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20010588.pdfDATE RECEjEl -7 14D 12 [PERMIT EXPIRES CITY OF EDMONDS ZONE �Lb<� PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION 'A'DBRES5 �6�6 14W 1twom SUITEIAPTO OWNlRNAMElNAMlCllUlIM 7, k PLAT NAMEISUBDIVIStON NO. I IOT NO,, 1�11 10 L L D EES MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFRCIAL STREET MAP EXISTING — PROPOSED- REQUIRED DEDICATION— FT METER SIZE I 1111SIll I NO.OlFIXTUlEl I ;EWSP.PW-- U 13 sl P19�d D 0 �`_. R u PAN REQUIRED YES 0 NO 0 ZIP TELEPHONE '7 NAME ADDRESS EMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CO�TROIJDRAINAGE z ZIP CITY ITELEPHON1 NAME V, I ENGINEERING REVIEWIEDIDATE ADDRESS A; A-1 co FIRE REVIEWED By DATE r CITY' ZIP TEL PHONE ee) - ?-/s // VARIANCE OR CU SHORELINE OR ADBN INSPEEOC!ION R D 0 YES ONO 1,13OND. OETE IICIENS�tAEER EXPIRATION D 0-00Y J-53 b Z CHECKED BY SERA REVIEW COMPLETE I EXEMPT EXP' Sim AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROPOSED PROPERTY TAX ACCOU - 76FMO c),:;z 7 OD,-;2 ello Z�/ NEW ES'OENTIJAL CE/PLUMBING I MECH L.TC.VElAGE ALLOWED PROPOSED REQUIRED SETBACKS IFT.) FRONT SIDE REAR PROPOSED SET ACKS (Fr.) FRONT UR SIODE REAR U 0 ADDITION M .L ci COMPLIANCE OR C - PC E CHANGE OF USE (3 rC]APAR.TMENT FIXING LOT A EA I NNING REVIEWED By DATE /E..I)EL SIGN REG DPA I IFIOVIDED 0 FENCE 0 FT) E] REPAIR GRADING CYDS X FT) 6.A.KS C] DEMOLISH 0 TANK o OTHER oGARAGE C3 RETAKI�11.NYG WALL RENEWAL CARPORT P C (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN. -f-mr) __ F� �,p 12- CHECKEDBY JTV��N OCCUPA CqE/ IT F..F NUMBER- OF 0 STORIES NUMBER OF DWELLING UNITS CRITICAL AREAS NUM SPEIC SPECTOR REIEN REOUA 1 0 YES JAREA JOCCUPANT I LOAD -�.FH�E W.FIZ BE Do REMARKS PROGRESS INSPECTIONS PER UBC 108ITINAL INSPECTION REQ'D VALUATION I PIN CHECK FEE "c- LO t-7 PLAtACHECK Not) EDDATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZE. ..Lyl.E WORK NOTED. THIS PERMITCOVEAS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. STATE SURCHARG PERMIT APPLICATIO : 1110 DAYS P. PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTEDWITHIN 160 DAYS ENG. REVIEW FEE SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT ON BEHALF OF HIS OR H SPOUSE. HEIRS, ASSIGNS AND SUCCESORS [a END INSPECTION FEE IN NTEREST. AGREES TO INDEMNIFYEADEFEND AND HOLD HARMLESS THE CITY OF T YANG AND AGEN SFROM AN ANDSCAPING 2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. IF DIRE ALLCLAIMSFonDAMAGESOFWHATEVER NATURE.ARISING CILY OR INDIRECTLY I SSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IRECEIPT &)r FROM THE ISSUANCE OF THIS PERMIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOIJ REMENT OF ANY CITY ORDINANCE ANY III -7 NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE Z��,q 't I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION THAT THE INFORMATION -APPLICATI )N APPROVAL GIVEN IS CORRECT. AND THAT AM THE OWNER. OR THE DULY AU HHORIZED A ENT OF -I ",..P P, THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUG F... ..d. TION AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYTED THE STATE OF WASHING70N RE LATING 0 TION IN V16LATION OF THE LABOR CODE OF WORKMENS S2y�,.ENSATICN INSURANCE AND RCW 18 27 SlGhJAT�R Tj DATE SI — jt��!AGIN (425) 771-0220 ASEDBY UA7- MENTION EXT 1333 RE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI 771-0221 FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF - ORIGINAL - FILEV YELLOW - INSACId A HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD- ASSESSOR CATE OF OCCUPANCY 5-98 Z 0 13 m m 0 80 c r m In o -n n rn rn 0 0 Fn 8, 0 z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing. ................... wall PleriPorch Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. 7 Rough -in ................... Commercial Final HEATING: Gas Test .................... to Gas Piping ................. ----- Equipment................. Commercial Final EXTERIOR SHEATHING IT! I NAILING .......................... FRAMING ........................ C) FIRST FLOOR FRAMING INSULATION ................... Floor insulation Wall Insulation ........... ceiling insulation SHEETROCK NAILING z =0 SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL FOR MS7 OCCUPANCY .................. j i CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION e CITY TELEPHONE IZ5'11WNIA�_ls "P NAME FP-ERMIT EXPIRES USE PERMIT ZONE IUM13EFI '08 SUITE11PTI ADDRESS �[) 2 �j L 4 �i PLAT NAME]SUBDIVISION NO. I fOT NO� L L�D 0 F PUBLIC RIGHT OF WAY PER OFFICIAL STRE ET MAP EXISTING - PROPOSED - REQUIRED DEDICATION- FT d :E 1 "0. 01 FIXTURES PRV EQUIRED YE C3 NO 0 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAIN.AGE r ENGINEERING VIFVW- %..T_ l.kidLEWIDATE ADDRESS Aj.1,) 60 (-AA ]f 16 Ig. I �N:3",CI FIRE REVIEWE.131 DATE 77-y- - u VARIANCE OR CU SHORELINE OR ADBN INIRPEE.OTION G 0 YES ONG jPl.OND. STE TpTF Ben EXPIRATION D ,�e at�ut a CHEG KEDBY BE. REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPDSID PROPERTY T NO. 091-2 0 NEW MI<E-SI.ENTIAL e4l.U.BIN. I M..H LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FMI FRONT SIDE REAR PROPOSED SEr.ACKS (IT.) FRONT URSIDE REAR 0 COMMERCIAL o COMPLIA04CFEOR 1-1 CHANGE USE NL PARKING .��EVIEWED BY DATE �Z-- 0 APARTMENT 0 SIGN REDO I PROVIDED F NCE 0 REPAIR GRADING CYDS 0 1 X FT) -MM-AWK-S [3 DEMOLISH 0 TANK ci OTHER oGARAGE C [3 FRQTAKININO WALL RENEWAL AIRPORT ER p r 0 A (TYPE OF USE. BUSINESS OR CTIVITYIEIIIIN' r 12- I dHECKEOBY� IfyAr '07 OCCUPANT 'Rou P or :NUM�Benj S T.RH�S TDR ES NUMBER OF CRITICAL G AREAS DWELLING NUMBER UNITS IV SPECIAL INSPECTOR JAREA E.0 RED r-1 - OCCUPA T LOAD DESCRIBE WORK TO BE DONE tn. 1, A sz: %%a - REMARKS ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO' Lp - -';Z- VALUATION FEE PLAN CHECK FE� E ' CH Cg fE I ��: I Lo BUILDING U'L DIN LN PLA?JICHECK NO V, PL BN. PLU - MBING LFEE MECHANICAL MEC.N,CA THIS PERMIT AUTHORIZES ONLY THE WqRK NOTED. THIS PERMIT COVERS WORK TO B E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINCIFILL 2 0 WALKS. DRIVEWAYS. MARQUEE S. ETC.) MLL REQUIRE OMAIN (CURDS. SIDE r5o SEPARATE PERMISSION. t. - STATE SURCHARG PE MITAPPLICATION: IGODAYS PERMIT LIMIT.- 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEE SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO. INSPECTION FEE ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS ;APPLICANT. N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F PNa EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND =.. FEE ALLCI-AIMSFORDAMAGESOFWHIiTEVER NATURE.ARISING DIRECTLYORIN-1..L. F ROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT IRICEIPT/b& DEEMED To MODIFY.WAIVE OR REDUCE ANY REQUIREMENT OF ANYCITY ORDINANCE 0 NORLIMIT INANYWAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.' TOTAL AMOUNT DUE RECEIP2�/)-75� I 51-P-1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION -APPLICATIQN APPROVAL GIVEN IS CORRECT. AND THAT I A. THE OWNER. OR THE DULY AUTHORIZED AGENT 01 T p �df_ I. _1 . _1 THE OWNER. TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL u.1d,K�g"Olplil.1 ., hl�., tty! ald Fla, 118 P.1d. -d IIAGREE TION:ANDIN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TO rewiplisacknowi�godhspaMPM-ded. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING WORKMEN'S Sq_V.EKSATION INSURANCE AND RCW 18 21. FOR,INSPECTION I OFFII/4S SIGNATURE (425) I'M I a0, WN7,"GENT, JDATE 771-0220 !I -,fDAIE I R I--- ATTENTION EXT 1333 RUCTURE UNTIL IT IS UNLAWFULTo USE 08 OCCUPY A BUILDING OR ST 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- I IW . INSPFCT09 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK ..OWNER - GOLD - ASSESSOR $18 z 0, J , m m 10 z 0 n M M o F ,= n 11,03 J.: 0 z 9 0 m