20001008.pdf------------
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PERMIT EXPIRES
us' PERMIT
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CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUIT
ADDRESS 6 4"
OWNER MNME[NAME OF BUSIN Pl-/IT NAMEISUBDIVISION NO, LOT 10, 111) NO,
A vc LID FEE S
MAILING ADDRESS 7EIC,.P.1
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW F _Pp�l
-:7-o
CITY TELEPHONE EXISTING — PROPOSED— 0
0
REOUIREDDEDICATION— FT —
PAV REQUIRED
NAME YES 0 NO n
REMARKS
ADDRESS OWNERICONTRACTOR RESPONSIBLE FOR EROSK)N CONTROUDRAINAGE
CITY ZIP TELEPHONE
NAME
c 0 ENGINEERING .—E—DIDATE
ADDRESS
o C) +kuqz� �3 FIRE REVIEWED By DATE
CITY ZIP TELEPHONE
OR ADB# INSPECTION DNDG
VARIANCE OR CU SHORELINE
R D P.
CHECKED BY E ST.
STATE LICENSE NUMBER 4 DATE
C]YE S ONO
(AAC ffJ-F-S rl '4 Ll 3 4 b I !2AL SERA REVIEW SIGN AREA HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
PROPERTY I X ACCOUNT P RIGEL NO.
00
n C) noo lol, EXP
_�EQUIRED
LOT COVERAGE SETBACKS (FT) PROPOSED SETBACKS JFT.)
NEW RESIDENTIAL IMECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR
�YPLUMBING
ci C MPLANCE OR
C] ADDITION 0 COMMERCIAL COHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE
REMODEL C] APARTMENT SIGN REGO I PROVIDED
C] GRADING FENCE
X FTI EMARKS
X
0 REPAIR CYDS FTI
C] DEMOLISH 0 TANK OTHER
GARAGE 0 RETAIIN1.1yl WALL RENEWAL
0 CARPORT OC"
P (TYPE 0; USE. SUSINES R ACTIVITY) IFXVLAII; CHECKED BY TYP
F CONSTRUCTION
OCCUPANT
GROUP
I NU BER
M
NUMBER 0 F
S ECIAL INSPECTOR
I
AREA OCCUPANT
OF
0 STORIES
DWELLING
UNITS
AREA'S
N MSER REQUIRED 0 YES
LOAD
DESCRIBE WORK TO BE DONE
R ARK$
R OGRESS INSPECTIONS !ER UBC 108/FINAL INSPECTION REO
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(V\ nor clmd, cmsn ion tank are
on all hot watur tanks per
Code.
PLAN CHICK FEE
HEAT S 21T� GLAZING I
LOT SLOPE I
SUN_GNG
PLAN CHEC*ft0—.
VE� F
PLUM61NG
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
LOTION ON THEP BLIC
PR.11.IAlG PROPERTY ONLY. ANY CONSTR uU
MARQUEES. ETC.) WILL REG IRE
CU. S EW4LKS, DRIVEWAYS,
3 GO SEPARATE PERMISSION.
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PERMIT APPLICATIO : 1-1) DAY$
PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. REVIEW FEES
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS S CES S
ENG. INSPECTION FEE
;APPLICANT. : S T CITY F
Ij N NTEREST. AGREES TO INDEMNIFY . FEND AND HOLD HAR L
LANDSCAPING
F
I EDMONDS. WASHINGTON� ITS OFFICI�ALDSEEMPLOYFES, AND AC N ANY AN
INSPECTION FEE
ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE.ARISING DIRECTLYOR INDIRECT
SHALL NOT BE
RECEIPT
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT
DEEMED TO MODIFY, WAIVE ORREDUCE AN' REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
—
NOR LIMIT IN ANYWAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
TOTAL AMOUNT DUE
IREC I
1.15"?
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
OF
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT
CONSTRUC.
Thl, PPIII-l 11 - - �.,�dld 1—ld by th,
`�Z
THEOWNE I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING
R WILL BE EMPLOY"
CALL
1,� D F — d—d
D Y. N
TION; AND IN DOING THE WORK AUTHo RIZE THEREB OPERS N
OF WASHIoNGTON RELATING TO
FOR INSPECTION
--lodgod spacq providod
IN VIOLATION OF THE LABOR CODE OF THE STATE
WORKMEN'S CoM PENSATION INSURANCE AND ROW 18.27�
F A SIG AT RE DATE
GA
(425)
I
SIGNATU (OWNER 0
1
1 771-0220
RELEASED BY D
EXT�333
/ATTENTION
IT IS UNLAWFUL TO 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. UBC SECTION 109
FAX
PINK - OWNER GOLD - ASSESSOR
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
-4
Wall ..........................
PiedPorch .................
Retaining Wall ...........
M
C
Slab Insulation
M
00
—40
PLUMBING:
0 C'
V:
Im
Underground .............
M Z:
Rough -in ...................
C
Commercial Final
HEATING:
ca
Gas Test ....................
mT
Gas Piping .................
0(ft
1
E�ulprnent .................
0
0 Fn
t,"�
Commercial Final
Q 0
t"i
E)(TERIOR SHEATHING
NAILING........................
FRAMING ........................
FIRST FLOOR FRAMING
z
INSULATION ...................
Ca
Floor Insulation
z
Wall Insulation ...........
M
Calling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
q
FINAL APPROVAL FOR
OCCUPANCY ..................
A