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20010689.pdfPERMIT EXPRIES L P MIT'g D I _ J)(O�lf CITY OF EDMONDS UR JU 'E M, CONSTRUCTION PERMIT APPLICATION JOB SUITIVAIT. ADDRESS 1 7 Gin= OF Bumss &OKLAX PLAT NAMEISUBDIVISION NO. LOT NO. _�D N . A'vAk L D FEE S MAILING ADDRESS R OFFICIAL STREET MAP ITELEPH011 coftwos 9")p o �-kz' lqq EXIS ING— PROPOSED— REGUIFEDDEOICATION� FT 0 MEIER SIZE LINE SIll 10,OFIIXTURE9 PAV REOUIAEO NAME I I YES 0 NO 0 FEMARKS _...NER�CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHON1 q ENGINEERING R ADDRESS FIRE REVIEWED BY DATE CITY ZIP PHONE z z ITIL 6k) 1'�— Uo� -G&6 INSPECTION 9 , ' EXPIRATION DATE CHECKED By . VARIANCE OR CU SHORELINE OR ADBN REOD IPSOND OSTED 0 NUM CA 0 V ES ONO k\'&� SEPAREVIEW SIGN AREA HEIGHT PROPEPITY TAX ACCO TPARCELINO CO ALLOWED PROPOSED ALLOWED "OPOS '�.G bb 2. 011 In I L -MMMMMMOSETIACKS4".) "T PROPOSEDSET I m NEW RESIDENTIAL FbbABNGJMECH ALLO ED PROtSED SIDE Re%b 3FRONT - UP SItEC" FEAR In e ol j:RONT vent conn AUDITION E] COMMERCIAL C MPLIANCE OR 0 Cj CHANGE OF USE :_ q 15XTI El or 0 REMODEL C] APARTMENT 0 SIGN REG", IF UMC 815.7 n , - FENCE I X 0 REPAIR 1:1 GRADING CYDS x M c o OTHER 0 DEMOLISH 0 TANK CARPORT 0 IUSTAI.N�r WALL ci GARAGE RENEWAL ROCK 0 ra (TYPEVUSE TY) EXPILAIN! CHIECKEDBY TYP ST ION OCCUPA;Z�' 0 �BU E I NUMBER NUMBER OF A I �.CAL REAS PECIAL NSPECTOR AREA w OCAGDUFANT Im In A. DWELL N UNITS' G NUMBER i\JA REQUIRED 0 YES LO I 0 0 DESCRIBE WORK TO BE DONE REMARKS 0 z 0 ROGRESS INSPECTIONS PER USC I 081FINAL INSPECTION ­u 0 -3 61as In 0 VALUATION FEE PLAN CHECK FEE z HEAT SOU LOT SLOPE % BUILDING i'Uk. Tclz< 0 PLAN CHECK NO: .... ED DATE PLUMBING m MECHANICAL THIS PERMIT AUTHOAIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK 70 HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC I WILL REQUIRE SEPARATE PERMISSION. VAfeSURCHARGE f PERMIT APPLICATIZ "So DAYS PERMIT UMIM I YE AR PROVIDED WORK IS STARTED WITHIN 1.0 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG REVIEW FEES ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENO. INSPECTION FEE ;APPLICANT, N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF AND AGENTS FROM ANYAND LANDSCAPING EDMONDS.WASHI SIGN. ITS OFFICIALS. EMPLOYEES. A DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY INSPECTION FEE —RECEIPT LANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE FRUC2LAllM!i`SSR PLAN CHECK DEPOSIT I OF ANY CITY ORDINAN DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMEN CE PROVISION.- 0 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE TOTAL AMOUNT DUE RECEIPIR f I HEREBY ACKNOWLEDGE THAT � AVC READ THIS APPLICATION: THAT THE INFORMATION AP LIdATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CONSTRUC I,,, �ppl-llt­ -1 A F—I -�Ill SIC— by 21, THEOWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING PERSON WILL BE EMPLOYED CALL ­9 OK. -I d N; AND N DING THE WOR AUTHORIZED THEREBY, NO BE OF THE STATE OF WASHINGTON RELATING TO ­,.pt �� �lk­todgod FOR INSPECTION IN 10�71014 OF THE LA _Q 'S CE AND RCW 18.27. - I RE 4S&V WO KMEN COMPENSATi;aS OATE,I'G�D OF (425) 61 771-0220 � 1 ATTENTION EXT/333 OR STRUCTURE UNTIL I IT IS UNLAWFUL TO USE On OCCUPY A BUILDING 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGMAL - FILE YELLOW INSPECTOR CATE OF occuPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 5MB RECORD OF INSPECTIONS INSPECTOR DATE APPROVED �g SETBACKS............... . .... FOUNDATION: Footing ...................... Wall .......................... . PlOr/Porch ................. Retaining Wall ........... I- Slab insulation ........... 0 T� PLUMBING: Underground ............. ---- 77— CA Rou �-ln 0 rn M 0 j I j j.; ,,,Co!nrh,erpiq Final —10 ITI Ii. Gas Test ................. Gas Piping ................. Equipment ................. .5Z as ), , Commercial Final 0 EXTERIOR SHEATHING rn ITI NAILING .......................... Fn FRAMING ........................ FIRST FLOOR FRAMING... 0 INSULATION ................... Floorinaulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING z SPECIAL INSPECTION 0 d 0 ITI MISCELLANEOUS .......... FINAL APPROVAL FOR OdCUPANCY --,j .......... v0000� jOATE RECEIVED PERMIT EXPIRES USE PERMIT ni) Di CITY OF EDMONDS ZONE N M o NUMBERI CONSTRUCTION PERMIT APPLICATION jOB SUITFJAPT. (:,� 7� 7Z­ ADDRESS ql �* t . OW � PLAT NAMFJSUSDIVISION NO LOT 10, LIG NO. N k AID tkLv� I LID FEE MAILINGADDRE S .S. A GUALSTR ET P P BLI RIGHT OF WAY PER OFFICIAL STREET MAP WIA , R__ E EUtSTClNG_ PROPOSED- _.1 u., P1.4 R" 0 0 CITY ZIP (_-,_)kAUoS' qA) f�j'b Ain, Iq SEOUIRED OECICATMN� FT 12 �,u NO. OF FIXTURES PRY REQUIRED NAME YES C3 NO 0 ADDRESS R MARKS OWNEFICONTRAC70A RESPONSIBLE FOR EROSION CONTROLIDRAINAGE Es :CITY ZIP TELEPHONE ENGINEERING REVIEWEDIDATE ADDRESS z DATE FIRE REVIEWED BY r ZIP TELEPHONE - 0 IN! 0 1 U E;w"#.UCENSE DATE GME—LI t5y . VARIANCE OR CU SHORELINE OR ADM NUMBER c3Y Vklt 14 M L VS-1 SL _J_1 CID SIGN AREA HEIGHT ALLOWED P 010110 PROPERTY TAX ACCOUNT PAR EL NO. COMPIL E EXEMPT ALLOWED PROPOSED I a M isbtl 619, E P a 0 : cfN_- 14 RESIDENTIAL,. PWMSWGIMECH LO ALLOW =� �OUIRED SETBACKS(".) linfokodMlb VO4 PROPOSE rw ONT UR SI REAR C) 0 qPcffll, , ol.AODITION 0 COMMERCIAL I COMPLIA CEOA 1:1 CHANGEOFUSE ni DATE �?REMODEL PA L REGO PR IDE N SFElfgVy m 0 APARTMENT 0 SIGN Al ea spa 10 I= 0 FENCE X FT) X FT) C] REPAIR FT) > z DEMOLISH Cj TANK o OTHER [:] 0 AMOE C] RETAKINJINYO WALL RENEWAL fARPORT 0 -n -n ROC El -_ i�PELUSE.BUJiNE�SCRACTIVI�)EXPL.�IN: CHECKED BY. 1'rypWp '-u PP'X GROU 177 A In �710N OF .1ECIAL INj3.T,.R ARE OCCUPANT LOAD o OF�MIR-2 o STORIES REQUIRED Y DESCRIBE WO RK TO BE DONE REMARKS SPEC ROGRESS kINGIiIECTIONS PER UBC I 061FINAL IN T[DiN REO'd 0 �aV ACe- L VALUATION FEE z PLAN CHECK FEE HEAT SOL GLAZING % LOT SLOPE % BUILDING In PLAN CH VESTED DATE PLUMBING AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO tF ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC WILL REQUIRE GRADINGIFILL 2 'CUR.S. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) SEPARATE PERMISSION. PE jppdCAnOiV. Ali 5AVIS" PERMITLIMIT-.1 YEAR -PROVIDED WORK IS STARTED WITHIN 1800AYS ENG. REVIEW FEES L SEE BACI�OP PINK PERMIT FOR MOtE INFORMATION FEE 'APPLICANT. ON BEHALF OF His OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS No. INBPECTION IN REST. AGREES TO INDEMNIFY. DEFEND AND HOLD RMLESS THE CITY OF INTE ANYAND WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM LANDSCAPING INSPECTION FEE 2 EDMONDS. ALLCLAIMS FOR DAMAGES OF WKATEVER NATURE. ARISING D RECTLY — ­­ - - FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT RECEIPT 011MED OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE MIT 01NMOD'W�yA. YWTAH'VE'CITI 'S AIN LI TY TO, E N FO PIC E AN Y OR 01 NAN C E P ROV 1 $1 ON.* RECEIPTj�� ��l I N OR LI TOTAL AMOUNT DUE , � I HEREBY ACKNOWLEDGE 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 WITH CITY AND STATE LAWS REGULATING CONSTRUC CALL I �Ifl ll,ldby thl . ythl 0 ".I.Fl, THE OWNEW I AGREE TO COMPLY TIM; AND IN DOING THE WORK AUTHORIZED THEREBY. ERSON WILL BE EMPLOYED OF THE LAoQaxQPE OF THE STATE ONFOWPASHINGTON RELATING TO FOR INSPECTION iN,VIOLATION WOq KMEN'S COIMP�NSATJ"SUNCE AND ROW 16.27. OFFICL�LS SIqNATURE AGINI�� DATE SIGN (425) R/ WN,16 I 771-0220 REL SEDBY A. EXT1333 ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL-RLE YELLOW. INSPECTOR AS SESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER GOLD - .