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20010599.pdfPECEII)D re, PERMIT EXPIRES PERMIT CITY OF EDMONDS NUMBER 2M26n CONSTRUCTION PERMIT APPLICATION J.a IESS PILAT NAMEISUBDIVISON NO. LOT NO L�O NO. .AILING ADDRESS 7 L D FEES I IC RIGHT OF WAY PER OFFICIAL STREET Al TEOCP­d 0 M9. - F­.d fa ljn a/l M-1 U.1 P11- 1� 1 00 clj�� ZIP ITILEPHOIE EXISTING— PROPOSED- 0 0 REQUIRED DEDICATION— FT 0 NAME METER SIZE I LINE SIZE I N., OF FIXTURES P V REQUIRED YES 0 NO 13 3 P5 r Pt,�zj,,, ADDRESS In ARXS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIORAMAGE CITY ZIP TELEPHONE NAME P,5f- ME C ANI CA ENGINEERING REVIEWEDIDATE C ADDRESS 2 q_? FIRE REVIEWED BY DATE CITY ZI P TELEPHONE 0 7AdV_ q"j STATE LICENSE NUMBER EXPIRATION DATE CHECKED By VARIANCE OR CU SHORELINE On ADD. INSPECTION I BOND POSTED m f-T: I ol 7 1) k) -a 1.64 &D I 'l Nk E3YRE E. -SE P CO NT PA ;F�jTAX AC ICEL NO.. SEPA REVIEW COIMIL2 EXEMPT SIGN AREA AL DIED HEIGHT =!�+PROPOSEO -17 mi , N�`/% nim-c- Ilill— EXP N RESIDENTIAL C3 '14.POLU . NG I ME �G. COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS 1-1 FRONT SIDE REAR PROPOSED SETBACKS 1-1 FRONT UPSIDE REAR A OMMERCIAL PL�A 0 CHANGE OF USE -r— REMODEL C] APARTMENT 0 SIGN PARKING RE DEDT LOTARFA PLANNING REVIEWED BY D TE _it C] REPAIR C] GRADING 0 PENCE CYDS X C] DEMOLISH 0 TANK C3 OTHER 0IM0 AP 4-1,11VAUr cl GARAGE CARPORT C] RETAIN.ING WALL ROD RENEWAL gy 0 .- r TYPE OF USE. BUSINESS OR N CU Cq;tj 010 IAN OR UP A/J.3 UCRITICAL NUMBE �'e� OF 126 NUM51R OF g DW LLIN. AREAS Ml�PE E JALINSPECTOR JAREA OCCUPANT o STORIE:�+ UNITS I A NUMBER �C UIRED RE( 0 YES LOAD DESCRIBE WORK TO BE DONE PER UBC 1081FINAL VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % BUILDING PLAN CHECK NO; a/ oT IVESTED DATE PLUMBING MECHANICAL &12 THIS PERMITAUTHO IZES ONLY THE WORK NOTED. THIS PERMIT COVEnRS WORK TO 9 �K TO _ t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL 9 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. -laWSIURCHARGE PERMIT APPLICATI N: ISO DAYS T PERMIT LIMIT. I YEAR, PROVID 0 WORK IS STARTED WITHIN 180 DAYS ENG, REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A PLICANT. ON BEHALF 01 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE INPINTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS HE CITY OF LANDSCAPING a EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. ANDLAGEINTS 1R.. ANY AND ALL CLAL.1.1,FS01 1AMA11FIT0.1, WHATEVER NATURE. ARISING IRECTLY OR INDIRECTLY INSPECTION FEE RECEIPT FROM T SUAN;E C S PERMIT ISSUANCE OF THIS PERMIT SH ILL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE On REDUCEANY REQUIREMENTOFANY CITYORDINANCE 81 NOR LIMIT IN ANYWAY T.ECITY'SA LITYTO ENFORCE ANYORDINANCE PROVISIONjo -_ TOTAL AMOUNT DUE JR.Ma2a I 17 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION AliPLICATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF T E OWNER, I AGREE TO COMPLY WITH CIT AND STATE LAWS REGULATING CONSTRUC- CALL TIllopp"l.".111 -1 ­L F­ I - 11.9— by III %,,d'F­ TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL B E EMPLOYED B." G .1. ­d. Id `7 S� _20 opul, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ­,.pI,­k­lodpd­p... Pl-d.Il WORKMEN S COMPENSATION INSURANCE AND RCW 18.27, _ IGNA N GE DATE ED (425) _F�IICIAL 5 L 0-11 771-0220 - YNLATWFUL RELEASED BY I 0 A N ION EXT 1333 /, 'k TO US(/OR OCCUPY A BUILDING OR STRUCTURE UNTIL IT L L T, I IT 771-022 , A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL"-�E YELLOW- INSPECTOR X CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5198 z 0 u M c ma 0 � r 0 c m 0 _n ,n � m M 0 Fn C (J) m ca 0 z z =o! 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wait ........... I .............. Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground Rough:ln ................... commercial Final HEATING: Gas Test GasPiping ................. Equipment .......... Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ................... FIRST FLOOR FRAMING INSULATION ................... Floor insulation Wall insulation ........... Coiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR —4, OCCUPANCY .................. M 0 r 'S a 2 M con M CITY OF EDMONDS F CONSTRUCTION PERMIT APPLICATION - a,? 3/. # 5, ZIP TELEPHONE CITY ZIP PERMIT EXPIRES LEE ZONE PERMIT 2V 0/ - NUMBER JOB �51EIAIT. ­fnj,�< Z ;' C� /gZ/.(_ PLAT "IMEIIUBDI'll'Ol NO, _ LID NO, LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P —.1 ­1 R­� EXIST ING — PROPOSE.— U.. P-1 I, — ­­_R 0 REQU�RED DEDICATION— FT — METER SIZE LINE SIZE NO, 01 FIXTURES PRI REQUIRED I YES 0 NO 0 .9 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE � --'I- I F I _t' L tl M n ENGINEERING %pl%n ADDRESS qJ7Z 1 FIRE REVIEWED By DATE r r CITY zip 5tA 111LIPIONE L3 9/09 1766-f 6 STATE LICENSE NUMBER EXPIRATION D AT E CHECKEDBY VARIANCE OR CU I SHORELNE OR ADB. INSPEC ON BOND POSTED A- A-m- ESo OYRE &to SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED ...... HEIGHT ALIOIE4110101ED ,��TAY ACCOUNT PARCEL 11 , L to n 1,3 ni(W vi bl oto oob5 LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fl.) NEW �C13ADDITION RESIDENTIAL FLB.B, N �'-�E-H ALL WED PROPOSED FRONT WDE REAR FRONT UPSIDE REAR E.CIAL compl-'ANC CHANGE OF USE TA—FPTNN ING REVIEWED 61 - • REMODEL 1/0 APARTMENT SIGN 19, • REPAIR El GRADING CYDS FENCE X FT) REMARKS DEMOLISH 0 TANK C3 OTHER -�-rA-f!� LJ JTPJ r4 A-4�Z i-0011611dr GARAGE AIRPORT M ETAI.1 I_I _XF NO WALL PV C] RENEWAL A Wrcv 'doe, A7,`,vvvl;fL (TYPE OF USE, BUSINESS OR By rCHECKED JTYPEM�FU cr c27 ;� oc BRAN CUP ORO or 7V,w NUMBER OF LL"G CRITICAL i AREAS SPECI,ALINSPECTOR �ANT TO El��A NITS NUMBER JAREA ECU B R UP, D BE. YES loccu LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D 51 VALUATION FEE PLAN CHECK FEE HEAT SOURCE ..ZING I LOT SLOPE % BUILDING PLAN CHECK NO: _M T IV59TED DATE N I G PLUMBING MECHANICAL THIS PERMIT AUTHO IZES KILT THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADItkG/FjLL COMAIN (CURBS, SIDEWALKS. DRIVEWAYS' MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED W17HIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES ENG, INSPECTION FEE 'APPLICANT. ON BEHALFOF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS IN INTEREST AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 TON, ITSOFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND. EDMGN INSPECTION FEE 1. ALLCI,AIM�FORDAMAGESO WHATEVER NATURE, ARISING DOIECTLYOR INDIRECTLY RECEIPT I FROM THE ISSUA CE OF TH , PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORM ANCE PLANCHECK DEPOSIT ORDINANCE P `oVS'oN * 0 NOR L MIT IN ANY WAY THE CITY SABILITY TO ENFORCE ANY ORDINANCE PROVISION.- R C TOTAL A ... NT ELE ja I HEREBY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION, THAT THE INFORMATION APP ICATION APPROVAL GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF : �Ppl.�t.­. - � p,,.,i ni.1 I.g.,d by I,, HEDWINER, IAGREETOCOMPLYWITHCI Y AND STATE LAWS REGULATING CONSTRUC TION AND IN DOING THE WORK AUTHORIZED THEREBY, NO PER50N WILL BE EMPLOYED CALL, ..Jilgil Offi-I 11 h-11 DIP.ty; 6ld F*el P­. Ild .S L IN V161LATION Or THE LABOR CODE OF THE STATE OF WASHINGTON RE LATING TO FOR INSPECTION d WORKMEN S COMPENSATION INSURANCE ANDRCW 1827. DATE NED si A, S uR= GEN (425) 1 RELEAS� NTION EXT 1333 rrN 'A T LAVv,U L TO USE'OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-042 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- LOW -INSPECTOR X CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER G�OLLD - ASSESSOR 5- Z 0 =i =n 0 m a 0 m c m c 2 o.n -n 2D MITI a 0 o Fn C co c. 0 v Z 0 d 0 rn