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20000902.pdf17�ATE RECJIVEO lk FERMIT EXPIRES -I! c US E PERMIT S CITY OF EDMONDS N E ZONE '0 NUMBER .7,co-;02 CONSTRUCTION PERMIT APPLICATION JOB UITEIA�T. B -10 D FEES 0 ADDRESSvs(�'D'u Nvc OWNER NAMEMAME OF BUSINESS 99- PI -AT NAMEISUBDIVISION 140. LOT N LID NO. UO FEE S ULICATIONJAO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED- P., A.W_ C CITY H, Z TELEPHON E n - va" - -7 R50UIRED DEDICATION- PT - wlll�g NAME METER SIZE UNI SIZE 00, 11 FIXTURES P V RIOUIRED I 1 I IESO NO El ADDRESS REMARKS INBI.LE FOR EROSION CONTR.I_/CFAINA.E NAM�CI ENGINEEFING� REVIEWED/DATE ADDRESS 'A'Knp !!�"'c i FIRE REVIEWED By DATE C Y ZI TELEPHONE VARIANCE OR CU SHORELINE OR AGES INSPECTION ES n E]YREO'D NO I PBOND OSTED XPIR.TI.N DATE STATE LICENSE NUMBER ExpHxHuNDATE, ecZA �KEDBY SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROP05ED HEIGHT ALLOW ED PROP09ED PROPERTY TAX ACCOUNT PARCEL NO. OC) -5 � -2� C' 0 C> EXP ILUNI.M. I NBC. 0 NEW KIRESMENTIAL G. LOT COVERAGE ALLOWED FF.I.SE. REQUIRE. SETBACKS III 1. ONT SIDE REAR PT PROPOSED SETBACKS I I FRONT UPSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE 0 USE G F CHAN E PARKING LOT AREA LOT AR By DATE A PART ENT 6 'GN C] REMODEL C] APARTMENT SIGN RED 0 PRO, OLD =D RADI N 0 FENCE ?'REPAIR GRADING YDS FENCE X FTI Y S X FT C 0 'KS RE A; OT ER DEMOLISH TANK c3 OTHER TANK FBT I A IN WA FEN EWAL 0 MGE r-1 RETAINING WALL RENEWAL GcARP.FT ROCKMY N LL od F (=SINESS �R ACTIVITY) EXPLAIN: CHECKED By E OF CONS V;F CONSTRUCTION ... E 0 CUPANT 19 -1 GROU 2.1 MO NUMBER OF D , N WELLI 0 U IT. N NJ TS. CRITICA AREAS �j F NU H MEE SPECIAL INS3CT,0,R REQUIRED PANT LOAD DESCRIBE WORK TO BE DONE PROGRESS INSPECTIONS PER UBC 108/FIP R�E�D �REMARKS (mn� v water system Cie. 4�p I �kl' is n.pe, nr I 1�4k'Ofjr.� 'Inj 921C�26=' rloW4, 6XMaAli9fi 18HIM a.. raqui ed on aff hot w,,der janks pAr City Code. E DC 9,30.1120 (cl PRE PLAN CHECK FEE JOE OURCE GLAZING I LOT SLOPE % BUILDING PLAN CHECK NO: IIESTED DATE PLUMBING MECHANICAL I THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON,THE PUBLIC 91 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS , MARQUEES. ETC.) IN LL REQUIRE SEPARATE PERMISSION. GRADINGIFILL STATE SURCHARGE PERMIT APPLICATION: ISO DAYS PERMIT LIMIT; I AR - PROVIDED WORK IS STARTED WITHIN 180 DAYS YE SEE BACK OF PINK PERMIT FOR MORE INFORMATION SNO REVIEW FEES I E 9.1 -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F I EDMONDS. WASHINGTON. ITSOFFICIALS. EMPLOYEES ANDAGENTS FROM ANYAN. ALLCLAIMS FOR DAMAGES FWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE 0 D EMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE - ENG. INSPECTION FEE I E RECEIPT PLAN CHECK EPOSIT H "I TOTAL AMOUNT DUE �s S . 0 4z' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION GIVEN I S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC TION. AND IN 00 NG THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYTED IN VIOLATION O'F THE LABOR CODE OF THE STATE OF WASHINGTON RELAT I NO 0 WORKMEN S COMPENSATION INSURANCE AND RCW 18.27. S E PAGE 0 E SIGNE I D APPLICATION APPROVAL CALL d, g Cjj'_I " h.,jh" Dopuly: nl 1- ��d FOR INSPECTION - dp... P-id OF ICIALSS"��,, DATE (425) J� -7 771-0220 LEASEDBY ATTENtION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFi- ORIGINAL FILE YELLOW INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - ASSESSOR 5,98 z 0 0 71 M c m 0 80 c � C : % m z JO—I c _z ca o'n m M 0 0 c M q ;0 z z 9 0 m T17) 7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall. .......................... Pier/Porch ................. Retaining Wait ........... Stab insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: GasTest .................... Gas Piping .............. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION �Nll MISCELLANEOUS .......... it.. FINAL APPROVAL FOR OCCUPANCY .................. OZ, Z' 0 a M 1 I -n 0 M, r in 0 -40 0 M M Z C — >z] 0,1 Ph M i or. OM C U) IR z --I z M DATE RECJIVED 11 lim ., FPERMIT EXPIRES D1 us PERMIT ;Zocs() ,-, 2 CITY OF EDMONDS ZONE 2�_�a UMBER CONSTRUCTION PERMIT APPLICATION JOB -10 SUITVAPTI ADDRESS -A U Njt W OWNER NAMEINAME OF BUSINESS Pi_AT NA.EISUBDIVISION NO. LOT NO. L�D NO, D FEE $ no kve- L� PUBLIC RIGHT OF WAY P R OFFICIAL STREET MAP TTS_CP_Ap_pl-_. d___Er M P..ft Rked 0 ...uu--=- CITY ZIP NE EXISTING — PROPOSED- 0 0 D EA)."4 S (� iojLa ITELEPH t,\ A5-,jLjs7_ W5,11A REQUIRED DEDICATION— FT NAME RV REQUIRED YEPS 0 NO 0 K. JA ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 0 CITY ZIP ITILEPHONE Pit �l NAM wt5 �n_' r_ uh co EN.INEIERIN IEJYIEDIDATE ADDRESS no k�,n r r z FIRE REVIEWEDBY DATE -CITY TELEPHONE .6,ZIP, An - STATE LICENSE NUMBER EXPIRATIONDATE VARIANCE OR CU SHORELINE OR ADS. INSPE.CTION ,E G ONG PB .STED 0�5H-_rF,J �CKEDBY OYES E3NO :4 9i @ � : BEIRA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT FARCE- 00511, 0000 -7, to EXP I I I I I , om c a rn 0 C:] NEW PLUMBING I ME.. LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS FT.) FRONT SIDE HEAR PROPOSED SETBACKS PT) FRONT UPSIDE REAR ADDITION Ei COMPLIANCE OR CHANGE OF USE 0 REMODEL SIGN 0 c: g m m m PA KING REOLD IDED I PROV LOT AREA PLANNING REVIEWED BY ATE 0 F NOE *REPAIR 0 GRADING CY.. I _ X FT) DEMOLISH TANK Ej OTHER 10 E: REMAHKS o GARAGE CARPORT C] RETAININGWALL Ro.X�F E] RENEWAL 0 -n MITI TY USINESS OR ACTIVITY) EXPI_Aft� CHECKEDBY lq;F CONSTRUCTION ICODE OC PANT C)--) OR UP NUMBER ITICA OF DWELLING AREAS U R 10 STORIES NUMIT'S" 0, CEMBE �j o Fn SPECIAL INSPECTOR JARIA REQUIRED 0 YES OCCUPANT LOAD DESCRIqEWORKTOBE DONE REMARKS PROGRESS INSPECTIONS PER LIBC 1108/1FINAL INSPECTION REQvD c 0) M 0 Z X > z VALUATION FEE z PLAN CHECK FEE .OnRCE LOT SLOPE I BUILDING PLAN CHECK NO: DATE PLUMBING IVISTED MECHANICAL 00 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO IN ON THE PUBLIC B DONE ON PRIVATE P OPERTY ONLY. ANY CONSTRUCTIO R DOMAIN (CURBS, SIDEWALKS, DRIVE AYS. MARQUEES, ETC.) WILL EQUIRE SEPARATE WPERMISSION. GRADINGIFILL STATE SURCHARGE PE MIT APPLICATION: 180 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFOR ATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESOAS 914G. INSPECTION FEE IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE THE CITY OF EDMONDS. WASHINGTON. ITS OPFICIALS, EMPLOYEES, AND AGINTSSFPOM ANY AND ALLCILAIMS FOR DAMAGE OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY JWfi"Q�FEE 41, FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE 01 THIS PERMIT SHALL NOT �815 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINAN E PLAN CHECK DEPOSIT IRECEIPT 0 NOS LIMIT IN ANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Ip IP oLl I TOTAL AMOUNT DUE IS I IHEREB ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APP VAL RO GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC, CALL T",. 1. 1 . pu ..fil ug— b, Me TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PE ASON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE��TING TO FOR INSPECTION Suit ding 011,111111 hisiho, Deputy: Ild Fee, . I paid. a.dl _Xpj ie llkllllldg,d i, p ... pe,id- WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27, 0 ' ICIALS G E 6 IZIM,',�7 (425) I h-, 1 �tl(S7�"OILA_ , 771 '0220 FtLEASEDBY DIRE ATTENTION EXT1333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 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 519B