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20000998.pdfF [PERMIT EXPIRES 0 c) USE PERMIT CITY OF EDMONDS ZONE NUMBER 711m,999 CONSTRUCTION PERMIT APqPLICATION JOB SUITEIAPT. ADDRES9­7 S—o PLAT NAMEISIUSDIVISION NO. I LOT NO, ,:D NO, LM_2�m_� DIEES MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP u (1-1(09 Ul. I., Rll�l �111�11 d 0 0 cl ZIP EXISTING — PROPOSED R. n TELEPHONE REQUIRED DEDICATION— FT cnL co < NAME -7 -449 (a I "ETER SIZE RES P RV REQUIRED YES 0 NO 0 ADDRESS R MARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINK— __TT r-Y Z7P ELEPHONE FIRE REVIEWED BY I CITY ZIP i TELEPHONE DATE STATE LICENSE NUMBER EXPIRATION DAT4 CHnEGBY OYREQ'. ES ONO g) SIGN AREA HEIGHT ll�:gll AAC1111T RCELNO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 00 _0 Ep I LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) NEW 2--TE.I..NTIAL C] LUMBINGIMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR C3 ADDITION C] COMMERCIAL ci C MPUANCEOR CHANGE OF USE I --- PARKING PLANNING REVIEWED By DATE REMODEL C] APARTMENT SIGN REO'D I PROVIDED N 0 FENCE REPAIR GRADING CYDS X IT) C X 'T) K R"AR 5 REMARKS HE TANK OTHER G AS E C] R TAIEN�INGWALL RENEWAL CARAG NEWAL PORT RE .GK (TYPE OF USE. BUSINES CTIVITY"K. A� CHECKEDBY *E __00STRUCT101 T OF Coo-TRU.1 11 CCUPA ITN.F Roup NLI NUMBER NUM11ROF CRITICA SPECIAL INSPECTOR AREA OF DWELLIN G , I AR R MSER E JAREA REQUIRED YES STORIES UNITS NUEAS [3 DESCRIBE WORK TO BE DONE REMIARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION REG-01 VALUATION FEE PLAN CHECK FEE HEAT SOURCE LOT SLOPE I BUILDING PLAN CHECK NO: TIO DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. TH S PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTIiUCTION ON THE PUBLIC FADINDIFILL 110 MAIN (CURBS, SIDEWALKS, DRIVEWAYS' MAROUEES, ETC.) WILL REOUIRE SEPARATE PERMISSION. STATE SURCHARGE MITAPPLtCATI N: 10DAIS YEPE PERMIT LIMIT: I AR P ED WORK IS STARTED WITHIN 1800AYS ENG. REVIEW FEES SEE BACK Oi PIRNOKV'DRMIT FOR MORE INFORMATION PE ENG. INSPECTION FEE PLICANT, ON BEHALF HIS OR HER SPOUSE. HEIRS, A SIGNS AND SUCCESORS 'AP S IN INTEREST AGREES TO INDEMNIFY. DEFEND AND HOLD H ARMLESS THE CITY OF ANYAND 2 EDMONDS, WASHINGTON. 1TSOIFICIALS. E.PLOYEES� AND AGENTS FROM ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY REC IPT m FRO THE ISSUANCE OF THIS PERM" ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 9 DEEMED TO MODIFY, WAIVE OR REDUCE AN REQUIREMENT OF ANY CITY ORDINANCE PROVISION.- 03 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE R� IP;,,�p, I HIRESI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT TIE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF C.NSTRUC- APPLICATION APPROVAL T�l� � - - -T­ "I - THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING T IND INGTH WORKAUTH 0 THEREBY. NO PERSON WILL BE LEMPLOYTED 0 ION. ANDI 0 RE ATING TION B..ldl�DI Olk, I,, D­Iy: 1�d Fe,, — Pald. -d —PI i� .�O­KdD.� l� p— p—ld- I N VIOLAT ON THE LABOR CO 0 THE STATE OF WASHINGTON F WORKMENSC9 RA EANDRCWIS�27. 0 ICIALSSIGNAT E ,yPENSATIONIN IGNED (425) /7 /_ 7,11, 771-0220 _/ E AlE.EY DATE EXT 333 TN l!NLATW'?ULTZI SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 7,71-nogi A FINAL INS HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORiGINAL-FiLt YELLOW INSP CTO CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER COLD - ASSESSOR z MID 0 80 c: M M z 0 _n A m M 0 0 0 m c co 9 a) M 0 z z 0 q 0 m 0 w, RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. RetalnIng Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final E XTERIOR SHEATHING NAILING FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. C)J"4/0 Or 6/z-q.6) Fri M VM� M Z. 0 M. V ITI 0 ti; C', 0 ITIM Z > z 'n 31 --I X rn M 0 Fn� cm 1 4� MO Z X j Z CM Z M 7- '7� i�: (1_7 ITS AB-1— o LPERMIT EXPIRES --) C> us ZOE PERMIT CITY OF EDMONDS �,)\�,A NUMBER CONSTRUCTION PERMIT APPLICATION jos SUITEIAFTN O.VAEA NAMEq4AME 9F BUSINE�S ADDRES9­7 Q t Is _�_f�lw I NNO OT NO LIO NO - C4�1 t.� I NAME CITY ZIP I TELEPHONE BY nu" Jcjcal*__c_) I Lj 0 NEW 2-9.1BENTIAL 0 PLU..'N.I.ECH 0 ADDITION E] COMMERCIAL ] o C MPLIANCE OR CHANGE OF USE 0 REMODEL 0 APARTMENT 0 SIGN 0 REPAIR GRADING C,DS 0 0 FENCE x FT 1 — — o TANK 0 THEP CARAG 0 GA.101ElT ARETAKININY31 WALL 0 OC E 0 RENEWAL (TYPE OF USE. BUSINESPIM"CTIVITY) EXfl_AjN: oIl DWELLING r 'T.A�EE UNIT. Al AS NUMBER DESCRIBE WORK TO BE DONE LOT SLOPE % THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 9 GE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC OMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PE MIT APPLICATI N: 180 DAYS PERMIT LIMIT. 1 YEARRPROVIDED WORK IS STARTED WITHIN 180DAYS SEE BACK Oi PINK PERMIT FOR MORE INFORMATION ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND W ATEVER NATURE, ARISING DIRE—. ALLCI-MMSFORDAMAGESOF H FROMTHEISSUA CEOFTHISPERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE N C DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINAN E NOR LIMIT IN ANY WAYTHE CTY'S ABILITYTO ENFORCE ANY ORDINANCE PROVISION-` I = z 9 0 Q m m 0 80 c m m 7 0 rn M o c co r. ca M 0 z: z z 2 0 IT! IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION �!'P I ATI�NAPPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF F r F,�� OW po, I .�W .,g­ by THE NER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL B,Ill G.,:,l,,d F­ 1,0 ­d. TION: AND IN 00,NGTHEWOIIAITH. ED THEREBY. NO PERSON WILL BE EMPLOYE. b I Vio OF THE LABOR DO STAT . N LATIO Oe. THE E F WASHINGTON RELATING TO FOR INSPECTION1 , NCE WORKMEN'S CO�MSATION �s RA�CE AND RCW 18.27. OFFICIALS SIGNATURE DATE EIG�kVh ER CIR AGO (425) -------- 771-0220 ELEASED BY DATE .A'G'NAL FL� Y V "NT �N EXT 333 �L T/ L UNTIL _V� ck� lJ.NLAVV USE OR OCCUPY A BUILDIN� OR STRUCTURE 771-0221 I., A FINAL INS I N HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL Fll_� YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - OLB-ASSEBl.A PI -AT NAMEISUBDIVIS 0 L UD FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP WC — RW P:4I, 0 .1 R­11.d 0 EXISTING — PROPOSED - 1-IfI,d REQUIRED DEDICATION— FT METER SIZE LINE Sli�� P V REQUIRED YES 0 NO 0 REMARKS OWNER/CONTRACTOA RESPONSIBLE FOR EROSION CONTROUDRAINAGE c, 'cu 4N )�_ 0 P-S!4 ENGINEERING FIRE REVIEWED BY DATE VARIANCE 08 CU SHORELINE OR ADS. INSPECTION A Eo 'D JPBONO OSTED OYES ONO SERA REVIEW SIGN AREA HEIGHT COMPLETE I EXEMPT ALLOWED I PROPOSED ALLOWED I llIDPOSE0 EXP LOT COVERAGE REGUIAED SETBACKS IFn PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE BEAR FRONT UR SIDE REAR P ARKIN G PARKING LOT AREA PLANNING REVIEWED By DATE AOV'D' PROVIDED G P D PEO'D I RE ARKS �4 CHECKEDBY gREMAAK T OF C AUCTION OCCUPANT jTnCD AA C�l GROUP _N S ECIALINSPECTOR A' � p JAR5A REGUIRED C] YES 7 0 S� REMARKS S ROGRESS INSPECTIONS PER UBC 1001FINAL INSPECTION RED" PROGRESS INISPEC, P �a VALUATION FEE PLAN CHECK FEE 00 BUILDING PLUMBING VANICAL .ECH GRADINGIFILL " STATE SURCHARGE ENS. REVIEW FEES INSPECTION FEE L [ENLG. PLAN CHECK DEPOSIT P TOTAL AMOUNT DUE TO