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20010582.pdfDATE RECEIVED q(�cll D� PERMIT EXPIRE CITY OF EDMONDS USE ZONE ff PERMIT _)S9 NUMBER CONSTRUCTION PERMIT APPLICATION JOB Z ADDRESS SUITIAP11 OWNER NAMENAME OF BUSINESS PLAT NAMEISUBDIVISION NO. T LID NO. LID FEE S ILI DR� MAILING A DRESS -E:.oiTw "e—*' F PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP AM..d 0 P., 0 0 0 EXISTING — PROPOSED — #_4 R 0 CITY ZIP FT REOUIREDDEDICATION� FT S WIft IRI REOUMED NAME METER SIZE I LINE SIZE NO OF FIXTURES 0 13 NO 0 ES 0 YES ADDRESS REMARKS OWNENCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ZIP _775_ NAME NGI.EERI G 3R.�EWE. ADDRESS FIRE REVIEWED BY CITY ZIP TELEPHONE 0 en, 1607�4 VARIANCE OR CU SHORELINE OR ADBN INSPECTION POSTED STATE LICENSE NUMBER 0 Y iEo,—D A",l=- 11-7-4 U SERA RIVEI EW.lT BIG AREA PROPOSED HEIGHT ALLOWED PROPOSED PROPERTY TAX ACCOUNT PA FICELNO. COMPLETE ALLOWED 1,-7 Li -I P LOT VERAGE REOUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT URSIDE REAR 0 NEW 0 PLUMBING/MECH OWED PROPOSED �<C:I.IENTIA P. COMPLIA CE OR E IAL 11 E] ADDITION CHANGE OF USE PARKING LOT AREA PLANNI IEWED By DATE 0 REMODEL APARTMENT 0 SIGN FtEao PROVIDED FENCE 0 REPAIR 0 GRADING CYOS X FT) 'jgDEMOLISH TANK o OTHER GARAGE 0 RETAINtNOWALL C] RENEWAL CARPORT 00CIPA EBB OR ACTIVITY) EXPLAIN: (Z� CHECKED BY TYPE STRU TIO G F.Up CRITICAL SPECIAL NSPECTOR REOUIRED n YES AREA OCCUPANT LOAD PER VALUATION FEE HEAT SOURCE IT SLOPE PLAN CHECK NO: VESI OTED Isf_- THIS PERMIT AUTHORIZES ONLYETHE WORYK HN T A YC6N;KRUCT16 THEPU U ONPRIVATEPRO R"ONL. BEGONE Ay ETC.) WILL F EQUIRE DOMAIN (CURBS. SIDEWALKS. DRIVEW S. MARQUEES. I GRADINOfFILL :�l SEPARATE PERMISSION. URCHARGE PERMIT APPLICATION: 100 DAYS LIMIT I YEAR PROVIDED WORK IS STARTED WITHIN 160 DAYS ENS, REVIEW FEES PERMIT SEE BACK OF PINK PERMIT FDR MORE INFORMATION TioAN.,,HAl OF HIS OR HER BIOUBE. HEIRB. DESIGNS AND SUCCESORS ,,N," DEFEND AND "ILI ;,AppL,,CAN, "ARMLESS THE CITY OF ENG. INSPECTION FEE LANDSCAPING NT IS REES To, E.PLO " AND AGENTSFROM ANYAND :1 EDMONDS. WASHINGTON. 11 B.FF,C,4. .ES DIRECTLYOR INDIRECTLY INSPECTION FEE RECEIPT A CLAIMSFOR DAMAGESOF WHATEVER NATURE. ARISING LL' T BE OF THI ISSUANCE OF THIS PEFI-IC,TSy-ALkDNO PIN C.ECKDEPOSIT FRO. THE ISSUANCE A, REOUIREMENTOF A Y OR NANE PROVISION RECEIPT YTO ENFORCE ANY ORDINANCE TO OUNT DUE LEDGET AT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 'A' APPLICATION APPR L IHEREBYACKNI 0 AGENT OF ISCO RECT.ANDT TIA 0 ' OR THE CULY AU'"O"" GIVEN T E S EG-LATN G C..SFUC THE OWNER GREETO Ly _T"C'TY AND - A' LAW - E D CALL TION, AND I NO HE A THO-ID E - - ED WILL BE . T. RE Y 0 PER N To F A R L TIN FOR INSPECTION pt g.,I,. sp,w ded. .T IN VIOLA CODE OF .E STATE OF AS., ON TFZFIC N WORKME" C CEANDRCW18.27. P s (425) s DATE SIGNED 771-0220 EXT 1333 UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE - YELLOW - INSPECTOR - GOLD - ASSESSOR A FINAL HAS 13EEN GRANTED. LED SECTION 109 FAX PINK - OWNER CATE OF OCCUPANCY z m m 0 80 �r: c In m z W 0 _n n m M a 0 rn z m I m GARY HAAKENSON rTT OF EDMONDS MAYOR 121 sTH AVENUE NORTH -EDMONDS. WA 98M - (425) 771�0= -FAX (425) 7714=1 Website: �.dedmOnds.wa.us 1w DEVELOPMENT SERVICES DEPARTMENT 9'� Planning Building Engineering July 30, 2004 The Bank of Washington Attn: Judy Degernas 303 5h Avenue S Edmonds, WA 98020 Re: Demolition Frozen Fund Account #180001641 for Brad Bufterfield and Michael Eckelbarger, 128 and 130 0' Avenue S, Edmonds WA Dear Sir or Madam: The City of Edmonds hereby authorizes the release $4,000 from the above referenced Ali interested City departments have approved the release of Demolition Frozen Fund the Demolition Frozen Fund. Sincerely, Marie Harnson Permit Coordinator Cc: Applicant File Urmp/DST,slMwtcrlxtters/RelemePerfomn=02MI Incorporated August 11. 1890 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... Z, PledPorch ................. Retaining Wall ........... M Slab Insulation .......... ft, PLUMBING: Underground Rdugh-ln M M ................... -4 C.) 0 Commercial Final HEATING: M 2' 10-4. GasTest .................... Gas Piping ................. 02 Equipment .; ............... Commercial Final M E)(TERIOR SHEATHING NAILING.......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor insulation Wall Insulation ........... Ceiling Insulation Z. SHEETROCK NAILING SPECIAL INSPECTION M 110115E;M�N- .......... FINAL APPROVAL FOR -d- 4 OCCUPANCY .................. lot-(- CAP-0 4ft od DATE RECEIVED OTY OF EDMONDS CONSTRUCTION PERMIT APPLICATION -j;��.E F BUSINESS MAILINGADDRESS .01'rw c- 7 ---F- 11 TELEPHONE -IC) F 0 [PERMIT EXPIRES USE PERMIT ZONE NUMBER ?,DO I -(�SKZ- JOB 11IT11T* ADDRESS Pi -AT NAMEISUDDIVISION NO, LID NO, LID FEE $ PUBLIC FIGHT .1 WAY PER OFFICIAL STREET MAP 0 W -� P-1 I C EXISTING — PROPOSED — SI'_U P.-I REQUIRED DEDICATION— I 0 METER 51ZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESO NO 13 EVARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE �rmv e-gaa2b oil ZIP TELEPHONE 7,UM 416EE��l REVIEWED/DATE ADDRESS 6Fd�l 7V FIRE REVIEWED By DATE, CITY ZIP TELEPHONE qZf- -775 0-F VARIANCE OR CD S HORELINE OR ADS# INS D C�D- REQC!ION OSTE YES ONO -TTATE LICENSE NUMBER EXPIRATION COMPLETE EXEIVIFT� D:p SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED I PROPOSED PROPEPT�YTAX ACCO NT RCELNO. s' LOTC VERAGE ALLO'E D PROPOS um-t ETBACKS (FT.) ,IDE IS REAR <RESIDENTIAL NEW C3 PLUMBINGIMCCH C MPLIANCE OR 0 ADDITION C] COMMERCIAL CHANGE OF USE PA KING LOT AREA PI-ANNING REVIEWED By DATE C] C] APARTMENT SIGN REDD PROVIDED IIAIINI FENCE REPAIR CYOE — . — FT) S 'g�15MOILISH E] TANK ci OTHER c GARAGE RETAINIRNYGWALL C3 RENEWAL CARPORT ROCK, TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN f (Z- CRECKEDGY ITYPE&MT(j 0 CUPAk: GADU w NUMBER "] or �NUMBEI10F WELLING NITS tilt, I HCAL , . 'A EA. NUMBER 11EC1'ALE1."SPECTqF RE.0 F 0 YES JARIA I OCCUPANT DESCRISGWORKTO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 10aiFINAL INSPECTION REQ'D 11 v— PLAIN CHECK FEE HEAT SOURCE .1-AZING I T S BUILDING t PLAN CHECK NO: 11ESIED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CoNSTRUC 'ON ON THE PUBLIC GRADINGIFILL �URC DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS , ARQUEES.TF.TC.1 WILL -E.-IFE HAAGE :3 SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS END REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE iNFOR ATION ENS INSPECTION FEE A PPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS I" T"' AN'TYA.o." LANDSCAPING A T I... EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND BEEN S RINUIRECTLY ALI CLAIMS FOR DAMAGES DFWHATEVER NATURE. ARISING DI R CTLY INSPECTION FEE FROM THE ISSUANCE 01 THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE 0 DEEMEDT MODIFYWAVE OR REDUCE ANY REOVIREMENTOF ANY CITY ORDINANCE "IN 0' NOR LIMIT ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORLIN—I, I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS , APPLICATION. THAT THENFDFVATION GIVEN IS CORR CT�EAND T T I AM THE OWNER, OR THE DULY -THOHIIED AGENT OF ' ' AE WITH CITY AND STATE LAWS REGULATING CONSTFUC GR To 'L CALL ON WILI. BE EMPLOYE 'tAy1UTHORIZED THEREBY, NoPERSINGTON RELATHIG Too WASH] FOR INSPECTION B C, �B CODE OF THE STATE OF U�NCE ANDRCW IB 2 (425)SIGNED 771-0220 — EXT 1333 A EWN 17 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 11LUATIO' FEE .ICATION APPROVAL I ., —.1 D.Pull: .,,d F... - d, ,, ,k—Wood -- 4— Pl-d- YASIO By U.TL ORIGINAL-ILE - YEI-LOW-INSPECTOR PINK - OWNER - GOLD - ASSESSOR z 0 m IT, a 0 80 c m m 10 c V) 0 -n _n M m 0 0 Fn C (j) c (1) -il M X Z V 6) 1 z 2 0 m