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20010602.pdfDATE RECEIVED PERMIT EXPIRES USE .. MIT CITY OF EDMONDS ZONE gf, IIUMIERI�& CONSTRUCTION PERMIT APPLICATION JOB SUITVAFT. AOORESS.,,.� 5rdp, /J. OWNER NAMEINAME OF BUSINESS FLAT NAMEISUBDIVISION NO, LOT NO, L D F E S / Z //l — � APP,_ MAILING ADDRESS T—P 0 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P.— R — 0 �!_7_ -4-- ul. P-9 A., d 0 CITY ZIP EXISTING — PROPOSED— 0 ITELEPHONE 0 REOUIREDOEDICATION— IT 0 METER SIZE I LINE SIZE__F77�� PRY REQUIRED NAME YES 13 NO 13 ADDRESS F MARKS tj WNERICONTRA.T.. RESPONSIBLE I.R E.OBI.14 ... TF...FAINAGE 75LEPHONE NAME JAm-IL- 81213CpX,!:-, EMeltee� A�d. FIRE REVIEWED By DATE CITY P J:rl T; NEJ 3 �2 VARIANC EORCU SHORELINE OR ADS4 INSPECTION FECI-D OYES E]NO BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE IC AA4C�5 PBO-71 'Zo/o/ mil SERA REVIEW E P COMPLETE' EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED _aP, PROPERTYTAX ACC UNIT PARCELNO. 9 NEW C] PLUMBINGIMECH LOTCOVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE FEAR PROPOSED SETBACKS (FT) FRONT UPSIDE FEAR C PLIANCS OR 0 ADDITION C3 CHANGE OF USE I PARKING L01 AREA PLANNING REVIEWED By DATE 0 REMODEL 0 SIGN RED 0 1 PROVIDED I 02r REPAIR C] GRADING CYD, 0 PENCE ( X FT) -REMARKS r] DEMOLISH 0 TANK OTHER GARAGE r-I RETAININY3 WALL 0 RF.NEYYAL CARPORT � R"KE (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKIDBY N OCCUPANT I,qwve,e ITIPE07 lc]?zRUP 7�R�"A'CAL SPECIAL INSPECTOR NUMBER IVI Aah,,60 JA F EQUIREO 0 YES DESCRIBE WORK TO BE DONE REMA KS ROGRESS INSPECTIONS PER UBC 101FINAL INSPECTION REG' R eo Z—:Sou -L 4011t 4#9 - 10 A s 'Al WA 4 31" -,A / 6 Saavae4 A a 1A &A-m VALUATION FEE 1AJ 54,a,- AA04 WIM her ejooq� PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDING PLUMBING PLAN CHEC�� VISTEO DATE MECHANICAL THIS PERMiTAUTHCRIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC :3 DOMAIN (CURDS, SIDEWALSKESPADRAAITVEEWAYS. MARQUEES, ETC.) WILL REQUIRE PERMISSION. GRADMG11ILl PER ITAPPLICATI.N: I8DDAYS ��E] PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN IEO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW FEES — ENG. INSPECTION FEE ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS , N INTEREST. AGREES HARMLESS THE CITY F w TO INDEMNIFY. DEFEND AND OLD 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AN AGENTS FROM ANY AND m ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIR FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY.WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE LANDSCAPING INSPECTION FEE PLAN CHECK DEPOSIT 0 NOR LIMITIN ANYWAYTHE CITY'S ASILITYTO ENFORCE ANYORDINANCE PROVISION+CEIPT .1 TOTAL AMOUNT DUE 1 5 , f111 I / I HEREBY ACKNOWLEDGE THATI HAVE READ THIS APPLICATION� THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND 7 AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEOWNER ACRE To COMPLY WIT. CITY AND STATE LAWS REGULATING C.NSTRUC- CALL Th�l Ippl.Iltl.. 11 - I bl— -111 10 by th, tylt III TION. AND IN NG THE WORK AUTHORIZED THEREBY. NO PERSO WILLSEE.PLOYEO DOI RELATING TO FOR INSPECTION Face providedo IN VIOLATION 0 F THE LABOR CODE OF THE STATE OF WASHINGTON WORKMEN SCOMPEINSATIO U N CW IS 27� .11ICIAIS SIGNATURE DATE SIGNED (425) 771-0220 fDATE ATTENTION EXT 1333 g 1 T IS UNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 77 1-0221 'SPEd�011 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW -IN CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5198 z 0 m m a t 0 80 c M 0 _Tl m M a 0 rn z 0 0 m SETBACKS .................. FOUNDATION: Footing...................... wait.......................... Pier/Porch ................. Retaining Wall Stab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas3est ........... Gas Piping Equipment .... ...... Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING � ....................... FIRST FLOOR FRAMING INSULAT16N .. .................. FloolInsulation Wall Insulation ........... Celfing Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Y�s RECEIVED -0 PiRMIT`EXPIRES USE PERMIT CITY OF EDMONDS ZONE NIUME!Ettl�x/ cdf4STRUCTION PERMIT APPLICATION 08 SUITEIAPT# ADDRESS ail 3"'Aut /J. 1711EINIM11NAMI OF BUSINE S FlTNA.El.U.MVISI.NN- -? /, DFEE $ 1 10, NO I ONO ADDRESS (�l MAILING PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — . P It" d I CITY ZIP HONE ITILI xI_F2-1'11z2_0 FT REQUIRED DEDICATION FT U.."" NO OF FIXTURE. METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED NAME YES 0 NO 0 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE - /An_ i 16L , I . __ - :t E E CITY ZIP TELEPHONE FIA'E R."EW"E--y DATE 5' DAL)l k ZIP 1� ELEPHONE T &A A& VA.IA.C2 OR CU -SHORELINE OR ADBN I NS=lV T i -1 !� LIYENSE NUMBER 75 EXPIRATIOND E 0XIES JiAA4E:y dd -7 1 U f< 1(712401 (if I 'T�LE.. SERA REVIEW COMPLETE EXEMPT COMPLETE' I SIGN AREA I I zD PROPOSED ALLOWE I , HEIGHT ALLCAlfD PROPOSED ROPERTY TAX ACCOUNT PARCEL NO. EXP FXP LOT C.' LOT COVERAGE REOUIRED SETBACKS CFT.1 PROPOSED SETBACKS (FT) 13 NEW RESIDENTIAL 3'..CH 0 LUMBINGIMECH A LOWED ALLOWED PROPOSED FRONT SIDE SEAR FRONT URSIDE REAR I 0 DDITION COMMERCIAL C MPLIANCEOR �CE OB 13 CHANGE OF USE "FU PKING A -KIN 'A LOT, DATE . [3 REMODEL APARTMENT 0 SIGN IAIIOVDED REPAIR C3 FENCE ( — X ITI —S `011P rK C] DEMOLISH 0 TANK o OTHER ETru oGARAGE C ARPORT C3 RZEgfYlVVALL R RENEWAL PEOFUSE.BUSINESSOSA lVITI)-l-IN: —CHECKEDB;, 0 CUPANT e- e_ ITYPEOF!3rrN T7 - CUP or" NU BER I.lUM;lROF OR ITICA L SPECIAL i E—C-T-0-n 7A A E A OCCUPANT OF STORIES ELL NG UWN ITS AS EAS NUMBER IV114 REQUIRED E] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D So u 441 WA LL - lfk aw*,. .00 A)AK"mAl, VALUATION FEE Var AA -A tv 16t, $ OV. PLAN CHECK FEE HEAT SOURCE GLAZINO I LOT SLOPE % ILDlNG PLUMBING PLAN CHECK NO: VESTED DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TD t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PLI BLIC GRAOWGIFILL 2 DOMAIN (CURBS, SIDEWALKS. LIRIVEWAYS. MARQUEES, ETC.), WILL REQUIRE 3 w SEPARATE PERMISSION. B�SURCH411GE PERMITAPPUCATIO : IBDDAYS PERMIT LIMIT, I YEAR - PROVIDED WORK IS STA47ED WITHIN 18D DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF 01 HIS OR HER SPOUSE, HlIR1,ASlIGNS AND SUCCE10R, E15 , INIIEcl,ol FEE ;APPLICANT, N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS TH� CITY OF LANDSCAPING MTOESITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND EDMONDS. WASHING N IF AL A G DIRECTLYOR INDIRECTLY LCLAIMSFORDA G OFWHATEVER NKrURE.ARISIN INSPECTION FEE CEIPT Q . FROM THE ISSUANCE OF THIS PERMIT iSS ANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 9 DEEMED TO MODIFY. WAIVE OR REDUCE AN' REOUIREMENTOF ANY CITYORDINANCE 0 NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- RECEIPTJ�5?P�z/ TOTALA.OUNTDUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF p.d b, - WITH CITY oC N ST E L AWS REGULATING CoNSTRU � THE OWNER. I AGREE OMP A D AT o RE WILL EMP oy[C VE ORIZED THE REDY, N PE ON BE L C ALL Bu,jT.lPlll N�., D.puly: ..d F... —1.1d.-d TIDIk. AND IN DOING WORKLY IN VIOLATION OF THE LABOR AU CODE OF TH STATE OF WASHINGTON HE LAT, NG To FOR INSPECTION WORKMEN S COMPENSATIO��NCE AND RCW 1827, OFFICIALS SIGNATURE DATE 10 _T§ kTE SIGNED (425) L G �TIYRE 771-0220 LE DB ATTENTION F_XT 1333 IT ISbNLAWFULTOUSE 08 OCCUPYAGUILDING OR STRUCTURE UNTIL 771-0221 `I&SPE6011 X A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE Yll OW ASSES50R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER GOLD . 51DB z 0 om c m 0 c m m 0) 0 n "n MITI 0 T, OF o" c z z 9 0 Ill