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20000931.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/N ME IF BUSINE S AAV �..' W""! 1,-"5 MAILINGADDRESS C CITY 'UNE ff IT' -5 7 75 5 3. NAME ADDRESS G�Ty N N ME AME ADDRESS 0 C C, ITY T� STATE LICENSE ZIP ITELEPHONE 1 PERMIT EXPIRES 90 — -BE PERMIT 2C091m. Z.1,tE 4S&, NUMBER JOB SUITE/APT# ADORESS'g��03q' t4+1 1'7 � �J/) 4-1VOil - PILfiT NAMEISUBDIVISION NO: U NO. _LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED - REQUIRED DEDICATION — METER SIZE LINE SIZE NO, OF FIXTURES 'ITV EQUIRIO I I YES 0 NO 0 REMARKS ­111—MIRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE FIRE REVIEWED By DATE ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADS. INSF EXPIRATION 'd --- 4DO A9&I SERA REVIEW SIGN AREA HEIGHT 0 COMPLETE EXEMPT I ALLOWED PROPOSED ALLOWED PROPOSED eV71 vz IlXP 12- 1 67. & 0 NEW 0 PLUMBINGIMECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS fFP) FRONT SIDE REAR PROPOSED SETBACK$ (FT.) F US SIDE REAR PONT 0 ADDITION o C MPLIANCEOR CHANGE OF USE PARKING LOTARSA DA E 0 REMODEL R SIGN PROD I PROVIDED / 0 REPAIR C] RADING CYDS 0 FENCE X FT) REUPH" C] DEMOLISH 0 TANK C3 o GARAGE ARI.._O RETAIINING WALL ROD ERY C] RENEWAL CHECKED 8 TR UIC C 0 u NT GROUP NUMBER NUMIT'S' F DWELLING ARMCA C L SEAS 8 ECIAL I OCCUPANT LOAD OF STORIES N D REQUIRSIM DESCRIBE WORK TO BE DONE REMARKS OGRESS INSPECTIONS PER UBC 108/FINAL INSPECTI A VALUATION FEE PLAN CHECK FEE HEATSOURCE GLAZING I LOT SLOPE % B LOING PLAN CHE 1 0: P UMBING ECHANICAL THIS PERMIT AUTHOSIZ ONLY THE WORK NOTED� THIS PERMIT COVERS WORK TO RIV;Z 'ONE ON PRi PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGtFILL D 5 WAY 5 DOMAIN (CURBS. SIDEWALKS, DRIVE S, MARQUEES. ETC.) WILL REQUIRE I SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATI N: ISO DAYS PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, REVIEW FEES ;A PLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS I EMNtFY. DEFEND AND HOLD HARMLESS THE CITY OF N INTEREST. AGREES TO :N EDMONDS, WASHINGTON, TSOFFICIALS.EMPLOYEEELANDA ENTS FROM ANY AND ��.LtjnS,�GRDAMAGESOFWHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ­9 nF THIS PERMIT. ISSUANCE OF THIS P ERMIT SHALL NIT 81 F ANY C'T'.R.'NA�G' ROMANCE PFOVISION� ENG, INSPECTION PEE N P E PLAN Cl ECK DEPOSIT TOTAL AMOUNT DUE o 0 R CEIPT - 0 RICEG id? 2 'H REGY ACK LEGG' THAT � HAVE SEA THIS APILICATJON� THAT THE INFORMATION Gl= S C.S'.'ECT AN. THAT AM THE ODINER. OR THE DULY AUTHORIZED AGENT OF THE OWNER U�ITII Cl Y AND STATE LAWS FE.LLAHN. C.NSTRUG I AGR,,TOCOMILY T1.1 AND IN GOING THE WORK A HOSIZED THEREBY, NO PERSON WILL BE EMPLOYED DILATION THE STATE OF WASHINGTON RELATING TO IN VI COF THE LABOR CU;NOFE AND RCW 18,27, WORKMEN'S OMPENS APPLICATION APPROVAL CALL B'il Tb,, ppl­j­ I, uAld l,bld by tho d'ba Offi-i b, h',­ O.wv; .,,P F­­ P.,d� FOR INSPECTION ­k­wIbdl.,I IP p—ld- OFrICI E DATE (425) 771-0220 ELEASED By ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 EXT1333 771-0221 FAX At ORIGINAL - FILE - YELLOW - INSPECTOR PINK - OWNER - GOLD - ASSESSOR 5S8 z 0 M c m 0 o m 0 -n rn m 0 m m ol z z m FINAL PROJECT APPROVAL FORM DATE: MEMO TO: PERmrr COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTNIENT DATE— ERING DIVISION DATE— z 0 WNING DIVISIONDATE PROJECT----1526--� Z2L11qd)TAi5 ni M 0 0 80 SrIE ADDRES C PERMIT #,ALZg �_ADB#V ')_-�DATE INSPECTED— M M z 10 -1 DESCRIPTION OF WORK TO BE INSPECTED—!��-J-A)- C Z A field inspection was conducted to determine compliance NNqth approved plans. Final approval denotes that o -n -n there are no objections from the above signed Department to the granting of M M Final approval of the described work M4y 2 8 0 2 M. -GRANT FINAL PROJECT APPROVAL 9 CD M 0 PROJECT APPROVAL WITH CONDITIONS NOTED z __jGRANT Cl) z FINAL INSPEC TION - OUTSTANDING ISSUES 0 i 0 M 2. 3. ___RE-INSpECTED OUTSTANDING ISSUES GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:forMS6/98 , m 7- �7, _.i DATE RECEIVED q lot,) PERMIT EXPIRES --2Za-Q— .. PERMIT CITY OF EDMONDS Z-B NUMBER CONSTRUCTION PERMIT APPLICATION jos SUITE/APT� ADDRE.SA_ -7 3 �40 OWNERNAMEN MEOFBU 'jU Lq q NOS PI NAMEISUBDIVISION NO. LOT NO! NO, LL�O Alt.. I FEE S MAILING ADDRESS Av�e 5vAs 117 PUBLIC, FIGHT 01 WAY PER OFFICIAL STREET MAP 0 A ­11"u".b 00 -CITY (_jyOV'(A ZIP EXISTING — PROPOSED— 00 ITELIPHONE F_ 3 ^,A A,, 495 7_155-3:1 REQUIRED DEDICATION— FT — —ci I "NAME METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED I YES El NO 13 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAMh'n�cll 1) 01 ENGINEERING ­Vth1tw3ATE ADDRESS FIRE REVIEWED By DATE 0 CITY ZIP TELEPHONE z 10 _jTATE —LICENSE VARIANCE OR CU SHORELINE OR ADB� INSPECTION BOND NUMBER EIPIRATIONOA�j GIICKIDIY ;?'qaj�4 ED )< POSTED SEPA REVIEW _q SIGN AREA T PROPERTY TAX ACCOUNT PAR COMPLETE EXEMPT PROPOSED ALLOWED PROPOSED &/ 7 EXP I 12-3 q. 1q"1_ LOT COVERAGE REQUIRED SETBACKS 6T PROPOS SETBACKS (FT.) rn 0 NEW SIG NTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE RE AS FRONT L/RSIDE SEAR m a 0 ADDITION COMMERCIAL T�AEPARTEMENT COMPLIA CEO CHANCE - - , 8 0, PARKING LOT AR C3 REMODEI SIGN D PRO I E 3: M F NCE GRACING GYDS REPAIR 0 ('_ X FT) EMARKS JO C] DEMOLISH 0 TANK o OTHER 16 > GARAO' GARA E RETAINING WALL CARPOORT R.GK'. 0 RENEWAL CARPORT A. T PE 0 US BUSINESS OR ACTIV YPE 0 C4 If HE KED BY TYPE _n 1 NUMBER NUMBER 0 F CRITICAL SPECI AL 'NSPE CTOR R, 10 WELLING AREAS. NUMBE JAREA FE.. IRED YES 005, SO I WO To DESCRIBE WORK TO BE DONE RE ARKS OGRESS INSPECTIONS PER UBC ON R a 0 c P M C) x V _j 12 4&a6&_&o z ,A JUIA 1.4 z VALUATION FEE PLAN CHECK FEE z HEATSOURCE GLAZING % LOT SLOPE % BUILDING PLAN CH VESTED DATE PLUMBING MECHANICAL I THIS PERMIT AUTHORIZES ONLY THE WORK NOTEM THIS PERMIT COVERS WORK TO =1 BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 91 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE GRAOING/FILL SEPARATE STATE SURCHARGE PE EMIT APPLICATION: 160 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED W ITHIN 180 DAYS ENG. REVIEW FEES SIZE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS THE CITY OF INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS N ANYAND WASHINGTON ITS OFFICIALS EMPLOYEES AND AGENTS FROM INS FEE 2 EDMO ALLCILAIMSFORDAMAGESOFWHATEVER NATURE,ARISING DIRECTLYOR INDIRECTLY SHALL NOT BE x FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 7-V 7' — - 9 0 DEEMED NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE F-1-- C7 Q, TOTAL AMOUNT DUE 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AU111111111111 AGENT 01 THE OWNER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL Thil PPj , p,,.it until,,gPed by thO eum'q OffiP., .' hw­ D.Pu'T ..,, F ... .. p. d. -d TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO --- INSPECTION FOR vdb Tempt is acknowlodgod m spac* PIC d. IN VIOLATION OF WORKMEN'S COMPENSAIIO�� 6FFIC A IONA E DATE _5,I1NCEANORCW18.27, SIGNATURE (OW N (425) 771-0220 ELEASEDBY DATE 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- CATE OF OCCUPANCY HAS BEEN GRANTED� USC SECTION 109 FAX 1 ORIG - NJ ' YELLOW 'NPEOTO' INAL. BOR PINK - OV044ER GOLD - AEB. Sma