20000910.pdfPERMIT EXPIRES
Is, PERMIT
CITY OF EDMONDS ZC�E p5 '2 0 "ElEl Qje)e i n
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CONSTRUCTION PERMIT APPLICATION 'Ao6DFEss
OWNER NAMEINAME OF BUSINESS FLAT NAME/SUBDIVISION NO LOT 10, Ll N
LIDFEES
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PERMIT APPLICATI N: 180 AS
PERMIT LIMIT. 1 YEAR � ROVID'D WORK IS STARTED WITHIN 180 DAYS
P
ENG. A EW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
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ON BEHALF OF HI OR HER SPOUSE, HEIRS. AS$IGNSANDSUCCESORS
ENG. INSPECTION FEE
;APPLICANT.
N NIEREST. AGREES TO INDEMNIFY. DEFEND AND HOI.O HARMLESS THE CITY OF
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ANYAND
LANDSCAPING
EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM
ONO A HING o
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
INSPECTION FEE
RECEIPT
FRO" THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
M RDI ANCE
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PLANC E KDEPOST
FI
DEEMEDT MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY
AV�
TO ENFORCE ANY ORDINANCE PROVISION.'
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V Y THE CITY'S ABILITY
W Y T
NORLIMITINANYWA HE
TOTAL AMOUNT DUE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE'NIORMAT, N
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI.AlING CONSTRUC
CALL
011 W .1 —h., D-IY. -�F Flll .1. P.1d. �ld
TION: AND IN DOING THE WORK AUTHORIZED THEREBY NO PERE N WILL BE EMPLOYED
STATE OF WASHINGTON RELATING TO
FOR INSPECTION
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IN VIOLATION OF THE LABOR CODE OF THE
WORKMEN'S COMPENSATION INSURANCE AND ROW 18.27.
0 1 IALS SIGNATURE DATE
DATE SIGNED
(425)
X _=ER
771-0220
RELEASED BY DATE
A17ENTION
EXT1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
AND APPROVAL OR A CERTIFi-
f I
ORIGINAL -FILE YEILOW-MSPECTOR
A FINAL NSPECTION HAS BEEN MADE
UBC SECTION 109
FAX
PINK OWNER GOLD - ASSESSOR
CATE OFIOCCURANCY HAS BEEN GRANTED.
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STREET FILE
City of Edmonds
Critical Areas Determination
Applicant: FV7,-7H, E-, S:t,=!Ph-- = Determination #: FCA-93-�44=
Project Name: rJ7a-:dEal1:/V=,,Hr, Permit Number:
Site Location: F160710 =7Oth Av, =W Property Tax Acet #: 5131-000-046-11
Project Description: FAnadd',tio-,-th�-orth,-d,,,-th�,3id-�,fth�h,-���-
Waiver Criteria (all criteria must be found to apply):
xx There will be no alteration of the Critical Area or its required buffers;
xx The development proposal will not impact the Critical Area in a manner contrary to
the goals, purposes, objectives and requirements of the Critical Areas ordinance"
xx The development proposal meets the minimum standards of the Critical Areas
ordinance;
xx The above findings are based on the following conditions of approval:
1. That any development, within 50' of the top of the bank located to the West
of the property which would require any disturbance of soil, would require
another evaluation of the Critical Areas Checklist for steep slopes and
unstable soils.
2. The applicant must follow the requirements of the Engineering Division for
erosion control (ECDC title 18).
Based on the above findings and conditions, the requirement for a Critical Areas Study
associated with this development permit is hereby Waived, as authorized by Chapter
20.15B. 150 (B) of the Edmonds Co mun4ll.rD�evel�opmeCode,
Stephen F. Bullock 10 t 6�.te
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FINAL PROJECT APPROVAL FORM
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.DATE:
MEMO TO: PE C Z4T-%V-B=DING DIVISION
FROM: FIRE DFPARTI�IENT DAT
____.FNGETEERING DIVISION DATE,
DIVISION DATE
PROJECT
SITE ADDRESS
PERNIIT #Zeol �0..ADB#-------J)ATE INSPECTED,
DESCRIPTION OF WORK TO BE INSPECTED —
A field inspection was conducted to determine compliance with approved plans. Final approval. denotes that
there are no objections from the above signed Department to the granting of:
____!�Final approval of the described work
__fE::��—Perfbrmance Bonds associated with the project may be released
_��GRANT FINAL PROJECT APPROVAL
_GRANT FINAL PROJECT APPROVAL WITH CONDITIONS NOTED
1
FAILED FINAL INSPECTION - OUTSTANDING ISSUES
2.
3.
___RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL
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RMIT EXPIRES
CITY OF EbIIiIAbNDS
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CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS
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OWNER MAMFJNAME OF BUSINESS
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REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (F7.)
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DATE
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HIS PER MIT AUTHORIZES
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
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GRADING1 ILL
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SEPARATE PERMISSION.
HARGE
PE MITA11LICATIO.: 180 DAYS
P
PERMIT LIMIT. I YEAFIRPROViDED WORK IS STARTED WITHIN 180 DAYS
I ' EA
ENG..R EWFEES
SEE BA K OF PINK PERMIT FOR MORE INFORMATION
AD
E. CK OF
ENO. INSPECTION FEE
APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS
T N L, 0'
;PL'.
IN INTEREST AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CI* OF
G S To I
�E.
LANOSCAP NG
0 , WASHINGT N, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
HI TO. I
EDMONDS, 0
ALL CLAIMS FOR DAMAGES OFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
INSPECTION FEE
RECEIPT
x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
E
PLAN CHECK DEPOSIT
DEEMED TO MODIFY. WAIVE OR REDUCEANY REGUIREMENT.F ANY CITY ORDINANq
0 M G To DO, Y . W IV �
ENFORCE ANYORDIIANCE PROVISION'
RICE] T
I NORLIMIT (NANYWAYTHE CITY'SABILITY TO
R LIMIT 'NANY WAY THE
TOTAL AMOUNT DUE
I HEREBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION All' AL
GIVEN 19 CORRECT AND THAT I AM THE OWNER. On THE DULY AUTHORIZED AGENT OF
Thl, IPP11111111 I- "10 00-1 u!R
THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATI NG CONSTRUC
CALL
Bu"'i"' Oft". ' h"Me, puly:
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTO N RELATING TO
-1p, I. m p— 1-1
FOR INSPECTION —
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.21.
0 F1 IALS SIGNATURE E
0 4NERO AGE
DATESIGNED
(425)
e
771 -0220
RELEASED By
ATTENTION
EXT1333
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-
ORLGINAL-PILE YEILOW-INSPECTOR
ASSESSOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBGSECTION109
FAX
PINK - OWNER GOLD