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20010795.pdfDAII HIC11110 CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS 5AC? :v"Al kAllwit\11) �AILING ADDRESS ZIP I TELEPHONE [PERMIT EXPIRES -_Y U S' PERMIT ONE NUMBER JOB SUITVAIT. ADDRESS Ljjn(�� FLAT NAMEISUBDIVISION NO. rT N� I LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I uniiIc6ted spaii:4. UMC 8151 YES 0 Nt 0 F ADDRESS 8 AR't OW Er'�Ml R—M. R-173181frr.—M CONIR—RANALF CITY "0Qlw0!a�"_49NGINEERRNG nu!iuuiusb ol whetrie, 1.1 - ter system DF NAME g� X-�Akev- "Axv_G wil" ilia required on City Code. ECDC 19.3o. bydtCTATE ADDRESS FIRE REVIEWED By DATE C ZIP TELEPHONE VARIAN �M§W T R3'980674*3o. )26 'III &MR VAI RFr SPECTIO REO'D N A%�� [3 NO 80 D POSTED STATE LICENSE NUMBER EXPIRATION C w ea CUM SEPA FSW" I PLETE TM UP I NAIER IHWWHOFF _�EQUJRED EIGHT LLOWED , PROPOSED I PROPERTY TAX ACCO NT PARCEL NO. vo%5ss'�-'ooa? 0 Goo C] NFW RESIDENTIAL [R/FLUMBING I MECH LOT COVERAGE ALLOWED PROPOSED SETBACKS (F7.) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT UPSIDE FEAR d..ITION COMMERCIAL o COMPLIANCE OR CHANGE OF USE [0 M T REMODEL APARTMENT 0 SIGN 'A— — I— PARK IN. RE, PRIDVIDED� A 11ALL - 2 DATE OW jpftVkrSflN6FF N B INSTALLFn 0 THE [3 REPAIR C] GRADING CY.S E] FENCE X FT) '71EMARKS "NJEANLUENTERS1MB UILDING C] DEMOLISH C] TANK OTHER GARAGE RETA.I.N.INGWALL RENEWAL CARPORT C. CHECKEDBY TION JTY��C CCU P G.Ou CjrZ 1 0 PAX, OF NUMBER I 4_ba6j IUM EROF OW LUNG NITS '"IET�ICAL AR E NUMBER SPECt INSPECTOR JAREA C�A.UFANT RE Ct U. OUMED [3 YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL NSPECTION REO'D m UMA !affl— 'AQ, WO VALUATION FEE PLAN CHECK FEE HEAT SOURCE GLAZIN= LOT SLOPE BUILDING PLAN CHECK NO: IVEST" "I I PL MBING MECHANICAL THIS PERMIT AUTHO RIZIES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC GRADING"ILL M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REOUIRe SEPARATE PERMISSION. SjAIE-91JRCHARGE PERMIT APPLICATION: 100 DAYS PERMIT LIMIT.- I YEAR - PROVIDED WORK 15 STARTED WITHIN 160 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE 'A LICANT. ON BEHAL F His OR HER SPOUSE. HEIRS, ASS[ IN INTEREST. AGREES T :NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY Or LANDSCAPING 0 S N EDMONDS. WASHINGTON. T OFFICIALS. EMPLOYEES. AND AGENTS FROM A YAND INSPECTION FEE ECTLY ALL CI.AIMS FOR DAMAGESOF WHATEVER NATURE. ARISING DIRECTLY 04 INOIR RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMEOTO MODIFY, WAIV5 OR REDUCEANY REQUIREMENT OF ANYCI rYORDINANCE - TOENFORCE ANYORDINANCE PROV15ION IF CEIPT NOR LIMITIN ANY WAYTHE CITY SABILITY DUE I HEREBY ACKNOWLEDGE TH :HAVE READ THIS APPLICATION THATTHEINFO MATION APPLIC ION A PROVAL AT A GIVEN iS CORRECT. AND THAT AMTHE OWNER. ORTHE DULY UTHORIZED AGENT OF T!,.. P�111.11.. THEOWNER 1AGREETOC MpLyWT,,CTyAN,,�STATE�LOA��RE.�LATIN.C.N�T..C- CALL B111-2 Offillt,:'l. h-1 0 0 PC RSON WI LL BE EMPLOYE :pd F ... ... P..d, ­ TION, AND IN DOING THE WORK AUTNOFU�E.'.E _N�Y' L T D IN VIOL TION THE 60 DE OF THE STATE OF WASHINGTON RE ATING 0 FOR INSPECTION _ .,.,p ­.-dg WORKMENSCOPPEN I fZPANCE AND RCW 18,27 OFFI�l ATU�E OM opf, ALS I E SIGNATURE tOW�� (425) 771-0220 RELEASECrBY 7'rTENTIOM-- EXT 1333 IT IS UNLAWPIEILTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR A FINAL INSPECTION CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR 5,98 z 7 0 m m nj a 0 80 c m '0 c 0 _n In m a 0 0 c C) z fill z 9 0 P rn 0 rn co 71*5 10 FPERMIT EXPIRES Ll 3 'US, PERMIT CITY OF EDMONDS �..0 "MBER 2ZPI CONSTRUCTION PERMIT APPLICATION JOB 0a*j Lt SUITEIAPTN ADDRESS Og�;��l IUSINEI;.,) PLAT NAME/SURDIVISION NO. I LOT LID NO. NO I.I. FEE I M MAILING ADDRESS n.cp �.d Q PUBLIC R IGHT OF WAY PER OFFICIAL STREET MAP P­ A.— 0 0 0 CITY ZIP JTELEPHO�E ISTIN ;� T 0 Id . ...... kED ADDRESS �IN H!I­III CITY ZIP ITILIPHONE sysm is open or clOsed, expansio tF ENGINEER] liquirea onFall hot water ffiI&$gfTE City Co& ECDC 1.0.3fl-n2n(c) ADDRESS F . 1 E'R CITY ZIP NI ITELEIII VARIANCE OR =UAW ECTION I BOND IPOSTED STATE LICENSE NUMBER EXPIRATION ATr - ,�-ASTV,�w co rva A p URERMILATOR 0 1 "PA REVIEwSHA Ex TE U. SHLITC rjj&WkD PROPOSED FF PROPERTY TAX ACCOUNT PA—L ­. I Dole)SIIS-00000 GDO EXP I T I C] NEW [21"'RESIDENTIAL (elPLUMBING I MUCH LO COVERAGE ALLOWED PROPOslot REOUIRED SETBACKS (FT.) FRONT S DE REAR PROPOSED ETBACKS (Fr.) FRONT USR SIDE REAR COMMERCIAL o COMPLIANCEOR P R SUANT TO UPC 05.2 ' — R(ADDITION 0 CHANGE OF USE " K DATE C3 REMODEL 0 APARTMENT 0 SIGN jPARK:,ING jKN � F.V, ..Vl �A ffMN — '. L ASIjF =gs THP Tu mNr� FENCE REPAIR Cl GRADING CYDS 0 x "I S DEMOLISH 0 TANK OTHER GARAGE r-1 RETAINING WILL RENEWAL CARPORT P.CKER, JTYPE OF USE. BUSINES:��?YZPI_Aft CHECKEDS' ,XCTION IT C77 .IUPAX,5 mu-m—SER 0 F NUMIEROF I DWELLING CRITICAL AREAS SPECIALEIDNSPECTOR JAREA OCCUPANT LOAD STORIES _I UNITS NUMBS R REQU R 0 YES DESCRIBE WORK TO BE DONE k I PER I ..AT SOURCE GLAZING I I LOTSLOPE% PLAIN CHECK No: TETER DATE jff�E_ HIP.R.11ALITHo. IZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO — IF PRIVATE PROPERTY ONLY. ANY CONSTRUCTION OWNITHE PUBLIC GRADINGIFILL DOMAIN (CURDS. SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) LLREGUIRE M SEPARATE PERMISSION. qUIATeVURCHARGE PERMIT APPLICATI N: 180 DAYS PERMIT LIMIM I YEAR - PROVIDED W.BK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. REVIEW F Us rLANDSCAPING ENG. INSPECTION FEE 'A ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ;APPLICANT. N INTE EST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY 01 R IN EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND A L LCLAIMSFORDAMAGESOFWHATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY INSPECTION FEE RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT'S.ALL NOT BE PLAIN CHECK DEPOSIT E DEEMED TO MODIFY. WAIVE OR REDUCE ANY R QUIREMENT OF ANY C TY ORDINANCE PROVISION 7 0 NOR LIMIT IN ANYWAY THE CITY'S ABILITY 0 ENFORCE ANY ORDINANCE T TALAMOUNTDUE IR ClIPT 1 HEREBY ACKNOWLEDGE T E IA.T.ISAPPLICATiON: THAT THE INFORMATION HAT; AV APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT AM THE OWNER. 09 THE DULY AUTHORIZED AGENT OF T I PPI-11— 1. - I P-11 u -W -1 I'd by h THIOWIER, I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- EM LOYED P CALL 'u" cIng Oftlelal 01 h,­ Depuly: Ild Flo III P­ I'd TION ORIZED THEREBY. NO PERSON WILL BE ; AND IN DOING THE WORK AUTH OF WASHINGTON RELATING To FOR INSPECTION 1771-0220 'ecePI 1, ,k­,Icdg­n p.cI p—ld.d. T IN VIOLATION OF THE BOR C DE OF HE STATE KMENS Co. RANC E AND RCW 18,27, 10 WoR PEN4f OFFICIA ATU E SIGNATURE (O:�_ (425) -RELEASEcray 'DATE ATTENT04— EXT 1333 IT IS UNLAWkUL 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 - INSPEC70R OT - GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER "B z 0 m 0 80 c m m o n n m rn a 0 S c M 0 ;a Q) z 0