPLICATI N: 180 DAYS P PERMIT LIMIT I YEAR - ROVIDED WORK IS STARTED WITHIN 180 DAYS ENE. REVIEW FEES SEE BACK OF PINK PERMIT FOR NOSE INFORMATION ENG. INSPECTION FEE 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, 111111, ASSIGNS AND IUCCEIORS IN IIlTllEST=.ETSoTO INDEMNIFY' DEFEND AN. OLD HARMLESS THE CITY OF LANDSCAPING EDMO W N� IT. OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND I.lElTI.NlEE ALLOL,mms FOR DAMAGESOF WHATEVER NATURE , ARISING DIRECTLY OR INDIRECTLY RECEIPT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT $HALL NOT BE PLAN CHECK DEPOSIT DEe'ED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANC NOR LIMITINANY WAY �Z CITY S ABILITY TO ENFORCE ANY ORDINANCE PROWSION�' R StPT _ TOTAL AMOUNT DUE 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION� THAT THE INFORMATION APPLICATION APPROVAL GIVEN ARECT, AND T AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF � w- I, IS CC I AGREE To COMPLY WITH CITY A CALL D., I, d F. � I . 1. THEOWNgR NO STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED �N 01 THE L ;Ig. DE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION E_S OMPEN I.N I S ANCE AND HOW 18,27. OrFlcl IGN RE TE (4WN - DATEflG,ID (425) �GNATURE I ll�io 771-0220 EAS Y ] ATTENTION EXT/333 ---------------------- IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 ' A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ONGINAL-FILE YELLOVV- INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED, USC SECTION 109 FAX PINK OWNER GOLD -ASSESSOR 5�8 z 9n o m c M 0 C M z 10 1 , : z O"n In mm 0 F" C 0) ' I 90) m 0 M z z m ...... . ........ RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall .......................... Pier/Porch ................. N Retaining Wall ........... M, N, Slab Insulation PLUMBING: -4 Q In Underground 0 Rough -In ................... 0 C Commercial Final M In Z HEATING: Gas Test .................... Gas Piping ................. 0 -n Equipment ................. Commercial Final M ITI, 1 - - EXTERIOR SHEATHING 0 C) NAILING ................. FRAMING ........................ M z FIRST FLOOR FRAMING INSULATION ................... Floor insulation z i Wall insulation ........... z Ceiling Insulation SHEETROCK NAILING 0 M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ................ . VJ 4 1! uJ L'j i P RMIT EXPIRES Ll*­ RECEIVED III I CITY OF EDMONDS USE ZONE S_ CONSTRUCTION PERMIT APPLICATION 'A-AR.S SUITFJAPT. ME OF BUSINESS I I- NAMIJSUS.V'E1-11 NO. r 111) NO \ LID FEE S MAILING ADDRESS ZIP TELEPHONE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP .1ETRJG P­ ",­d 10 P-4 ­(4 0 0 D REQUIREDDEDICATION- 9-)CM 71 METER SIZE LINE SIZE I NO,OFFIlTUREs PRV REQUIRED E YES I C3 NO 0 RESS REMARKS WNE�ONTRACTOR RESPONSIBLE FOR EROSION COINTROUDRAINAGE CITY ZIP TELEPHONE z ATE FIRE REVIEWED BY DATE VARIANCE 08 CU SH014ELINE OR ADS# INSPI RZ OYE L t_� LA I, N 0 PA�3,%JACCO TPAR CELNO. SERA REVI C OMPLETE EXEMPT Exp I SIGN AREA ALLOWED PROPOSED — I HEIGHT ALLOWED PROPOSED I . vi � i, cc) m Irl 00 m 10 NEW RESI ENTIAL PLUMBINGIMECH 0 ADDITION [3 OMMERCIAL COMPLIA CE OR C cl HANGE OF USE [3 REMODEL 0 APARTMENT SIGN LOT COVERAGE AL SO PROPOSED REQUIRED SETBACKS FT, FRONT SIDE REAA 1111POS D ETIACKS IFT) FRONT 'US8 SIDE REAR PARKING ;TOT REaD I�CVID Al- P NNING REV IEWSDBY DATE 0 FENCE 0 REPAIR I X OYDS x a _z E 0 DEMOLISH 0 TANK 0 OTHER 0 =,ET 0 1,11TAININ' WALL ........ ..... 0 RENEWAL ,,Fy 0 TtVITY) EXPLAIN: CHEC�EOBY IT ONSTRUCTION I zd� ROUP OUP C�ODE CCUPA OCCUPA� m M o 0 0 r m V) ca � M 0 NUMBER OF STORIES JJNUMSEROF 'WE'L UNITS I I ICAL EAS ANZMSGRNLA� SPECIAL INSPECTOR' JAREA REQUIRED 0 YES *GR . accU NT LOAD DESCRIBE WORK TO BE DONE 2a4c� ur- N'& A REMARKS PROGRESS INSPECTIONS PER UBC 10S/FINAL INSPECTION RIEOVI . . ......... VALUATION FEE PLAN CHECK FEE URCE 011INI % d�z 1_ LOT SLOPE % BUILDING 0 m . _ PLAN CHECK NO: rlSTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO THIS p MIT AUH 0"ZES ON' L S BE DONE ON PRIVATE PROPERTY ONLI. ANY CONSTRUCTION ONIHE PU LIC S VATE PRO E DONE ON p G FA INGI� Ll "'DEWA' 09, VEWAYS, MARQUEES. ETC.) WILL REQUIRE DOMAIN CU1111, SIDEWALKS, DOMAIN ICU SSPAnATE PERMISSION. o PE MITAPPLICATION: 180 DAYS PE-M� PERMIT UMIT.. 1 YEAR - PROVIDED WO K IS STARTED WITHIN 180 DAYS E , L . . " , Y IT ' URCHARGE ENG. REVIEW FEES I' SEE BACK Oi PINK PERMIT FROR MORE INFORMATION OF - 'APPLICANT ON IIIIALF OF 1111 OR 11 . E .. R . 11OUS1, HIIIIS, ASSIGNS AND SUCCESOAS F L OF H ENG. INSPECTION FEE IN INTEREST. AGRESS TO;NDVNI�, DEFEND AND HOLD HARMLESS THE CITY F - To IN� LANDSCAPING 2 EDMONDS. WASHINGTON, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND . 0 S W T ON ITS BE OF WHATSVERIN - ALL C�IMSFORDAMAGESOF ATURS. ARISING DIRECIL, LL INSPECTION FEE REC91PT S PERMIT S ROM THE ISSUANCE OF THI SUANCE OF THIS PERMIT SHALL NOT BE F 0. . 'S 0 T., PLAN CHECK DEPOSIT DEEMEDTO MODIFYWAIVE OR REDUCE ANY REOUIFIEMENTOF ANYCITY ORDINANCE NORLIMITINAN WAYTHECITY'SABILITYTO ENFORCE ANYORDINANCE P­­­­ Y W Y T. CR .0. LIMIT IN Y TOTAL AMOUNT DUE RECEIPT IHERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN RECP. A D THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF R TK p­j ,til sig-d by lhe THE OWNECAO I ABASE TNO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL 'hi p. TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED THE S � .1 WAIHI GTON RELATING TO FOR INSPECTION 4N OF 'Eg �L..11E"01 NS r W=N E AND RCW IE27, .M� ..L OF IGN TE )FFIC S ORE WNI(I(!! JED (425) t 771-0220 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 OR A CERTIFI- ORIGINAL . FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD -ASSESSOR S�s -- — ----