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20010875.pdfLZ4/, &a6.pv 114) CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION �mzl� _'V/ d I I PERMIT EXPIRES aaN) USE EAM T 1.�E P'Ml'lRWd I 10. ADDRESS PLAT NAME)SUBDIVISION NO, LOT NE.) -ilD NO. I LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP wl:=.. 10 EXISTING — PROPOSED- 0 0 REQUIRED DEDICATION— FT 0 -METER SIZE LINE NO.OFFIXTURES PRV REQUIRED I ] YES C3 No 0 ARKS _7E OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE Flz� 19 _� 0 FIRE REVIEWEGEN DATE BE ZIP ? _,�ELEIIINE A 74-ci 117 _1� � Z VARIANCE OR CU SHORELINE OR ADS. INSPECTION REDD I PBONO STED' STATE LICENSE NUMBER DATE C KED By 7J)Z- I AD13 _Cl _I IS 0 Y SERA REVIEW COMPLETE I E�PT EXP SIGNAREA ;'0 �o I pj� 7 HEIGHT ALLOWED PROPOSE. 35 1 Im I e3st �ROPERTY TAX ACCOUNT PARCEL No. A SIDE TIAL C3 / MECH LOT COVERAGE REQUIRED SETBACKS (PT.) FRONT SIDE HEAR PROPOSED SETBACKS (".) FRONT UPSIDE REAR NEW ADDITION COMMERCIAL PLUMBING c3 C MPLIANCEOR ALLOWED PROPOSED 5)(t-on NG �-Avl�mm6i V-Y-15")4 E N1 COHANGE OF USE PARKING L DATE CS REMODEL APARTMENT SIGN A I ED I REPAIR GRADING CYDS E] I FENCE X FT) FT) REMARKS 'A' C3 DEMOLISH 0 TANK oGARAGE CARPORT C3 RETAINING WALL RENEWAL OCKERY (TYPE OF USE. 97ESS 17 tI ­F r AC';j)�2.114: 4-p. C"ECKEDBY IT1110I.-I OCC PANT GROUP NUMBER OF STORIES NUWBER OF V DWELLING UNITS CRTiCAL AR EAS NUMBER S ECIALEIDNBCYTEOR JAREA C .0 REOU OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS .1 nnnRpqq IMQPPCTIQNS PER URC 10afFINAL INSPECT 2 VALUATION FEE Pll CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % U'L"' No rMECHANICAL PLAN CHECK ND�j , ETE. DATE '�t , _ I . PLUMBING 0� . . . . THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT CoVERSWOnK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTIQN ON THE PUBLIC GRADINGfFILL DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. PE ITAPPLICATI N: 180DAYS _LTATESURCHIRGE PERMIT LIMIT: I YEAR -PROVIDED WORK IS STARTED WITHIN 16DDAVS ENS. REVIEW FEES SEE BACK OF PINK PERMIT FDA MORE INFORMATION PLICANTo.BEHAL OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS P F ENG. INSPECTION FEE ;A N INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS HE CITY OF LANDSCAPING EDNIONOS,WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANYAND ALL CLAIMS FOR DAMAGES H EVER NATURE, ARISING DIRECTLY OR INDIRECTLY OFW AT INSPECTION FEE RECEIPx FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT S.11_1 NOT BE PLAN CHECK DEPOSIT I D A EQUIREMENTOF ANY CITY ORDINANCE , DEEMED TO MODIFY. WAIVE OR REDUCE NY A 3 NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- TOTAL AMOUNT DUE IR CEIPT & I HEREBY ACKNOWLEDGE THAT I HAVE HEAD THIS APPLICATION, THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF CON STRUC Th., ppi.c.t­ �. - A pl—I IhIll 119hld by in, THE Ly WITH CITY AND STATE LAWS REGULATING M�p No �=-' A. GIN.E � P E A I . N W I L L E E . P . Y E o CALL 131.1,hq ON.1.11 .1 h11-1 D-1Y. :P d F­ I I - 14N D' TE IATE"�C Oo A U T N A I Z E . T . E 8 E B Y. . LE IN VIOLATION OF THE CODEDOF THE STATE OF WASHINGTON RE ATING TO LAN FOR INSPECTION WORKMEN S CoMPENI� I URANICE AN. RCVV 7. DATE W EROJM (425) �r__T"RE \KLk_c-' ';&'t\ �'91 :j ZES; , ;L 1 _ _ME 41 771-0220 DATE 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 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK . OWNER GOLD - ASSESSOR sas I 0 0 m 1=0 0 0 m m z 0 MITI 0 6 F n co z z m RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ... . ................ FOUNDATION: Fooling...................... Wall .......................... Plot/Porch ................. Retaining Wall ........... slaii insuMlon .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final HEATING: as Test .................. Gas Piping ................. Equipment................. Commercial Final EXrERIOR SHEATHING NAILING .......................... FRAMING ........................ 2,001 it r FIRST FLOOR FRAMING INSULATION ................... —Cff— Floor lnsutaUory Wall Insulation ........... Coiling Insulation SHEETROCKNAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 014001.0 408766000, Z, 7-7 M r fn MITI co C T, z 0 RECEIVEQJ FPIERMIT EXPIRES w ;L USE PE MIT Z. I CITY OF EDMONDS UR N MIERV JOB CONSTRUCTION PERMIT APPLICATION N S dADDRESS t te� PUT NAME)SUBDIVISION NO. NIL) '%.il NO. LID tEE S MAILING ADOR SS -A -Z ct v? PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CIT zi TELEPHONE EXISTING — PROPOSED. 0 0 0 REQUIRED DEDICATION— FT 0 METER SIZE LINE SIZE No.OFFIXTURES PAV EOUIRED NAM YES 0 NO 0 REMARKS OWNERJCONTRACTOR RESPONSIBLE FOR EROSION CONTROIJORAINAGE A TELEPHONE aCITY 71f I ENGINEERING Z 1A 0 FIRE REVIEWED BY DATE " zip TELEPHONE c DB VARIANCE OR CU SHORELINE OR ADD# INSPECTION lEo G PBOND OSTED STAT E LICENSE N UMBER Ai�� — ADS-ol-118 olE� ONO — 77)2- tele'2 jlL'�a SEPAREVIEW SIGN AREA HEIGHT -1-3 PROIEIITYTAX ACCOUNYgZL NO t COMPLETE I EXEMPT 47;D I PaX A� 11 M -40 0 Ap 11q Ij 0 n 117 EXP OC LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SErBACKS (Fr.) r NEW PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE HEAR rn rn COMPLIA NCE OR cl ADDITION CHANGE OF USE PARKING IOTAREA P DATE REMODEL [3 SIGN R ED =IEW G'A N FENCE REPAIR cl GRADING CYDS 0 X FTI CYDS IN G REMARKS FM ADE -2201 119,- 0 TAN K DEMOLISH TANK kv R'T Al IN 13W ALL/ GARAGE AINl'NyG WALL (3 RENEWAL C] M M - c CARPO RT R�T go vi r CT'V IW E,BU I ESS A ACTIVI EXeLAIN: OCCUPANT CHICKIDBI JTYPIOFCOU GROU P -5 �5 C? Fn C ca NUMBER RER F NUMBERO NO �§M G LU CRITICAL AREAS S P ECIAL INSPECTOR OCCUP— (j) OF STORIES UWELLINGF IT. s NUMBER U RED :RED[] YES JA21A LOAD 0 DESCRIBE WdRK TO BE DONE, . REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REO'D A Az� AOFILM Z 9 VALUATION FEE 0 m PLAN CHECK FEE LOT SqOPE BUILDING PLAN CHECK NOD, VESTED DATE PLUMBING U MECHANICAL j THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO [MLE I BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON T EP RA G�OINIGIFILL UBUC DOMAIN (CURB% SIDEWALKS. DRIVEWAYS , MAROUEES. ETC.) WILLKREU IRE SEPARATE PER�Isslom STATE SURCHARGE Z PE MIT APPLICATION: 150 DAYS IM PERMIT UNIT'. I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS ENG. REVIEW FEES/ SEE BACK OF PINK PERMIT FOR MORE INFORMATION — -APPLICANT. ON BEHAL OF HIS OR HER SPOUSE, HEIRS. AS51GNS AND SUCCESORS ENG INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING EDMONDS. WASHINGTONI. ITSOFFICIALS. EMPLOYEES. AND AGENTS FROM A,NYAND w ALLCLAIMSFORDANAGESOFWNATEVER NATURE.ARISING DIRECTLY011 IND RECTLY I P IT ALL NOT BE ISSUANCE OF THIS 5RW INSPECTION FEE RECEIP FROM THE ISSUANCE OF THIS PERMIT. C MODIFY, WAIVE OR RlI=EANY REGUIREMENTOF ANY C ISHORDINAN E 1 PLAN CHECK DEPOSIT = DEEMED TO 0 NOR LIMIT INANYWAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. TOTAL AMOUNT DUE I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPL16ATION APPROVAL GIVEN IS CORRECT. AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF REGULATING CONSTRUC. Th,, nM a pe­j 11111 1�gled by lh8 THE OWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS PERSON WILL BE EMPLOYED CALL CALL ,ld,,g hi —I D.p,ty: ,d F.es A,. p,,d. a�d 8"l TION.ANDIN DING THE WORK AUTHORIZED THEREBY. NO IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ­pI I — WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. I SIGNATURE DATE 425) 425) _O&IALS I"/,) hOv'011 =o7N`NA&_4 wo-w" 771-0220 DATE ATTENTION 33 EXT 13;jU lot IT IS UNLAWFULTO 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. USC SECTION 109 FAX PINK -OWNER . GOLD - ASSESSOR 5198