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20000921.pdfDATE PERMIT EXPIRES CITY OF EDMONDS PERMIT NUMBER,,�"� CONSTRUCTION PERMIT APPLICATION JOB SUITEiAPT# ADDFESB OWNER NAMENAME OF BUSINESS f I P— NAMIISU601VISIO. NO. LOT NO. LID NO. MAILINGADDRESS V LID FEE S P, 10 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP - P—s B u. 0 Is 0 — CITY ZIP — EXISTING — PROlOSEB_ 0 0 JTILEIHOHI 6 REQUIRED DEDICATION— FT u.­V. " """'ZOLIPED IRV NAME 7!!!=!= YES 0 NO 0 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROEDRAMAGE CITY zip ITELEPHONE NAME -e. -5 ENGINEERING REVIEWED/DATE ADDRESS DATE CITY ZIP TELEPHONE Ft EV'IE AIV 1-3 6 6 _5� I - -7-7-/ __j BOND STATE LICENSE NUMBER 1.1—H—DATE CHECKEDBY . VAIIINCErGU 1111111LINE ORA a. INSPEC116N FE.Q POSTED OYES ONO �i 1:3 6e L I 1 2- .24" 1 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX AC NT P��Cfl_ NO* COMPLE71 EXEMPT ALLOWED PROPOSED ALLOWED 1B.P.B10 qu EXP I , LOT COVERAGE REQUIRED SETBACKS (FT� PROPOSED SETBACKS IFT NEW 0 RESIDENTIAL 0 PLUMBING MECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT URSIDE REAR) 0 ADDITION COMMERCIAL C] 0 COMPLIA CE OR HANDS OF USE 1 PAFIKING LoTAREA PLANNING REVI EDBY DATE 0 REMODEL APARTMENT 0 SIGN REO'D PROVIDED I GRAOING FENCE 0 REPAIR CYDS 0 DEMOLISH TANK GARAGE r-1 RETAINING WALL C] RENEWAL CARPORT I -I ROCKERY p (TYPE OF USE, E�'l I A CHECKED BY TYPEVF CONS 00 PA T C)T _y h nE GRCUP DO NUMBER N.M.Tl'l 0 F GIAELL". CRITICAL AREAS SPECIAL INSPECTOR JAREA -CC UPANT STORIES UNITS R NUMBER R SQUIRED 0 YES IL.A. DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO R OR THE DULY VALVATION FEE PLAN CHECK FEE RCE GLAZING % -L. /- LOT FEY, A BUILDING — PLAN CHECK NO: JESTED ED AT DATE — __ PLU.-NG C I , MECHANICAL . .. .... THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMITCQVtHb ssumm IV I: BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSIOW AC.ARGE MURE�IEW PERMIT APPLICATION: 100 DAYS PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION :��dFECTION FEE ;APPLICANT ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 E MONDS, WAS INGTO , I OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND 5 A LCt-AIMS FOR DAMAGES WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fl. IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE = P M THE ISSUANCE OF T 1 0 REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE I DEEMED TO MODIFY, WAIVE 0 0 N OR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PnOVI SION, LANDSCAPING INSPECTION PEE --tRECEIP ILAN CHECK DEPOSIT T-7 0�0 TOTAL AMOUNT DUE REC7/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION AUTHORIZED AGENT OF APPLICATION APPROVA GIVEN CO RECT, A D THAT I AM THE DIANE IS Co T c �s RU THE OWNER� I AGREE TO COMP Y WITH CITY AND STATE LAWS REGUiAl ING CONSTRUC CALL A C LL Th, S apPli-at— Is ­4 .9-o III Ih. ollIct,l hI I tI`00,tDoD.Iy: aI,d Foos,- ­d—ol D TION; AND IN DOING THEWORKAUTH AIZED THEREBY, NO PERSON WILL BE EMPLOYED o , IATING 0 G IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON HE,., , NS E ONL I P cT' FOR INSPECTION ., ' .,..pt,s o­­IodpX I—P... 11—d- WORKMEN'S COMPENSATION INSURANCE AND 8CW 18.27. A 425 ) OFF �IALS SIGNATURE GAT o F�CIAL' TUBE (o:NER R GeNj� 04TE SIGNED (425) �LE 7 1 _ 0220 771-0220 RELEASED By DATE R E �_TTiiENTION EXT/333 XT CTU U L IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1 991 77771 -0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - iNSPECT4 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5198 FAX PINK - OWNER GOLD - ASSESSOR z Om I= ma 0 -10 mm M z c 0 m C M 0 Z z z 0 m FINAL P -AL FO ROJECT APPROV TO:,, tA&L DATE: — MEMO TO: pERNuT COORDINATOR, BUILDING DIVISION C__' FIRE DEPARTMENT DATE—L)­2 FROM: ENGINEERING DIVISION DATE— z PLANNING DIVISION DATE— 5 M PROJ ECT AAIY\#- U M C M .SITE ADDRESS 0 80 Y,14 ADB# PERMIT# ________PATE INSPECTED Q_ -4 x M �A' V OF WORK TO BE INSPEC TED_L:�� M z J0 C 2 DESCRIpTION > A field inspection was conducted to determine compliance with approved plans. Final approval denotes that 65 there are no objections from the above signed Department to the granting of O"n -n Final approval of the described work M M 065 S GRANT FINAL PROJECT APPROVAL C CD M 0 Z GRANT PROJECT APPROVAL WITH CONDITIONS NOTED z FAILED FINAL INSPECTION - OUTSTANDING ISSUES co z 0 M 2. 3. RE -INSPECTED OUTS TAND ING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp-.bldg:forms6/98 ---- --------------- ------- "BITE RECEIVED DATE RECEIVED [PiERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMISIR"Of-,k9. CONSTRUCTION PERMIT APPLICATION j suITSIAPT�,I ADDRESS I—Ri [PUBLIC OWNER NAMEJNAME OF BUSINESS PLAT NAMEISUBDtViSION NO� LOT No. LI NO, T�j o g �, " LID FEE $ Ic MALINGADDRESS lvN A A 54 RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — SW 1.1 I .A A— - CITY zip E ITILIPHO REQUIRED DEDICATION— FT — METER SIZE 11"I 51ZE 10,OFFIXTURES PRV REQUIRED NAME I I YES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROIJ-- CITY =1..NE NAME �).; q e ENGINEERING REVtEWEDIDATE ADD EBB -si to, F, s"'4 e I - Ft EVIE DATE 1 A 3r /a'e CITY zip TELEPHONE It'n Id e `1 �� '2 7 SLa - 6.6 / , '7 0 1 SHORELINE OR ADBI INSPECTION REoD jP..NDG STE STATE LICENSE NUMBER EXPIRATION DATE C;TD5Y ffVARIANGEtACU E:jY ONO 5 fn �T 7,0 F--5 / 3 &Z T /1-2- SE� A W COMPLETE EXEMPT ------- ;IGN --AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. 0 I , axp EXP NEW C3 PLUMBING MECH LOT COVERACilly, ALLOWED 'Po FFSED — 'REOUI�RTED SETBACKS (FT.) 'R. SIDE REAR PROPOSED SETBACK$ (FT.) FRONT UPSIDE REAR 0 ADDITION ci COMPLIANCE OR CHANGE OF USE " GFIZIE 'HAN,E P KING LOT ARIA PLANNING REV IEwEo By DATE SIGN C] REMODEL 0 SIGN FEaQ PFGVG�. "NO, X FT) n REPAIR 0 GRADING Cyo, 0 �FENGE X FT) -REMARKS HER F1 DEMOLISH 0 TANK —T 0. LTC M RETAINING WALL 0 RENEWAL R oGARAGE CARPORT ROOKERY r CHECKED BY Ty E OF CONSTRUCTION 1�11EJOCCUPAMTg R CUP NUMBER NUMBER ou OF DWELLING "'T'C L CAL S S El A th Cl L NSPE s CTOR GCU .1 LOAD STORIES UNITS NUMB JAREA RP E U EDO . I R YES DESCRIBE WORK TO BE DONE 'I-le� REMARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REO'D A-1 e- 14 j t "!�4 I I I , , VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING LOT SLOPE % . ".'N. PLAN CHECK NO: PLUMBING 0\­1 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT CGVE.S ... Z/ It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC ETC.) WILL REQUIRE DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, :3 SEPARATE PERMISSION. Zd 1: — 2 PERMIT APPUCATION: 180DAYS �GCHAR.E F PERMIT UMIT-. I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS tDWOGEW FUS SEE BACK OF PINK PERMIT FOR MORE INFORMATION M 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS wi �FECTION �FSE IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 E MONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES� AND AGENTS FROM ANYAND A FOR AMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT SHALL NOT BE INSPECTION PEE RECEIPT FLR`OM'THMESISSUANCE OF THIS PERMIT, ISSUANCE DEEMED TO MODIFY, WAIVEOR REDUCE ANY R IJIFEMENTOF ANY CITY ORDINANCE S ABILITY TO ENFORCE ANYORDINANCE PROVISION.- PLAN CHECK DEPOST E 0 x NOR LIMIT IN ANY WAY THE CITY — TOTAL AMOUNT DUE I HEREBY ACKNOWL DGE THAT: 'AVT READ THIS AlPlICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN S CORF�CVANG THAT AM HE OWNER. OR THE DULY AUTHORIZED AGENT OF T 'M-pp. THEOWNER 'A TOC-MPL XHIT.H�C':'ITY AN.STATE LAWS REGULATING CONSTRUC- EMPLOYED CALL B TICK; AND il� .0GM9.ET-E WORK Ayt 60 THEREBY, NO PERSON WILL BE IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO On. FOR INSPECTION rocuipt is acknowl0di) ... p-idpd. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. DFFICIALS SIGNATURE DA rATI,SIGNED IGNAIURE JOWN21 (425) 1 1 1`3 - 771-0220 RELEASED BY -I E ATTENTION EXT/333 - IT IS U NLAWFUL TO USE OR OCCUPY A SU I WING OR STRUCTU RE UNTI L 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. LIED SECTION 109 FAX PINK � OWNER GOLD - ASSESSOR Z 0 0 c In 0 80 c m m Z 0-4 C 0 n M M a 0 0 c 90) A ' M 0 Z Z m