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20010708.pdfDATE RECEIVED w PERMIT EXPIRES PERMIT CITY OF EDMONDS ONE 'LIMBER d&�Z-4 CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT' ADDRESS 0 ow INESS "T%�;2�;'7_u .7 PIT NAM EOSUBDIVI SION NO, Ll NO. -MAILING 7) !" t LID FE ADDRESS - fl; "It e, A"kf r VIC- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PROPOSED — 00 0 SH...11 llq.l.d CITY TELEPHONE REQUIRED DEDICATION— FT IM�Ml'.�­d.d SIZE LINE SIZE NO. OF FIXTURES REQUIRED NAME YEPRV 13 NO 13 5 ADDRESS 6WNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY 1�pe B or L ven connec ors ml�ulrcu ul.—I-Ournuir, uppliall, NAME blbiefI9&E.ATE ENGINE nustcu ginues. ADDRESS /I 5-ey AIV 5,11;1. 10i FIRE REVIEWED BY DATE C IT AAIANCE OR C SHOREUNEORADEM INSPEC BO 0 STATE tICENSE NUMBER 11111AIIIN T 1­1 EaTION R .1 POSTED A P Vkl_rm 5-3 50 ONO SEPA REVIEW SIGN AREA HEIGHT -OMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. UP I I I T OV F LO C E AGE REQUIRED SETBACKS (M. PROPOSED SET ACKS(I.T.) 0 NEW RESIDENTIAL LUMBINGIMECH ALLOWED PROPOSED FRONT SIDE FEAR FRONT UR SID E REA 0 ADDITION COMMERCIAL COMPLIANCE OR C ANGE OF USE PARKING NO REVIMED BY DATE REMODEL 0 APARTMENT C3 51GN PEGG I PROVIDED. El OR FENCE E] REPAIR AGING CYDS ( _ _ FT, P.MA.- DEMOLISH TANK OTHER oGARAGE RETAINING WALL 0_ RENEWAL CARPORT R-KERY (TYPEOFUSE.BUS ESSORACTIVITY)EXPILAIN: CHECK ED CON TRUCTION 01 SACTIl OCR C BLITYP� OU JCOD' P I? U�AN NUMBER N UMBER OF IRIETAIC I CIALI� ------- OCCUPANT OF WELL NG AR LOAD 0 NITS EAR DESCRIBE WORK TO BE DONE REMARKS INSPECTIONS PER UBC 1081FINAL INSPECTION FIEWD ROGRESS < lbvwL-�-- 4w VALUATION FEE Wit 1 f.5 0 z 4�, PLAN CHECK FEE HEAT SO �� I BUILDING hd 17 � PLAN CHE9K NO: VESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO T'ON ON THE PUB UC E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC BOMAI" GIADIN""LL GRADINGIFILL ETC I WILL REQUIRE ICURBS. SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.1 WILL REQUIRE SEPARATE PERMISSION. -JAIZSURCHARGE PERMIT APPLICATION: 180 DAYS 'T". ". DAYS P MIT LIMIT. , YEAR . PlOVIDEDW RK IS STARTED WITHIN 160DAYS R 0 END REVIEW FEES AT'ON SEE OACK OF PINK PERMIT FOR MORE INFORMATION .N. AN. SU"-ESOR- 'APPLICANT ON BEHALF 0 HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG INSPECTION FEE HARMLESS THE CITY OF N E E A EE INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY Of 'NT ' 'T OR S To LANDSCAPING AGEN,E,.OM ANY AN. 0 OD, . WASHINGTON 'AlS. EMPLOYEES. AID AGENTS FROM ANY AID INDIRECTLY 'NE,-ECLY INSPECTION FEE �ITSOF"C _ NATURE. ARISING DIRECTLY OR L .S'. AMA-E OF WHAT E R .,REC,LyOF A E A E OF THIS PERMIT SHALL NOT BE F 0. THE ISSUANCE OF HIS P IT IS � T . IT PLAN CHECK DEPOSIT 'L NC RECEIPT FE.EIFT GT..O "Y . WAIVE OF REDUCE ANYSURENOCUIREMENT OF ANY CITY ORDtNANC E E-E - C Ty S B'UTY c N R AN HE A TO ENFORCE ANY ORDINANCE PROVISION.' . LM"'N Y WAY T I TOLTAL AMOUNT DUE .... R E I HEREBY L E ME READ THIS APPLICATION. THAT THE INFORMATION APPLICATION APPROVAL ;HATT : A.A�,E GIVEN S=T AND HE OWNER, OR THE DULY AUTHOR12ED AGENT OF T"' .101-1— 11 - - P-1- M`I-I III P" THEOWNER 1AGREETOCOMPL' WITH CITY AND STATE LAWS REGULATING CONSTRUC- EMPLOYED CALL BuI lhlIDlPlIY ldF ... ... p,,d TION AND IN DOING THE WORK A.TH RIZEDTHEREB'. NO PERSON WILL BE THE OF WASHINGTON RELATING TO FOR JINSPECTION 1011-P X1.1-god.P ... 11 P-1,11d A STATE IN VIOLATION OF THE LABO CODE OF WORKMEN S COMPENSATION INSURANCE AND RCW 11127 02, IIGIAT DATE N A T� DATY (425 (425) S N 1 0 7 71-0220 RELEASED By EXT 1333 NTION LNL FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 ITIJ CERTIFI- FIGI INSPECTOR A F NAL INSPECTION HAS BEEN MADE AND APPROVAL OR A PINK -OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 5�8 z m am co m 0 80 c m io 0 _n m M 0 0 0 Fn z 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Foatlng ...................... wall.......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -in ................... Commercial Final HEATING: Gas Test ................. Gas Piping ................. Equipment ................ Commercial Final EXTERIOR SHEATHING NAILING.......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. Zool 0 709v' IN z 0 M lin Z, 0, rn M 0) 0) Z M CITTOF EDMONDS CONSTRUCTION PERMIT APPLICATION 0, P=WT MAILING ADDRESS -F;rf e CITY ZIP ITELEPHONE 10 F;;;�;;IRE 1-11. USE ZONE PERMMBIETR 7 JOB SUITEJAPTN ADDRESS '7 PLAT NAMEISUBDIVISION NO. LOT NO, LI NO, LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP WIPIZ1.117— ........ .. EXISTING— PROPOSED— ._..2 0 REQUIREDDSIDICATION— PT cl METER SIZE LINE SIZE NO, 01 FIXTURES REQUIRED I L EPRV SO NO 0 3. ARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROU—N T.. R nr L vent COnnectOrS NAMAWVA,e required on lu ei-ourglins -vv­ ENGI VWheated sp FIRE R BY DATE - ADDRESS 1 57ig y 1kv ff, Y.,* /,D/ CITt4 zip 7 d% TELEPHONE M 51777 JEVIEWED VARIANCE OR CU SHORELINE OR ADB# ON p" N P ED RE. NO BOND POSTED STATEILICENSE NUMBER xFI­IUN DATE 14.PV 3 o 14 NI AgLr�.i CHECKEDBY &(./ 1 dkl- SEPA REVIEW S COMPLETE I EMEMPT Exp SIGN AREA ALLOWED , PROPOSED H61GHT _= PROPOSED PROPERTYTAX ACCOUNT PARCEL NO. 14�910044 0 NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE OW ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE AFAR PROPOSED SETBACKS I".) FRONT �L/R SIDE AFAR 0 ADDITION I& REMODEL 0 REPAIR 0 COMMERCIAL o C MPUANCEOR CHANGE OF USE 0 APARTMENT 0 SIGN 0 FENCE 0 RADIN. YDS x FT) A_ PARKING EaD I PROVIDED �LANNUNQ F& bF5 ATE RENA.- E; 1112 a ka" U'L� lk &A cu [j DEMOLISH [:) TANK o OTHER 0 GARAG E CARPORT r-I RETAINING WALL — ROOKERY 0 RENEWAL TYPE OF USE.. �Us, EBB 0 ACTIVITY) EXPILAIN: C"ICKEDRY IT:YPOFACOIITRUCTION & ICODE I 11U I;tl `?2 Group ITICAL EAS MBER 0 _ir A S REA UPANT 3 DESCRIBE WORK TO BE DONE REMARKS P ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECI'D I n�� "Utgo, VALUATION FEE Y_ j�la� *622 11-1 , H E K PLAIN CHECK FEE ILA N C c HEAT SOURCE IN. LOT SLOPE % U 'L I N 7kP A4 f. *13 B N G PLUMBING L U PLAN CHEerk NO: VESTED DATE AN I c AL MECHANICAL M E C THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN 5, SIDEWALKS, DRIVEWAY , MARQUEES. ETC.) WILL REQUIRE (CURB S SEPARATE PERMISSION. A I L L .AAD N."ILL A A C A A G SURCHARGE U PIE IT.IP.CATI..: ll..AYS PERMIT LIMIM I YEAR - PROVIDED WORK IS STARTED WITHIN 150 DAYS SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION EN A V w F E E S E E END REVIEW FEES G N. N P E T I. FEE ENO. INSPECTION FEE END 3 'APPLICANT. ON BiHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF x EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND A CMMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY LL FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PEr.IT SHALL NOT BE E E DEEMED To MODIFY. WAIVE OR REDUCE ANY A OUIAEMENTOFANYCITYORDMANCE 01 NOR LIMIT IN ANY WAY THE CITY*S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' S Ap I NO LA NOSCAPING LA. - N ' EE INSPECTION FEE IN., E. T 0 K E S PLAN C. C C PC IT PLAN CHECK DEPOSIT RECEIPT T TAL AMOUNT DUE I- T., NT CU 0 A A 0. E cnm4:�/ 75— 'ErE I HEREBY ACKNOWLEDGE THAT: HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT. AND THAT AM THE OWNER, OR T E DULY AUTHORIZED AGENT OF Cl H C T EOWNER. I AGREE TO COMPLY WITH TY AND STATE LAWS REGULATING CONSTRUC- TION: AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE Or WASHINGTON RELATING TO CALL C L P CTIC FOR INSPECTION APPLICATION APPROVAL C -4.,g­ b, 011. F.Iy:,:PdF­­ev,,d.,,d —p—d.d. Oa?IICNAT;"I� DATE WORKMEN S COMPENSATION INSURANCE AND RCW 18.27 (425) N R A D ESI9fNED 1 'N ZT) 1 0 0 771-0220 EXT 1333 RELEASE. BY DATE 6 A*lNTION T I?UNLAWFUL TO USE OROCCUPY A BUILDING OR STRUCTURE UNTtL I 'T, LAw 771-0221 1 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 "B x z 0 cl m S m -4 0 0 0 C � m ;.. In m z O"Al m M 0 p Fn z z 9 0 m