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20010683.pdfDATE RECEIVED DATE RECEIVED 4?40 LPERMIT -EXPIRES US USE E PERMIT EDMONDS CITY OF EDMONDS N E ZONE Zo I PERMIT APPLICATION CONSTRUCTION PERMIT APPLICATION JOB B JAO D ADDRESS �221 ESS 2 �2 UITVAPTA OWNER NAMEMIAME OF BUSINESS PUT NAMEISUBDIVISION NO. LOT NO L10 NO. 7- AIMP U. FEE 1 S:-F U 0 1 F WAY P no P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MA PROPOSED- �S P 0'0 E T NG R T' UIS ING ZIP "ON _ — 10 4'1, 0 s CATION REOUI RED DEDICATION — FT REQUIRED _�T NAME �ETER SIZE LINE SIZE M T SIZ LIN S'Z I NO. OF FIXTURES I PRV YES E3 NO CI REMARKS E. RKS M—TRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE — .NF._NTR CT.R FESPO� Mw -Ce ENGINEERING DD I A DRESS ST. -Cc s-, I rill_-- FIRE AEVIEWEDBY DATE CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR AOBN INSPECTION It- C NSEN STATIE E UMBER EXPIHAF CHECKEDUY 41vi PIONO REO'D OSTED [3YES [3NO I '�' 5 'X, U ;� 6:y9___5 / " SERA REVIEW SIG AREA . HEIGHT ALLOVYE PROPOSED 1. PR TAX ACCOUNT PARCEL NO. .1 OP 0 COMPLETE I EXEMPT ALL ED PpOPOS D, X, F elv dip- Exp LOTCOVERAGE REOUIREDSEPBACKSIFT.) PROPOSED SETBACKS (FT.) DLIJTIA C] NEW C C] PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR . FRONT . UP SIDE HEAR ADDITION 0 EFC, AL -'T'ON 0 7E.O.L C MPLIANCE OR 0 COMNGE OF USE PARKING LOT AREA PUN I( RE I ED ATE AlAl TNIENT REMODEL 7 [3 SIG. REaD PROVIDED XPERAIR C] DRAWN. C,.B E] FENCE IT) 'OL.0 DEMOLISH TANK OTHER c GAMGE 0 RE.U.'NINGWALL 0 FIEN-1 CARPORT (TYPE OF USE. BUS[ ESE OR ACTIVITY) EXPLAIN: C. TYPE OF CONSTR I N CODE K'05;IE 0 CUPANT GROUP 7-1 NUMBER NUMBER OF CRITICA AREAS SP;C—.AL 7 CToR AF15A OCCU NT LOAD OF o STORIES DWELLING LN'TP , UMBER REQUIRED 0 YES DESCRIBE WORKTO BE DONE REMARKS PROGRESS INSPECTIONS PER uBc loglFINAL INSPECTION RED lzc�pLlug- (f--/ ve, CAAl f) LA jC>jj V(,J A!�t_ IA; I t I R C_ VALUATION PLAN CHECK FEE HEAT SOURCE GLAZING I LOT SLOPE % BUILDING PLAN CHE�r/' VESTED DATE PLUMBING MEC ANICAL s THIS PERMIT AUTHORIZES ONLY THE W. FX.oTE., INISPERMITCOVIR WoRKTO LY ANY CONSTRUCTION ON THE PUBLIC BE DONE .. PRIVATE PROPERTY ON . EES OUIRE ETC.) WILL RE GRA lNGIFILL OMAIN CUR S DEWAL S VE_AYS' A.. , D `S' PERM,. ON .EPA.A '. STATE SURCHARGE PERMIT APPLICATION; 180 DAYS PERMIT LIMIT. I YEAR PROVIDED W RK IS STARTED WITHIN 180 DAYS END. REVIEW FEES SEE BACK Oi PINK PERMIToFOR MORE INFORMATION LIC 'TiOAN.E'E"ALTF.oHSoRHRSpoU,, PIS, ASSIGNS AN. SUCC,�.PS �N�.IH.L. HARMLESS THE C17Y .1 END INSPECTION FEE ;APP'A INDEMNIFY DEFEND N �T.'ES R �S NG N ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANYAND To F 'L LANDSCAPiNG INSPECTION FEE -ON A S"' ilN��DIREC LIORINDI-ECILY I ED E ARI T U DS W V OF WHATEVER NATUR I" FOR DA AGE RECEIPT A, OF THIS P E FMIT SHALL NOT BE F LC E IS UA�CE OF THIS PERMIT ISSUANCE FoM TH S ANCE PLAN CHECK DEPOSIT EMENT D A, ANY DFIANY ITYORDI M IF, W EOR EDUCE ANY REQUIR OF D EENIEDTo o DINACCE PROVISION." REC T Y� NOR LIMIT INANY W Y HE IT SAB'UTY ToENFoRCE TOTAL AMOUNT DUE EA� I "AlT.1 E.A 0 TH I.S A PPL I.C.AT 10 N� T H AT I . E I N I . R.AT' ON APPLICATION APPROVAL THAAT: RNE By AC KNoW L S r NO OR UL AUTHORIZED AGENT OF ,�HEE A. E WN' 'CT 1P., PPIF.t.0- P't 1 "K." ,V 'o . THEOWNER. I AGREE TOCOMILY WITH Cl YANISIATE�WSRSE.G.U�TILNSG5CEO.NSTRUC PLOYE. CALL TIOl. AND IN DOING TINE WORK AUTHORIZED THERE By . .PER W'L , 7 TON RELAT ING 0 FOR INSPECTION 9 T.oN OF T. LABOR CODE OF THE STATE OF WASHIN G 7 (425) E SI NED -17-01 _v4 R IT SFDBY DATIf Ef XI 1 ;;3 ATTENTION USE OR OCCUPY ABUILDING OR STRUCTURE UNTIL 71 a -U221 IT IS UNLAWFULTO HAS BEEN MADE AND APPROVAL OR A CERTIFI- oRIGINAL-FILE - YELLOW -INSPECTOR GOLD -ASSESSOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK. OWNER - z T am m c m 10 0 MITI 0 6 c n z m p RECORD OF INSPECTiONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... wall.......................... Pier/Porch ................. p Retaining Wall ........... Slab Insulation .......... . ..... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final; MERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST'liLOOR FRAMING.... INSULATION ................... Floor Imulation, Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ............. 2001 D - --------- - - Is i M dc M 01 n A C 102: z M Fp—iRMIT EVXPIRES CITY 00 EDMONDS ZONE elwl'T A E S S 105 v CONSTRUCTION PERMIT APPLICATION 'AODBD OWNER NAMEYN. AVE OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO, LI D NO. I LID FEE $ C MAILINGADDAIFtS S-T- # " PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING 7Ejj�PAP—.d 0 d 0 lKd t3 0 0 CITY ZIP TELEPHONE — PROPOSED— 99020 RSOUIREDDEDICATION� FT � !2 FIXTURES PFIV REQUIRED NAME YES 0 No 0 3 I ADDRESS OW ARKS NEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE TO AES. ENGINEERING G4 IT- 6 - pf rt 7 FIRE 'REVIEWED By ZIP C C;;/ It C Ite TELEPHONE 'Z VARIA... OR CU SHORELINE OR ADBN a -ION INSPECTION RE ' D OYES C3NO P.ONG ST POSTE STATE LICENSE NUMBER r:§AT 4i C110KID BY ijEXI SERA REVIEW COMIL17E I EXEMPT x SIGN AREA ALLOWED I PROPOS 11 HEIGHT ALLOWED I PROPOSED PRWTAX ACCO NTPARC L NO. 050t:Q dlo EXP LOTCOVERAGE REQUIRED SETBACKS IT PROPOSED SETBACKS (FT.) 0 NEW 0 PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE BEAR FRONT_IJRSIDE REAR 0 ADDITION o COMPLIANCE OR E OF US' CHANGE OF USE 0 G HAN PARKING F LOT AREA PLAI ATE S 'GN 0 REMODEL 0 SIGN RE D I PROVIDED REO D I =D I F FENCE E C X FT) ( X FT, x 0 — —m E.AAKS E A OTHER Cj DEMOLISH 0 TANK 0 OTHER oGARAGE 0 RETAIMINGWALL RE., EWAL CARPORT BOOK., 0 RENEWAL ' HE KEDBY T EOFCO NSTA OCCUPANT 3N '-EC. OR 0. p NUMBER NUMBER F 0 ICAL 'A S S "M SP SPE OCCUPANT OF STORIES OWELLIN UNITS ER NUMBER REQUIRED 8 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 10811FINAL INSPECTION REO' RCPL&C G( U67 CANI A 0,AJ T,1/6- CW,-&,L 0,- C-26142 5'//) &Uci AUD a_,U,*1& �-* 'A y 0 11114', + VALUATION I FEE Pl-,ANCHECKFEE I LOT SLOPE BUILD'.. 7-1 PLAN CHE2r/�,' VESTED DATE PLUMBING MECHANICAL THIS FERMI r AUTHORIZES ONLY THE WORK aTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. CONSTRUCTION ON THE PUBLIC ETC.� WILL nEOUIRE GRADINGIFILL :1 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, It SEPARATE PERM SSION. STATE SURCHARGE PERMIT APPUCATION: ISO DAYS A. PERMIT LIMIT. � YEAR - PROVIDED WORK I STARTED WITHIN 100 DAYS S ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS P ENG. INSPECTION FEE IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF ANY AND LANDSCAPING JOMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM UL IORDAMAOISOFVVHATEVER NATURE,ARISING DIRECILYOR INDIRECTLY `T-E INSPECTION FEE RECEIPT FBI�MIS PERMIT SUANCE OF THIS PERMIT SHALL NOT BE ISSUANCE OF THIS IS PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY EQUIREMENT OF ANY CITY 0 RDIN-CE RN SION, NOR LIMI� IN ANY WAY THE CITY'S ABILITY TO FORCE ANY ORDINANCE PROW TOTAL AMOUNT DUE IHEREBYACK WLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APIPLICATION APPROVAL I Co'� AGENT OF GIVEN S R% T. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED T 1, 1 1 LA ING CONSTRUC- THEOWNER. I AGREE TO COMPLY WITH CITY AND SETATEN`AWS ASON'WIT EMPLOYED CALL �O 01 d. THE By. 0 PER LL BE R TION, AND IN DOING THE WORK AUTHORIZED RELATING To FOR INSPECTION r.—kn.,t0gl .—P—Pro-ldod. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON D E WORKMEN S COMPENStlo=NCE AND RCW 18,27, (425) FFIC' T DATE SIGN 771-0220 BE SED By EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL 771-0221 INS P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - INSPECTOR A FINAL OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD ASSESSOR CATE z 0 0 c m mg AT 0 m M 0—cs) 0 o rn z m