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20000929.pdfDATE IT [PERMITEXPIRES ///.,�Z/o us CITY OF EDMONDS ZONE PERMIT NUMBER �ocqaj __71 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS O�R NAMEINAME OF BUSIN SS �z: L-0 '7 PLAT NAMEISUBDIVISION NO, LOT NO, I'D NO LID FEE S MAILIN&ADDRESS A L PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI EXISTING - PROPOSED 0 0 0 CITY ZIP ��9M o0a-3 3,; j I�E REQUIRED OEIXCATION� FT - um NAMEI�-BC#Aj r toy, o METER SIZE I LINE SIZE NO, OF FIITUR15 PRV EQUIRID Y_ 0 NO 0 7A A DDRESS 02,40 N-E 2,� OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONIROUDRA;NAGE CITY ZIP ITELIPTIONE 605 (,4q - 9-7 NAME Ai 'o /z/fiC7, triNzAl ENGINEERING DATE ADDRESS 0 - (5- 6`� 2,_0eD-. FIRE REVIEWED BY DATE CITY ZIP "EPHONE '�DjAl VaLf 9'607 42�� 5 o t VARIANCE OR CU SHORELINE 013 ADB# NEE.GTION OYES k. 'SON". I OSTE STA CEHSE NUMBER EXPIRATION VAI h q c-, -3-3 'd IHE X...T $EPA REVIEW COMPLETE I EXEMPT E. t) P _SIrNAREA R, PROPOSED AILOWE HEIGHT ALLOWED PROPOSED PROPER>;YT�764 0 0 NEW RESIDENTIAL 0 PLUMBINGIMECH o C MPLIANCE OR C3 ADDITION 0 COMMERCIAL CHANGE OF USE LOT COVERAGE ALLOWED PROPOSED IN/,k IA/A RE SETBACK$ (FT.) FRONT SIDE HEAR f I r PROPOSED SETBACKS (IT) FRONT UVSIDE NEAR sc)1_9761 ( PARKING T AREA REV 1W T, REMODEL APARTMENT 0 SIGN lIEOQ_ I PROVIDED 1-3111 t% vRt FENCE GRADING CY.. 0 ( X ITI REMARKS o OTHER DEMOLISH C3 TANK ARAGE RETAINING WALL RENEWAL ROCKERY 0 YFE !S!.' ... S HE BUSY TYPE ;TRUCTION 0 C CCUPANT. GROUP UMBER OF STORIES �Al_INSPFCTOR REQtIRED YES JAREA ICIUPAIT LOAD DE RIB KTO ME. _77) REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG 2�:' X i � i JC- 4 JbV U2LLILko PLAN CHECK FEE LOT SLOPE I BUILDING 'oo PLAN CHECK NOt,,,-, PLUMBING C)( -) - 11 MECHANICAL ' THIS PERMIT AUTHORIZE'S ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO HIS PERMIT AUTHORIZES ON' BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC E , ON PRIVATE 'Ro B Do GRADiNG/FILL M I R S , WALKS, DRIVEWAYS, MARQUEES, ETC�) WILL REQUIRE DOMAIN (CURBS, SIDE o ,I SEPARATE PERMISSION. t: STATE SURCHARGE PERMIT APPLICATION: 180 DAYS R. PERMIT LIMIT. I YEAR 'PROVIDED WoR S STARTED WITHIN 180 DAYS PE F, K I ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION f ENG, INSPECTION FEE 'R 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTE EST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF R AGENTS FRO. ANYAND kft&Se�NG _s-,00 T. E a, . C W S I IT ON I EMPLOY ES, AND 2 NDS, WASHINGTOK ITS OFFICIALS, CM Mo SLLCLA'MS ARISING DIRECTLYOR INDIRECTLY N6R�.E BE FOR DAMAGE S oPMATEVER NATURE, ALL CLAIMSFoRD OF TH ISSUANCE OF THIS PERMIT $HALL NOT BE OF TH, CE AE So IS .MIT PLAN CHECK DEPOSIT 00 fe.- No. THE ISSUANCE FROM THE ISSUAN OR EDUCE N REQUIREMENT OF ANY CITY ORDINANCE _bIPO TO .."Y W 'V� o' CS C.IY A Y ENIED To - �WAW` 'MITIN EC SASRL'TY TO ENFORCE ANY OR qNOR L AYW Y TH Ty� TOTAL AMOUNT DUE RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT, A D THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT 01 N LAWS REGULATING CONSTRUC- CALL z, 1 , pe-I Rfit,�glld by IhO THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE ILL BE EMPLOYED N PERSON TION; AND IN DDNG THE WORK AUTHORIZED THEREBY, CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION R,pI,k ... Idged in SpaCe pfVpdOdg IN VIOLATION OF THE LABOR WORKMEN �E.OMPENSATION INSURANCE AND RCW 1827 OF ICiALS SI NATU DATE (425) Y� :21GNED Al W.hl;6 �W_l/ _1V 771-0220 E"ASE BY __�iTENTION EXT 333 2 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OnlGINA -FILE - YEL-1 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR 5,98 z 0 0 m rn 0 80 c -4 c X M M z 10 -1 0 n -n -4 � , I 2: m m 0 0 0 M 0 z f z -4 co z 0 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ............ wall........................ - Pier/Porch ................. z 0. Retainirig Wall ........... 0 M Stab Insulation .......... PLUMBING: .4 9i, Underground ............. M C ITI 0 Rough -in ................... -4 0 0 i C Commercial Final f,0 HEATING: C Gas Test ............. > E: Gas Piping ........... :� — i -1 0 -n Equipment ........... Commercial Final M ITI 00) EXTERIOR SHEATHING 0 NAILING .......................... 0 M, FRAMING ........................ 0. FIRST FLOOR FRAMING ;a INSULATION ................... Floor Insulation z Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. '0� -p 11f,", ATE 0 EXPIRES zo CITY OF EDMONDS Jo CONSTRUCTION PERMIT APPLICATION JOB N ADDRESS AD PERMIt N E b NUMBER Zp2UITllAPTl D F"S OW R NAMEINAME�OF BUSINESS Lo PLAT NAMElSUBGjVEt0N NO. N., LID NO, LID FEE 5 PMAILIN ADDRESS -71/ LD E-P— R OF PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP XISTING PROPOSED E X, ROPO 1EQUIREDDEDICATION_ FT I D' A N_ TESCP App 0 0 0 .A " E3 0 ....... 0 CITY ZIP 0_ 1 METER SIZE LINE E, ZE LINE SIZE I NO.OFFIXTUIIIS PRV REQUIRED YES 0 No 0 1 I �ADDRE NA I C, NA.ff R ARK EM S REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE R ESP., l CT� S wE jZl' . II f /kL��lrr/014 "T" l7v _ - B�lho. CITY ZIP NE V C) ITILEP11 'q;�4a Z , 4�E "i _5 NAME H I A/ /I Al C ADDRESS 0 FIRE REVIEWED BY DATE r 0 CITY ZIP TELEPHONE 42,1 VARIANCE OR CU Fic SHORELINE OR AOB# INS mr, BOX LICENSE NUMBER YES POSTED riqu 110 SIGN AREAO HEIGHT "q c- I SEPA REVIEW ALLOWS ) PS POSED ALLOWED PROPOSED -ROPE CUNT PARUEL NQ. COMPLEIE EXEMPT I I k1j. EXP v4s, I COVERAGE LOED REQUIRED SETBACKS FTJ FRONT SIDE REAR PROPOSED SETBACKS ET GE FEAF�) FRONT U(t SID, 0 NEW RESIDENTIAL 0 PLUMBING / MECH NOE COMPLIA R ALL OWT PROPOSED /A t I Ir I 9,011 s I., �61 9yeo 60 01 ADDITION 0 COMMERCIAL 0 C OF AN.. USE PRING L6rAREA PLA BE �,ly 0 REMODEL C] APARTMENT 0 SIGN 'R ED 1 1 1:;,� � ;E REPAIR 0 GRADING CYDS FENCE X FT) DEMOLISH TANK OTHER H 'k-S, ZT;ly I 0 GARAGE C] RETAININIG, WALL CARPORT ROOKER C] RENEWAL CHECKEDBY TYPE OF CONSTHUQ- P ".. -NUMBER NUMBER 0 F OWELLIN a ... L 'R A BE S INSPECTOR AREA PA T OST'O A I E S E� UNITS HUM RPECIAL EQUIRED 00 YES REMARKS PROGRESS INSPECTION$ USC 108/FINAL INSPECTION REO'D ILLI VALUATION PLAN CHECK FEE HEAT SOURCE LOT SLOPE I BUILDING PLAN CHECK NO: 10 DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC�) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARGE P5 M IT APPLICATION: 1110 DAYS PERMIT LIMIT.- I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS THE CITY OF ENG, INSPECTION FEE IN INTIREI.T 10T.O NGEMNFY, DEFEND AND HOLD HARMLESS =T :T F4 CIALS. EMPLOYEES. AND AGENTS FROM ANY AND -.09WING IN E 's-00 2 ED"N " . IF ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE, ARISING DIR ILI SHALL NOT BE L4 (o. FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT DEEMEOT MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ANYORDINANCE PROVISION PLAN CHECK DEPOSIT RECPP 0 IN OR LIMIT IN ANYWAY THE CITVSABILITY TO ENFORCE A A OUNT DUE Tl 0, L 2- ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL I HERESY IS NT OF GIVEN CORRECT. AND T AT I AM THE OWNER, OR TEE OU"Ly�'UIHORINI.ED AGIT Thl, appl,111111 Is I nil ��pod by;hl EONS R THE DINER, I AGREE TO COMPLY WITH CITY AND STAT LAW E.LILA, UC. CALL B0,11,9 OfficKI �l li p.1y,.Id Foo ,, paid. a�d ' 0 TION, AND IN DOING THE WORK AUTH RIZED THEREBY, NO PERSON WILL BE EMPLOYED RELATING TO FOR INSPECTION 1,1 jk.Hd9.d m.P pl.vId- IN VIOLATION OF THE LABOR CODEOOF THE STATE OF WASHINGTON DATE WORKMEN" ��MPENSATION INSURANCE AND RCW 18.27, 01 IMALSSCINATi-P E I.N�. g (425) - won DATE 21/ 771 -0220 BE BY A,T,,TENTION EXT 3;s;j 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 - INS- GOLD . ASS' CATE OF OCCUPANCY HAS BEEN GRANTED, USC SECTION 109 FAX PINK � OWNER 519B z C, rn c m 80 c: MITI 0 -n n M o F" C (a ;u z -4 co m