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20000895.pdfDATE RECEIVED "IMMON-M.� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION A,e ZIP 4�EPIONE CITY ZIP TELEPHONE NAME we:sc-c) C .2-Soo ADDRESS C] A CITY TELEPHONE ?-0c, —4-70 r EXPW/NOjTF F —CHECKEDS 74- 0 �/d/ 1 00 I ERTY TAX ACCOUNT PARC ...... onc, (R<E RESIDENTIAL LUMBINGIMECH ADDITION C] COMMERCIAL C3 COMPLIANCE 08 REMODEL APARTMENT CHANGE OF USE 0 SIGN REPAIR —..A.IN. YDS F NCE 0 ( - " C] DEMOLISH C] TANK 0 OTHER cl GARAGE CARPORT C3 RETAINING WALL .—F- ci FEKEWAL (TYPE OF USE, BUSINESS OR AG11,11 Z'F.... E BE 0 'N1' RITICAL STORIES OUM UW LUNG AREAS IE R LOT SLOPE % PLAN CHECK NO: ED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS E. BE ONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC .MAN 'D .. S SIDEWALKS, DRIVE AYS MARQUEES. ETC.) WILL REQUIRE SEPARATE WEAWISSION.. PERMIT APPLICATION; ISO DAYS M PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION HALF OF H' ES To ND' B To.. ITS. A E. OF R - - U N E OF THIS D . WAIVE OF TH C'T _F 'AP PLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF R 2 EDMONDS - WA H'N EMPLOYEES, AND AGENTS FROM ANY AND L CLAIMS U'.B FO CAN To' TS""'ALS. ". FO'"N' ALL . S R 'AA-Ei OF W-ATE'VER NATURE. ARISING DIRECTLY 0 R INDIRECTLY FROM THE ISSUANCE OF THIS T. SSUANCE OF THIS PERMIT SHALL NOT BE TOMOOI PEAM' I DEEMED TO .0 1 FY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIM I Y W ENF ... E ANY ORDINANCE IROVI�I.N.� I NOR LIMIT IN ANY WAY THE CITY'S ABILITY To rP.RMT EXPIRES it- -4,6 E N '08 ADDRESS /�U I �APTI fPI -AT NAME/SUBDIVISION NO. N NO LOT NO L�D NO, L D FEES 'U TO - Y P G"C FIG F.. OF UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCPApp,..d 0 ,.I, G EXISTING PROPOSED � P -P:, U.. P.-I 0 REQUIRED DEDICATION F U'FEG C C I. E EDI AT N_ FT I, �ETER SIZE �­E "'E�NO 07 '�IXTURES FFV REQUIRE. YES 0 NO 0 H-ARKS OWNER/CONTRACTOR RESPONSIBLE 'OR EROSION CONTROUDRAINAGE E ED/DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBN INSPE 10 . N I BOND FEG�T D POSTED E3YES ONO SEPA REVIEW COMPLETE SIGN AREA % HEIGHT I EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP I LOT COVERAGE ALLOWED REQUIRED SETBACKS (Fm) PROPOSED SETBACKS (FT) PROPOSED FRONT SIDE FEAR FRONT, UPSIDE REAR FIEO' PARKING LOT AREA PLANNING REVIEWED By DATE 0 PROVIDE a CHECKEDBY jTY�F_OFCONSIRUCII­ "I OCCUPANT .Up R Up SPECIAL INSPECTOR OCUPANT JAIEA IUIRZO 0 YES LOAD RIVA M F" Ax PRO ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADING/FfLL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION PEE LANDSCAP NG INSPECTION FEE PLAN CHECK DEPOSIT RECEfFT — I RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC TOTAL AMOUNT DUE 16 — PPLICATION APPROVAL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 1 N VIOLATION OF THE LABOR CODE OF THE CALL 1-11 ­11 �11­ b, STATE OF WASHINGTON RELATING TO WORKMENS COMPENSATION INSURANCE AND RCIW 18.27, FOR INSPECTION 10-PI 11 SIGNATUR IGNED (425) o 'A Sll�A�T-_ ATTENTION DATE IT IS EX11 333 UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION log FAX ORIGINAL - FILE - YELLOW INSPECTOR E'S. PINK OWNER - GOLD - ASSESSOR z 0 I I _ , 0 rn IT, c' : 0 80 a M m Z 0 -n n m M C, 0 091 c m ca M 0 z -4 z 0 m , N RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMFJNAms OF BUSINESS MAILING ADDRESS A CITY 'P 4SP"ONE w e: �s (a- () 10 _/00 2 USE PERMIT Gk00%?Ar_V ZON E NUMBER JOB SUITVAPT# ADDRESS �l , PI -AT NAME'SUBDIVISION NO. LID NO. LID FEES PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP ""'Z "' — P. npA-'l'-`n,nI Ed EXISTING — PROPOSED� nlin, — P—l".. 0 In -in nR.q.k.d 0 REOUIREDDEDICATION— FT OF FIXTURES PRV REQUIRED YES C3 No 0 R MARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ADDRESS ?_80(3 _Tkov-mj�e�=g_ Ave - CITY ZIP TELEPHONE tt I"_ -,? _4t7b a ?_or, -87 1) d 04� Ga"NEW G(RESIDENTIAL EePLUMBING / MECH 0 ADDITION 0 COMMERCIAL 1 o C MPLIANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR 0 FACING CYGS 0 IS CE ( _ X 0 DEMOLISH 0 TANK 0 OTHER 0 RIETAINIRNYG WALL 0 RENEWAL 0 'GARAdE ARPO.T RIOCK (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLA,N: �FITI.AL FEAS IN, .To ES NUMBER DT,l,B,l'W0j.lTO I(DONE I LA IRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR'ADBV INSPECTION REGO E3 YES C3 NO I PBOND OSTED SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROP06ED :XP I I I LO COVERAGE _�EQUIRED SETBACK$ �17.) PROPOSED SETBACKS FT. ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE FEAR LOT AREA PLANNING REVIit. BY DATE Ill.-D I PROVIDED I PARK= I CHIOKEO BY NSZCTION RODE 1111PANTZ P ITW SPECIAL INS.T,.R LOAD'A I FE� Y S JAREI REQUIRED F R RS. 5MARKS ­nFiFqq INSIPFCTIONS PER UBC 108IFIWAL INSPECTION REO Ei VALUATION FEE z 0 rn m 0 80, I C i.� X M m jo cn 03 Am 0 6 Fn C ca M 0 Z r- z :v Z PLAN CHECK FEE HEAT SOURCE GI_A2ING I LOT SLOPE I BUILDING L m PLAN CHECK NO: PLUMBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE W RK NOTED. THIS PERMIT COVERS WORK TO 0 SEDONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADWGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE SEPARATE PEZISMON. STAIE SURCHARGE P MIT APPLICATION: 180 DAYS PER ER PERMIT UMIM I YEAR - IROVIDED WORK IS S RTEDWITHIN ISGUAYS ENG. REVIEW FEES IT M MAT SEE BACKO�PINK PERM FOR OREINFOR ATION F P LICANT. ON BEHALF OrHIS OR HER SPOUSE, HEWIS. ASSIGNS AND SUCCESORS P ENG. INSPECTION FEE ;AP IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 0 LANDSCAPING ED ONDS WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAHO X EDMON S M IN ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIRECTLYOR DIRECTLY INSPECTION FEE FROM THE ISSUA CE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT Be U N N IREC1111 PLAN CHECK DEPOSIT DECMEDTO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE E. T Mo 'FY W IV 3E3 0 NOR LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." OTAL AMOUNT DUE RECEIPT 1 4 IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN I RECTANDTHATI AMTHEOWNER,ORTHE DULY AUTHORIZED AGENT OF S DO R Thil ppjj,,Jj0n I, p-11 Iltil lIgned by In, Co THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING NSTRUC- CALL BuildIng Ojj,�W �l in,,1n., D­Iy: nd F... .1. P.1d..nd TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO FOR INSPECTION r—iPI 1. ..­.I.dg.d in ­.. F­id.,i. IN VIOLATION OF THE LABOR CODE OF THE STATE Ki COMPENSATION INSURANCE AND RCV/ 18.27. OFFICIA SIGN 16E T SIGNED (425) /D 2��RAGINTI 00 1 1 f 1 "Li RifLEASED BY DATE ATTENTION '6CTURE EXT13,33, IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STR UNTIL HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 I ORIGINAL FILE YELLOW :INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED.'UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR