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20000970.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 1,7,ER NAMEOIAMEOF BUSL7SS E'SPH.- I b, c, c� %'UZP)-1 " IT 4� -71"9 -1 C, T JLI CITY ZIP NAME �P MIT EXPIRES E�R PERMIT ZONE —NUMBER SUITE.PT. '08 '�b I Le — P I ADDRESS Lj LfL I NO. LID NO. PLAT NAMEISUBDIVISION NO. LID FEE $ IE-41-0 7u.,C R,�-T OF WAY PER OFFICIAL STREET MAP 1W L.. P._ EXISTING — PROPOSED — REQUIRED DEDICATION— FT METER SIZE I LINE SIZE I NO 01 FIXTURES PRV R50UIRED YES 13 NO 0 R MARKS OWNERICONTRACTOn RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENQINEERI &F ff1§ftftEae is open Or dosed, exp9n +g tanks ner I RE Ij D BE ADORS.E FIRE REVIEjI!tr*r. 119.30-020 (c) DATE a cfty CC) de. VARIANCE OR CU SHORELINE OR ADBII INSPEC ION BOND a Y REQ'O POSTED E. C] NO PAD TY T, 70 7ATi—LICENSE NUMBER EXPIRATI N DATE 14,5 wv:_c—_ CHECKED By SEPA REVIEW 11.1. 1 .... . xP SIGN AREA ALLOWED I P80PIlIED HEIGHT ALUCI 'ED PROPOSED PROPERTY TA ACCOUNT 'A. c5b NEW ';!�P.LUMBING I IECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS IFT) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UP SIDE REAR .PL INGE OR C] ADDITION CHANGE OF USE PARKING NING REVIEWED BY DATE REMODEL SIGN REDD I PROVIDED C] REPAIR ,.S FENCE [3 GRACING G X FTI DEMOLISH 0 TANK OTHER IRA F ETAINING WALL RENEWAL CARPORT 0 R ROOKERY r (TYPE USE.,B4JSINESS OR ACTIVITY) EXPLAIN: r. cHECKEDBY IT=S UCTI N ocCUPAIII� GROUP NU BER 0. OFV To IEs s R NUMBEROF DWELLING GRIT CA AREA. S N M E,�� SPECIAL INSPECTOR JAREA ... RE IRED [3 YES OCCUPANT LOAD DESCRIBE -m-n REMARKS INSPECTION REQ'Dj PROGRESS INSPECTIONS PER U 3C 108/12INAL 11 I LA ',�D Vol n If -A 61 tt V, r) III, no J�!) VALUATION FEE V L) PLAN CHCC FEE GLAZING I LOT SLOPE % BUILDING P N CK NO: VESTED DATE PLUMBING b. vD 5 MECHANICAL In i— THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. GRADINGIFILL SURCHARGE PE MITAPPLICATION: 180DAYS PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED iTHiN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N INTEREST, AGREES TO :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF 2 EDMONDS. WASHINGTON. TSOFFICIALS EMPLOYEES. AN. AGENTS FROM A -AND AULCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED 0 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION' ENG. INSPECTION FEE LANDSCAPING INSPECTION FEE RECEIPT PLAN CHECK DEPOSIT RECEIPT TOTAL AMOUNT DUE _7 0 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I IM THE OWN ER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE —1 REGULATING OCINITIUC* TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27. G�ATURE ATE SIG 7" F—"A L15A.T1 N APPROVAL -,I by CALL D.P.y .�d P ... ... P.Id—d FOR INSPECTION1 1-c-111 I, 11—ledgId � p P,111dad. (425) 771-0220 ATTENTION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE - YELLOW - NSPECrOR A FINAL INSPECTION HAS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER- GOLD -ASSESSOR smo z 55 m r �n -4 m m a 0 0 c m m co o n m a 0 0 m c � co rn o Z z W z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... z Pier/Porch ................. —1 Retalnlng Wail ........... Slab Insulation .......... 61 PLUMBING: x 0 M Underground ............. —10 0 Rough -in ................... a w� Commercial Final M HEATING: '8 — _w F- -4 Gas Test .................... __Ty) --I x Gas Piping 0 -n Equipment ................. U, rn rn Commercial Final 1 EXTERIOR SHEATHING 0 Fn I NAILING .......................... C 0 FRAMING........................ FIRST FLOOR FRAMING ;0 INSULATION ............ Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING M SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 1111f OCCUPANCY ............... 1" () 31) 1 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION IER NAMENAM9 OF BUSrSS ,.P.S -6b,q CITY `1 `P NAME 0 NEW 0 ADDITION REMODEL 0 REPAIR 0 DEMOLISH RAS o - CA ARPORT TYP NUMBER OF STORIES DESCRIBE WOF I TELEPHONE OFP—ERMIT EXPIRES PERMIT ZONE NUMBER Lj �SUITEfAPT* ADDRESS PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. LID FEE S 'E"P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 'P ftq I A I.H., u U.. EXISTING - PROPOSED - cl N um"' u . ...... . REQUIRED DEDICATION FT qo.d METER SIZE LINE SIZE NO. OF FIXTURES P' V REQUIRED PR z YES 0 NO R MARKS .WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE &31ly 1 N: IN NA e Regardless of whethv the water systern FIRE REVIEWE it tm tire ) 5 U e(3 �o. ali'hotwlter �nks per rl;h, r- _1 - —_ _ TE EPHON �_)&, )'6;, -LI-7n VARIANCE. R --- �MR N. e )ND $TED MSER EXPIRATION DATE CHECKED By 0 SEPA REVIEW COMPI ETE EXEMPT EXP I SIGN AREA ALLOWED PROPOSED I T ALLOWEI 3 PROPOSED I I COUNT PARCEL NO. 2)- cz cFb-- RESIDENTIAL P MBING t MECH Cl COMMERCIAL o COMPLIANCE OR CHANGE OF USE APARTMENT SIGN GRADING CYGS FENCE . �) X FT)) TANK Ei OTHER RETAII.N�NG WALL RENEWAL ROD 0 LOT C OVERAGE ALLOWED PROPOSED REQUIRED SETBACKS JFT) FRONT SIDE R EAR I PROPOSED SETBACKS (PT.) FRONT R SIDE REAR U REVO I PROVIDED EDGY DATE EMARKS JSINESS OR ACTIVITY) EXPLAIN: __KED By [T nou�k NUMBEROF DWELLING UNITS I "'T"A AREA N��& SPEM,�LEIN�PE.TIDI4 R�QU R n YES JAREA ....... LOAD 2Q�mpfg� REMARKS PROGRESS INSPECTIONS IER BC 10131FINAL INSPECTION REQ ,j VALUAT16N FEE R REDUCEANY PLAN CHECK FEE r� J C- .. - EA URCE GLAZING % LOT SLOPE % BUILDING P N CHECK NO: IVEITEIDATE PLUMBING MCCHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVE S WORK TO BEDONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GA DINWFILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE . . . SEPARATE PERMISSION. SURCHARGE PERMIT APPLICATION: ISO DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK'S STARTEDWITHIN 180 DAYS E.G. RE IEWFECS SEE BACK OF PINK PERMIT FOR MORE INFORMATION OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE ;APPLICANTONBEHAL N NT'REST. AGREES TO �NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY - AND LANDSCAPING EDMONDS ' WASHIN TON. TSOFFICIALS, EMPLOYEES, AND AGENTS FROM ANY ALLCLAIMSFOR MA ESOFWHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE RECEIPT FROM THEISSUANA CEGoF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE REOUIREMENTOF AN' CITY ORDINANCE PLAN CHECK DEPOSIT z C" M 0 80 X In rn z jo-4 0 -n n m rR 0 0 0 Fri a co IT, 0 Z 7-1 ;u Z -4 ch z 9 0 m DEEMEDTO MODIFY. WAIVED TO ENFORCE ANY ORDINANCE PROVISION,' RECEIPT - NOR LIMITIN ANY WAYTHE CITY'S ABILITY TOTAL AMOUNT DUE L) 4 L�5,D o I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INF RMATION PLICATION APPROVAL GIVEN S CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZE. AGENT 01 K .1 . ..... THE 0�11NER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC qu"T� TION:-AND IN D ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED CALL d, , om-I .1 hi. -I D-PUIY: -d F I VI 1 0 E RE AT, NO To FOR INSPECTION jpt i� ...I.dg.� � �p pl.vid N OLAT ON 01 THE LABOR CODE OF THE STAT OF WASHINGTON GATT WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27 OFFICI GNATUqE DATE SIGNED j (425) Z I I J_Ve 'MZ _4V RELEASED By DATE EXT/333 ATTENTION --------- IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL - FILE YELLOW INSPECTOR CATE OFIOCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR