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20000918.pdfPERMIT EXPIRES —777 LEE ZONE PERMIT 777777— CITY OF EDIVIO NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS �3SM SUITEIAPTR *y/v;') a — OWNER NAMEINA_ME OF BUSINESS PLAT NAME/SUBDIVISION NO LOT NO� LID NO LK"S m MAILING A�DDRESS 112 __q 112,71 PUBLIC RIGHT OF WAY FE R OFFICIAL STREET MAP EXISTING PROPOSED— 1­1 A '-0 RW__ 00 U. " ".. CITY ZIF 9 C4;WIHOIE r L ScAu Az�� _775 PILO — REQUIRED DEDICATION FT 0 'JLL� METER SIZE LINE SIZE NO. OF FIXTURES PRY REQUIRED NAME �A I YES 0 NO 0 ADDRESS REMARKS I N B R (NAGE OWNER-01,1T.A.TOR FE�P ... ONT lJD A ITY ZIP C "Y NAME ENGINEERING REVIEWEDIDATE ADDRESS A ;X0 CITY ZIP JTELEPHONE zA� (z STATE LICENSE NUMBER VARIA15 OR CU SHORELINE OR AOB- INSPEC ION 0YRE-D POSTED Es ONO SERA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PAR L 0 0 OMPLETE EXEMPT FXP ALLOWED PROPOSED ALLOWED PROPOSED LO COVERAGE REOUIRED SETBACKS (FT.) PROPOSED SETBACKS I".) REAR NEW ALLOWED PROPOSED FRONT SIDE R5Aq FRONT URSIDE C] ADDITION COMPLIANCE On CHANGE OF USE PARKING LOT AREA L""', DATE 0 14EMODEL 0 SIGN FEQ'D I PROVIDED 0 REPAIR QFADIN. 0 1 CCE 'ENCE X E.AEKB 0 DEMOLISH TANK o OTHER n GARAGE r-1 RETAININGWALL 0 RENEWAL CARPORT ROCKOY DESCRIBE WORK TO BE DONE 4& CHECKED By "IT' AL F'TK SPECIAL WSPE QUIRSO 0 El NUMBER i'A7 BE PLAN CHECK FEE PLAN "ECK FIE G I I HEAT SOURCE LOT SLOPE I f BUILDING BUILDING - PLAN CHECK NO: VESTED DATE L A C C K N 0 .'ZE. PLUMBING PLUMBING MECHANICAL MECH�AMCAL PERMIT TO THIS PERMIT AUTHORIZES ONLYETHE WORK NoyTEO COVERS WORK TO H '.p E T T H 0 L T E W M "' ON THE PUBLC 'E A ATE PROP PITY ONL � A C6NTHIS 0 N BE DONE ON PRIV STRUCTION T B. p T 0 P B IV E M MARQUEES, ETC.) WILL REQUI E GRADINGIFILL - L K I V 5 OMAIN (CURBS, SIDEWALKS, DRIVEWAYS' N U R I. W A 'IN UB A MISSI :3 SEPARATE PER ON. E P A B A T E STATE SURCHARGE PERMIT APPLICATION: 180 DAYS P R I T A p p L I C P PERMIT LIMIT'. I YEAR 'PROVIDED ORK IS STARTED WITHIN 180 DAYS B.""T LIMIT I Y A P. V I B .I, in SEE BACK OF PINK PERMIT FOR MORE INFORMATION SEE BACK OF PINK p rACKNOWLEDGE ENG. 8EVIEW FEES =0 INSPECTION FEE ' HER pOUl ll,,AIKIGN� AND SUCCEED" 'A PLICANT ON BEHALF OF HIS OR p CITY OF '.E."'Y �Nlgll.. N IE AGREES TO DEFEND HARMLESS THE I R , T PY E N Ey C IN INTEREST :TS EMPLOYEES. AND AGENTS FROM ANY AND 'MM"�G TlTsprcrom'KE 0, IT OFFICIALS, H . N 'S S. EDMONDS, WASHINGTO OFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY GE� G G S ALLCLLAIMS FOR DAMAI E5 BE TH EAMIT SHALL NOT R ES T p EMIT Y REISS FROM THE ISSUANCE OF THIS EE.1!' ISSUANCE OF IS PANYCIT ORDINANCE PLAN CHECK DEPOSIT W W. 0 R ED. AN RED IREMENTOF E T 0 1 . WE 'UCE Y 9 0 , 'on FEE U EEMEDTOMODIFY, A B 0 - " F. - 'L'T C Ty . A TO ENFORCE ANY ORDINANCE PROVISION' CITY'S ABILITY I L' IT NY WAY THE 0 NOR LIMIT IN ANY WAY THE NOR - INA TOTAL AMOUNT DUE THAT I HAVE READ THIS APPLJCATION� THAT THE INFORMATION I HEREBY AGENT OF OT, THE E GIVEN IS CORRECT: AND THAT I A. TMECOWNER B�L RAUIR.TiINI�ED CO.PL CONSTRUC Y W, '. CITY A 6 S ATE LAW 'GULA 'DW 'TH CALL THE OWNER I . To IN lAGIlEE.TE0W.0,-pL . TION: AND ING I,, A TH E,ZD TREGEBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTI, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. SIGNIi"� (425) -A---- AD ITIN TUBE (OWNER TAGINT DATE , C)G xv 771 -0220 EXT 333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 A FINAL INS ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- P RANTED. UBC SECTION CATE OF OCCUPANCY HAS BEEN G 109 FAX .96 PER UBC 108/FINAL INSPECTIC VALUATION FEE C��q- / �q's;-v APPLI 6�'j T"' ­.� '-P'�� :d.p. P.. FFICIAL NAT DATE ELEASSD By L") 14L', L, I ORIGINAL-5iLE YELLDW -INSPECTOR PINK - OWNER GOLD � ASSESSOR FIX4, FR JECT APPROVAL FORM TO: DATE: MAR 2 S 2901 MEMO TO: PERMIT COORDINATOI;� BUILDWqPMSION 1 1H. F, C', FROM: IREDEPARTMENTI)AA-2-- --'L iNGINEERING DIVISION DATE— z DIVISION DATE— —PLANNING PROJEO� ERff m SITE ADDRESS—�E�� 0 02 PERMIT ADB#___________-PATE INS PECTED MZ g) ­4 OF WORK TO BE INSPECTED-&-� C 2 > -4 CX DESCRIPTION Ca A field inspection was conducted to detennine courpliance with approved plans. Final approval denotes that 0 -n there are no objertions from the above si gned Departnient to the granting of: m m 055 Final approval ofthe described work I- om FINAL PROJECT APPROVAL C: 0) M 0 Z ;U GRANT PROJECT APPROVAL WITH CONDITIONS NOTED > z z FINAL INSPECTION OUTSTANDING ISSUES 0 i 0 m 2. 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvWoc.1:temp:b1dg*=6/98 ROFILM FINAL PROJECT APPROVAL FuRNx TO:— MA� 2 8 2001 DAT&— CITY cl- MEMOTO: PERMIT COORDINATOR, BUILDING DIVISION FROM: I�FIRE DEPARTMENT DATP GINEERING DIVISION DATE---------�- E— PLANNING DIVISION DAT Ac PROJECT V1^ 6 /-1 "k-/d SITEADDRESS—?S PERM . IT #_64.���ADB#________-DATE INSPECTED 3 2,3 DESCRIPTION OF WORK TO BE INSPECTED th approved plans. Final approval denotes that A field inspection was conducted to detennine compliance wi there are no objections from the above signed Department to the granting of approval of the described work GRANT FINAL PROJECT APPROVAL GRANT PROIT APPROVAL WITH CONDITIONS NOTED —FAILED FINAL INSPECTION - OUTSTANDING ISSUES 2. 3. RE_INSPECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL MICRoSUA ocaprvi.doc.l:temp:bldg:forms6/98 z 0 R1 4:9 m M a 0 80 a M M z jo --I 0 n mm a 0 0 C mm 9 co M 0 Z r- z z 9 0 m FINAL PROJECT -APPROVAL FORM T 0: Ile d DATE: INAT BUILDING DIVISION MEMO TO: P77r FIRE DEPARTMENT DATE FROM: ENGINEERING DIVISION DATE — PLANNING DIVISION DATE — PROJECT SITE ADDRESS — PERMIT # fZ 3 /0./. �M�.ADB#__----DATE INSPECTED DESCRIPTION OF WORK TO BE INSPECT ine compliance with approved plans. Final approval denotes that A field inspection was conducted to determ there are no objections from the above signed Department to the granting of: Final approval of the described work GRANT FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED FAILED FINAL INSPECTION - OUTSTANDING ISSUES 3. ___yE-INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL MICROFILM ocaprvl.doc,l:temp:bldg:forrns6/98 z X C m m 0 0 80 C M M z 10 0 -n 'n m M 0 Vi 0, 0 C M 0 Z .'T X z z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................ FOUNDATION: Footing ............ wall ........... Pier/Porch ................. Relamirig Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in , .................. Commercial Final HEATING: Gas Test .................. f Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING ........... FRAMING .............. FIRST FLOOR FRAMING INSULATION Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION 3 MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ................. z j M M M 0 0 ITI M -10 c 0m, -n MM a v;: 1 0 0 Fn C: co M0 Z, M - I -"-' DATE RECEIVED 5- 1 '20 1 PERMIT EXPIRES - - CITY OF EDMONDS PERMIT ZONE ILI NUMBER CONSTRUCTION PERMIT APPLICATION SUITEIAITI OWNER NAME/NAME OF BUSINESS PI -AT NAMEISUBDII SION NO� _ID No. 17 LID FEE $ MALINGADDRESS G STREET MAP PUBLIC A' HT 01 WAY PER OFICIAL EXISTING — PROPOSED 0 CITY ZIP TELEPHONE 9�3C>lu-CO REOUIREDDEDICATtCN— IT SIZE NO. .1 FIXTURES C) Cl A V ACQUIRED NAME c, METER I 'LINIS'll I YES 0 oo ADDRi �SS \C\ PaG, REMARKS OWNER/CONTRAGTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ITELEPHONE ,�c&" L c, m-A NAME 6 T k -E NGINEERING 0 ADDRESS z E RE -;7co 0 ly ,CjTELlPH.NE clCI Y ZIP I'D ,II's m f 2ATE E A OU / VARIAN[E ORO' SHOSILINE Oil A1111 INSPECTION A.. C zoT�-. S T UCENSE NUMBER fVAAVN OYES ONO FEll REVIEW FEBA ArI EW SIGN AREA HEIGHT PROPOSED PROPERTY TAX ACCOUNT PAR EL No - �-- 0 j --/ - 0 7'3 LET E C.C. I Q.ILLII .... IT M, Exp .A.Xl.pLE ALLOWED PROPOSED ALLOWED, 0 m c IT, LOT COVERAGE T OVERAGE L. , REQUIRED SETBACKS(FT) PROPOSED SET ACIS IFTI FRONT UPSIDE REAR 0 0 $4 NEW A SIDENTIAL oW G FADPD� ALLOWED PROPOSED FRONT SIDE BEAR 0 ADDITION n COMMERCIAL o C MPLIANCE OR CHANGE OF USE 3: M m z ___pARXl_N_G____FL T AREA PLANNING REVIEWED BY 0 AEmoDEI APARTMENT n SIGN REQ'D I PAOvIDEDj., 2-4 z 0 REPAIR 0 GRADING Cy. n FENCE X FT) -REMARKS > 0 OTHSP 0 DEMOLISH TANK oGARAGE E3 RETAINING WALL 0 RENEWAL om r CARPORT ROOKERY F ON oCCU NT ODA oC-u` GAou'!�T GRouF)2 CL MITI NUMBER OF N111CROF .W.LL A. G G A zj Ep SIC JA JONSTRUCTION QCCIJ FT LOAD 0 0 Fn STORIES NU E _ URS ABECIALINOCTOR CURED YES c CD DESCRIBE WORK TO BE DONE REMARKS M 0 PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQ.'D 5 A6TA v C_cN_:HpCcp UPANCC A LA-L — I VALUATION FEE z PLAN CHECK FEE 00 HEAT SOURCE LOT SLOPE I BUILDING 0 m PLAN CHECK NO: PLUMBNG MECHANICAL ",S.pE.�0M.ITAUTPH�o,�IIEIONLIT.�llo�KN.TED,T�l��E..IT�.IE.�...Kl. Y E SON VATS PROPERi CONSTRUCTION ON THE PUBLI GRADINGIFIl-L 2 DOMAIN JCURBS, SIDEWALKS, VEWAYS AROUEES. ETC.) WILL REQUIRCE BRI :1 SEPARATE PEOIBBION. STATE EUAC�AA.E PERMIT APPLICATION: 18DDAYS PERMIT UMIT, I YEAR - PROVIDED WORK IS STARTSD WITHIN 180 DAYS ENO. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS A INSIECTIO N FEE �5 0 Oil TO INDEMNIFY. DEFEND AND HOLD IN NTER5ST� AGREES HARMLESS THE CITY OF FROM ANYAND 5�6;;AP.G p 2 EDMOND&WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS ALLC�IMS FOR DAMAGESOF WHATEVER NATURE,ARISING CRECTLYOR INDIRECTLY 1. OF THIS PERMIT SHALL NOT BE TMPM ' DEPOSIT FROM THE ISSUANCE OF THIS PERMIT ISSUANCE 0 OR SEDUCE ANY REQUIREMENT OF ANY CT OSEMEDT MODIFVWAIVE PLAN CHECK , 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECE% + TOTAL AMOUNT DUE I HER98Y ACKNOWLEDGE TH READ THIS APPLICATION; THAT THE INFORMATION AT: HAVE APPLICATION APPROVAL GIVEN IS CORFECT� AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF , ..�pjj,Xtj.,j$­, t V�t I 119md by tho Th P"' THE OWNER, I AGREE TO C LY WITH CITY AND STATE LAWS REGULATING CONSTRUC. OMP 'PALL [ding OBjFI,I,, hi-er O.pdli ... ... TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED WASHINGTON RELATING TO FOR INSPECTION .­Ipt i­k­I.dl6dI- -Pg-- Pl-vid.d. IN VIOLATION OF THE LABOR CODE OF T14E STATE OF AND ROW 18 27 WORKMEN S COMPENSATION INS AG TI DATE (425) SIG NlEk� SIGNATURE (OWNER OR EXT 333 ATTENTION c �'_ llll�_� I 1-t �5-- 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 INSPeCTOA CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR