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20010705.pdfD E RECEIVED ATE RECEIVED PERMIT EXPIRES CITY OF EDMONDS S USE 'ON, All-11 6--" 0 PERMIT NUMBER 0C CONSTRUCTION PERMIT APPLICATION OB 0 AD ADDRESS SUITEJAPT. OWjT�;��BUSINESS PILAT NAME'SUBDIVISION NO IOT 10 LID NO. MAILING ADDRESS Cz U-2-5 LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL EXIS ING PROPOSED STREET MAP — =pl" CITY ZIP FTELEPHONE 1�RllIUIFl..E.ICAD.N_ _v tj A 7-10 74 11 FT ...OF lI.TIJRES n= ....... V E.UIREG NAME so No E3 PEN FE.A WN ___E FOR EROSION CONTROUDRAINAGE ADDRESS CITY ZIP ITELIP"ll p NAME AUP- fy-4 "6,- ENGINEERING REVIEWEDIDATE ADDRESS 7-1(( FIRE REVIEWED BY DATE ITY TELEPHONE Ai C ZIP A Ey tjA STATE LICENSE NUMBER EXPIRATION DATE 10rIIlY-F_LA L) buN i-iy,-z 31 PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL C] PLUMBING MECH C] ADDITION C] COMMERCIAL C MPLIANCE OR CHANGEOPUSE REMODEL APARTMENT SIGN 0 REPAIR 'Ry C) GM01NG F NOE CYDS ( X FT) 0 DEMOLISH 0 TANK IT."IRV G RAGE CA ARPORT r-I RETAINING WALL 0 RENEWAL ---FRY TYPE OF USE. 7 NUMBER UM ER OF DWELL N AR S S ES 5 1 NUMBER TOR UNITS --I'- B P" A 1 C-5 W"? 4-1% j ,qp 0 YES XNO SERA REVIEW SIGN AREA 1 1. 11 - HtIGHT ,CMp ALLOWED PROPOSED ALLOWED PI LOT COVERAGE REOUIRED SETBACKS (FO PROPOSEDSETIN ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDI PARKING I LOT AREA I PLANNING REVIEWED BY DATE ECKEDBY JTYPEOFCgj�� ..... ROUP 'ANT —7 ... L III 11,AD PIKE rRFSS INSPECTIONS PER UBC 1081IFINAL INSPECTION a. VALUATION FEE P PLAN CHECK FEE LA' CHECK HEAT SOURCE GLAZING % LOT SLOPE % BUILDING If PLAN CHECK NO: 1111TID DATE PLUMBING PLUMBING MECHANICAL THIS PERMiTAUTH.FaEE.Hll(HE WORK NOTED. THIS PERMIT COVERS WORK TO LY H 'T BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIO ONTHEPU LIC R C)WILL ED. UE RE UIRE EES'ET DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARoU N oB SEPARATE PERMISSION. — G R IN I, GRADINGIFILL STATE ELFC.AF.E C T, N '. S PERMIT APPLICATION: 180 DAYS PR V, W IS S . WIT IN I . YE PERMIT LIMIT. T YEAR, �AOVIDED WORK IS STARTED WITHIN 180 DAYS P I N SEE BACK OF IINK PERMIT FOR MORE INFORMATION FEV, ENG.REVIEW FEES -A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY F OM ANY AND EDMONDS, WASHINGTON. ITSOFFICIALS, EMPLOYEES, AND AGENTS FIT FIN— ALL CLAIMS FOR DAMAGESOFWHATEVER NATURE. ARISING DIRECTLY 0 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION - 1. ENG. INSPECTION FEE LA IN IN PLAN CHECK DEPOSIT �HECE 7 7 el a::3 2_ '7 TOTAL AMOUNT DUE RECE 1'� 7.7S -3 z 0 0 4 =6 a m 00 m I0 z col 0 -n m m 0 Fn IT, C, z m APPL CATION. THAT THE INFORMATION I HEREBY ACKNOWLEDGE THAT I HAVE READTHS '.E DULY AUTRIORIZED AGENT .1 GIVEN IS CORRECT. AND THAT I AM THE OW.EP. OR T ING CONSTRUC T.EoWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULAT TION AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE E.PLOYTED IN VIOLAT I E NGTON RELATING 0 ON OF THE LABOR CODE OF THE STAT OF WASHI WORKMEN S COMPENSATIONINSURANCE AND RCW 18 27. I CALL INSPECTION S FOR IN E ON (425) 771-0220 1 0 APPLICATION APPROVAL Th,l 1ppl.,.T, po—t .IJ S.g.ad hy I" R��'g OIT-1 ., h-11 DlplIY 1,,d FIll I A p1d. .,,d d " P... p—d.d. 0 F ALS klGNATUR DA� pq SIGNATURE ()NER?4_AGE NT) DIE lIGlEO RELEAZI DAT-E ATTENTION EXT 1333 1 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 771-0221 "J"', FAX �ORIGINAL 'ILE YELLOW INSPECTOR PINK -OWNER GOLD -ASSESSOR 118 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing...................... Wall .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... 7— PLUMBING: Underground ............. Hough -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 OCCUPANCY ............... AMA 07&45#*#*'e 5 :1 % 1 R 0 M ITI 10 MM Z, M P OAT% �-EcEdv- FPERMIT 6 EXP RES CITY OF EDMONDS N SE S, ZONE PERMIT N"BIER - CONSTRUCTION PERMIT APPLICATION JOB ADDRES�� g SUITE/APT4 O%NjJX�A BUSINESS Pl-AT NAMEISUBDIVISION NO. LIC FEE I MAILING ADDRESS 1 " 7. u V5 q J t PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 0 ehee. — P.--q. 8 JhR CITY ZIP ,,JTELIP ONE . % A 4-L 5. T2 q It EXISTING — PROPOSED� REQUIRED DEDICATION— FT — q.W Q d Cl —%- -lot. Z— IF 1 NAME METER SIZE I LINE SIZE I NO.OFFIXTUR98 0 REOUIFIED YEPROV NO 0 3 'ADDIESS REMARKS NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP ITELEPHONE NAME ALAENGINEERING P, ADDRESS 7-1f OC z C) 02 rn a m 0 3� A. '04 FIRE REVIEWED BY DATE a CITY zip fm WA !NL61 TELEP14ONF 97$30) VARIANCE OR CU SHORELINE OR AGE. INSPECTION Y FIE. .0 ESk jP13.NG . OSTE STATE LICENSE NUMBER EXPIRATION .. T, ,j0r-*F-L-A 0 mqN 6A J-17,7-0a 3 iW SERA REVIEW COMPLET SIGN AREA ALLOWED I PROPOSED HEI.HT— ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. .61f�l -STs 00/ o'd-1 40 EXP NEW : ESMENTIAL 0 PLUMBINGIMECH �[j ADDITION OMMEnCIAL COMPLIANCEOR CHANGE OF USE 0 REMOIDEL APARTMENT 0 SIGN LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS(".) FRONT SIDE REAR PROPOSED SETBACKS In.) F FEAR RAIKPING REDD RGVlC�at _�� I PLANNING REVIEWED BY .DATE &2y 0 REPAIR GRADING GYGS ci FENCE FT) 0 X 0 DEMOLISH TANK GA 6 RAG FIT RETAINING WALL RENEWAL CARPO FIT CKE 0-0 m M C.) G F 1111, 11 1 ITY) (TYP:7 CHECKED By TYPE OF C!16�T.WO� OCCU HIT GROU N.� R UMBER D- N ELL�HPZ OFORIES T. By UN, RITIGA CAR S UEA N MSERL SPECIAL INSPECTOR REQUIRED E] YES [AREA OCCUPANT I I LOAD BE DONE REMARKS D GRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REC' It z LAW,+ --*:I VALUATION FEE V) z 0 9 PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE I BUILDING F) m PLAN CHECF��6./ 1V,ST ED DATE PLUMBING MECHANICAL ,lq THiSPERMITAUTHO IZES ONLY fHE WORK NOTED. THIS PERMIT COVERS WORK TO t: 111*111" 111VATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFiLL .MAIN (CURBS. SIDEWALKS, DRIVEWAYS. MARQUEES. ETC.) WILL REG UIRE SEPARI PrIgION E SURCHARGE PERMIT APPLI;ATI Ay� PERMIT LIMIT. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A PLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIR% ASSIGNS AND SUCCESORS P ENO. INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EMPLOYEES. AND AGENTS FROM ANY AND LAN 2 EDMON111,WASHINGTON, ITS OFFICIALS' ALL CLAIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIREOTLYOR INDIRECTLY I RECEI FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE - -awl NOR LIMIT IN ANY ITY'S ABILITY TO ENFORCE MY ORDINANCE PROVISION. WAYTHEC TOTAL AMOU�T DUE 111EI I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION; THAT THE INFORMATION APPILMATIONAPPIF 110VAL GIVEN 1. COR.E- AND THAT AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CONSTRUC- ThIS OPPI-110h 1. Put A PG,*t Will ilgnsd bY the THE OWNER. I AGREE To C MPLY MTN CITY AND STATE LAWS REGULATING 0 No PERSON WILL BE EMPLOYED f bALL and Building Olfic,81 o, lu~ Dp*; ... - P '"' 710N� AND INOOING THE WORK AUTHORIZED THEREBY. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO F& N�PECTION A —iPleack—ledoodl, te Provide d, WORKMEN-SCOMPINS IONINSURANCEANORCW18.27. OfFICIALS!LIGNA... IA� IOWNERA AGENT) I E SIGNED f (425)SIGNATURE a. _ 771-0220 RELEASY�v DATE ' if ATTENTION EXT 1333 `A/ IT IS UNLAWFUL TO USE OR rCU1Y A BUILDING OR STRUCTURE UNTIL 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 V 5,98 L