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20010542.pdfDATE MZW54 Ai* 11261 D [PERMIT EXPIRES ERMIT ZONE 'Zfn I __ ( CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION 'AOD R 6 s S SUITEJAPTO -3ZO 5urlse- I OWNER NA3WN� I LOT NO, 110 NO, 40�USINEss PILAT NAMEISUBOIVISION NO. k0kk ..- LID FEE S MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CITY IT.IEI..N EXISTING — PROPOS11-- t J) E.UI.E..EDICATl.N_ FT rvmvpO NAME METER SIZE I LINE WE I NO,OIFIXTUIES PRCV3REQUIR D I YES NO 0 REMARKS LADDRESI OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE gj/0'L-7 4p CITY zip TELEPHONE ENGINEERING REVtEWEDIDATE ADDRESS FIRE REVIEWED By DATE ZIP Ty ZIP TELEPHONE C 4 VARIANCE OR CU SHORELINE 09 ADEN p INSREEOC�ION D OYES ONO IPBOND I OSTED EXPIRATION DATE STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY SEPAREVIEW COMPLETE I EXEMPT Co SIGN AREA ALLOWED PROPOSED,- HEIGHT ALLOWED IF POSED Ca)k 0 _7 00 PVT TIU3Trocam) 0 G _ Up EXP L 0 PLUMBING I MECH N:TION KC3 LOT COVERAGE ALL ED PROPOSED REOUIRED SMACKS (Fr.) FRONT SIDE 11-R PSOPOSEDSMACKS(FT) IRON . T UR SIDE REAR A L�'RESIOINTI OMMERCIAL [3 C MPUANCE OR C CHANGE OF USE %EA PLANNING REVIEWED BY DATE F-1 REMODEL 0 APARTMENT 0 SIGN C] REPAIR GRADING Cy.S C] FENCE ( X FT) REMARKS C] DEMOLISH C3 TANK *O—MIA BE 0 C] GARAGE AR ORT C p M RETAIN ING WALL AOCKFAY C3 RENEWAL 0 r (TYPE OF USE. BUSINESS C5TrjZPIjlIN: AREAS.0 CHECKED BY GCCUPAP C2!t:vl 0 sou , - -3 U,�Eg_____7NUM OF STORIES EROF WELL N D . U NITS ARITICAL F" I. UMBER NUM SPEI IAL _LNSPECTOR JAREA BE UIRED 0 YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE ME - VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDIN G PLAN CHECK NO: IVESIED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. AMY CONSTRUCTION ON THE PUBLIC GRADING11ILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS ARQUEES, ETC.) WILL REOUIRE SEPARATE PER�ISSION. STATE SURCHARGE PERMIT APPLICATIO : 1110 DAYS A. PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALFOF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FRO. ANY AND INSPECTION FEE ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY SHALL NOT BE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT DEEMEDTO MODI FY. WAIVE OR REDUCE ANY REOUIREMENTOF ANY CITY ORDINANCE ORDINANCE PROVISION PLAN CHECK DEPOSIT I P - 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY TOTAL AMOUNT DUE a5- ,H RE.Y ACKNOWLEDGE 'HAT . AVE READ THIS A, ILICATI.N� THAT THE INFORMATION APPLICATION APPROVAL R THE ELL A THORIZEDAGENT.1 O':EN IS CORRECT AND THAT � AM THE OWNER . U THE OWNER TY AND STATE LAWS REGUI-ATIM. CONSTRUC I'H WHORIl'ED CALL E'J�ll DIy: — F .1. l-, 'lAGRETl.TE0W--PL`U T.EREEl NO ON WILL BE EMPLOYTED TION: AND IN. ORK A RE ATING 0 OF WASHINGTON — 'P.. FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE WORKMEN S �0.fENSATION INSURANCE AND ACW 18.27, OFF Ell TURE 7.AT �SI.NE. (425) 0 RE ASED Y EXT 133 77NTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE TIL 771-022 HAS BEEN MADE AND APPROVAL OR A CERTI ORIGINAL FILE - YELLOW INSPECTOR A FINAL IN SPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK OWNER - GOLD - ASSESSOR "E z C) a m ma 0 80 c 10 0 m M a 06 0 Fn C (a c co M 0 z 71 z z m --L �wnsp-f Aw, Q 60' Ir n7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................... FOUNDA71ON: Footing ............ wall........... 1 .............. Pier/Parch ................. Retaining Wed ........... . Slab Insulation . .......... PLUMBING: Underground .......... Rough -In ................... Commercial Final HEATING: GasTest ........... Gas Piping Equipment ................. commercial Flnal� EXTERIOR SHEATHING NAILING ..................... FRAMING .................... ... FIRST FLOOR FRAMING INSULATION ................... Floor Insulatlon Wall Insulation ........... Ceiling insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR 99 OCCUPANCY .................. 15 0 Q rid, M 01 Z� ro FA C)! z 0. , ITI - --------- - ----- - :ER7M71T�E�XP�IRES� GTE- 7_�OEP X)o USE ZONE PERMIT NUMBF CITY OF EDMONDS Ra)n I _ (]G� ;CONSTRUCTION PERMIT APPLICATION AI;EIPTI NNERNF S JAOBDRESS 3ZO 3,�rise r4 0 kwkk PLAT NAMEISUSDIVISION NO. I LOT MO. 1111110. M ILING ADDRESS LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Isupsa CITY ITILEPIONE EXISTING — PROPOSED R "P 06 1) _ gl?mo 05 wqq t�o REQUIRED CIE ICATI.N FT METER SIZE I LINE S, PFN REQUIRED YES 0 NO 0 ADDRESS R MARKS OWNEFVCCNTFIACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 'I CITY ZIP ITELSPHONE r watk- K�Ew C3 ADDITION REMODEL REPAIR DEMOLISH o GARAGE CARPORT ZIP I TELEPHONE ENGINEERING REVIEWEDIDATE FIRE REVIEWED BY DATE fVARIAN.E OF C. �..REUIYE 0. A.- IN. 'ON P'C! ly RE. D I FBOND� 0. TE 'YEEi 'N. SERA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , I LOT COVERAGE REQUIRED SMACKS (Fr.) PROPOSED SETBACKS IT ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE SEAR AR"PROVI.E. L� AREA PlVNI.. FEVIiA. BY DATE RE.-D''N I I 00 PLUMBING I MECH COMPLIANCE OR CHAN E ,USE 0 SIGN 0 GRADING CYDS C:] F NCE X FT) 0 TANK 0 RITAININYGWALL ...,I 0 RENEWAL OF FRITICAL OF I DWEILIN "EAS F STORIES LIN I. UMBE DESCRIBE WORK TO BE DON CHECKEDBY JWPU)W� G CUP TPECIAL INSPECTOR R GUIREDDYEB JAREA OCCUPANT E LOAD REMA KS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION VALUATION FEE PLAIN CHECK FEE HEAT SOURCE COTSUOPE% BUILDING PLAN CHECK NO: IVESTIO DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMAIT"COVERSMR-K TO BEDONFO PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON HEPUSUC DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. AJ IVI E L L LLI PE MITAPPLICATION: M0 DAYS PERMIT LIMIT.- I YEAR - PROVIDED ORK IS STARTED WITHIN 160 DAYS ENG. REVIEW FEES SEC BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHAL OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS END. INSPECTION FEE IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS T"l CITY OF I LANDSCAPING EDMONDS, WASHINGTON. ITSOFFICIALS, EMPLOYEES, ANDAGENTS FROM ANYAND INSPECTION FEE A LOLAIMIFORDAMAGES FINHATEVERNATURE. ARISING DIRECTLY OR INDIRECTLY FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SMALL NOT BE DEEMED TOMODIPY. WAIVE OR REDUCE ANY REQUiREMENTOFA I E NYC TYOMDINANC IRECEIPT PLAN CHECK DEPOSIT NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDI NANCE PROVISION.' CEIP/ TOTAL AMOUNT DUE IF IHEREBY ACKNOW--EDGE THATI HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN I S CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL I EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-1- CALL pp"t-i—I P. A,nI,I,t2.,dbyth$ TION AND IN DOING THE WORK AUTHORIZED I ERESY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LA80R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I, V` Oaputy:,,dF,,,,, P,,d.,,d WORKMEN'S S2_42JINSATION IN URANCE AND RCW 18,27. 1425) OF 91&4 SIGNATU DATE 110- _D �NE �) 7t) /0 � .7/. 771 _nqqn I a AtTtNTION E X T 1 i3_3 IT IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE T � "L A FINAL INSPECTION HAS BEEN MADE AND APPROVAI OR A crRTl 771-0221 --FAX— ORIGINAL FILE - YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR z 0 m C= m 0 m z O.Te m M 0 co Fn co 0 ca z 0 1 0