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20010746.pdfCITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION CITY - ZIP 1_—_lkV'AlDIldC— Itt NAME ADDRESS CITY zip NAME -FASk- \NWQ- PIRES USE �.IE PERMIET, NUMB L)p JOB SUTTVAPT. tADORESS �24 ?I - PIA,T NAMEISUBDIVISION NO I LOT NO- UD NO, LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 00 EX TING PROPOSED- P.q-1 0 IS G. R F, Wq TWEB 4r LLE J?!�t 0MOOOMES PR REQUIRED PR N�o (0 9 .--jlo Il. ning applifli=gjft IF E I,,,,,,dT,,,ftS,JjMrUP8l&lONTR LJDRJAI. ADDRESS AWATER SERVICE SHUTOFF 2- ta-,u o t ksgrA hve, - - IALLMI'UN -IjW LEN,rr,.ER .1 CITY ZIP FIRE REVIEWED LMS IT, S TfM B LTILDING 111LEPTIONE 44274 QlA2jrqA 14 312J STATE LICENSE NUMBER E.-AlON VARIANCE OR CU SHORELINE OR ADBN INSPECTION IPBO 0 REO-D OSTED d1-1,3 co 0 YES r-JNO HEIG '7 'PROPERTY TAX ACCOUNT PARCEL W. 1-- SERA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED -4 0 300 , E p I I RESIDENTIAL %`FLU..IN. I.... LOT COVERAGE REQUIRIO SETBACKS (FT,) PROPOSID SETBACK' IT ALLOWED FRONT SIDE REAR FRONT URSME RUT NEW COMPLIANCEOR dA..ITI.. COMMERCIAL PROPOSED )2(l pURSrNT To ECDC,19 30.020 0 CHANGE OF USE 04 W- " DATE REMODEL APARTMENT SIGN R F NICE REPAIR o -C,.S I X FT) REMARKS cl DEMOLISH 0 TANK o OTHER [3 GARAGE CARPORT r-1 RETAININYG WALL RENEWAL ROCKE 9 ITYPEOF USE. BUSINESS;��ILAIN: GROUP CHECKEDBY JTW�ION JCL� OCCUPAN;�� NUMBER F 'CAI NUMBER 0 A EAS 0 S OF WELLING AIW A' SPECIALEIDNSPECTOR OCCUPANT LOAD 2_ S A STORIES UNIT NUMBER R U R 0 YES JAOEA E( DESCRIBE WORK TO BE OCNE L REM. PR.r-' L INSIDE TION REO'D 3. "kno., u, water SyStem Imc- 0 nr i;ok'd RE J 0 VaA go, 0c) o 1 n WE* 1-HU!lNun tanks a required on au hoi a hoi 6 War tapko per .30-020 CDC li VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZING I LOTSLOPE BUILDING PLAN CHECK NO: 17ED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGIFILL W a DOMAIN (CURBS. SIDEWALKS. DRIVE AYS. MAROUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. I. PERMIT APPLICATION; 180 DAYS T PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS END INSPECTION FEE NTEREST. AGREES TO INDELT IFY, DEFEND AND HOLD HARMLESS THE CITY OF IN I N ANY AND LDSCAPIN G 2 EDMONDS� WASHINGTON. ITS OFFICIALS. EMPLOYEES. AID AGENTS FROM ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY INSPECTION FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT $HALL NOT BE RECEIPT PLAN CHECK E�PO �IT EEMEDTOMODIFY. WAIVE OR IIEDUCEANY REQUIREMENTOF AN, CITY ORDINANCE ORDINANCE PROVISION,* NOR LIMIT IN ANYWAY THE CITY S ABILITY TO ENFORCE ANY OnDINANC TOTAL AMOUNT DUE 1. I HEREBY ACKNOWLEDGE TH HAVE READ THIS APPLICATION: THAT THE INFORMATION _APP ICATION APPROVAL GIVEN IS CORRECT AND THAT: AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEOWNER IAGREE STATE LAWS REGULATING CONSTRUC T ppt,�Ts hot a p.-I Uhhl 5,hed 1,y the CALL TO COMPLY WIT. CITY AND TION. AND IN DOING THE W.- AUTHORIZED ' "EREBYbNO PE F'ON WILL BE EMPLOYED Bu,lt,h, Offi-I .1 hlVh.l D"u'l. :zdu":, ttdx d. hd IN VIOLATION OF THE I ABOR E T E STATE , WASHINGTON RELATING TO FOR 0 - d. INSPECTION WORKMEN 5 COMPENSZ;Ml7AW7E AND RCW 11127, OFFICIALS SIGNATUA - SIGNATURE (OWNER (425) 771-0220 RdLCASED By DAfE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INS P ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFL ORIGINAL -FILE - YELLOW- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FAX PINK - OWNER - COLD . ASSESSOR Z 0 0 0 m C: m m In c: o -n m m 0 cl) 0 Fn C (a m co M C) Z Z 9 0 m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ... ................. FOUNDATION! Foot$4 WWI................ .......... Pier/Porch ................. Retaining Wall ........... Slab Insulation ........... PLUMBING: Underground .......... Rough -in ................... CommerclO Flnai� HEATING:_ -7- as�Test . ......... . ......... Gas Piping ............... EquIpment ................. Commercial Final EXTER OR SHEATHING IC NAILING .......................... FRAMINQ,;. FIRST, FLOOR FRAMING �:�iNWLATION ... _Floorinsulation Wall insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR VA9 OCCUPANCY .............. e?N1vP07Wsoe M C M C IR Q) 0 M M Oil: C Z 0 ITI WDATEPECEIVED _1 FPERMIT EXPIRES PERMM.ER ZONE 2E N—uTf CITY OF EDMONDS P51"? 'Ao8DRESS SUITEJAFT. mtA CONSTRUCTION PERMIT APPLICATION zs o�� PMA yy) PI -AT NAMEISUBDI—ION NO. I LOT 10 LID NO, LID FEE S MMUNGADDRESS lo R WAY PER OFFICIAL STREET MAP F 'GMT OF ==_ SIIUP1R 0 -o zip j-�LT' R T RE R ED. urt NAME JjEfUIFED IN. 0 K ME 11'5111 E ME L _�dUl Site,. 01fJor, on nIn " ;k $11P ENGINEERING URSUANI IDWEMST.2 AWATER SERVICE SHLyTOFF ADDRESS 0 V2—U 1 \bA\A FIRE REVIEWED BY 0 TELEPHONE c 0"I'�)"bW X1313 VARIANCE OR CU SHORELINE 09 ADB# I INSPECTION RED D g'.D TED STATE LICENSE NUMBER EXPIRATION DATE C I I 0 YES C NO HEIGHT SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCOU T P RCEL NO. t)JTL\0�00000 EXP I IR rTANj �1 Nc:pc 0 NEW ff�-ESK)ENTIAL LOTCOV� ALLOWED L%%quXdft& SHAL BE INSTALLED AR El'ADDITION 0 OMMERCIAL co PLIANCEOR CHANGE OF USE PARKING 49971 DATE 91.71 FBY REMODEL E] APARTMENT SIGN REDO I PROVIDED REPAIR GRA01"G CYDS 0 PENCE X U) REMARKS DEMOLISH TANK OTHER FTEni CA E 11TAIN11GIVILL I ROCKERY RENEWAL _0_CAR`2RT r (TYPE OF USE. BUSINESS OR XPI-AIN TYPE T ION PAN CUP FOU NUMBER OF N MBER11 U DWELLING RITICAL AREAS AVI 1101 ��IEA OCCUPANT LOAD o' STORIES __ 2 UNITS NUMBER F YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RegardIgIss of vAAfhPr ffin watzi:-ydem- is open or dosed, expansion tanks are TKUR—UT—on—iff-fFol water tanks per Gly Code. EeBe 19.30.020 N I VALUATION 1. PLAN CHECK FEE .E.T SOU_FZT___F___F77 LOT SLOPE % BUILDING PLAN CHECK NO: YESTED DATE PLUMBING MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADINGtr DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS R CUBES. ETC.) WILL REGUIRE SEPARATE PER ,MA SS,oN. �,eURCRAFG A PERMIT APPLICATION: IRD DAYS PERMIT Lim T-. I YEAR - PROVIDED WORK IS STARTED WITHIN 16D DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFOR A GALS ANINUCCESORS ON BEHALF OF HIS OR HER SPOUSE , HEIRS, ASSI ENG.I�SPECTIONFEE ;APPLICANT. N INTEREST. AGREES TO MDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF DSCA ING 2 EDMONDS, WASHtNGT. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND �NSPECTI NFEE —RECEIPT ALL Ct-AIMSPOR DAMAGESOF WHATEVER NATURE.ARISING Dt"""' Flo" TIE ISSUANCE OF THIS PEI"' ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED To MODIFY. WAIVE OR REDUCE ANY PEOUIREMENTOF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 0 NOR LIMIT IN ANYWAYTHE CITY SA51UTY TO ENFORCE ANYORDINANCE PROVISION - C11PT 4 TOTAL AMOUNT DUE III I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMAT& APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF P—It II�Fl 111— THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUI-ATIN G CO�STRUC- CALL I B.11d.19 OH,,,.l 11 1,10HII DIP' Y: :P.d.F0PGS TION; AND IN DOING THE WORK AUTHOR ED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR E THE STATE OF WASHINGTON RELATIN� TO FOR INSPECTION WoRKMENS COMPENSATI E AND RCW 18.27� OFFICIALS SPNATU SIGNATURE (OWNER (425) z A�w 771-0220 R EL CA I E F1 I Y OAfE ATTENTION 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 CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION IG9 FAX PINK OWNER - GOLD ASSESSOR 8 z 0 rn OM M 0 -40 0 c .1 20M —Z 0 _1111 n M M 0 5 0 ) 6 Fn r- v) 9 CA M ;o z 65 z 171