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20000991.pdfPERMIT EXPIRES P T U" 1.fIE CITY OF EDMONDS NERI`,,`ER 200W CONSTRUCTION PERMIT APPLICATION ADDRESS SUITEllT- OWNER NAMEINAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. Li NO. G-o s V, I IJ LID I MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL T­EE�LIS_­ 0 STREET MAP 1�d.JII 0 I-) a-4 i a ..... 0 EXISTING — PROPOS90 CITY ZIP TELEPHONE . S­.'� ..A ___d 43L, -'I REOUIREO DEDICATION IT _I__l,.d PAV REQUIRED NAME YES 0 NO A MARKS DDRESS OW­-­-­--lll- ­­IBLE FOR EROSION CONTROUDRAINAUE CITY ZIF TELEPHONE NAME 4AEA7r­[r--Q, ENGINEERING —REVEWED/DATE ADDRESS 41-01 30 1 S4-TR 7L_ FIRE REVIEWED BY DATE T CITY Z,P TELEPHONE m -70 v '0D I LA qj�j(,y ab L "I'l OR CU SHORELINE OR ADBk INSPECTION -U-) VARIANCE _gTATE —LICENSE EXII—I-N-1- IPBOND RE STED 2-1-- NUMBER ESO'D 0 Y C]NO k� 01 r7 kt c_ SERA REVIEW SIGN AREA - COMPLETE EXEMPT ALLOWED EGIEIGHT PROPOSED ALLOW PROPOSED PROP A T Exp I VERAGE REQUIRED SETBACKS IFT.) PROPOSED SETBACK$ ("A I NIEC- ALLO'WED" PROPOSED FRONT SIDE FEAR FRONT UPSIDE REAR C NEW MFL�ACEOR [3 ADDITION 0 CHANGE OF USE DATE I G LOT AREA PLANNING REVIEWED By A VIDEO A M RED DPAA E ODEL 0 SIGN E] FENCE REPAIR I — . — FT) EMARKS OTHER DEMOLISH TANK AGE AR RETAINlNyG WALL 0 RENEWAL T LEE. USINES. _V, I') CHECKED Y T F..N ROUP ,7 4910 OCCUPANT NSPE DER NUMBER 0 SP IAL OCCUPANT JAIIA A PEAS C3CTOR F DWELLING IRE NUMBER RE YES LOAD T UNITS DESCRIBE WORK TO BE DONE REMARKS PR OGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ'D 3 A-L.(_ AP, r=iIo_IAA0F_ L-CCTLS 14A) Q -)0 VALUATION FEE PLAN CHECK FEE LOT SLOPE I BU LDING PLAN CHECK NOt VESTED DATE PL MBING ECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GAADINGIIILL BE DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS MARQUEES. ETC.1 WILL REOUIR9 SEPARATE PER�ISSION. �.Ja"RC A PER-ITAPPLICAl ION: ISO DAYS PERMIT LIMIT. I YEAR - P ROVIDED WORK IS STARTED WITHIN 180 DAYS ENG REVIEW FEES N SEE BACK OF PINK PERMIT FOR ORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASHSIGNS AND SUCCESORS ENG. INSPECTIOIQ FEE AGREES TO DEFEND AND HOL D ARMLESS THE CITY OF LANDSCAPING IN INTEREST. :NDEMNIFY. A ENTSFAOM ANYAND INSPECTION FEE EDMONDS. WASHINGTON TS OFFICIALS, EMPLOY 5 ES, AND G D M WHATEVER D T ALLCLAIMSFOR A AGE�OF NATURE.ARISING AEC LYORINDIRECTLY FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THI PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT CSAN R UIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY. WAIVE OR REDU YO EENU FORC RUC P 0 NOR LIMIT IN ANYWAY THE CtTY'S ABILITY T TOTAL AMOUNT DUE ACKNOWLEDGE T.Al I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL IHEREBY GIVEN I CORRECT. AND THAT I AM THE OWNER OR THE DULY AUTHORIZED AGENT 01 AND STATE LAWS REGULATING CONSTRUC CALL �O­ b, - D,puty. Ild F­ ­ P.1d, ld THE OWNER. IAGREE TO COMPLY WITH CITY Of EREB N PERSON WILL BE EMPLOYED TION.AND,IN ONG THE WORK AUTHORIZED TH Y' 0 L FOR INSPECTION .,,,pt i,, ­k,,.IodQed,,I p... p—d.d I ' RE ATING TO IN LAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON A ENSCOMPENSW�110 URANCE AND RCW IB21, .,_- - (425) OFqALS 'NAT RE I 1 ID 771-0220 RELEASSOBY EXT1333 7— ATTENTION 1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 INS ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- P ORIGINAL FILE YELLOW -INSPECTOR A FINAL GRANTED. UBC SECTION 109 FAX FINK -OWNER GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN "B z m C9 a 0 C-) 0 C= -4 C 1: 112 A c 0 -n n -4 3: m M 0 o Fn 0) (a 0 z z 0 m J RECORD OF INSPECTIONS INSPECTOR DATE APPROVED i SETBACKS ..................... FOUNDATION: Footing ...................... Wall ..................... . ... Pier/Porch ................. Z� Retainlrig Wall M Slab Insulation .......... PLUMBING: i Underground ............. C= Rough -in ............ 0 Commercial Final C: Mz HEATING: C Gas Test .................... c� Gas Piping .............. Equipment . ................. n Commercial Final rn 0 EXTERIOR SHEATHING 0 oFn NAILING .......................... co FRAMING ........................ FIRST FLOOR FRAMING -A NSULATION ................... Floor Insulation Z Wall Insulation ........... Calling Insulation Z: SNEETROCK NAILING SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 7 via iiiii I YCATE...'. PERMIT EXPIRES M CITY OF EMONDS USE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS-? OWNER NAMENA BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO LID No �YF LID FEE S MAILING ADDRESS -1 -1 S-1 sol-) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 A-- 0 aj Sb­U­__w 0 CITY ZIP TELEPHO e EXISTING — PROPOSED- 011we0a 44S RE.WFEDDEDICATIO­ FT METERSIZ F FIXTURES PRV REQUIRED NAME YES 0 No 13 U _76—DRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTRD�LJDRAINAoE CITY ZP JTELEPHONE_ NAME 3R_lCfQ&JAkI ADDRESS 4(DOI a3 iSL4­TN-PL_ CITY gZIP ITELE11-1— STATE LICENSE NUMBER EXPIRATION III I PC I\J KI H C, bq'7 &I r— NEW Z R181DENTIAL 3R�:LUMBING I MECH 0 COMMERCIAL C MPLIANCEOP ADDITION 00 1:1 COHANGE OF USE REMODEL APARTMENT Fj SIGN F NCE 0 REPAIR 0 .11A.M. CYD. cl x FT) C] . DS&IOLISH 0 TANK OTHER GARAGE Fj RENEWAL C L OL C T AR 8991SERY US.. RETAINING WALL (TYPE OF ITIW I*) I-- FAAA I L-1 NUMBER NUMBER 11 C—ICA OF DWELLING AFEASR STORIES UNITS NUMBE_ DESCRIBE WORK TO BE DONE lk(,3 -ALI_ jj,,A5 FL)a�_1ACV_/L-p" p-mo ImSEa.T FIRE REVIEWED By DATE REDID OYES ONO jpO`T'O ___71GN AREA HEIGHT SERA REVIEW PROPOSED COMPLETE I EXEMPT ALLOWED , PROPOSED ALLOWED EXP LOTCOVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FI) ALLOWED PROPOSED FRONT SIDE REAS FRONT URSIDE REAR �ARK'N- I L�TAREA IP-N.INGREVIEWI�.Ely DATE RED'. I PROVIDED C EC�K CCUPAN;, H ED By Ty O'Co"'S VMAIA R.Up ECI ­U­ SPECIAL INSPECTOR ARE TOR F . UF 'IN -Y�E� L EQUIRE, no YES A. R MARKS D_l _ INSPECTIONS PER LIBC 108/FINAL INSPECTION F VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING ...... .... EC K PLAN CHECK NO: P AN H PLUMBING L C MEC14ANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO -M I AU T0 - D`E T IS P T I - I: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH E PUBLIC E o PRIVATE P. QRADINGIFILL ICURBS; SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WIII.LREOUIRE­­ DOMAIN --S - BID.' SEPARATE PERMISSION. PALLC�IMSFORDAMAGESOFWHATEVER E4URC PERMIT APPLICATION: 160 DAYS PERMIT LIMIT. I YEAR * PROVIDED WORK IS STARTED WITHIN 18D DAYS L Y ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE APPLI ANT, ON BEHALF OF HIS OR HER SFG0NDIANHE1HRoLDSSIGNS AND SUCCESORS L c o H L A IN INTEREST. AGREES TO INDEMNIF HARMLESS THE CITY OF I" LANDSCAPING EDMONDS. WASHINGTON. ITS OFFItLD. EMPLOYEES. AND AGENTS FROM ANY AND E . DS ASHING ON I INSPECTION FEE IF CLAIM OR . . 1 —1-11.— NATURE,AFIISINGDIFECTLYo. OF THIS PERMIT SHoAUDNOT BE RECEIPT PoS PLAN CHECK DEPOSIT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE 1 DEEMED To MODIFY. WAIVE OR REDUCE ANY REQUIREMENToF ANY CITY R NANCE __ P LIMIT INANY WAY THE Y TO ENFORCE ANY ORDINANCE PROVISION."' 0 NOR LIMIT IN ANY WAY THE CITY'S ABILIT ToT�I�AAQU�T REC TOTAL AM UN CUE P READ THIS AFPTLICEATIULNY, THAT THE INF RMATION APPLICATION APPROVAL I HEREBY ACKNOWLEDGE THAT I HAVE GIVEN I S CORRECT. AND THAT I AM THE OWNER . OR D AUTHORIZED AGENT OF ` ' p,, 1 ,lb,,gnod by t11D W LI THE CIA I G C NI; - TL EV, TRUC NER. I AGREE TO COMPLY WITH CITY AND STATE L.A ' R.EoN` CALL U"T�h,­P d, oil, c 131,01 DaPuly ­KJ F­ ­ 1.1d, a,d W IN. E TION; AND IN DOING THE WORK AUTHORIZED THER BY. N FE I LOYED RELATING TO FOR INSPECTION ­.Pli ck,,wI1dg1dtnsP11-o,111d0d. rIqLAT N 01 THE LABOR Cool OF THE STATE OF WASHINGTON RKMEN10 B COMPENSATIP41�URANCE AND RCVV 18 7. S s' LIFE DArE 425) 7��)L OWNER 0 G N �ATLJ L 771-0220 F'jELEASEDBy ,,I r EXT/333 ATTENTION IT IS UNLAWFULTO USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 771-0221 - INSPECTOR HAS SEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW GOLD - ASSESEOR A FINAL INSPECTION OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER CATE OF z m 0 c M M 0 0 80 c m M z ID -4 CA o -n n m M 0 0 0 C en M C) z r- z ri) z 0 ri 0 m