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20010618.pdfI D CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ES' 5��;fOFZ;N 0 MAILINGADDRESS 11 /0-3/ c ally .1 1 ZIP ITELEPHONE CITY ZIP X PERMIT EXPIRES 2?zz� USE PERMIT Z.�IE46/, '�&d 70B SUITIVAPTO ADDRESS/,,�., / a AVE=, :5 _.? PI.AT NAMEfSLIBDIVISION NO. LOT NO. Lto NO. LID EEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP _c' I P.— F. I EXISTING PROPOSED— =.FFAIXTU�.S REOUIREDDEDICATIO u-m— METERSIZE LINE SIZE No. PAN AEG.IRED I 'Es 0 No ru UANTR) UPC 6f;5.2 OWNERICONTRACT0,R A%"wAwl4m4= F__ sH__ALL BE INSTALLED ON THE - tt 0,q Qr--,-J %4 AT. TATE LIC ER EXPtTION B EDO I No I POSTED 57. FEX�.IT EIGHT COMPLE;T"AE;j ALLOWED PROPOSED ALLOWED PROPOSED R7RTY TAX ACCO T PARCEL NO. `XP LOT COVERAGE REQUIFE SET ACKS IFTI PROPOI ITOACKIIFTI 0 NEW PLUMBING I E.. ALLOWED lAOF.SEG FRONTO SIDBE FEAR . FRONTIUSSIDE REAR 0 AUDITION COMPLIANCEOR 0 CHANGE OF USE KING LANNING REVIEWED By DATE C3 REMODEL 0 SIGN PAR REO' I PROVIDED �<AEPAIR C] GRADING CYCIS FENCE 0 ( — X FT) EMARKS DEMOLISH C] TANK OTHER 0 AR"GE GCAAPORT RETAtNINGWALL ROCXERY RENENYAL TTypE OF —USE. BUSINE ORACTIVI )EXPI-Aft: HECXEDBY I UUW I �G�CUPA N ROU P JTY� NUMB A N EBEROF D LUNG CRITICAL AAEAS SPECIAL INSPECTOR IAREA� OF STO I I UNITS A NUMBER REOUIRED rl DES '&ElW;Lj TO, K jo� W 2=21— I—OnTInNS PER I 1081FINAL INSPECTION REO VALUATION I FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE I BUILDING PLAN CHECK NO: PLUMBING MECHANICAL THIS PERMIT AUTHORIZESPONLYETHE WORYK NNYED HIS; PERMIT COVERS WORK To Rop PITY oNL . A C�NT UCTIONONTHEPUBLIC t: BE DONE ON PRIVATE STA GRADINGIFILL X OEVVALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE DOMAIN (CURBS. SI SEPARATE PE11111ION. lTolN-AoN-y.. S;Afr5URCHARGE P MIT APPLICATION: 1.0 DAYS ERPROVIDED SIA TE.WITHIN l0f)AYS PERMIT U." I YE.Fl, W ORK " A END REVIEW FEES . SEEBACKOF INKPERMITFOR OREINFORMATION IIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS A PPUCANTj ON BEHALF o' " THE CITY OF END INSPECTION FEE A', IN.E.Nll DEFEND AN. HOLD HARMLESS I NTE . AGREES To "A NTS R' NYAND " LANDSCAP No INSPECTION FEE EDMIN 'S. WASH'N'To�S ITSOFFICI�LS. E" LoYE 7 NATLAE 'E"'SA". -"�CT'V`GA "NC"REC LY RECEIPT ALL C ....... AIVAG E OFWHATEVER OF THIS PERMIT ISSUAN�E OF THI S PERMIT SHALL NOT BE ILAN CHECK DEPOSIT FROM THE ISSUANCE FYWAIVEORREDU E ANY REOuIREMENT OF ANY CITY ORDINANCE DEEMED NOR LIMIT THE CITY S A.I-LITY TO ENFORCE ANY ORDINANCE PROVISION I AEC I CATGN� TH AT THE INFORMATION APPLICATION APPROVAL I HERE% A' �NOWLEDGE THAT AVE READ.T.IS APPLH E DUL AUTHORIZED AGENT OF -1 A 1 11 lIgIld by th, GIVEN I COAREC . ANI '� T:H NER on "A AM THE o AN6 STATE WS REG TING CONSTRUC- Thl, PPI'llt— 50d,�g Ofl,c,.I,, h-11 Dly ld Flll 11, d� THEOWNER IAGREETOCOMPLY WITH CITY WI TION. AND IN DO No THE WORK AUTHORIZED THEREBY. OPIRS N LLBEEMPLOYED RELATING TO RELATING TO TION 11—Ildged,l 1p.11 P1.11,11d. IN VI ON OLATION OF THE LABO THE STATE 0 WASHINGTON AND ACW 16.27,_ OFFICIALS DITE WORKMEN S COMPENSAT, OWNE (425) 7NATUR5 1 , W'/, T �hgzan ilkldi N AT EIR E 1� &A�� ITG 771-0220 RELEASED By I DAT6P EXT 1333 ATTENTION TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLDW - INSPECTOR A FINAL HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR yl CATE OF OCCUPANCY 5,98 z 0 m ma 0 c m m 0 MITI 0 0 0 mo X z cn z m 'm 'MAL PROJECT APPROVAL FORM TO: DATE: MEMO TO: PERMIT COORDINATOR, BUILDING DIVISION FROM: —FIRE DEPARTMENT DATE — ENGINEERING DIVISION DATE PLANNING DIVISION DATE_ PROJECT---,C-IA SITE ADDRESS. 103( 1�— S PERMIT #_gL6_L ADB# CTED, INSPF DESCRIPTION OF WORK TO BE INSPECTED----�N��Q��. A field inspection was conducted to determine compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the granting of: Final approval of the described work GRANT FINAL PROJECT APPROVAL PROJECT APPROVAL WITH CONDITIONS NOTED FINAL INSPECTION - OUTSTANDING ISSUES 0 F1 3. RE -INSPECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp:bldg:for=6/98 z 9 0 0 C: 0 rn . r a: rn rl Z 10 4 C o -n n rn rn W En 0 r- 0 M C: Cn C Cf) M Z z C') z 0 rn RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... 'Waal ............... pler/porch ............ Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final HEATING: GasTest .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR c7A k1 OCCUPANCY .................. 2, _n i M, ITI -4 0 C. C 0 ITI I C, M VIDFN -OPERMIT EXPIRES 'FN CITY OF EDMONDS USE PE""T 'ked N"IER,90/ CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT- q4l w I PILAT NAMEISUBDIVIStON NO LOT NO. LID NO. LID EEE $ MAJUNGADDRESS III ev PUBLIC RIGHT OF WAY PER OFFICIAL STREET lP T—P C EXISTING — PROPOSED IT 0 ZIP TELEPHONE FE.UIREDDEIlMAlIO-- — METER SIZE rb%%W^" .0 U p PRV REOUIRED NAME WATMM S ICE SHUTO �Es 0 No 0 1 'I ADDRESS REMARKS REMARKS 9 0 WNEMCONIL NONAGE I CITY ZIP TELEPHONE %_t_ -1 fft I 1_%j r, r I t NI . .6TBATE ENGINEERING PURSUANT TO ECDC IF% APRESSURERIMULATOR3Wanx� IDDRESS t4 6/q Qc— N '4 c IN FIRE REVIEWEDlWk" Jib lNbTAUED NEAR DATE - "R, TM WATM SHUTOFF 9 gj. �3 VARIANCE OR CU SHORELINE OR ADS# INSPECTION 0 YREG'D NO ES I BO D POSTED 5TATE LIC A ?IQ .6 CHE SERA REVIEW F__MPLETE EXEMPT C. -XF XP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED R��R`TYT7 ACCO T PARCEL NO 0 '�' / -7 NEW RESIDENTIAL PLUMBING I E-- COMMERCIAL o COMPLIANCE OR 0 ADDITION 0 1 CHANGE OF USE TM T SIGN C] REMODEL [70] �APAATMENIT JREO'D FENCE X FT) ( X FT) &REPAIR [:3 G""' CYDS X cl DFMOLISH El TANK OTHER ci GARAGE C] RETAINING WALL RENEWAL CARPORT 'L LOT COVERAGE ALLOWED PROPOSED lEllIlEl SETBACK' FRONT SIDE REAR PROPOSED 111111 "1 FRONT UPSIDE REAR PARKING OV I PR IDED LOTAREA PLANNING RE IEW60 By DATE MARKS F. P_ 11 wy 616W t 'rg CHECKED By JTYP�� U UP ... ANT'g JC��j R P Nu 0 STO ,e HUM ERO DWELLING UNITS AREAS NUMBER 4�`C N SP SPECTOR RZOUIARLCO YES JAREA OCCUPANT LOAD 40 ' (3 REMARKS ROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION , P. VALUATION I FEE PLAN CHECK FEE T S LOT SLOPE % L 0 L BUILDING PLAN CHECK NO: T E 1111TED DATE T E D D A PLUMBING MECHANICAL R M I T C 0 V R S W 0 K To THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO PE.'R t: T N T E PU U 8 E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON TH E PUB LIC C GRADING&ILL DRI RQUESS. T C I L L U R DOMAIN (CURBS, SIDEWALKS. VEWAYS, MA ETC.) WILL REQUIRE SEPARATE PERMISSION. P BMITAPPLICATI N: IBOIDAYS E T I A - PERMIT LIMIT. I YEAR - ROVIDED WORK IS STARTED WITHIN 160 DAYS P END, REVIEW FEES A T I 0 SEE BACK OF PINK PERMIT FOR MORE INFOR ATION I I. N S A NO SUM S-RS ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS NAR-LE NO. INSPECTION FEE ;APPLICANT. T I Y OF S 'HE] C N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F ING Y A AGENTS FROM AN NO 2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND =N FEE OFWHATEVER NATURE. ARISING DIRECTLY on AULCLAIMIFORDAMAG,S DIRECTLY ON INDI RECTLY RECEIPT SH FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL HOT BE y DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENTOF ANYCITY ORDINANCE PLAN CHECK DEPOSIT ORGINA CE V SIGN �OFI LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION.' TOTAL AMOUNT DUE INFORMATION I HERE I ACKNOWLEDGE THAT I HAVE READ HIS APPLICATION; THAT THE FM_'ON APPLICATION Z GIVEN IS CORRECT. AND THAT I A. THE OWNER, OR THE DULY AUTHORIZED AGENT OF Th" �ppj.__ P'!PPROVAL T EOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- BE EMPLOYTED PE BE EMPLOY ED CALL B.�Id,�g CM-1 , h—or DoPuty: md F ... ... F.,d. Ild , RSON WILL TION� AND IN DOING THE WORK AUTHORIZED THEREBY. NO RSO WILL To L T G To N VIOLATION OF THE LABOR THE STATE OF WASHINGTON RELATING 0 FOR INSPECTION sp— p—ided. WORKMEN S COMPENSAT AND RCW 18.27. OFFICIALS D E IT S'. E (425) T I rtgQ;�� CUE�NID 771-0220 R ELEASED BY !.AT T! ATTENTION EXT 1333 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- ORIGINAL -FILE - YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR z 0 P1 am q ca mo m m M 0 S 0 0 Fn m co) z m