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20000945.pdfDATE �AECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION us ZONE PERMIT EXPIRES .;,It - PERMIT NUMBER SUITUAPT. 4ilwa a!re .16 7F__ — I OT WO UP NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I Le, P.-K RKd L' , PEDRO *q tS 1) EXISTING SEl— REQUIRED DEDICATION— FT EV� R METER SIZE I LINE SIZE No, OF FIXTURES SQUIRED 'RV . NO �EE 0 NO ADDRESS REMARKS OWNSAICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE ENGINEERING DATE FIRE REVIEWED By CITY ZIP TE PHONE to_(�s INSPEC 0 N BOND STATE LICENSE NUMBER By VARIANCE OR CU R"TI 'D OYES ONO POST50 T71 r-A- 0 r SERA REVIEW SIGN AREA HEIGHT PROPOSED P��pg TAX ACCOUNT P—S, NO COMPLETE I EXEMPT OWED PROPOSED ALLIANIO -7 Exp — LOT COVERAGE REOUI DSETBACKSFT.) PH RE REAR ONT SIDE PROPOSED SETBACKS (FT) FRONT U SID R�R ,IS, DENTIAL PLUMBING MECH ALLOWED PROPOS50 0 ADDITION Do, MERClAL c3 C MPLIANCEOR COHANGE OF USE PARKING LOTAREA 0 REMODEL APARTMENT 0 SIGN RECTO I PROVIDED 0 REPAIR 0 GRADING CYOS 0 PENCE X FT) EMARKS 0 DEMOLISH 0 TANK o OTHER 0 RETAINXI'G WALL 0 RENEWAL 0 GCAl'lAlGl'lT F.G ER iTY OFUSE USINESS OR ACTIVI N�' CHECKEE By TY'R clo COUPA T j �YEE SOUP NUMBER UMBER F N 0 G LLING AREAS SPE AL IN A OCCUPANT C11HE LOAD PEOU OF STORIES �F NUMBER U [a] DESCRIBE WORK TO BE PC �EMARKS IROGRESS INSPECTION$ PER UBC 108/FINAL INSPECTION REQ'D c: 0 VALUATION PLAN CHECK FEE HEAT SOUR E BUILDING A_ PLAN CHEC VESTEDDATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK `,oyTD IS PERMIT COVERS WORK TO ONLY. A C6.;"T.UCTION ON THE PUBLIC GRADINGiFILL BE DONE ON PASIVATEIPWOLKERTY DOMAIN (CURB , 510 _ S DRIVEWAYS, MARQUEES, ETC.) WILL RED IRS :.1 SE �ARATE PERMISSION. URCHARGE P. PERMIT APPLICATION: 100 PAYS PERMIT LIMIT, I YEAR - PROVIDED WORK I STARTEDWITHIN iBDDAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 F " StS ASSIGNS AND SUCCESORS EPOU E EjN` E' & P H A A ML E S S T HE OR Y 0 F G NO 1) R ENG, INSPECTION FEB LANDSCAPING ;AP"P'LICAbI.T�0AGESNALl S'.','PHER TER R E. T.,NG . ANIANI N CIA, WASHINGTON, ITS OFF] INSPECTION FEE 2 'E,Lo�y,,AE, EDMONDS, '�ANDDAJGECTTL�YIRO. I'VE AT IN RE on INDIRECTLY ALLC AGSo' WIAT LMMS FOR 0'" OF THIS PERMT SHALL NOT BE IT RECEIPT PLAN CHECK DEPOSIT E S PER., SS FROM THE ISBUAll OF THI T. I LANCE D EEMED NY REOUJRSMENTOF ANY CIS YORDINANCE To MODIFY WAWE OR SEDUCE A PROVISION ' REC NOR LIMIT IN ANY WAY THE CITY�S f TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE READ THIS APPTUCATION: THAT THE INFORMATION APPLI ATION APPROVAL I.EREOY ACKNOWLEDGE THAT I HAVE IS COPPED HE DULY AUTHORIZED AGENT OF GIVEN T, AND THAT I AM THE OWNER, OR STATE LAWS REGULATING CONSTRUO* Tht, ppj,ca,b hM It j Ullil 11pld by the CALL 0111-1 .1 ell/bIl Dopuey� lhd Fell to patd. led THE OWNER, I AGREE TOCOMPLYWI NO TIOI.ANDIIOOINGTHIWORKAU CRIED ERESY, No PERSON WiLLBE EMPLOYED TO Bu,ldlhg FOR INSPECTION 'eF.,pt �� nk-1-1,el h .1— P—lb-b IN VIOLATION OF T `[At! 0 OF THE TATE OF WASHINGTON RELATING AND OW 18.27- OFF LS SIONAT E DATE BE 09 E;A� I.. , ANCE C RE; RONSC WQAK.EN S T� (425) SI N BIG E AGE T) 771-0220 RELEASED By EXT/333 IT is NWAWFUL TO UZORECUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-AILE - YELLOW, INSPECTOR - GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 FAX PINK - OWNER SeB z a m c m 0 80 a M M 0 m M a 0 0 c: m 0) 0 z z 9 0 m w, RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SET ACKS .............. FOUNDATION: Feeling.......... ........... Wall .......................... Plar/Porch ................. Retaining Wall ........... M Stab Insulation .......... PLUMBING: 4 0, X, Underground ............. C) M Rough -in ................... 0 0 Commercial Final ITI IT z HEATING: Gas Test .............. C Gas Piping ................. -n Equipment .............. n Final Commercial MITI EXTERIOR SHEATHING NAILING .......................... 0 C FRAMING ........................ 0; FIRST FLOOR FRAMING 7, INSULATION ................... Floor Insulation z Wall insulation ........... Ceiling Insulation z 0 SHEETROCK NAILING 0 SPECIAL INSPECTION M j MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ........... I m PERMIT EXPI FIES PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPTN OWWNAMEINAMEOIIUIINIESS P1,AT NAMEISUSDWISION NO. 1111.NO: 111"0, (Z 'r LID FEE $ MAILING ADDRESS MAIL NG A�1� PUBLIC RIGHT OF WAY P R 0"' ALSTREET .—AP TEsc" XF—d 0 Iny P.hhu b R." CITY ITI EXISTING - PROPOSED- A,q— ITILEPHONE J., el) REOUIREDDEDICATION� FT NAME PRV REQUIRED YES E3 NO 0 ... EBB ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITEL11HON1, AlpENGINEERING C "AESORESS Po t% FIRE REVIEWED BY DATE CITY TELEPHONE z ADSO INSPECTION 9 -STATE LICENSE NUMBtR EX E ";NOTIr C CNE..' VARIANCE OR SH013EUNE OR REC'. OyE ONO IPSOND OSTED p, ab _p 1 jt?� SIGN AREA HEIGHT M I SERA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ACCOUNT PARCEL NO. R�� EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSEDSETEACKS(FT) URSIDE REAR N_ DENTIA S L PLUMBING MECH ALLOWED ppO;RCSED FRONT SIDE REAR FRONT 9 rn C: 'LAN 11 CONIPL ANCE OR Z rn 0 C3 ADDIT ION AL] A .. C' L 0 OMM' FjPA1' o HANCE OPUS, CHANGE OF USE 0 0 0 0 NING REVIEWED BY DATE LA NNJ REVIEWED" DATI P N G 0 REMO DEL TT.ENT A PA TMNT 0 SIGN 0 SIGN REDD I PROVIDED 0 0 REPAIR GRADING GRADING PENCE X rEN X FT) FT) H R A K REMARKS . ........ rn m 14. 'DS IDS 10 0 THER [D DEMOLISH 0 TANK C3 OTHER TANK 0 RETAINING WALL 0 HEN W L 0 GARPORT 13 [3 EWAL JM CARAGE R.KERY 'CT."TY' E.P IN (TY ACTIVITY� EXP it C E' TYP NSTI1 T NA�g O"n By CI�E �K GCOURA GROUP.C. FOUP m ME OF ER NUMBER NUMBEROF CRI TICAL S E A IN -T-F AREA P C, LE' .6 T OCCUPANT LLIN. OF 'ELL'N. IT. UNITS AREAS NUMBER 0 D L A UTR . LOAD REQUIRED YE�S E m m STORIES DESCRIBE WORK TO BE DONE S REMARKS R 0 c') Fn P OGRESS INSPECTIONS PER UISC .F.NAL lNbrc PROGRESS INSPECTIONS PER UIBC 1081FINAL 4, i9xv M 0, z ;U S", 2 z VALUATION FEE PLAN CHECK FEE ca z H IULDING PLAN CHECK NO: VE DATE STED PLUMBING 0 m M C.ANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO F.%1'1ATE PROPERTY ON- ANY CONSTRUCTION ON THE PUBLIC He o.go'N�I0. CUR S'.EWALKS, DRIVE S,MA GUESS, ETC.t WILL REQUIRE SEPARATEWPEAYMISSIQN. URCH FIDE I I I PERMITAPPLI PERMITLIMIT-. I YEAR - PROVIDED WORK ISSTARTEDWITHIN 180 DAYS E EVIEW F ER G R SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS. A SIGNS AND SUCCESORS "; S ENG. INSPECTION FEE ;APPUCANT, N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING ITS OFFICIALS. EMPLOYEES, AND EGMONDS, WASHINGTON, I AGENT"FROM ANYAND A CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTILY LL DAMAGES I INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE LL My SU Pt -AN CHECK DEPOSIT DEEMED To MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE To NORLIM! ENFORCE ANY ORDINANCE PROVISION, No, L'Iyu T IN ANYWAYTHE CITY'S ABILITY TO TOTAL AMOUNT DUE RED I HEREBY ACKNOWLEDGE THAT; HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLI ATIONAPPROVAL GIVEN IS CORRECT, AND THAT AM THE OWNER 08 THE DULY AUTHORIZED AGENT OF Thl, pplit,,honpubl, poinne until aigned by the b - REGUiLATINr CONSTRUC, THE OWNER. I AGREE TO COMPLY -10 �N. CALL bdF.b.pud..ud ETffE L N PERSON WILL BE S.PL.Y' D - R'.t � I', E ATING TO L TION; AND IN NG SWIDRKA� FOR INSPECTION ... 11—k—bdip.,11 p ... p—Wed. E0..'2ED �CEREE Q THE OF WASHINGTON �r 10 T E OF , TAT IN VIOLAT N09F �LTA S 'Dj B W VWRKMEN'SCOIPE SATIONINS RANCEAND 18,27, 0 AT E DATE I SI NA E (0 E AGCNT� 0 E IGNE (425) Z 1 1 1 -w— RELEASED BY EXT/333 771-0221 T1, rAWIULTO -I' CCUPYABUILDINGO I IT Tr R STRUCTURE UNTIL 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