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20010837.pdfDATE RECEIVED/ PERMIT EXPIRES USE PERM T ,,M I CITY OF EDMONDS ZONE NI BERA�,�Zj�2Z9� SUITEJAPT, CONSTRUCTION PERMIT APPLICATION '�`DCRESS 2j HW ffq OWNEKAME/NAME OF RUSIN SS PLAT NAMEISU901VISION NO. LOT NO. LID NO. (,� C LID FEE S _ _V ra %N JESCP —d i MAILING ADDRESS PUBLIC FIGHT OF WAY PER OFFICIAL STREET MAP p ."..=14", Id I P.— Ro�d 410 4— y cil EXISTING � PROPOSED 11 R— CITY ZIP TELEPHONE q2r_ REOUIRED DEDICATION— FT — —1, d PRV EOUIRED NAME YES C3 No 0 Z REMARK 1 5 ADDRESS 0 NTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE WNERICO CITY NAME ENGINEERING C ADDRESS a FIRE REVIEWED By DATE ......... E 2q I-roliIAL) -)3 - q ION BON N DATE VA CE 2&AI SHOREUNEURAUB- YES 0 NO P STED 1- 2— SERA FIE IS HEIGHT C PlITE EXEMPT AL PR,111,��JOUNT F NO. XTIA boo oaa !�j Lu —w LOT COVERAGE C] NEW 13 RESIDENTIAL PLUMBINGIMECH RS-Arr FRONT H Slub LOTCOV ALLOWED POS 0 A, 0 COMPLIANCEOR ADDITION COMMERCIAL CHANGE OF USE tj PA KIN 1 LOT REA I G REVIEWED By D i REMODEL APARTMENT SIGN 0 P OVIDED 0 FENCE X FT) REPAIR ci GRADING CYOS 0 X FT)) MA DEMOLISH 0 TANK o OTHER oGARAGE 0 RETAKININIG WALL REN— CARFO T R. A r., Or (TYPE USE. BUSINESS OR ACTIVITY) EXPILAIN: ck4, 1^1 'PE STRUCTION OC PANT GROUP FEA NUMBER M 0 CRITICAL SPECIAL INSPECT( F A OCCU ANT LOAD DWE LING AREAS OF NUMBER REOUIRED Cl YES o STORIES INI I DESCRIBE WORK TO BE DONE Ks I =Rnmpqq iNqPECTIONS PER UBC 1081FINAL INSPECTION REQ'D w VALUATION FEE PLAIN CHECK FEE HEAT SOURCE GLALINU LOT SLOPE I BUILDING PLAN CHECK NO' �VESIID —gqo DATE PLUMBING — MECHANICAL N PERMflFC0VCR WORKTO THIS PERMIT AUTHORIZES o Ly THE WoRyKANNoYTECDONTSHT'RSUCTION ONTHEPUBUC REDONE ON PRIVATE PROPERTY oNL EES, ETC.) WILL REQUIRE DRIVEWAYS, MARQU GRADINGIFILL DOMAIN CURDS. SIDEWALKS 3 SEPARATE PERMISSION 1: VATr SURCHARGE PERMIT APPLICATION:IS180 DAIS LIMIT. -PROVIDEDVIORK STARTED.ITHIN 180DAYS I YEAR ENG. REVIEW FEES PERMIT SEE BACK OF PINK PERMIT FOR MORE INFORMATION F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS 'APPLICANT. ON BEHALF (�INDEMNIIY. DEFEND AND HOL THE CITY OF ENG. INSPECTION FEE LANDSCAPIN D-AMILESS IN INTEREST. AGREES TO ToFCAS NPIOYEES No , AGINIS110. ANIA INSPEC71014 FEE WA HINGTON ING DIRECTLYOR INDIRECTLY E OR NATURE.A I'SAN oVoNDS S S oFWHATEVE ALLCLAMS F DAMAGE 3 , W.AE�E� $HALL NOT E REC DE CST EIPT ANC PERM D RoM OTo M S DFY OF 7 o E ANYURE IREM5NTOFANYIT THE N R oUCE DUE OF THIS IS UA CC H IS PE F.,T ISS cITlOFDINAN2F EE.E o AIVE PROVISION' PLAN CHECK EC P C Y� BILT ORCE ANY ORDINANCE OR L_, IN AN, W Y THE IT S A YTOCNF TOTAL AMOUNT DUE THAT THE INFORMATION APPLICATION APPROVAL I HEREBY ACKNOW THAT: AH.AVE.AEADWT"lRl APPLICATION. 'HE 'UL',AUT--,R.%E- A. N LEA�N " E N8 OR E 'a, T- "g— D GIVEN IS CORRECT T THEOWNER IAGREETo 'A' TELAW E.U, CONSTR..- CC. PLY WITH CITY AND STA CALL B.,K, o,..,., .d F— — d. Y. 0 PIERS N V,IlL BE EMPLOYED N TION, AND IN DOING THE WORK AUTHORIZED THEREB oNGTON RELATING TO - FO R INSPECTION IN VI OF TH STATE WASHI WOROLATION OF THE �ODA ERCWIBoF KVEN S comPEN4,N N, NCE AND 27 ATE SIGNED (425) OFFICIALS SI NATURE ATE 501 SIGNA TIC)-9-3-0 771-0220 R S o AT F-x r 1333 ATTENTION OR rCUPl A BUILDING OR STRUCTURE UNTIL 771-0221 APE�TOR IT IS UNLAWFUL TO USE INSP ECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL FILE YELLOW - ASSESSOR A FINAL CATE OF OCCUPANCY HAS BEEN GRANTED. LIBC SECTION 109 FA x PINK - OWNER GOLD "B z 0 :j - 0 a m m 0 m o -n n m M 0 ai 0 In cm c co 0 ;a co z 9 0 m r RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... stab insulation .......... PLUMBING:' Una round ............ Rough -in ................... Commercial Final HEATING: Gas Test .................... GasPiping ................. Equipment .............. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST VL60R FRAMING. INSULATION .............. Floor Insulation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR op n&00--A /.&.a OCCUPANCY .................. A: ami-e-19fS7 61,00/ In, IT, 2 1711 0 C) C rA: z 0 M K ('41F. �'E "C"V D , PERMIT EXPIRES CITY OF EDMONDS ZONE ERM IT N'MIBER"/-,-�g2-7 CONSTRUCTION PERMIT APPLICATION 'AODBDRESS Hiuy� q9 SUITEJAPTO 10FIUSINESS 7�AMENA PILAT NAMEISUBDIVISION NO. I LOT No LID NO. AILING AnDRESS LIG FEE I — PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP —PA-" 0 M P R (83 2lq I Q 51-1-P.-IRNA CITY ZIP ITEL PH04E E ISTING_ PROPOSED— REOUIRED DEDICATION— FT — I 0 NAME METER SIZE LINESIll RElUl.lED I J.6FIXTURIS ',Pl.V E N A .... BE '2M.An.KlS. Fl-NfJAnOS.N CONTF..FAINA.E P mi NACE EN INNS 'G' U ADDRESS \j R E EV B FIRE REVIEWEDBY FIR E 'V' W G Y TELIP1111 E /2(1_ CE W, A �U EW SEPAREVIEW E R� EW p� T STATE LICENSE NUM7 EXPIRATION DATE PRGPEF�1&1., PARCELNO. 00 nc4 (o E E EMPT X COMPLETE EXEMP PL V P Y 0 NEW 0 RESIDENTIAL PLUMBING I MECH LOT COVERAGE ALLOWED P C:] COMPLIANCE OR 0 ADDITION COMMERCIAL c E OF US. 'HANGEOFUSE 4 J�POSED P PAR�' G P '.W.�. REG, W.E' .56p, REMODEL 0 APARTMENT SIGN FENCE 0 REPAIR C] GRADING cYDs 0 1 x FT) X MARKW 0 DEMOLISH 0 TANK OTHER GARAGE rl RETAINING WALL RENEWAL 1:1 CARPORT nOCKERY ITYPrF USE. BU ESS OR ACTIVITY) EXPLAIN: �41N NUMBER OF D ELL CRITICAL A EAS OF STORIES UW SING -A!V J..NUMBER NIT NUMBER DESCRIBE WORK TO BE DONE REMARKS r4+Qci:' v" -4-- PROGRESS INSPECTI A- I- c" - j /.I`- hew'o J76,V-r /;�vd 44 #4,L r- elo- W14-cll Aqv K E PLAN CHECK FEE P N C H E c HEAT SOURCE G�ING % 0 T S 0 P E :�L7'PE % B D G BUILDING U IN PLAN CHECK N oo/— T E ESTED DATE r M I N PLUMBING L U AN I A L MECHANICAL E C A 6 -,gqo - V R W 0 To THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO E P - U C N T C BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC W I L L B E DOMAIN (CURBS. SIDEWALKS. DRIVEWAYS. MAROUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. GRADING/ ILL F A IN. DIE _ `U C H�A pWt SURCHARGE di : APPLICAMON� 1606A48 S. A Y PERMIT LIMIT, I YEARRMPRO111DED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMTT FOR MORE INFORMATION E ES ENG. REVIEW FEES EN REV AND �UC-E-OFS END INSPECTION FEE ;AP LICANT. ON BEHAL F HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE E BE THE CITY OF _N-ECA'� NO N INTEREST, AGREES TO I EMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LAND CAPING FROM ANY AND I N�PECT"N FEE 18D,ONDS,WA'H'NGTON ITS OFFICIALS. EMPLOYEES. AND AGENTS ISOM ASYAND INSPECTION FEE ALL LAIMSFOR MAGEi OFWHATIRVER NATURE. ARISING 0 A E `LY 0. INDIRECTLY C A IT SHALL NOT . E PLAIN CHECK GE Po�'T IS CE OF THIS PERMIT SHALL NOT BE PLAIN CHECK DEPOSIT FROM THE SUANCE OF THIS PERMIT, ISSUAN E Y CITY ORDINANCE DEEMEOTO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANC N E R 'ON . 0 NOR LIMIT IN ANY WAY TH E CITYS ABILITY TO ENFORC E ANY ORDINANCE PROVISION.- IS TOTAL AMOUNT DUE I HER EBY ACKNOWLEDGE THAT I HAVE READ THI S APPLICATION: THAT , THE INFORMATION C OR'Z G T GIVEN IS CORSE T. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTDRYUE% T D W, L E Mp Y 0 ION;ANDIN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPL( E IN VIOLATION OF THE ODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN S CONIPENS�=ONINSOPANCE AND RCW 1B.27. CALL FOR INSPECTION SIGNAT,�RECLWNER?KAG�N, ATE SIGNED j (425) 771-0220 ENTION EXT 1333 IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX OR ADEN DATE 3PEC ION REGO ES ONO HEIGHT FRONT LOAD PER UBC 1084:1INAL INSPECTION REQ'D &'Z6 VALUATION FEE APPLICATION APPROVAL T",ppl—t- 1, 11 IpIllit UM'11�pedbythe au'16, OM-1.1 D.pul,:w,d F ... ... p.,d. _ipt i�...Wdg.l P.. P.Vld.d, FFICIALS SI ATURE JATE 11 5jol 57sv DATE ORIGINAL -FILE YELLOW - IASPECTO� PINK -OWNER GOLO�ASSESSOR z 0 a M mo 0 0 a m m 0 MITI a a5 F 0 0 Fn C V) c fj) M C) z C) m