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20010638.pdfFPERMIT EXPIRES _14L� CITY OF EDMONDS .. ERM'T ZONE MEE 3 CONSTRUCTION PERMIT APPLICATION joB ITFJAPTN ADDRESS F-9 p LJZV OWrAMEJlAMEOF BUSINESS PLAT NAMEISUBDIVISION Nbj IT No= ON _V DFEE$ MAILING A13DAESS 10 oc, PUBLIC RIGHT OF WAY PER OFFICIAL S1 FEET MAP SC­—d E3 ­­­ d c I.., JI. d 0 EXISTING � PROPOSED — o sd­1 R.q—d o CITY zip E REQUIRED DEDICATION FT METER SIZE LINE SIZE NM OF FIXTURES PRV EOUIRED NAME YES 13 NO 0 Z ADDRESS o=NTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY NAME R.J GINEERING s-i—E-DATE ADDRESS DATE REVIEWED By FIRE CITY zip TELEPHONE I)- q97.3 VARIANCE OR CU SHORELINE OR ADB# I INSPECTION BOND STATE LICENSE NUMBER Y SL SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSE HEIGHT ALLOWED PROPOSED PROPERTY TAX AC DUNTPARCELIN :�o CD 96) Exp LOTCOVERAGE R GUIREDSErBA S( PROPOSED SETBACKS (M. FRONT UR SIDE REAR 0 NEW RESIDENTIAL 0 PLUMBING MECH ALL ED PROPOSED oW FRONT SIDE REAR El ADDITION COMMERCIAL comp IANCE OR 0 CHANGE OF USE PARKING LOT AR EA PLANNING REVIEWED By P. cl REMODEL C] APARTMENT C] SIGN REDD I PROVIDED REPAIR 0 GRADING CYGE Cj �FENCE X IT, RIEMAN- DEMOLISH 0 TANK IN oT4L- 0 GARAGE 0 EpEoTAIN J CARPORT CII WALL 0 RENEWAL 0 r SS OR ACTIVITY) EXPI..MN: FTY PE OF USE BUSIN CHECKED BY TYPE co TRU tO N co OCCUPANT GROUP F 7 NUMBER/ OF NUM ER G W'EB F D LUNG CRITICAL EAS AR fV PEcIAL INSPECTOR AREA REQUIRED YES OCCUPANT LOAD STORES - UNITS NUMBER [3 DESCRIBE WORK TO BE DONE REMARKS PER UBC 1081FIN D], Z rn 'o, 0 -0. m M 0 C.) c VALUATION FEE Z 0 PLAN CHECK FEE 0 HEATSOURCE GLAZING% LOT SLOPE % BUILDING m PLA���� VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. Tmis ­R­ COVERS WORK TO p BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. �X�SURCIAARGE PE ITAPILICAIION: INI-AYS PERMIT LIMIT. I YEARR PROVIDED WORK IS STARTED WITHIN IsD DAYS ENG, REVIEW FEES SEE BACK OFPINK PERMIT FOR MORE INFORMATION LICANT, ON BEHALF "�N HIS DR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG� INSPECTION FEE ;AP N INTEREST. AGREES 70 DEMNIFI. DEFEND AND HOLD HARMLESS THE CITY OF FROM ANY AND LANDSCAPING FEE 2 E DMONDS. WASHINGTON. TS OFFICIALS. EMPLOYEES, AND AGENTS T LYOR INDIRECTLY INSPECTION RECEIPT AMAGESoFWVATEVER NATURIEARISINGD E - OF THIS PERMIT, ISSUANCE OF THI REG S P RMIT SHALL NOT BE PLAN CHECK DEPOSIT OF All CITY ORDINANCE PROVISION' RECEIPT ORDINANCE TOTALAM UNT DUE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION APPLI APPROVAL I HEREBY IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF .1 �1.1 ,,..d III — GIVEN THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTIAUC EMPLOY ED CALL Dudd..o oU.­j , l,Me, D.P,,ly: .1d F... 11, ­d. .d D THEREBY. NO PERSON WILL BE TION, AND IN DOING THE WORK AUTHORIZE I RELATING 0 I acoPI Is acknowledood -� loll, prov.ded FOR INSPECTION IN VIOLATI ON OF T14E LABOR CODE OF THE STATE OF WASHINGTON RE TE WORKMEN., COMPENSATION INSURANCE AND RCW 18 27 IFICIALr IGNA DATE SIGNED (425) T [��AT R—E IOINI la -31 L" 771-0220 ELEASEDBY DATF/ EXT 1333 EWHENTION OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 IT IS UNLAWFUL TO USE OR A CERTIFI- ORiGINAL-PILE - YELLOW - INSPECTOR A FINAL INSPECTION HAS BEEN MADE AND APPROVAL GRANTED. UBC SECTION 109 FAX PINK OWNER - GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN 5*8 7 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED �A' SETBACKS ..................... FOUNDATION: Footing ................ Wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... a M, PLUMBING: Underground ............. M Rough -in ................... M Commercial Final 0 HEATING: M Gas Test .................... Gas Piping ................. M Equipment ................. 0 -n Commercial Final EXTERIOR SHEATHING 1711 NAILING .......................... rn FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation p SHEETROCK NAILING 0 SPECIAL INSPECTION 0 M MISCELLANEOUS .......... FINAL APPROVAL FOR vV) OCCUPANCY ............. Ak tv v ODATE RECEIVED �OATE RECEIVED .._fPERMITEXPIRES us4 P I CITY OF EDMONDS UM� l'E '�RM �/ CONSTRUCTION PERMIT APPLICATION JOB SUIT&APTO ADDRESS p AM AMEOFSUSINE S PILAT NAME/SUBDIVISION Nb' LJ4:� LOT NO. LID NO. MAILING ADDRESS 0'a LIO FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP -1 M." P=."Rw CITY ZIP El PROPOSED— 1— 0 =71.1 cl 4ELEPHONE 270 ti�5 ??1-77/7 REQUIRED DEDICATION— FT 0 NAME [ISTN.— METER SIZE LINE Eli.TN.. .1 FIXTURES AEOUMED I Y'Pn� 13 NO 0 ACK)REEi. El ARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTACKJDRAINAGE 0 W CITY ZIP 11ELEPHONE ift Ii a NAM Pi FTED C,S,--), ENGINEERING Vowswas moSSNEWRnimmm"E ADDRESS X FIRE REVIEWED BY DATE ZIP V 83� �TEL PHONE STATE LICENSE NUMBER EXPIRATION DATE c OR VARIANCE OR CU SHORELINE OR ADS# INS ECTION DO 7PE BOND POST ED C4 121r 2 E3 YES . NO SEPAREVIEW CID MPLETE EXEMPT UP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED PROF .74q�NTIFICE-0. TIAL PLU..'-. I M-C- 1159, N:TK)II LOTCOVIRAGE ALLOWED PROPOSED REQUIRED SETBACKS IITl FRONT SIDE REAR PA0101101EIRACK11"I FRONT URSIDE REAR :ESID. .M :N PC AL E] C A OMPLIANCE OR 0 C ANGS OF USE REMODEL 0 APARTMENT SIGN PARKING REO'D PROVIDED LOT AREA PLANNING REVIEWED BY DATE GRADING GYCS F NCE X REPAIR (E Fr) _AEM C3 DEMOLISH 0 TANK rGARAGE C] R T R�T.AININYG WALL RENEWAL ARPOR KER (TYPE OF USE, 8USINE S OR ACTIVITY) EXPI-AIN: CHECKEDBY ITYP=ON OCCUIA G ROUP 177 1 N MBE U 0 F STOP EI) NUMBER OF _ELLN. N U ITS CRITICAL IV lq-- AR EAS NU MBER S ECIAL INSPECT01' REQUIRED Y5S OCCUPANT LOAD DESCRIBE WORK TO BE DONE REM ARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO' 14 :r o-,+,, I I L kk VALUATION I FEE PLAN CHECK FEE L HEAT SOURCE LOT SLOPE % BUILDING +VESTEDDATE PLUMBING —IMECHANICAL �To THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIV E PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC OR GRADINGIFILL 3 DO TC.) WILL REQUIRE MAIN (CURBS. SIDEWALKS. DRIVEWAYS, MARQUEES, E SEPARATE PERMISSION. PERMIT APPLMATION: ISO D 1 PERMIT LIMIT: I YEAR - PROVIDED WORK 15 STARATED WITHIN 130 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION — — ENG. INSPECTION FEE AN , N EHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS 'APPL'C 0 ' EM IFY. DEFEND AND HOLD HARML T , G E INDEMNIFY ' DEFEND A' ISS THE CITY OF I N NTERE T A " ANYAND LANDICAI NO TS EES,ANDA.E TSFROM ' ON�S . AEHN.T.. ' ' OFFICIALS, EMPLOY ED CLAIMS W . A OF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY M - AL F R A E S'.'S INSPECTION FEE TECEIPT FR CE - F PERMIT . '�SUANC e OF THIS PERMIT SHALL NOT BE L _ THE, S.A. I., PLAN CHECK DEPOSIT .ES..TO MODIFY . WAIVE GFI� E.UCE ANY REQUIREMENT OF ANYCITY ORDINANCE C N AN A A RCE ANYORDINANCE PROVISION OR LIMIT'N Y W Y THE CITY S �UTY'.ENF. I TOTALAMOUNTDUE CEI: IR I H EB A K G E THAT READ THIS APPLICATION; THAT IHE INFORMATION "' ' C 'OWLE� APPLICATION APPROVAL :HAVE C NO THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF GIVEN I S ORRECT M Ly WITH CITY AND STATE LAWS FIEGU LATING CONSTRUC- T. .0 ' CALL T , - . �lmil ull" .1ped by lhe THE 0 E. I AGR EE HORIZ T'CN W. I o T. DIRK ALT ED THEREBY, NO PERSON WILL BE EMPLOYED N - I NO E - B."d.�g K D.Puty: �I,d F ... ... p--d in P CODE OF THE STATE OF WASHINGTON RELATING TO V, AND IN O'T'.N OF '. LA-0 FOR INSPECTION '.-PI.' .,knmlodgad sp— P�!OoKl. CW .R..EN S CO. PE�AT'GN INSURANCE AND R 18.27. OFFIC'A jj—.� - ---- -- DATE SIGNED (425) T, 3 771-0220 _RELlAl 'well CA_ ;F7ENTION v EXT 1333 IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- FAX ORIGINAL -FILE YELLOW -!NSPSEIC�TOR CATE OF OCCUPANCY HAS BEEN GRANTED. U.0 SECTION 109 PINK - OWNER GOLD - AS ES z rn m 0 IT, m IT! M a 0 o Fn 0) In 0 6) z 0 0 m