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20010285.pdfI D-TE FECEIV�Q, ul lol, U_ [ PERMIT EXPIRES PERMIT 2 ji _(y /Bp�r _ _ CITY OF EDMONDS 'a -NUMBER CONSTRUCTION PERMIT APPLICATION 'AoD`0 4 E S S gUITEIAPT- lw ��ll AS 4 , m OWNER NAMEINAME OF BU NESS PLAT NAMEISUBDIVISION NO I LOT NO, LC NO. LID FEE S MAILING ADDRESS 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP F P. ., 0 EXISTING — PROPOSED C y ITY _.4TELIPHONI FT REQUIRED DEDICATION FRV REQUIRED NAME YES 0 No 0 R MARKS ADDRESS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY 2 a A" NAME ENGINEERING REVIEWEDIDATE a ADDRESS 3 REVIEWED BY DATE FIRE CITY ZIP TELEPHONE 0 ­2 3 Q VARIANCE OR CU SHORELINE OR ADEN INI�PEE.0!1019 PBCO'TE. EWE LICENSE NUMB R EXPII�A ION ATE CH G 14-lig co W4 4 412 oc SEPA REVIEW SIGN AREA i HEIGHT PROPOSED COMILITI I EXEMPT ALLOWED PROPOIED ILLOWED p OPERTY TAX ACCOUNT PI 0 EXP LOTCOVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (M. PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UPSIDE REAR NEW C MPLIANCE OR ADDITQ� CHANGE OF USE By DATE C] REMODEL C3 SIGN 0 REPAIR GRADING CYDS F-LEf..' X ITI REMARKS 0 OTHER DEMOLISH TAN , K GARAGE FETAKJNIN�G WALL RENEWAL CARPORT' ROC ER C] ,PCTtV[TY) EXPLAIN (TYPE OF U E. BUSINESS O�� CHECKED BY TYP= STRUCTION coo 0 CUPANT G OUP NUMBER MEER OF CRITICAL NU SPECIAL INSPECTOR OCCUPANT EILLING AREAS IED A FEDUlf E] YES JAIIA LOAD OFOWNI STORIES T_S NUMBE ... .1 DESCRIBE WORK TO BE DONft KS REMA mcN,l.9Qq INAPECTIONS PER UBC IOBIFINAL INSPECTION REgD--,g VALUATION FEE PLAN CHECK FEE HEAT SOURCE BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIO N ON THE PUBLIC U GRADING""' W , I E 2 DOMAIN (CURBS. SIDEWALKS. DRIVE AYS. MARQUEES, ETC) W LL R 0 IRE :3 SEPARATE PERMISSION. STATE SURCHARGS PERMIT APPLICATION: B81I DAYS WITHIN '80 0 LIMIT'. i YEAR ' PROVIDE) WORKI STARTED AYE ENG. REVIEW FEES PERMIT SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;A LICANT. ON BEHAL F S OR HER SPOUSE. HEIRS, ASSAIGNS AND SUCCESORS FEES 0 INDEMNIFY. DEFEND AND HOLD H RMLESS THE CITY F ENG. INSPECTION FEE AND CAP'NG" T. IN INTER" AD WA N.TQN� TS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND 17 INSPESCTION .M.NGE E OFWHATEVER NATURE. ARISING DIRECTLY OR INDIP­ IF NOT BE ALL C_',ME,F.0' DAMAOE,'lNIS RECEIPT FROM T LANC PERMIT. ISSUANCE OF THIS PERMIT SHALL OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT EANYR UIREMENT DEEMED TO MODIFY. WAIIE OR REDUC ED ANY ORDINANCE PROYI—N. RECEIPT T 0 WORUMIT IN ANYWAYTHE CITY SABILI Y TO ENFORCE TOTAL AMOUNT DUE THAT THE INFORMATION APPLICATION APPROI I Ill T I HAVE READ THIS APPLICATION; Ill RIBY A N G HA4, U F C' 0 12 WLD NHA AM THEC,,,TWNER6 ORATHE LYRAUTHOR ZED AGENT 0 AN. T ­,t lKlld by IhG p .,&N IS, :OR ECT. W TH Y AN ST LADLE C THEO NE IA REETO 0 LYW !UI_ATINGCONSTRUC NO PERSON WILL BE EMPLOYED CALL d.' p,lyl :,,d F111 ­d. I.d 0",_, D TON,,ANDND ING THE OlK AUTHORI ED THEREBY, OF WASHINGTON RELATING TO FO R INSPECTION IN VIOLATION OF THE LABOR CODE OF'THE STATE WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. 0 . FFICIA .. ATV E 0 SIGNATU GENT) SIGNED (425) -3.142--1 771-0220 ELEAS 0 Y EXT 333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 YELLOW-INSP TOR INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE PINK OWNER GOLD - ASSESSOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX - CATE OF OCCUPANCY 5198 z m 3: ,,a 0 c m z c: 2 > 0 -n -n Lo. mm a 5 0 0 C w 1 rn C., - z z z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... J� wall.......................... z Pler/Porch ................. ft ;q Retaining Wall SA Idb Insulation .......... cn am, PLUMBING- 6� ..Underground 0, Roug -in ................... h —17 M. qommercial Final M Z!j" 4 HEATI NO Gas Test ............ Gas Piping ................. 0 -ni EculpmeW ............ m m; 10 COMIMorclat Final, I q C.) EXTERIOR SHEATHING NAILING ..................... FRAMING .......... FIRST FLOOR FRAMING INSULATION ................... Floor Insulation & Wait Insulation ........... Z Calling In sulation IT! SHEETROCK NAILING p ERMIT EXPIRES .. PERMIT CITY OF EDMONDS ZONE NUMBER IV SUITEIAPT# CONSTRUCTION PERMIT APPLICATION 'AODRESS 4,i57� OWNER NAMENAME OF BUSINESS FLAT NAMEISUBDiVISION NO. I LOT NO* LID NO. 04-f� IID FEE S MAILINGADDR SS 1­1 Als— PUBLIC RIGHT OF WAY PER .11KNAL STREET MAP � P—h Roq-d 14 SI-1 us. P—s s'.ko EXISTING — PROPOSED I-.. oF"-- CITY LEPH NE REQUIRED DEDICATION— IT — u ­,­—d IAZ/ ,*M t4 WDRESS V-7, 02 IU NTY ZIP c- TELEPHONE PRV REOURRED ETER SIZE i LINE YES 0 No El REMARKS Ow NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE REViEWEDIDATE ENGINEERING ADDRESS 6 FIRE REVIEWED BY DATE ZIP TELEPHONE r —2 No )(-Zl 01/ L 12 C/ VARIANCE OR CU 1100 IV60RELINE OR ADBN INSPECTION FE2� OSTED SqYS LICENSE NUMBER 0 7). 7ATE CH K tli H A:R E3 YES Al/19 C .4 AIX k, 6 4 p p SERA RVIEW SIGN AREA HEIGHT TM ACCCU�T PAF '17V- COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPO ED ozb ou EXP 3: LOTC VERAGE REQUIRED SETBACKS III R.pl)S.D SETSACKS III C] NEW � RESIDENTIAL 0 PLUMBINGIMECH ALLOWED PROPOSED FRONT SIDE R EAR FRONT URSIDE REAR m . MPLIANCEOR c: m 0 AODITIO� to ,� ci C CHANGE OF USE —1 0 PARKIN 0 LOT AREA J��IIIG REVI EWED vy DATE 0 0 M REMODEL r-1 APARTMENT 0 SIGN E.1 a REPAIR DEMOLISH C3 &RAGE CARPORT' —E7RZF-�. TANK C] PETAIN�NLGWALL ROCK5 a 'IE� �t X 0 OTHER E] RENEWAL IT) REMARKS (rYPE 0 SINES CTIVITY) E—N. CHEC1108y C04 0 CUPANT riz) JTY)�UCTION _7 FOUR NUMBER " ­ — I NUM ER OF CRITICAL SPEC;ALINSPECTOR I OCCUPANT OF STORIES LUNG DWES LIN TS AREAS NUMBER JAIIA R REOL M YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER USC 1081FINAL INSPECTION F TL m -n-gggl VALUATION FEE PLAN CHECK FEE PLAN CHECK F E L 0 T L 0 P E HEAT SOURCE GLAZING % :��LOT SLOPE % BUILDING D A T E ...... .... T D PLAN CHECK NO: ..... . PLUMBING S MECHANICAL E R M I T C 0 V E 6 W 0 n K To THIS.PER.M.IT ^UT.H.ORIZES ONLY THE WORK NOTEO, TH S PERMIT COVE16WOFIK TO H' `ERM' AUTHORIZE S 0 N' U L C E ON PRIVATE PROPERTY ONLY. ANY CONSTLCTION ON THE PUBLIC T E E 0 0 ' S B N N A 'D GRADINGIFILL E T W I L E U I E N ICU S. WAYS, MARQUEES, ETC.) WILL REGUIRE SIDEWALKS. DRIVE DOMAIN C 'n S *' T D E W A :2 SEPARATE PERMISSION. STATE SURCHARGE PERMIT APPLICATION: ISO DAYS I I N I B A PERMIT LIMIT-. I AR - PROVIDED WORK IS STARTED WITHIN 180 DAYS YE ENG. REVIEW FEES SEEBABKOFPINK FAIT FOR MORE INFORMATION C PE I ENG. INSPECTION FEE U S IS 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS T S, S HARMLESS THE IT' OF IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF AND LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY I I G I 1. ALLCLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISIN DIRECTLY OR INDIRECTLY INSPECTION FEE It A S R L NOT BE FRO M THE ISSUANCE OF THIS FERMIt ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 0 C T 0. 1 C DEOEMEDTO MODIFYWAiVEO REDUCE ANY REQUIREMENT -FANYCITYORDMANCE R N 0. N OR LIMIT ION ANYWAY THE CITY'S ABILITY TO ENFORCE ANY 011ul--I 1-1-- TOTAL AMOUNT DUE IR N; T T '0 TI I HEREBY ACKNOWLEDGE TH AT READ THIS APPLICATIO HAT THE INFORMATION :HAVE I, NT GIVE ISCO E IA DIFIAT AM THE OWNER, OR THE DUtY AUTHORIZED AGENT OF N FR C N , LA THEOWNER. AGREETOC MPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL E PLOY ED TION. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED FE ATING TO L T, G I Sp FOR INSPECTION IN VIOLATION OF THE LABOR DE OF THE STATE OF WASHINGTON Co WORKMEN'S COMPENSATION INSURANCE AND RCW 18,27, SIGVVf RA F('AGE T) A IS BIG . (425) ( 'NE 771-0220 EXT 333 A�TtNtiON 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. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX ------- ------ —�PPLICATION APPROVAL This �in,, 0166.1 ., Wsoh.r Dopll: od Foes ,, P,,d. ­,pt I I 1—owlodgoP io -Pso- P—lo-1 AA _19NATU x A m z (in 0 -n m rn -0 ��15 D 0 c: M 0 z 71 ;a z z 0 m D Y D ORIGINAL FILE YELLOW INSPECTOR PINK - OWNER GOLD - ASS�SSOR