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20000975.pdfDATE RECEIVED [PERMIT EXPIRES CITY OF EDMONDS USE ZONE A4� PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION SUITUAPTN AODBDHESS at� 9-2 L A-1 C OW,Nj��INA;!�I`,ZSS Pl-AT NAMEISUBDIVISION No. LOT NO. LI NO. LID FEE S MAILING ADDRES PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED RW = R.q. d P.— 0 0 I P.,t 0 —w. 0 zip TELEPHONE U. ED, T. _ T E.Ul.E..E.I.A-I..— FT NA(L) ET NE M EA E,,E SIZ IZE NO. OF FIXTURES 0 . XTURES V REQUIRED YES El NO 0 I ADDRESS REMARKS WNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP T LEPHONE 'PHONE NA"r) (j "04 Z ENGINEERING REVIEWEDIDATE EN, I m ADDRESS FIRE REVIEWED BY DATE M, tHNE, 0 CITY ZIP P 0 TELEPHONE VARIANCE OR CU SHORELINE OR ADBI IN SPECTI N FIE 'D 0 YES [3 NO BOND P OSTED PE I RATION ATNE 1-1 LIOENII NUMBER EXPI ION SERA REVIEW COMPLETE EXEMPT C X� EXP SIGN AREA C,WE. PA. AL IOEE. HEIGHT ALI.OVVE D PROPOSED o m IT, 0 0 c 10 > IF 0 PROPERTY TAX ACCOUNT PARCEL NO. SID11TIAL PLUMBING I MECH 0 NEW 0 0 COMPLIAM EOR .f 2.M �L, 2� ADDITION COMMERCIAL . _ 5E. CHANGE OF USE REMODEL APARTMENT C:l SIGN FENCE REPAIR X IT) 0 DEMOLISH (3 TANK C] OTHER LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS I FIRONT�.�RSIOE REAR PARKING LOT D PROV REO. MED AREA PLANNING REVIEWED By DATE C] GARAG 0 RETAINI.N..WALL CARPO' RENEWAL AT M M 0 j 0 o Fn r rn 0 K I ;a 5 z 0 1 EXPLAIN: p (TYPE OF USE. BUSI CHECKED BY OCTION ROUPA Nr -_V 7L-ccul NUMBER NUMBER OF I OF DWELLING STO IES UNITS CRITICAL 4.�,V AREAS NUMBE A PEMAL�ID�.PECT.. A JAPEA REOU E] YES OCOUPAIT LOAD DESCRIBE WORK TO BE DONE REMARKS 'D PRqRESS INS ECTIONS PIER UBC INSPECTION REO rFINAL A z 0 VALUATION FEE 0 PLAN CHECK FEE m HEATSOURCE GLAZING % LOT SLOPE I od BUILDING PLAN IV15TED DATE PLUMBING f MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO UC t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTR TIONONTHE PUBLIC 11ADINGIFILL sz DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MAROUEES. ETC�) WILL REQUIRE SEPARATE PERMISSION — STATE SURCHARGE PERMIT APPLICATI N: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENS REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ING. INSPECTION FEE ;A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS N P NTEREST, AGREES TO INDEMNI DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING I" ROM'DIR YAND INSPECTION FEE EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS F AN A LCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY 08 IN ECTLY RECEIPT FROM THE ISSUANCE OF THI S PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEOTO MODIFY. WAWEOR REDUCEANY RECUIREMENTOFANY CITYORDMANCE 0 -SABILITYTO ENFORCE ANYORDINANCE PROVISION.' ml NOR LIMIT IN ANY WAY THE CITY TOTAL AMOUNT DUE AEC I HEREBY ACKNOWLEDGE THAT' HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL I GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF —t .01.1911d by ll�l THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL -g h., D.P.1y; .d F— — -d. nd TION, AID IN DOING THE WORK AUT RIZE THEREBY. NO PERSON WILL BE EMPLOYED P IN VIOLATION T E LA 0 DO OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION —,,pI,,,,k—tldg,dll —P—dod. 'NOR" I OM P SA ANCE AND RCW 18.27. 1 11 E SIGNED (425) OFFICIALSS URE DATE A I -?,poa 1 771-0220 Ft F -FED BY� ATTENTION EXT/333 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL INS ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR P A FINAL FAX -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER GOLD �198 07- A RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Foot n 9 wait Pier/Porch .......... z Retaining Wall ........... Slab Insulation .......... m 'PLUMBING: Underground ............. m C 0 m Rough -in � .................. 0, --16, Commercial Fin al C HEATING: M m Z, 10-4, Gas Test ............... > Gas Piping ................ Equipmont. In Commemial Final v m m: EXTERIOR SHEATHING 0 NAILING ................ 0 rrni FRAMING ........................ C uy M O� FIRST FLOOR FRAMING... INSULATION ................... p Floor Insulation z wall insulation ........... Ceiling insulation z SHEETROCK NAILING SPECIAL INSPECTION 0 M, MISCELLANEOUS NX, FINAL APPROVAL FOR OCCUPANCY .................. J/ Cp cf&w 7 E-EIVE DATE RECEIVED AT. EXPIRES PERMIT CITY OF EDMONDS .. ZONE -12- PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION — JACORESS 92�2 Dqf46Lor� SUIMAPTN ZZI)e OW=A�0"Z" PLAT NA.El�UB.WiSION .0. LOT NO, 11 NO, 1 LID FEE S MAILINGADDIIS S f PUBLIC MONT OF WAY PER OFFICIAL STREET MAP Too PAW-1 0 0 EXISTING PROPOSED- P� cu.L zip — 0 um.q.- ,,JTELEPHONE REQUIRED DEDICATION— FT w, 0 IRV REQUIRED NAr VY ein METER SIZE I LINE SIZE I NO,O11IXTUAll YES 0 NO 0 3 1 1. REMARKS ADDRESS -p—IF, � FDR EROSION CONTROIJORAINAGE CITY ZIP ITELEPHONE CITY -4 PROPERTY TAX AD C] NEW AOMhON REMODEL C] REPAIR DEMOLISH G ARAGE CARPORT C. r (TYPE OF USE. BU, EM Z -n ENGINEERING �Epr DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE OR ADBN INSPECTION BE OYESO'E03NO IPIO, 0 OSTED SERA REVtEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED" HEIGHT '?ALLOWED PROPOSED EXP 1 .1 , , , ., I - CC, m m 00 -40 0 A RESIDENTIAL 0 PLUMBINGIMECH K C MPLIANCI OF COMMERCIAL CO HANGE OF USE LOT COVERAGE 4 ALLOWED PROPOSED REOUIRED SETBACKS 11) FRONT SIDE "REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR PARKING LOT A PILANNING REVIEWED BV� DATE APARTMENT SIGN F NCE GRADING (E FT�� CYDS x RED' IDED D I Rol I fn z -1 Z EMARK. _ 0 TANK 0 1 THER C3 RE.EW-AL O"n -n 6� Z� I DWELLING STORIES L ITS AREAS NUMBER DESCRIBE WORK TO BE DONE C lEGKEl By OCCU PAK :/ I GROU , _ 21 fn rn 0 (j) S ECIALINSPECTOR JAREA OCCUPANT RPOUIRED C3 YES LOAD 0 r- . , cl c REMARKS PROGRESS INS�ECTIONS PER UBC 1APIFINAL INSPECTION REQ cl) r" 0 M -I Z -4 VALUATION FEE Z PLAN CHECK FEE �l HEAT SOURCE LOT SLOPE I BUILDING m PLUMBING PLAN STED DATE MECHANICAL THIS PERMIT RKNOTE6. THIS PERMIT COVE WORKTO AUTHORIZES ONLY THE WD ANY CONSTRUCTION ON THERS P BUD BE DONE ON PRIVATE PROPERTY ONLY. U GRADING/FILL DOMAIN JCURBS. SIDEWALKS, DRIVE AYS, MARQUEES. ETC.) WILL REQUIRE em STATE SURCHARGE SEPARATE PERMISSION. PERMIT APPLICATH) : 180 DAYS PERMIT LIMIT'. 1 YEAR, PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK fERMIT FOR MORE INF RMATIGN ENG. INSPECTION FEE ON BEHALF OF HIS OR HER SPOUSE. HEIR% ASSIGNS AND SUCCESORS — — ;APPLICANT N INTEREST. AGREES TO:NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGT o N, TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND RECEIPT ALLCLAIMSFORDAMA ESoFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY FROM THE ISSUANCE OF T IS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT I o IT DEEMEOTOMODIFY. CE ANY REQUIREMENT oFANYCITY ORDINANCE WA'V'o" R'DU G Y R VISION _ NOR LIMIT IN ANY THE CITY'S A81LITY TO ENFORCE ANY ORDINANCE PROVISION.' TOTAL AMOUNT DUE TOTAL A� RECEIPT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION PPROVAL AUTHOR . AGENT F GIVEN IS CoRREG T', A D THAT I AM THE OVVNER� OR THE DULY AUTHORIZED A ENT OF S N N C EGULA G o TRU� I AGREE TO COMPLY WITH CITY AND STATE LAWS BEGUI-ATING CONSTRUC A L C L J. oll by Ir. iles do old THE OWNER. W, L B M PLOY TION: AND IN DOING TH W RKAUT RIZEDT ER B . ONWILLBE EMPLOYgp li or pald. IRS I N GTO R L I G o IN VIOLATIO HE LA OR CO OF THE STATE OF WASHINGTON RELATING 1-0 OR I FCIR INSPECTIOD WO . COMP IS NCE AND FICW 18.27, FFICIALS 51 , UBE OAT' N E (0 __ 8 N DATE IIGNED (425) L , i::,_ Z- DATE 7. �.Z. &Vfa 771-0220 LEASED By A17ENTION EXT/333 IT IS UNLAWFULTo 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. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5,i?s