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20000900.pdfFDATE RECEIVED L.U." CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NMEINAME OF BUSINEr p 4 n1cs iNGADDRESS ,?'joc — �c — ZIP TE�EPHONE 9��UA(D�o-S(42_-W IS IRESS ZIP TELEPHONE PERMIT EXPIRES LA I :) I USE PERMIT 2LZ57<�n ZONE NUMBER SUITEll I AQDRESS�g 1r) 7 Lt L PLAT NAMEISUBDIVBION NO, I _r)d LOT NO. 1111 N , LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAI STREET MAP p �11 ul. Z., to EXISTING — PROPOSED— R8QUIREDDEDICATION_ FT EQUIll' YEPRV S E3 NO 13 .E.ATKS 111—NAIRLE FOR EROSION CONTROUDRAINAGE DDRES :5�oo C'o \/Q FIRE REVIEWED By DATE CITY T'"INI 9611, 96 VARIANCE OR CLI SHORELINE OR ADS# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION E DATE CHECKED By FSO'D POSTED 0 YES ONO I ;AT SEPA REVIEW SIGN AREA HEIGHT NT P PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSIO ALLOWED P9010SED ;occ) nc),) oc)(D4 EXP I I , LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) C] NEW V_-<S�ID.�TIAL PLUMBING/MECH E ALLOWED PROPOSED FRONT BID REAR FRONT U SIDE FEAR [3 ADDITION ERCIA' C] COMMERCIAL L%4- 1 MPLIANCE OR EIS OF U Li P_<.HA BE 6� A H — PARKING LOT AREA PLANNING REVIEWED By DATE PARKING 0 REMODEL, VENT BIG N 0 APARTMENT 0 SIGN 0 ED REDD I PROVIDED PROV' �pA, N FEN E C] GRADING CYGS 0 PENCE FTI Cy. 0 X FT, MARKS REMARKS C] DEMOLISH OTH TANK ci OTHER C] EN ci GARAGE CARPORT I. ALL. RETAINING WALL C] RENEWAL ROCKERY C3 RENEWAL IVITY) EXPLAIN: 4CR CHECKEORy JIRZ TION IPA 'To 2-, Up NUMBER OF "ETAICA.L T P C L OR .0AL'n 'TOR "A 'NSP. OF STO les UUM8SR GWEL'N. N"S A" S IUMBE F--U'RSD .U, E RED YES JAREA DESCRIBE WORK TO BE DONE E B REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RED 9 C) PLAN CHECK FEE GLAZING % LOT SLOPE I BUILDING PLAN CHECK NO: ESTEO DATE PLUMBING THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PIRIVIT COV198 WORK TO BE GONE ON PRIVATE PROPERTY ONLY. AN CONSTRUCTION ON THE P08LIG 'CURBS. SIDEWALKS. DRIVEWAYSYNIARQUEES. ETC.) WILL REGUIRE SEPARATE PERWISSIoN. MECHANICAL GRADINGIFILL STATE SURCHARGE PERMIT APPLICATI N: 180 DAYS P. PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ;AP, _,�gAEN;,.oANGS E�NAL TF.O I H I El O�RI A E R S P.U. E. ri E I P E, A SS I GIN S A V G E U c . E E... N AT F E. NO FY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALLCLAIMS FOR DAMAGE - OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S.ALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY AEQUIREMENTCF ANYCITY ORDINANCE WORLIMIT IN ANY WAY THE CiTl'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.' ENG. INSPECTION FEE LANDSCAP ING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE ... FE F PT �4 c) 0 I HERE Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 8 Y AUTHORIZED AGENT OF IS CDR AND THAT I AM THE OWNER, OR THE Di GIVEN FEET TO THE OWNER. I AGREE COMPLY WITH CITY AND STAT LAWS REGULATING CONSTRUC TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA-08 CODE OF THE STATE OF WASHINGTON RELATING 10 WOFK.EN'S COMPENSATION INSURANCE AND RCW 18.27. OAT SIGNED /1- -0 CALL FOR INSPECTION (425) 771-0220 APPLICATION APPROVAL Thl, pjt., . U.111 �lpld by lhl d,�, ..d s .1. P.4 3.11-1 011�l .1 hl.- D ,l .d in spaco providodo FF CALS SiG:A�JQE DATE = A, �Zl 7 tLEASEDBY ATTENTION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD ASSESSOR 5,98 z 0 c m rn 00 80 c mm io c 0 _11 n mm a 0 0 c m 0 m co M 0 Z z co z 0 m ME& koc" 1 o 'C' 'L' .-r,415 Ap'4� to Ill 4104 40 U6 C, AIJ loth z. capj�v 4EIII ek It -I AV 1"' Ij '3 i L commercial Final EXTERIOR SHEATHING NAILING I ......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... F14AL APPROVAL FOR OCCUPANCY .................. 7 M 0 M. C C) ! IT! 0 80. a �m I M ITI C: C9 0 -n I ITI 0 0 M 0, z Z, z 0 ITI DATE RECEIV D XPIRES .. PERMIT I .. NUMBER CITY OF EDMONDS JOB ITFJAPT0 CONSTRUCTION PERMIT APPLICATION AODRESSO��-7rn -d Pis L. I OWN NA FJNAME PLAT NAMEISUBDIVISIOl'i NO. LOT NO, LI NO. LID FEE $ MAILING ADDRESS PER OFFICIAL STREET MAP F. R1111- 0 If q � :_nF.'n 0 EXISTING — PROPOSED— 0 13 CITY ZIP TELEPHONE ob REQUIRED DEDICATION— FT — U. q—d METER SIZE LINE SIZE 10,011IXTURES PRY REQUIRED NAME I I YES 13 NO 13 ADDRESS REMARKS —F....T.ACT.. FE.P.NSIELE 10. EROSION C.NTFOl..AlHA.E EN FIRE REVIEWED By STATE LICENSE NUMBER — IXPIIATIONDATI I CHICKEDBY , - — L OYES ONO 6 — .... COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PAR EL I (DC)C cn') C-)C),--)4 EXP I — —NEW R �R SE SEC SETBACKS EFT) LOT COVERAGE REQUIRE SET ACKS(FT.) PROPOSED C] F�� BID..TIAL, PLUMBING i MECH ALLOWED PROPOSED FRONT" SOBS REAR FRONT URSIDE REAR MIA CE OR 0 ADDITION P172AN.E.11I.E PLAN I RE C T PARKING LOT AREA PLANNING REVIEWED BY DATE 0 REMODEL APARTME.—TJ 0 SIGN REDO I PROVIDED RA.M. 0 PENCE REMARKS 0 CYCS I X ITI 0 DEMOLISH 0 TANK 0 OTHER oGARAGE M RETAININIDWALL 0 RENEWAL CARPORT — ROCKER CHECKED By . 1p 2 (OF FOUPANT UP p 'FOCCUPANT NUMBER NUMSEROF ORITICA L SPECINLIN.lE.T.R AREA OF STORIES DWELLING UNITS AR SAS NUMBER RE QUIRED C] YES ILOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108IFINAL INSPECTION REG PLAN CHECK FEE GLAZING % LOT TKOPE 5. BUILDING PaN CHECK NO: 111STED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO THIS PERMIT AU THO "'ZE S 0' BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC F E PR E DON' ON P I A L 'V T DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUESS, ETC.), WILL REQUIRE 2 0 1 , SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS P P. PERMIT LIMIT. I YEAR - PROVIDED W RK IS STARTED WITHIN 180 DAIS L I I E SEE BACK Oi PINK PERMITOFOR MORE INFORMATION C F rU.ITIN T ON.. . F I. OF HER SPOUSE. HEIRS. ASSIGNS AND SUCCSSOFS IT�.Ok ��PPLI�.�A.l SHALF SPEST OR . TO CITY OF N Ih T S RSE. TO INGENINI DE IND AND HOLD HARMLESS THE 1 N T 2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND -CLAtMS FOR DAMAGES OFWHATEVER NATURE� ARISING DIRECTLY OR INDIRECTLY A L , MA 'L , TH I, PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE POMTNE'='CEOF I 0. THE 'S. 'R 'UA"CE OF T DE�NED To MOC�'Y"A"E.F, REDUCE ANY SEQUIREMENTOF ANY CITY ORDINANCE �NECTO , WAT ANY WAYTHE CITY4S ABILITY TO ENFORCE ANY OROINAN- o o N R LIMIT I Y W Y OR 0 I HEREBY ACKNOWLEDGE THAT I HAVTE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM HE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC - TION:ANDINO ING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED TO I N VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATNG WORKMEN-SCOMPENSATIO INSURANCE AND RCW 18.27. r.—l.;A—TUR—E1 )ATE SIGNED PLUMBING MECHANICAL GRADING/FILL STATE SURCHARGE ENG. REVIEW FEES END. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE CALL FOR INSPECTII (425) 771-0220 ATTENTION r-A llaaa IT IS UNLAWFULTOUSE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFIk CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX VALUATION I FEE O(D z 0 m 0 0 m m z- m 10 0 -n -n m m 0 o Fn cl 0 z -1 A i5 z --4 m cn z 9 0 m ;'-S(o I z4,s-. ` ") I I I APPLICATION APPRO I T" n-I ' po"t until Signs by tho b. and d ng Off.j , bl,l— DIplY: nd Fll, b p.b. and d bbbip, ...k—Kdg.,I in Ip— pl—d-d CITE ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR