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20000935.pdfES USE PERMIT 233�� CITY OF EDMONDS ZONE —S Is NUMBER CONSTRUCTION PERMIT APPLICATION '08 1 ') SIJITEJAPTN ADDRESS A\Lf (,-, NAIVE .1 BUSINESS PI -AT NAMEISUBDIVISIO LOT NO, U NO, (v\f.L'cA 11. FEE MAILUNG ADDRkSS A N P D P US Szo L'CAT'ON 'AoD E N 8 D E RIESS IV I NA US �I�ION NO HT OF WAY PER 0 'POP, C I'D LED A FLA MES P C GHT OF WAY PER OFFICIAL STREET MAP w, �opn`.,.Ld UBLIC Rt TING Sj­1 U, P.— R�d N EXISTING PROPOSED — CITY REOURED D I N U,;.g Z" L .,d REQUIRE _N'. _ E."ATI.N_ F1 EZ PRY REQUIRED NAME METER SIZE LINE SIZE I NO. OF FIXTURES YEE 0 �. 0 AEMARKS .WNE N ADDRESS F—IN-1 I FOR EROSION CONTROUDRAINAGE _TT LEP 0 1ITV ZIP ELEPHoNE NAME VLI ADDRESS J4 NEW 0 ADDITION 0 REMODEL 0 REPAIR 0 DEMOLISH GARAGE CARPORT STORIES DESCRIBE WORK TO 11 FIRE REVIEWED By DATE zip TEL; NE TELE !0&=f-7- -7 — 1( VARIANCE OR CU SHORELINE On A... INSPEC�ION RED 0 YES NO P5.oSNED A NPIRATI N DATE It b K J'IKED By T COMPLETE EXEMPT SIGN —AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED Ld PARCEL NO. E I I , 'P.SI.ENTIAL ILL..I.G I IVEC. LOT COV1131GE ALLOWED PROPOSED REQUIRED SETBACKS FRONT SIDE REIR PlopoS D 118ACK`5 (FMI FRONT EURE'DiE FEAR COMMERCIAL COMPLIANCE On E oE CHANGE OF USE U 'A PARKING LOT AREA LOT AREA REVIEWED By DATE PLANNING REVIEWED By PLANNING APARTMENT C] SIGN D I PRO".. FENCE FT) EVAF­ TANK o OTHER 0 R1TA,1NIN6WALL EWAL R.0 Eny C3 FEN ;OR ACTIVITY) EXPLAIN: CHECKEDBY ON occu �O JA�E� I 1U11E.111 CRITICAL ARE E _ SPECIAL INSPECTOR UP C L NEFECT.. AREA" AREA t:FT.I.�11E.I. I AUTH091ZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO D ON PF'V NE ATE PROPERTY ONLY ANY CONSTRUCTION ON THE PUBLIC ICUP..' SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE M SEPARATE PERMISSION. t PERMIT APPLICATION: 180 DAYS PERMIT LIMIT.- I YEAR EDWORK IS STARTED WITHIN IUD DAYS SEE BAD K 0 � FIRNONIDE A MIT FOR M 0 R E IN FO R M AT] 0 N N BEHALF h-APPILICA.. F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ! FEES T ,,ON 3EHAL I p TER 'Ti.oA RIES T ;N N E!IWAS �TND NIFY DEFEND AND HOLD HARMLESS THE CITY OF EM 2 EDMONDS. HINGTON, S OFFICIALS. MPLOYEES. AND AGENTS FROM ANY AND OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY S PERMIT SHALL NOT BE OF ANY CITY ORDINANCE ORDINANCE PROVISION.- REQU [] YES REMARKS 'c' - HE 52 up ECTIO REQ'D E PROGREPAMEMTM FA r. 1 !,gMater �system Regardless of whettior iho water system :::�F' UXpansion tainKs are Zrc: bet ta�� Y."40F C& Qode- ECrj(, 11�6M(14i:4_ VALUATION CHECK F-EEE FPLAN BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE END REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RETI T I HEREBY ACKNOWLEDGE THAT I HAVT THIS APPLICATION. THAT THE INIO NATION APPLICATION APPRO L 'READ GIVE IS CORRECT; AND THAT I AM HE OWNER, OR THE DULY AUTHORIZED AGENT OF N G CONSTRUC� LAWS REGULATIN CALL ­1 p,,,It u�lil �Ipld by th, F1­11 P11d. - ,IT, THEOWNER I AGREETOCOMPLY WITH C1 Y AND STATE TION, AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF WASHINGTON RE ATING TO FOR INSPECTION d. D 'Pu" ,I —p—b.b. IN VIOLATION OF THE LABOR CODE OF THE STATE WORKMEN S COMPSNW, IONiNSURANCEANORCY111311, FFICtALSSIGN URE DATE (OW]E:2FT DATE S (425) (7TUPE 11'71 (__1 771-0220 R EASE. By ATTENTION EXT/333 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 - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. U13C SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR Sf98 Z :q �n 0 rn rn __IO 00 c x rn M o -n n -4 3: rF1 0 0 o c 0) Z -4 Z 0 M ... ....... RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ........... A .......... Wall .......................... Pier/Porch ................. Retaining Wall Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................. Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR SJ-P -I OCCUPANCY .................. '00' z M 0 M C ITI 0 0 C:: M 10-4 0 III rn a ra, 1 0 F 0 n a M 0 ;Zl z 0 ITI [PERMIT EXPIRES I.. PERMIN, CITY OF EDMONDS ZONE f_--s S "MS CONSTRUCTION PERMIT APPLICATION 'A'D'D A E 6 S 1-D I l5s 05 -9v�4n Nx c�_) �jITE/APT� N R NAMENAME OF B PLAT NAMEISUBDIVISION NO. I LOT NO. ID NO. MAILING ADDRESS LID FEE S 0. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T'-'l.'l-'P'R_l.'­ V.. P._ F.�� I EXISTING — PROPOSED — CITY ZIP FE.LIR�..E.I.ATI.14_ IT PRV REQUIRED METER SIZE LINE S17E NO. OF MIXTURES 0 NAME I I YES I. No 0 z wl KS Ly"Aw _Jj�v It I ( X'4�� ENGINEERING U' FIRE REVIEWED BY DATE zip R1514'tp � 19-7 E LICENSE NUMBER r .EN.E NUM iERTY TAX ACCOUNT PARCEL NO. X Y T�_ 2� TELEPHONE EM-1 N DATE g0lY, ah(d VARIANCE OR CU SEPA REVIEW COMPLETE EXEMPT -SHORELINE OR ADBO INSPECTION BON 0 REQ'D POSTED E3Y5S MING SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED ") 72,(, t-)n --) rY-)'; / ('-) — EXP I I __ . , FT ONEW 'VpE.I.ENTIAL PLUMBING I ME.. ADDITION 0 COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL APARTMENT C] SIGN C] PENCE 0 REPAIR _E7�z� , X FT, DEMOLISH C] .;rANK OTHER C3GARAGE r-I RETAININGWALL C] RENEWAL CARPORT — ROCKgR Ilp;V!jrIN SSOR ACTIVITY) EXIILA- R NUMBEROF ITICAL U�BER DW LUNG A EA. T OF NU STORIES UNITS MEE DESCRIBE WORK 19 FTHIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 9, DON, ON PRIVATE PROPERTY O.Ll. ANY CONSTRUCTION ON THE PUBLIC D.... CURB.. SIDE R _WALKS. DRIVEWAYS PER,IMA QUEES, ETC.) WILL REQUIRE SEPARATE . ..... SSION. T'ONOR Fo IT ::R E A A P RMT PPLQ PERMITAPPLICATI N: 1800AYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN I 8D DAYS SEE SACK OF PINK PERMIT FOR MORE INFORMATION C RSPOUS NI EFEND S. EMP - NATU M ESUA DEEMED TO MODIFY WAIVE OR FE�U.E ANY F...IFEME.T .1 ANY CITY ORDINANCE YT.EA NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFO RCIE ANY ORDINANCE PROVISION, -Fo:::::: L SR 0 H ;APPLICANT, ON BEHALF OF Ill S OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF I NDS - WAS.' N-To . IT. OFFICIAL EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND V. ORINDIRECTLY L CLA M G S 0 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY c FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERM17 SHALL NOT BE DEEMED To MODIFY , WAIVE OR FE�U.E N.F LIMIT NY W Y T. CITY. L'T INA A E A LOT COVERAGE REQUIF 0 SETBAC ( I ALLOWED PROPOSED FRONT� SIDE REAR FRONT US SIDE REAR PARKING LOT AREA DATE :PEaD I PROVIDED _17MMARKS :IC ICHECKEDBI ITIUFCONS��ION Cq­j SPECIAL INSPECTOR 'FOU 0 JAREA IRED YES JOCCUPANT LOAD REMA KS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D =E VALUAIION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL GRADINGIFILL STATE SURCHARGE ENG. REVIEW FEES ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE IRE I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPRO L GIVEN CORRECT. AND THAT I, AM TH E OWNER. On THE DULY AUTHORIZE D AGENT OF IS GC TRU THE OWNER� I AGREETO COMPLY WITH CITY AND STATE LAWS REGULATIN DNS CALL �PLI!,,ATI�N I'_. D "I PIK. 11 BE M TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL E PLOYE% OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION B.11 ­­­ ,k,..Iodgld 11 p..o p,ov,dod. IN VIOLATION OF THE LABOR CODE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. FF CIALS SIGNATURE (CW= E SI[NED DAT� (425) -A 1, 1 (�NA,TURE 1 771"0220 R LEASED By DATE ATTENTION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A SLIMING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI, ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR z c m M 0 80 a m M Z 1c) --I c 2 o -n In m M a 0 C. M 0 Z r- z ri) z 0 1 0 IT!