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20010611.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ZIP CITY 'P NAME ADDRESS TELEPHONE RESIDENTIAL 0 PLUMBING/I CONWEFI 0 Co-p-�'l CKANGEOFUSE 0 REMODEL 0 APARTMENT 0 SIGN Cj REPAIR 0 GRADING Cyps FENCE 0 I 0 DEMOLISH 0 TANK Au o GARI CARPORT 0 RETAININGWALL RENEWAL NUMBER- DWE NO UNITS PLAN CHECK NO:C—) I L q —r 1--- T1418 PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK I BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CUI SIDEWALKS. DRIVEWAYS , MARQUEES. ETC.) WILL REQUIRE SEPARATE PEZISSION. PERMIT APPLICATION: 110 DAYS PERMIT LIMIT.- I YEAR. PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESOR IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITI I FROM 001 ECTLYORINDII T" '50F CAL EMPLOYE BANDAGE S A'= ��U NICE OF THIS PERMIT SHALL NOT 8 Sol j' WN`AI Al FORD BE OF TEVE TURE-A N A RA EOUIREMENTOFANYCIT�OROINANC 10 W PERMIT EXPIRES 12y-El USE PERMIT ZONE NUMBER 1*191-151� ADDRESS CAV—/ a, �, /)1 r% PLAT NAMEISUBDIVISION NO. --[LOT No. I NO. LID FEE I PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTINI PROPOSED� REQUIRED DEDICATION— I — mi R, I I I NO. OF FIXTURES — PAl 0 0 0 13 —.l 0 PRV REQUIRED YES 13 NO E3 OWNER/CCINTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWEDfDATE FIRE REVIEWED By DATE VARIANCE OR CU SHORELINE OR AD190 INSPECTION RE .0 Yl1 BOND POSTED $EPA REVIEW COMPLETE XE PT P I SIGN AREA ALLOWED 1 PRO BED HEIGHT ALLOWED PROPPSEO )—sl 11-7 W LOT COVERAGE ALLOWED PROPOSED 26 Ill REQUIRED SETBACKS IFT.) FRONT R, I I !�!5' 1 PROPOSED SETBACKS (Fr.) FRON I ISID'El II I ILI Ist PA I 9- L ING L PROVIDED vs- REA PEA G I EWE DATE I -7119-10, REMARKS - C,0f.WEA:z, L-oT-, 4A% "I bil ---i V40 FELL --Er� CHICKEO BY ITYPIOF accu GO 0 ROU SPECIAL INSPECTOR JAREA I REQUIRED Cj YES I OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1 081FINAL INSPECTION REO'D All I VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL 0 GRADINGIFILL STATE SURCHARGI END. REVIEW FEES S END. INSPECTION FEE F LANDSCAPING D INSPECTION FEE E I PLAN CHECK DEPOSIT IIECEIPT ENFORCE ANY ORDINAI PH— ....... TOTAL AMOUNT DUE I ACKNOWLEDGE THAT I HAVE READ THIRS APPUCi TAHAT THE INFORM ION By HE "NE OR OUL UTHOFIZEO AGENT OF GIVEN IS. CO1,R1CT, AND T THE DW SR AGREE TO , WITH CITY A.6 STATE LAWS REGULATING CONSTRUC CTI - CALL TION, AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED IN OF THE STATE OF WASHINGTON RELATING To FOR INSPECTI, VIOLATION OF THE LABOR CODE W RANCE AND I IS. 27, S CO4PENStTIqiI"l ,QHl (425) 771-0220 ATTENTION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR ST RUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX mHl 'hI, 'Pi -1 eOt. I Ih. Sellhe�,' Depi li,el Fee$ .10 P d. —d I$ 'Ck—ledged I. APIW I il SIGNAT Fly U ORIGINI YELLOWI-INSPECTI PINK - OWNER GOLD - ASSESSOR r z Ri V5 0 m m 0 80 a m m c 0 -n m ITT 0 0 0 Fr C I r. 0) . I M 0 z m �ocs not approve any iteln specification. s not to code _7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing .. .................... well......................... V-1) & Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... C,� PLUMBING: Underground ............. IT 0 Roug h In ................... Commercial Final HEATING: M GasTest .................... 10 Gas Piping ................. Equipment ..... . ...... Commercial Final EXTERIOR SHEATHING ITI NAILING .......................... W, It FRAMING ........................ FIRST FLOOR FRAMING... 3C INSULATION ................... Floor insulation ......... --- Wall insulation ........... Ceiling Insulation SHEETROCK NAILING z SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR yv)s 9-d 1-0 OCCUPANCY .................. 2CO 1, O(Dl� \'/ '4 . ........ FPERMIT EXPIRES 4z* us PERMIT �7' /7 CITY OF EDIVIONDS ) 20 NUMBER ,/_ CONSTRUCTION PERMIT APPLI t'A -D S.. S I -I SU?lr e�) NAME ZIP I TELEPHONE NAME CITY ZIP L111PH011 �j P�_ 4. 11W 17 �T �TE No-v/"o 0� RESIDENTIAL [] PLUMBINGIMECH f'X C MPLIANCE OR COMMERCIAL ci CHANGE OF USE 0 REMODEL [03 APARTMENT 0 SIGN C], REfAIFI 0 GRADING YDS C3 FENCE K FTI DEMOLISH TANK A BE GCA31PORT r RETAIN WALL ING 0 RENEWAL 0 R CKE Y (TYPE OF USE, BUSINESS OR ACTIIITY;E X LA 7'_ NE;ER 0 R AREAS �RITIC�RLqa ELLNG TS N NUMBE A_0( DESCRIBE WORK TO BE D.QNE_ — , .11 1 GIC 64 u OV-00 0 FLAT NAMEISUBDIVISION NO. LOT No ID NO. I LED FEE I PUBLIC FIGHT .1 WAY PER .11ICIAL STREET MAP ;Eebl �d Ext TING— PROPOSED— A.1kee REQUIRED DEDICATION FT — W., PAV REOUIAEO YEs E3 NO 0 P MARKS OWNER/CONTRACrOR RESPONSIBLEFOR EROSION CONTROLMRAINAGE FIRE REVIEWEDBYVV fli I- L1616 W VARIANOE OR CU SHORELINE OR ADII RE . 1,SON. FGATEI oyes ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE E7T ALLO SED AUO ED P P I M asil KD LOTCOVERAGE ALLOWED i PpnpnqFn PEOUIRED SETBACKS (FT) FRONT SIDE. REAR , PROPOSED SETBACKS FRONT, UP S' DE.5w JSI;z, L-6r E OF ERU� N O.tV - I GROUK T'P OC�ODUPIIT T OR ARE YES TIONS PER UBC 108/FINAL INSPECTION F 'QBEE(MEN'S VALUATION FEE NC H FINCIAECKIEE E HEAT SOURCE GLAZING I LOT SLOPE % G BUILDING B 'N 44 "L P L N PLAN CHECK NO: v'ST" DATE N";K A A L MECHANICAL M PERMIT COVERS WORK T THISPERUIT AUT14ORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO E DONE ON PRIV ATE PROPERTY ONLY. ANY CONSTRUCTION ON T EPUBUC SIDEWALKS. IVEWAYS. MARaUEES. ETC.) WE DOMAIN (CURSS, OR U_REQUInE SEPARATE PERMISSION. GRADINGIFILL A E GE T T SURCHAR INEAMITAPPLI N: ISO DAYS PERMIT LIMIT: 1 YEAR - PROVIDED W RK IS STARTED WITHIN 10 DAYS ENG REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG, INSPECTION FEE FINSPECTIONFEE APPLICANT. ON BEHALF OF HIS OR HEIRS, ASSIGNS AND SUCCESORS 'e L A N EP HER SPOUSE. H NTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES� AND AGENTS FROM ANYAND S LL , . o CA" Ly ALLCE-AIMSFOT AMAGISOM.ATEVER NATURE. ARISING DIRECTLYOR INDIRECT A. r E FROM THE ISSUANCE OF THIS PER MIT ISSUA CE OF THIS PERMIT SHALL NOT B FDEA REDUCE ANY PEOUIREMENTOF ANY CITY ORDINANCE EMED TO MODIFY. WAIVE 0 LANDSCAPING N PLAN CHECK DEPOSIT REGEEPT TOTAL AMOUNT DUE CE17 I I 21 NOR LIMIT IN ANY WAYTHE CITY'SABILITY TO ENFORCE ANY ORDINANCE PROVISION.- I HEREBY ACKNOW EDGE 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 T E OWNER. I AGREE TO COMPLY WITH CITY END STATE LAWS REGULATING CONSTRUC TiON: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO W C0APENS�TIqAI4kURANCE AND RCW 18.2T CALL FOR INSPECTION _' Tl,�lollll.11 11 11 -C I —I �' -1-b by I,, - E'� __11 I'pdl'y�.:�d Fell Ile d. ,pIedg pI. p,d,d OF��IALSSIG ATU D" (425) 7 -0220 ("ell I" LE:2 71 R�E.EAESEDBY ATTtNt-ION EXT/333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- 771-0221 ORIGINAL FILE YELLOW 'INSPE6TOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASIE"IDET z 0 0 M c: m 0 80 m rn 1, c c_n 0 _n -n M M 0 M 0 z z 0 4 0 IT!