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20010844.pdfDATE RECEWF [PERMIT EXPIRES LWLE- CITY OF EDMONDS PERMIT IN.M.EIR OM CONSTRUCTION PERMIT APPLICATION JOB UITFJAPTF ADDRESS C��71EMME OF DUSINZ�S Q Aft FLAT NAMUSUBDIVISION NO. LOT NO, UO NO. US FEE It 1o6 L-fi -r -�o PUBLIC FIGHT 01 WAY PER OFFICIAL STREET MAP E XISTING— PROPOSEI— ciry ZIP ITE11PHOME REQUIRED DEDICATION— FT — NAME METER SIZE I LINE SI�s I N...11FI.FE. PRV REQUIRED YEG13 NO 13 ADDRESS R MARKS OWNERICONITACTOR RESPONSIBLE FOR EROSION CONTROLORAINAGE CITY ZIP ITEL11"ON1 NAME 'by" kngtLl 441( dArJ 16M, ENGINEERING REvIEWEDIDATE ADDRESS -A -7/09 FIRE REVIEWED BY DATE TELEPHONE a ga-Ao-f6z -3-75 VARLAMCE OR CU SHORELINE OR ADU INSPECTION REDID E3 YES M NO PBO D OSTED STATE LICENSE NUMBER E.PHAII?T I bvkl jcf-6n4 no 6 Ill 6 C NE Y SEPA RE,IEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT PROPOSED PR.FE— TAX -..UNT PARCEL NO' 2 -7 0 It E XP I _ALLOWED I , NEW FISHIENITIAL LLMSI.. I EC- LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FROPOSED FRONT I.. a— SEFTBACKS I".) FR.- .11SIDE BEAR ADDITION WCOMMERCUM, C0=4Pa"E00EJOSF APARTMENT SIGN --z—'T' A— --PARKING RE REPAIR GRADING CYOS F NCE ( X FT) REMARKS DEMOLISH 0 TANK E] OTHER oGARfi,GE 1ErAINI CARPORT 0 ROCKER"Y' WALL [3 R�NEWAL ITYPE OF USE. BUSINESS OR;77TT�7 CHECKED BY JTYP)� '3j, ON A�CONS C - It 7� GR;Ft/.7 ZI/ OF srOmIBEER, z TND---- OF um" R 0- . 75 CRITICAL < AREAS NUMBER PECIALE��N!3PECTIJR RE" a 0 YES JAREA LOAD DESCRIRE WORK TO BE DONE K It oj t- REMARKS PROGRESS INSPECTION$ PER UBC 11081FINAL INSPECTION REO'O 6�w I vy VALUATION $ Description FEE Description FEE Plan Check HEAT SOURCE G�NG LOT SLOPE % Building PLAN CHECK NO: VESTED DATE Plumbing T5 Mechanical THIS PEFUNDT jUITHORMSEE ONLY THE WORK NOTIED. THIS PIMMrr COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLZ AjNy CONSTRUCTION ON THE PUBLIC Gracing Recording Fee E DONJUN (CURBS, SIDEWALKS, DRIVEWAYS, �QUEES, ETC.) WILL. REQUIRE SEPARATEPEFUJUSSION. Engr. Review CitySurcharge PER ITAPPLICATION: IWDAYS PEF11"'T UUM I YEAR - PRO=ED WORK ISSTAFTEDWITHIN ISISDAYS Engr, Inspection State Surcharge SEE BACK OF PINK PEWIT MR MORE INFORIJUITION '"PLICANT, ON BEHALF OF 11 OR HER SPOUSE, HEIRS. -SIGNS AND SUCOEIORS Traffic Mitigation Plan Chk Deposit IN INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMILE S THE CITY OF EDMONDS. WASHINGTON ' ITS OFFICIALS. EMPLOYEES, AND AGENTS MOM ANY AND Fire Review Receipt # ,,Ill, SAMADISOF WIE" 111. 11111 DIRECTLY 11 IIIIIECTLI S I FR M THE ISSUANCE OF TH PERMIT. SSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection Total Amount Due DEEMED TO MODIFY. WANE OR REDUCE MY REQUIREMENT OF ANY CITY ORDINAN E 0 NOR LIMIT IN ANY WAY THE CrTfS ABILITY TO ENFORCE AAry ORDINtANCE PROVISION.- Landscapoinsp. Faceipt# I HMEOY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATI N A13PUCATION APPROVAL GIVEN is COMECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF TF t ndl Ign,,d III ft THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGUILATING CONSTRUC- CALL BII B d—I TION . AND N DOING THE Woe-. THEA.TEENDR. PERSON WILL BE EMPLOYED I 1. VIOLATION OF T E LA C . THE ST F WASHINGTON RELATING TO FOR INSPECTIO tE W.RKMENS CO.PENSATjP44&lSUFUkNC AND RCW 1&27� 0 SU Mc SIGNATURE (OWNE AGENT) DATE (425) /1 7: 771-0220 R�L' A �1. �11T ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY 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 FM PINK - OWNER - GOLD - ASSESSOR 101al z 0 0 0 Ph MO 0 80 C ]� K , , Pill ITI C 0 M ITI 0 Vi I 0 F, C (n Ph 0 z z 0 IT RECORD OF INSPECTIONS INSPECTOR DATE APPROVED S ETBACKS ..................... FOUNDATION: Footing ...................... #all .......................... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... F� PLUMBING: Underground ............. Rough -in .................. M Commercial Final . ...... C a HEATING: M 10 Gas Test .................... a 4 Gas Piping ................. Equipment .......... Commercial Final EXTERIOR SHEATHING NAILING ................. _J FRAMING .......... FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall insulation ........... Ceiling Insulation W z SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR /Wif) Z__ OCCUPANCY .................. ------- AVE �0 Tj— F71�)( FP ERMIT EXPIRES CITY OF EDMONDS USE P M" ZONE N!1R1 IER CONSTRUCTION PERMIT APPLICATION jo B SUITVAPT# ADDRESS OF Bu�NESS -75(il 'Pp- rz UD NO. 7�NAMF,71AME Z lJOV QUA R-4; 0- rk 1, e ON NO LOT No I LO FEE "UNG ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXIaf1NG_ PROPOSED- crry ZIP E F ITEUEPHO 774- "1' 1"!;— HEOUMED DEDICAT;ON- FT � := "NME METER SIZE IINI SIZE I NO.OFF=RES PRV REQUIRED I II YES C3 NO E3 ADDRESS EMA REMARK OWNFR/C��TFACIOR RESPONSIBLE FOR EROSION CONTROIJURIUMAGE OWNS , I I CITY ZIP ]TELEPHONE NAME wili4gfJ IcAc -t(- CITY 111LE HOME rzK)UyU( I,"W* _2 k671 _766-E-67 - STATE LICENSE NUMBER E:O`IRATI?M lk t) V11 r I;-/- M 4 0 NEW 0 RESIDENTIAL 'o PLUMBING i MECH [j ADDITION R'COMMERCIAL COMPUMCE OR HANDS OF USE JB�'REMODEL APARTMENT SIGN j:I REPAIR 0 GRADING CGS FENCE X FT) E] DEMOLISH 0 TANK OTHER o GARAGE CARPO FIT o RETAINING WALL ROCKERY 0 Rl�NEWAL (TYPE OF USE, BUSINESS OR ATMFCU:� NUMBER _�7 OF STORIES eF 1 e I RITICAL REAS I UMBER DESCRIBE WORK TO BE DONE a) Pr "\>�) o -b (? ( I "i K I OJ iC' FIRS REVIEWISD'SY DATE VARIANCE OR CU SHOREUNE OR ADS# luspEcnoN REGO IPBOND OSTED E3 YES E3 No SEPA REVIEW SIGN AREA HEIGHT COMPLETE 1�11JPT ALLOWED PROPOSED ALLOWED PROPOSED , I LOT COVERAGE REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR MONT SIDE REAR Lfa I'AnKING LOT AREA I ,LAN,�Ho 11�.G BY DATE RECr, I PROVIDED I 'HECKED By ITYP S ECUU. INSPECTOR REQUIRED [] YES IIWC;�'ii!ESS INSPECTIONS PER UBC 1081FINAL INSPECTION RECtD VALUATION $ C k Plan Check P a n IT a c HEAT SOURCE GLAZING LOT SLOPE % Building PLAN CHECK NO: j VEGM7EO DATE VESTED DATE Plumbing P I m b n g . 1A Mechanical c he R THIS PERIbIff AUTHOR�S ONLY THE WORK NOTED. THISPERMITCO�RGWORKTO BE DONE ON pMATE PROpEM ONLY jUry CONSTRUCTION ON THE PUBLIC r. Grading din Recording Fee "Ll. EQUIRE DOMAIN (CUMS, SUINEWiLuKa. ORIVEMIAYS, 10ULRQUEFA ETC.) R SEPA�'PEPERWSINON. Engr. Review E Rg IRS City Surcharge PEBMRrUMmj PERhUTAPPLICATIOW 180DAYS YEXR-PROVIOEDW KISISTARREDWRININ INDAYS SEE SACK OF PINK PERIJUT MR MORE INFORNIAMON R '�'Ca r an Engr. InSpection StateSurcharge Tra" I. `U n Plan Chk Deposit ;APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIM. ASSIGNS AND SUCCESORS N INTEREST. AGREES TO INDEMNIFY. OEFEMO AND HOLD HARMLE THE CITY OF ANY AND Pt v w Fire Review Receipt # 1OMONKI1, WASHINGTON, ITS OFFICIALS, IMPLOYEEI, AND AGENTS MOM AM CL411AS FOR DAMAGES OF WHATEVER NATURE MSING DIRECTLY OR INDIRECTLY FROM ME ISSUANCE OF THIS PERmrr. ISSUANICi OF THIS PERMIT SHALL NOT BE Fire Inspection Fire .Sp.t'.n TotalAmount Due 1111 TO 11111111 REDUCE ANY REQUIREMENT OF ANY CRY 01111 UNIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- LandscapaInsp. Le d SO ED 0 R.I:elpt III Recelp" I HERESY ACKNOWLEDGE THAT HAVE READ THIS APPUCATION: THAT THE INFORMATION APPLICATION APPU C APPROVAL A ONiPR;OV;A�.. ME F GIVEN IS CO CT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT O�V THE OWNER I AGREE TO COMPLY VRRH CITY AND STATE LAWS REGULATING CONSTRUC. CALL L TN nl.owt wU sIVAd by TGN; AND IN THE E ON YAM BE EMPLOYED WIND THE Wj�U . N." '_ G TON RELATING TO 0 S N SPECTIO FOR IN C IN VIOLATION OF THE LAE THE STATE F WAIHIN WORI(MENS CGMPEN= URANC AND RCW 10.27. 1 OFFIC NAT . SJGN"A� (OWN DATE (425) //7m;/-,/ 771-0220 R�JASED BY DATi ATTENTION EXT 1333 I IT IS UNLAWFUL TO USE OR OCCUPY A BUILIANG OR STRUCTURE UNTIL 771-0221 L— A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 F" ORIGINAL -RUE YEUOW-INSPECTOR PINK - OWNER GOLD - ASSESSOR 101DI z 2 - 0 Rl M C: 0 M 0 z 0 M M M 0 o Fn C co r co M 0 z (1) z 9 0 M