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20001005.pdfDATE REC EIVED IATI R c�" 0 I —'9 PERMIT EXPIR U E us PERMIT 20 tEEt NDSZONE CITY OF EDMONDS ZONE NUMBER gz CONSTRUCTION PERMIT APPLICATION JOB —SUITEIAPTY ADDRESS OWNE�bA MlOFBUS SS P NAMEISUBDIVISION NO. LOT NO. NO. FLAT NA.EISUS.IVISI.N NO L 0 FEE S L:D AI MAILINGADORE S I ­Arp,­ 0 _MG�T PUBLIC OF WAY PER OFFICIAL STREET MAP P. P.4" K,­ U .. ..... ... 0 CITY ZIP E.ISTING_ I..P.IED— 7_ pr ­..& R­1- 0 z�,-.W-05 W620 ITILI .2.2 7,V-4�2 7 REOUIREDDEMCATION— IT NAME METER SIZE I LINE SIZE I NO.OIFIXTUREI FRV RED YES C3 No 0 ADDRESS R MARKS OWNERICONTRACTOR RESP NSIBLE FOR EROSION CONTROUDRAINAGE CITY JTEILEPHONE NAME "4 ENGINEERING REVIEWEDIDATE -ADDRESS FIRE REVIEWED BY DATE CITY ZIP TELEPHONE c VARIANCE OR CU SHORELINE OR ADS# INE STATE LICENSE NUMBER EXPI-11014 DATE CHECKEDBY 0 SERA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO, COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOS ED Q_'S2_7 012, 17L.-CIM(r) EXP I I LOT COVERAGE SECURED SETBACKS JFTJ PROPOSED SETBACKS ff.) 0 NEW RESIDENTIAL PLUMBING / MEC ALLOWED PROPOSED FRONT SIDE REAR FRONT U SIDE RE 0 ADDITION 0 COMMERCIAL C MPLIANCEOR CO HANCE OF USE PARKING LO AREA PLANNING REVIEWED By I DATE 0 REMODEL 0 APARTMENT 0 SIGN REQD PROVIDED 0 REPAIR 0 GRADING CyDS FENCE 0 , _ X _ FT) KS 02"D'EM041SH 0 TANK o OTHER G RA oA E CARPORT RITAINING WALL 13 __V 0 RENEWAL T,N,lF OF CONSTRUCTION SR 'REA HECK F AREA NUMBER t�MIER 0 N' PECIAL t"�; YE OF UW.LL NG RE SPECIAL NSPECTOR NIT. l I IT STO JES HUM EOUIR50 0 YES L DESCRIBE WORK TO BE DONE RENA KS , rRF:c;.g INSPECTIONS PER UBC, 1081EINAL INSPEC 7 VALUATION FEE N�OTED &T. L-N CHECK FEE PLAN CHECK FEE --Z'N. 1. HEAT SOURCE LOT SLOPE % BUILDING U'LD'N. 0 PLAN CHECK NO: ED DATE $N PLUMBING PL. L MECHANICAL ME A.ICA H THIS PERMIT COVERS IYORK THIS PERMIT AUTHORIZES ONLY T14E WORK NOTED. THIS PERMIT COVERS WORK TO HIS RE MIT AUT HORDES IY T S WORK R t BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ON THE PUBLIC ON PR A I BE DON' , REIS ' TE P DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS , MARQUEES, ETC.) WILL REQUIRE DOMAIN CU S"E' SEPARATE PEA�ISSION- — GRADtNGfFILL — STATE SURCHARGE PERMIT APPLICATION: 160DAYS RE' PERMIT LIMIT, I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS MIT I. T y -A. SEE BACK OF PINK PERMIT FOR MORE INFORMATION BE K OF ENG. REVIEW FEES ;APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS -A' "CANT ON E AL, I N INTEREST, AGREE TO:NO MNIFY. DEFEND AND HOLD HARMLESS THE CITY OF S E IN NT�REST AGREES To I 2 EDMONDS� WASHINGTON, TS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANIAND EDMONDS WASHINGTON I I ALLCLAIMS FOR DAMAGESOFWHATEVER NATURE� ARISING DIRE, ILI — I—— ­ I ­ ALLC".S,OR.AMAGE. I I FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE '... THE ISSUANCE ", , CI DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE .��.ED TO MODIFY . WAIVE a NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISIOW' NOR LMTH ANY WAY HE , ENG, INSPECTION FEE PLAN CHECK DEPOSIT TOTAL AMOUNT DUE RECEIPT E ,l I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION, THAT THE INFORMATION GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT Or THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTnUC. TION;AND,IND ING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED 1 0 L N VtOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RE ATING TO WORKMEN'S C=ON INSURANCE AN CWIS27� APPLICATION APPROVAL TN. ppl—II.— ­1 - P-1-11 UM11 �19­ bl - CALL Bullftg 011i—I ,, I,Vh�l D�OI,Ty: Ild F,,, — pa,d. ,d FOR INSPECTION .­pj,­­AtAdq­� �P.. p­-P DATE FFICIALS SIZI um T, A NT) D�TE SIGNED /�l . 2 2 , -1-) (425) 771-0220 %,V EASED By DATE ENITION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 EXT 333 771-0221 FAX ORMINAL-FILE YELLOW -INSPECTOR PINK - OWNER GOLD - ASSESSOR 5196 �p_ z 0 0 a m I'_ ma 0 x m m z 0, A rn o W 0 M z 9 0 m , 0 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: P Footing................ wall................... Pier/Porch ................. 0 4 Retaining Wall ........... 0 M, Slab Insulation .......... PLUMBING: Underground Rough -in ................... -f 6 0 21, Commercial Final M i HEATING: to 01 GasTest .................... Gas Piping ................. Equipment .......... t, Commercial Final ITI 171 1 EXTERIOR SHEATHING a 01 0 NAILING .......................... FRAMING ........................ (W M FIRST FLOOR FRAMING... INSULATION ............ Floor Insulation Z, Wall Insulation ........... Ceiling Insulation Z, 0 SHEETROCK NAILING SPECIAL INSPECTION IR MISCELLANEOUS .......... t", FINAL APPROVAL FOR OCCUPANCY .................. [740 i- V M__X� tz) —E. �J�fDCL V1000, DATE RECEIVED ?n - 1 01 PERMIT EXPIRES I - US, PERMIT ZONE 00S CITY OF EDMONDS UMBER201 CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT. ADDRESS VNEA NAMENAME OF BUSIIV� PLAT NAMEISUBDIVISION NO. LCENO. UD NO. LID FEE $ J kILING ADDRESS WAS, 1193, —1E111A PUBLIC RIGHT OF WAY PER OFFICIAL STREIT MAP P_ TY ZIP -cv EXISTING — PROPOSED 0 JTEITPHONE( 5 W6.70 AEG IREDDEDICATION FT D PRV REQUIRED kmE yes EJ No 0 ADDRESS R MARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAI;A:.:� A CITY ZIP ITELEPHONE NAME V INEERING END t REV 71.7TEi 0 ADDRESS E—zip TELEPHONE FIRE REVIEWED BY DATE CITY z VARIANCE OR CU SHORELINE OR ADS� lNiPECTION SOT STATE LICENSE NUMBER Expjg N DATE CHECKEDBY RE OYES ONO 1 0 SERA REVIEW MPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT SCEL NO. I 1 1 -4 0,'�,2 12 OQ (to X LOT C VERAGE REQUIRED SETBACKS IFT) PROPOSED SETBACKS OPT) UPSIDE REAR 0 NEW PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT G C] ADDITION o COMPLIANCE OR CHANGE OF USE m 0 -4 PARKING LOT AREA PLANNING RE JEWED BY DATE 0 0 C] REMODEL SIGN OVIDED C 0 REPAIR C3 GRADING CYGE 0 FENCE X FTJ KS m gyOEMOUSH C] TANK m OTHER— z c GARAGE 0 RITAKININDWAILL.. RENEWAL CARPORT FOG ER 0 -111 -n 0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN CHECKED By- ION 0 CUPANT GROUP �? z—, 0 LSTPI in 0 'Fill NUMBER MMSER F AP OF DWELLING SPECIAL I.NSPECTOR JARIA 10"CU PANT REOUIREI LOAD I IT! STORIES UNITS NUMBER C] YES a DESCRIBE IVORK TO BE DONE R MARKS PROGRESS INSPECTIONS PER UBC 108/fANAL INSPECTION REO'D cl, c (J) mo X VAL 0 FEE PLAN CHECK FE HEAT SOURCE LOT SLOPE % BUILDING PLAN CHECK NO: PLUMBING 0 MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WO RKNOTED TH LY ANYC NS�IRSUpERMNJTOCHOTVHEEf�SWO�KTO 00 E ON PRIVATE PROPERTY ON CTIO Lm SDEMAINN MARQUEES, FTC.) WILL RPOUNIRCE GRADINGIFILL 0 ICURBS. SIDEWALKS, DRIV EWAYS , SEPARATE PERMISSION, STATE SURCHARGE PERMIT APPLICATI�PIGGO DRATED PROVIDED WO STA WITHIN 100 DAYS E G. REVIEW FEES PERMIT LIMIM I YEAR - SEE BACK OP PINK P..IT VP MORE .1.FMATlqp_ 'APPLICANT, ON BEHAL F HIS OR HER SPOUSE, HEIRS, ASSIGNS,AZ SUCCES085 bh.. t ... — PON FEE IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ANY AND -dAW0SDAPMM' OFFICIALS, EMPLOYEES. AND AGENTS FROM EDMONDS WASHING MIT H 6 INDIRECTLY C TGE FW ATEVER NATURE, ARISING ALLCLAIM�FOFI AMI P, NOT BE IN8P`ffC"eN+fiE-- —1-1 RECEIPT SIQE�,CTLYOR 1. FROM THE ISSUANCE OF THI PERMIT ISE AN�' OF THI MIT SHALL DEEMEDTO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION PLAN CHECK DEPOSIT RECE P Y 0 NORLIMITINAN WAYTHE .1 - - To TAL AMOUNT DUE If I - , 11 I HERE Y ACK14OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE OULY AUTHORIZED AGENT OF Th I. ep"u-n 1. net . �ohbjj until signed by the T NGE ULA HE OWNER. I AGREE TO COMPLY WITH CITY TATE LAW.-E. T"`-C E ' P TRUE. A M L-Y .. EBY No PERSON WILL BE CALL IdjbqOIIi,.;b, b,eb,D.Fby:..dF.....p.id,uhd Sul in TION; AND 0 WORK AUTHORIZED T . 0 ING THE E STATE OF WASHINGTON RELATING To OF THE LABOR CODE OF TH FOR INSPECTION be olpt i—keml,dgedil SP110 Pmidcd 'IN IN VIOLAT ON ORKMEN'S ATO INSURANCE AND RCW 18,27. FFICIALSSIGNAT E DATE SIGNATUR Q A F T) E SIGNED (425) /11 2 2. oej) 771-0220 F,EASED BY ATTENTION EXT 333� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNT11 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF - ORIGINAL - FILE YELLOW INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD � ASSESSOR