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20010848.pdfDATE RECEIVED o PERMIT EXPIRES USE ERMIT U CITY OF EDMONDS ZONE NUMBER Zo CONSTRUCTION PERMIT APPLICATION JOB 2 fADDRESS ""/ AIIIIA I I 3 aa AV c ITELEPHOM CITY Z'P TELEPHONE NAME 1312-r—MWA1,1 ADDRESS '4(�'o I S CITY -TL)v_U31LA ZIP 00,1(o? TELEPHONE olic,6%P4-'�900 STATE LICENSE NUMBER ... CHECKED5Y -5ac-jdm H cor-mkv_ 37NDAT� I PROPERTY TAX ACCO T PARCEL NO. 1) la- 06 6 9 NEW R ESID5NTIAL X P-M-IN. I "Ec. 0 ADDITION COMMERCIAL ci C MPLIANCE OR 1:1 CHANGE OF USE I REMODEL APARTMENT 0 SIGN 0 0 REPAIR E] RAGIN. Y.B 0 IENCE , — . — DEMOLISH TANK OTHER GARAGE CARPORT RETAINING WALL C] RENEWAL 0 R.QKFRy (TYPE OF USE, BUSINESS OR ACTIVITY) EXP -Rm 107 NUMBER ITICA _9AS 1.t�j��NUWMBERO OF STOR ES D ELUNG IT A. NUMBE Ft DESCRIBE WORK TO BE DONE /I — LOT SLOPE I PLAN CHECK NO: _ I—SIE..ATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURES, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 16D DAYS K I PERMIT LIMIT, I YEAR - PROVIDED WOR S STARTED WITHIN 190 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF F 81S OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS �NDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF IN NTEREST. AGREES T I" 2 EDMONDS. WASHINGTON TS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALLCLAIMS FOR OAMAGE�OFWKATEVER NATURE. ARISING DIRECTLYOR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 9: R " DEEMED To MODIFY, WAIVE OR REDUCE ANY EOUREMENTOFMYCITYORDI.AMC 0 NOR LIMIT IN ANY WAYTHE CITY I ABILITY TO ENFORCE ANY ORDINANCE PROVISION. PLAT NAMEISUBDIVISION NO� LOT NO* 110 NO, I LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CP 0 P.,. 0 EXISTING — PROPOSED— 0 RFOUIREODEDICATION_ FT METER SIZE LINE IIIE NO, OF FIXTURES PRV ASOUIREO I YES 0 No 0 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE DI)e B or 1. vanf required on fuel -burning nppl;. II,es in J�IEWEDIDAIE Weated spaces. J.JmC 81 .7 FIRE REVIEWED BY O.E VARIANCE OR CU SHORELINE OR AOB1 INSPECTION REO'D IPBOND CITED C3YES SERA REVIEW SIGN AREA EIGHT .MPLETE EXEMPT C CC) ALLOWED PROPOSED ALLOWED PROPOSED E EXP XP I IT COVERAGE REQUIRED SETBACKS (Ft) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR PARKING LOT AREA PLANNING REVIEWED By DATE PROVIIEO I J� EREaDJ RE.A.K. CHECKEDBY TRUC CODE *GROUP 'UPAITA, J�YPEOFCON SPECIAL INSPECfOA OCCUPANT JAREA REQUIRED LOAD REMARKS PROGRESS INSPECTIONS PER UBC I09fFINAL INSPECTION REO'D 5 VALUATION FEE PLAIN CHECK FEE BUILDING MECHANICAL GRADINGIFILL ENG. REVIEW FEES ENG. INSPECTION FEE ANDSCAPING INSPECTION FEE PLAIN CHECK I I REC IPT TOTAL AMOUNT DUE ]HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLIC ION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CIT AND STATE LAWS REGULATING CONSTRUC COMPLY WITH Y CALL pol"I -It S r.� "Y D ME NER. I AGREE To T M TIOM. AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED To FOR INSPECTION 8U,1dT",'O",Pc' I,N,, epuIy.andF.d p.. ,1d IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING W=EN S COMPENSnPAL�UEURANCE AND RCW 18.27� OFFICIALS Sl.:��;E OAT SKATI (OWNER �JAGEN Aq7I �11 (425) Z 771-0220 ELEASED BY ..r A17FNTION EXT 333 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- ORIGINA - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER . GOLD ASSESSOR Iss z 0 Pn -4 -n a; � , : . a m c: m 0 80 m m 0 -n m M 0 0 0 Fn C 0) rA C) z z 9 0 m FINAL APPROVAL FOR yy OCCUPANCY ................. i Ulm co m 0 m PERMIT EXPIRE�S PERMIT 9xi_ r -' I .6L4 z' 0 CITY OF EDMONDS ZONE I�V5 60 NUMBER CONSTRUCTION PERMIT APPLICATION Joe Ess SUITEIAP11 ADOR OW5 EBB PiLkTINAMEISUBDIVISIONNO, LOT NO - OF E� MAILING ADDRESS I, aa u r. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP P.—A - Ave 9 00 MTING� PFOPOSED� CITY ZIP jTE11F"GNE Sid —le Raq-6 REOUIRED DEDICATION— FT 0 SIZE I LINESIZE I NO,OFIIKTUFES PRq REQUIR D NAME E3 .00 ADDRESS 2.MARKIS.—T.—T.. RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY - ZIP JTILEPHO�l NAME _6121E KJA k EA-vi tj Cr C D ENGII StRWA'A"Ed el - _-h" tW SpaCe UMC 815.7 ..hetd space& UMC 815.7 ADDRESS Lloo I i,34-n4 IRE CITY ZIP t ecl� TELEPHONE pu,-CP4S r?900 FAIL B.FCU VARIANCE OR CU SHORELINE OR ADBN INSPErTION R.EQ*ED3 No [3YE BOND POSTED STATE LICENSE NUMBER CHECKEDBY SEPA REVIEW SIGN AREA HEIGHT PROPOSED PROPERTY TAX ACCOUNT PARCEL 00 66)No COMPLETE EXEMPT Exp ALLOWED PROPOSED ALLOWED I 0 NEV� 'g 11SKIEN IAL PLLUM.I.. I NIECIA LOT COVERAGE LOT V 'LOWED PROPOSED PEOUIRID SETBACKS III G FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UPSIDE REAR ADDITION COMMERCIAL 0 REMODEL APARTMENT o C MPLIANCE OR CHANGE OF USE C3 SIGN PARKING REaD I PROVI IPLA . .... G 'E" BY DATE — 0 REPAIR 0 GRADING CYDS DEMOLISH TANK C3 ENCE 0 , X FT) `0 OTHwR MARKS C] GARA. j CARPb'R 13- AETA!j�,IG WALL REVEW�L 0 OR ACTARTY) EX —IN: CRITIC R u I, (CAL NUMBER NUMBS 0 A 0, DWELLI G AREAS NUMBER E STORES/ U NUMB B . NITS -JOC CHECKEDBY TYP90F RCUPA CUP SPECIAL INSPECTOR REQUIRED C3 YES AREA DESCRIBE WORK TO BE DONE REMARKS 'D PROGRESS INSPECTIONS PER UBC: 108fFINAL INSPECTION REQ K ;T-AU— C-C8c-1 F[Qf_�-D 6 1 A 01�- VALUATION FEE PLAN CHECK FEE NEAT SOURCE I GLAZING LOT SLOPE % BUILDING PLAN CHECK NO: VESTED DATE PLUMBING MECH NICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE P ROPERTY ONLY. ANY CONSTRUCTION ON THE PU BLIC GRADINGIF:LL DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL REGUIRE ' SEPARATE PERMISSION. — pjATE 0 PERMITAPIPLICATI ft-180008 PERMIT LIMIT. I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS ENG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION aa 'AP HIES OR HER SPOUSE. .1IRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE 'PLIOAdN�Tj.0AN.BEPAL1O1 IN NTER P E. To No VNIFY DEFEND AND HOLD HARMLESS — 'I LANDSCAPING EDMONDS�WASHINGTM, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANYAND INSPECTION FEE ALLCLAIMSFOR DAMAGES OFWHATEVER NATUPE� ARISING DIRECTLIOR INDIRECTLY NOT BE RECEIPT FROM THE ISSUANCE OF THIS PE ISSUANCE OF THIS PE RMIT SH LL R`MT CITYORDINANC� PLAIN CHECK DEPOSIT 0 E CE ANY REOUIRCMENT OF ANY DEEMED TO MODIFY. WAIV 0 REOU ANYORDINANCE PROVISION. NOR LIMIT IN ANY WAYTHE CITY-SASILITY TO ENFORCE TOTAL AMOUNT DUE IMEREBY EAD THIS APPLICATION. THAT THE INFORMATION L E THAT: PROVAL GIVEN IS =T..fN D THAT E NEF, OR THE DUSYRAUTHQRIZED AGENT OF A.AVTE�e by the THEOWNER I AGREE To COMPLY WITH CITY AND STATE LAW EGULATINGCONSTRUC- PERSON WILL BE EM PLOYFD CALL qu,10 0II,1 D.Puly: I,d Fee. .. Fed. ead ll� DOING THE WORK AUTHORIZED THEREBY. NO TION AND C E WASHI CODE OF TH STAT OF NGTON RELATING TO ,,,,.pt,l 111,11.1cagId 1 pace P—d.d. FOR INSPECTION IN VibLATION OF THE LABOR WO RKMENS COMPEN=RANCE AND ROW 18.27. (425) OFFICIAL ONATURE DATE NA TUFE-CWNER %A- E N ( RT DATE S, q d, '771-0220 t � �; v \, \. _ _ :3AI FICLEASED By DAM i . EXT 333 ATTENTION - IT IS UNLAWFULTO USE OR OCCUPY ABUILDING 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. UBCSECTION�1W____--_ FAX PINK - OWNER GOLD - ASSESSOR z C) m a m C: C3 m 0 0 m m C CA 0 _1111 m M 065 o Fn m C.) z z 0 m