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20010681.pdfIDATE ""I'll CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION zwl, r� F___1 � FPERMIT —EXPIRES USE 107 PERMIT ZONE NUMBER :%M)1— e��9, SUITEJAPTP ADDRESS 1114-4-1 cl PILAT NAMEiSUBDIVISION NO IOTNO. LID NO, 11. FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAI P­ A-- U.. I.- R�,I EXISTING - PROPOSED- REOUIRED DEDICATION- FT =A METER SIZE I UNEII�l -7.OFIIXIU8ES V REQUIRED YES C3 No C3 ADDRESS REMARKS R OWNEWCONTRAC R RESPONSIBLE FOR EROSION CONTROUDRAINAGE G CITY ZIP TElIP80NE NAME E ENGINEERING REVIEWEDIDATE A ZIP TELEPHONE FIRE REVIEWED BY DATE a STAtE LICENSE NUMBER _ EXPIR C VARIANCE OR CU - SHORELINE OR A0B# - INSPECT;ON RED E3 YES !WNO 1p...N. STE. V W*.26 SIGN AREA HEIGHT PROPER" IT PIAR ACI SERA REVIEW COMPLETE E�EMPT ALLOWED PROPOSED ALLOWED PROPO ED —063 nq. -00 I LOT COVERAGE REQUIRED SETSACkg (FT) PROPOSED SETBACKS (Fr.) c] NEW El RESIDENTIAL 0 PLUMBING I VISCH ALLOWED PROPOSED FRONT SIDE BEAR FRONT URSIDE REAR ADDITION MMERCIAL C MPLIANCEOR CHANGE OF USE .9-CO 0 REMODEL APARTMENT _E7;zI�__CYDS IGN RE' C] REPAIR F NCI (E IT) REMARKS 0 DEMOLISH OTHER TANK VZT" &e- GARAGE r-l' RETAINING WALL 0 RENEWAL CARPORT .-.BAY p PE E N: T Y OF ISE R�UNESS OR ACTIVITV C..'ED By OCC UPANT .Up MBER 2 NU7 EIER 0 NUMBER -WEILII 71CAL ASR -PECIALINBPECTOR OCACDUPANT OF I OF STORIES STORIES UN IT, IBE JAREA REQUIRED C:] YES Lo DESCRIBE WORK TO BE DONE EMA KS IlUrPECTIONS PER Uac io8/FINAL INSPECTION RjrfQ�V. 1; VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDING PLAN CHECK NO:,,�/ ]7ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 10 PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 51 GOEDONEON MAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. . STATE SURCHARGE MIT APPLICATION: ISO DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK'S STARTED WITHIN I SO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENO REVIEW FEES ENG, INSPECTION FEE ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IPER ;APPLICANT N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE Cil Y OF ANY AND a LANDSCAPING 2 EDMI WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM A SING DIRECTLYOR INDIRECTLY A TNT FO A DAMAGES OF WHATEVER NATURE. A I INSPECTION FEE RECEIPT ,I SS ANCE OF THI S P RMIT SHALL NOT BE N I IT I U I FROM THE 'SSUA CE OF TH S FEB. PLAN CHECK DEPOSIT A YBEOUREMENT OFA YCITYORDINANCE OTO ODFY WAIVE OR EDUCE N DEEME M ANY E S ABIL, ORDINANCE PROVISION, 0 MIT Y W Y TH CTy� Ty To ENFORCE N RU MAN A TOTAL AMOUNT DUE H-Ell, H E READ THIS APPLICATION. THAT THE INFORMATION I HEREBY ACKNOWLEDGE THAT AV APPL CATION APPROVAL GIVEN IS CORRECT, AND THAT A. THE OWNER. OR THE DULY AUTHORIZED AGENT 01 � T .1 1pptlllt� h -- l-E.WlEi,I IAlEET. CO." WITH CITY AND STATE LAWS REGULATING CONSTRUC WILL BE EMPLOYED CALL ­g 011.,.,l 11 h-0, Dewy: R.d F... 11, P..,L TION AND IN DOING THE W08K AUTHORIZED THEREBY. NO PERSON CODE THE STATE OF WASHINGTON RELATING TO OR INSPECTION V, LABOR 01 IN DILATION WORKMEN S PENT� ON INSURANCE AND RCW 1827 11 IALS SIGNA:��Dr�j glukta SIGNATURE (425) , _ I I I vr-" RE Al ATTENI'I" 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 CERI CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR "o z 0 0 m om cc m '00 0 C m m 10 c 0 m m o 0 8 9 co) z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.......................... Pier/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 JL,_6 OCCUPANCY .................. R C-, 0 Ic IT M M 10: IT! 17 7 N ("T. 71. RECEIVED �21 /0 PERMIT EXPIRES PERMIT �? a , V ME gl CITY OF EDMONDS ZO NUMBER 0/ CONSTRUCTION PERMIT APPLICATION JOB Ess SUITVAPTR ADDA U S Z. ICATION '2 0 D -SS/ 0 N L PLAT NAMFJSUBDIVISION NO. LOT NO, 11 N LID FEE S I MAILINGADDRESS R PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP g _ / R C, /,V,� yey C T — PROPOSED T, T C,T zip ITEIIP"IIE' G t1A E E.UI.-...I.ATION_ FT 0 LINE SIZE No OF FIXTU ES PRV REQUIRED NAME "I YES 0 NO 0 EN E �RVS­­­ FOR EROSION CONTROUDRAINAGE ADDRESS __N"S'E FOR E CITY =AMF TELEPHONE 1��A411zlj vz,15fo�cl ENGINEERING 'N' 7�75 FIRE REVIEWED BY "R ZIP TILEPHON r AT, , , ;TATE LICENSE NUMBER 71 ACaE. BY VARIANCE OR CU IIIORIUNE 08 AD1* INSPECTION REG oy ES k_NO BOND' POSTED ; p SIGN AREA HEIGHT ROPERWIr ACC3NT PARCEL NO. BE PA REVIEW COMPLETE I EXEMPT ALLOWED PROPOSED ALLOWED ROPOS", 063 0 EXV XP - rn �, 4, - rd-iw4v,�, ING I MECH / "�G CH LOT COVERAGE ALLOWED 'I REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR NEW CE OR t PROPOSED 0 C] AD ITION CO M.ERCIAL C C. IA C E OF USE IF REMODEL APARTMENT I REPAIR GRADING CYDE FT) 0 _X _FT) REMARKS 0 DEMOLISH 0 TANK o OTHER dUSE oGARAGE 0 REJAININO WALL 0 RENEWAL V 'ARPORT FCC F (TYPE OF USE. CHECKEDBY JTY�rONSTRIJCTION OCCUPANT GROUP N.- 0 CRITICAL AREAS SPECM C !PAN T NUMBE R REal R EQ DESCRIBE WORKTO BE DONE REMA HE Dnn�.AgQq IMqPFCTInMr PER UBC 10afFINAL INSPECTION REG 'Dj' IS. VALUATION I I FEE PLAN CHECK FEE P 'CHECKF" HEAT SOURCE GLAZING % LOT SLOPE % BUILDING BUILDING PLAN CHECK NO: L IVESTED DATE N G PLUMBING tPW.B .E..AM,.AL MECHANICAL THIS PLF MIT AUTHQIIIZC� ONLY THE WORK NOTEII. !HIS PER1,07 COVERS YtOr.,� TO 'Z L . BED ON PIIWXiE PROPERTY ONLY. ANY CONSTRUCTION ON THE EPUBLIC 2 WAYS' MAROUEES, ETC.) WILL R QUIRE DOMAIN (CURDS. SIDEWALKS. DRIVE MISSIo SEPARATE PER N _ATF "IR,.AR.E PIRMITAPPLICATIO ; I60OAYS PERMIT LIMIT. I YEAR, ROVIDED WORK 15 STARTED WITHIN 180OAYS P FE ES END. REVIEW FEES END SEEBACKOF PINK PERMIT FOR MORE INFORMATION END N E. T . FEE 0. BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ;APPLICANT. N NTEREST. AGREES TO :NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF A p IN G LANDSCAPING LAND Sc EDMONDS, WASHINGTON, TS OFFICIALS. EMPLOYEES, AMD ACE NITS FROM ANY AND ALLCLAIMSFORDAMAGESaFWHATEVER NATURE.ARISINr GIRECTLYOR INDIRECTLY CT'-W IN. F E N EE RECEIPT .EC IPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS F EAMIT SHALL NOT BE PLAN CHECK DEPOSIT A , K GE .SIT E PL N C. C DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITYORDINANC E NOR LIMIT IN ANY WAY THE CITY S A81LITY TO ENFORCE ANY CADMAN— P-1.10N. E TOTAL AMOUNT DUE jR7CEr a I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMAT ON _f APPLICATION APPROVAL GIVEN 15 CORRECT. AND THAT I AM THE OWNER. 0. THE DULY AUTHORIZED AGENT OF Th., ppj­j,l hI lot A RII.t IIIII lignad by the THE OWNER I AGREE ToCOMPLIWITHCIT AND STATE LANS REGULATING CONSTRUC- L CALL B1.1,11.9 0"11-1111 h­81 olp,t, 1hd F681 11, p1hi, Ild TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION 2H ABDR CODE OF THE STATE OF WASHINGTON RELATING 0 . P CT", d FOR INSPECTION "k--ged , spiom prowuja KMEN S oNINSURANCE AND RCW 182T wop S GA.F E N� OFFIJIALS SIGNATUR (425) (425) jh� SIGNATURE j� t 1= �69403 771-0220 RE - MATIE ATTENf" EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER GOLD - ASSESSOR �18 z 0 a m a I M 13 1 �11 0 0 m z 0 m IT, 0 k z m