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20010909.pdfDATE RECEIVED I 1 I 19 61 PERMITEXPIRES USE IT PERM CITY OF EDMONDS ZONE X3F .M..R22J -(8 CONSTRUCTION PERMIT APPLICATION SUFTFJAFT# AODRESS P9 /K&N 5/_ IER OFO PI -AT �EiSUBDIVISION NO I LOT 10 LID NO, LID FEE S �ING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP T111 R. — =_.. 5 /a EXISTING —_ PROPOSED s1w U.. P.— �d ZIP ]TELEPHONE eq13MIRRED, 2�21_ 1 7 21, [E SIZE LINE SIZE "V E.IJIM. 777f�.-- I J_T�� YE.CI NO 13 RES$ REMARKS WNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DUINAG5 OWN ZIP ITELEPHONE CITY ZIP TELEPHONE I -., 17,r,,/ z/,2, ---� *2 ),V- Z NEW I Ec. ADDITION COMMERCtAL C MPLIANCE OR CHANGE OF USE REMODEL APARTMENT [3 SIGN E3 FENCE REPAIR GRADING .1pe , — X FT) [3 DEMOLISH TANK E3 OTHER [3 GARAGE AETMN CARPORT ROCKE'R"Ya WALL [3 RENEWAL (ME OF USE. BUSINESS OR NUMBER OF STORIES RUM OF DWELLING UNITS CRITICAL A EAS NUMBER lyk DESCRIBE WORK TO BE G.�E /7 lz-D rz mm) m R E REVIEWED BY DATE VARIANCE OR CU I SHORELINE 01 All. I IN��FEMION I BOND EQ-0 No IPOSTED E3 YES 13 SEPA FREVIEW -N _`A HEIGHT COMPLETE EXEMPT I ALLOWED , PROPOSED I ALLOWED , PROPOSED REO'D PAj��kbP4WW"W%EVW9b AY DATE REMARKS CHE R COq_� OOCUPANT�p GROUP 3 E OCCUPANT REQUIRED 0 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1GB/FINAL INSPECTION REIVO VALUATION $ HEAT SOURCE GLAZING on E LOT SLOPE % T a L I Building U d It g PLAN CHECK NO: TE a M T VESTED DATE I Plumbing IT b nga C a m c a Mechanical M C VERS W G RK 0 �ISPEFMMAUmNORU�ONLYIPKE WCAKNOT THISPERUTICOVERSWORKTO T HE P U BE INII ON 11 P11111 ORM ARV CONSTRUCTION ON THE PUBLIC U - 'Ing Grading r. Recording Fee UEES,ETC, R E I E DOMAIN (CURSS, SIDEWALKS, D RRflEWJWS G MI.A. REQUIRE SStON. Eng,. RevieVt Erg, .v,.w City Surcharge 5 PER a APPLICATION: ISO DAYS M. PM,,t. Umn, I YFUUI - PROVIDED W RK IS STA�. WITHIN 10 DAYS SEE BACK OF PINK PEPLUM MR MORE INFORMMION "h ER - r ht.p. Ion E State Surcharge T ,R� "On r. Plan Chk Deposit -APPUCANff. ON BEHALF OF HIS OR HER SPOUSE. HEIM. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOW HARMLESS THE CITY OF Receipt # EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS ROM ANY AND 'N.,R OT ALI- CLAIMS FOR DAMA ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire ReVie. FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Fire inspection Total Amount Due DEEMED TO MODIFY, WAIVE OR REDUCE My REQUIREMENT OP ANY CITY OR DINANCEE OV 0 NOR LIMIT W ARv WAY THE CITV'S ABILLITY TO ENFORCE ANY ORDINANCE PROVISION Landscapelnsp. Receipt # I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL I GIVEN 18 CORRECT. AND THAT 6 AM THF OWNER. OR THE Duty AUTHORIZED AGENT OF �Eo I ACRE TO COMPLY WTTH CITY AND STATE LAWS REGUI.ATNG CONSTRUG WNER. CALL "not, nronit-W IngnedbyMe TION; AND IN ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Go u"Th',.pp'=A ding OnFeWl Whor Doptny: wd Fttl, 110 PnkI, Wd h Wonnd.d OILAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO IN VI I WORKMEN'S COMPENSATI URANCE AND RCW 18.27. FOR INSPECTION OF�FICIAI IRS DATE DATE SIGNED (425) jl� �, VIM 7no ZL:L� '2 —1/- Z 2-- 771-0220 RELEASED BY ZT—TENTiON M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 1 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 1 10/0, z =i �n 55 � 0 M C 0 ITI 0 -40 0 C: MITI > z r— —4 0 -n n rn M 055 5 Fn C (A MCI) M 0 z (1) z M MEMORANDUM Date: 12-12-Dl To: Teresa Stone, Accounting Assistant From: Lam Knaak SubjeCt: REFUND amount of $20.OD The Teresa, plem prepare a refund check in the name OfTOM Copley in the Main Street� Edmonds permit #2001-0909 was issued 12-10-01. Please mail the check to 9118 WA 98026. 1 have enclosed a copY of our receipt #18755 for your records. Thank you. SincerclY, DeveloPluent Services Division City of Edmonds czq Community Services RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Fooling ...................... Wall .......................... Pier/Parch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground . ........... Rough -in ................... Commercial Final HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. 15'*- 7-0 j C4kV';5. 4w 0, &,for 600e 0 ME C) M 30� M M a 0 C, M 0 z 0 d 0 M I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION M N&MEINAUE OF BUSINESS 171191d S7- 1 ZIP ' 11EI-EPHOME �-)Pz'-2 77/, NAME CITY 7ME Llb 101 PERMITEXPIRES I USE PERM T ZONE NUMIIEI,�2(6 ADDRESS SUGIVAPTO FLAT NANEJSUBDMSION NO. LOT NO- 1-11 NO, UD FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP I EX STING — PROPOSED— —A-- REQUIRED DEDICATION— FT U-7� METER SIZE LINE 5- NO.-�F F—FIES REQUIRED I 'EPRV No REMARKS OWNERICONTRACTOR RESPONSIBLE Fort EROSION CONTROLMMMAGE /'�; � S/� FIRE REVIMED BY :rry ZIP jT11P111E 212� P_cE OR Cu EXPIRATION DATE D Y 77,eZ) 12 2— SEPA REVIEW COMPLETE , EXEMPT EXP RU—EFnYTAX -;FC—OUNT PARCEL NO. 7[]NEW P-L&BING MECH LOT C —RAGE ALLOWED 7WEB eorrioT A G N Ei COMPLIANCE OR CHANGE OF USE I REMODEL 1:1 0 SIGN PARK REaD 911 tl 0 REPAIR GRADING G,�a FENCE X FT) XX M REMARKS DEMOLISH TANK OTHER 0 GARAGE ING WALL CARPORT RErC`KNRY RENEWAL (TYPE OF USE. BUSINESS OR A '7 r C.-KED By .1 NUMBER MOM OF NUM'E -El-.G CRITICAL AREAS, S ECIAL INSPECTOR I P OF STORIES UNITS NUMBE 14_ REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPEC Plan Check z DATE SHORELINE OR ADBJ INSPECTION REGO I PBO OSTED r1YES C3 No =i 9i Vj SIGN AREA HEIGHT ALLOWED PROPOSED I 0 rn C: IT 0 REQUIRED SETBACKS (FT.) PROPOSED sjaAcKli7i(m d1fNTvdff cdNo I SIDE t6W' C-) 0 C FEE I machan, I Mechanical THIS PERMIT AUTHORIZES ONlY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOKE ON PRIVATE PROPERTY "N"" ANY CONSTRUCTION ON "HE PUBUC Grading DOMAIN (CUMS, SIDEWALKS. DRIVEWAYS, MARQUEES, FTC.) WILL FIEGUIRE 3 SEPARATEPERMINISION. Engr. Review PERMIT APPLICATI 180 DAYS PENINT UMM I YEAR-PROVHMDW RKIBSTARTIEDWITNIN INDAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE. HEIM, ASSIGNS AND SUCCESORS Traffic Mitigation K,:IECTION . AGREES T 11 DFUNIFY, DEFEND AND HOLD HARMLE S THE CITY OF DWONDS WASHINGTON. OFFICIALS. EMPLOYEES, AND AGENTS MOM AM AND Fire Review , ALL CLAIMS FOR DAMWAGES FWHATEVER NATURE, ARISING DIRECTLYOR INDIRECTLY FROM TIRE ISSUANCE OF THIS PERIArr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Noll LAUT IN ANY WAY THE CrTY'S ABILITY TO ENFORCE ANY ORDRANCE PROVISION. - I . ACANOWLEG"I THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CGRRECr. AND THAT AM THE OWNER. OR THE DULY AUTHORIZE AGENT OF THE OWNER. I AGREE To COMPLY WITH C`TY AND STATE LAWS REGULATING CONSTRUC- CALL No TH --N PON; AND IN DOI WORK AUTIIORIZERO THEREBY, NO P Be EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKLIENS COMPEN RANCE AND RCW 11 27. 81:: ( -I DATE SIGNED (425) �MAOEtM L 771 -0220 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX Iwo, UBC OCCUPANT LOAD Recording Fee City Surcharge State Surcharge Plan Chk Deposit Receipt III TotalAmountDue Receipt# APPLICATION APP mz m to -4 —Z 0 -n IT m 0 0 0 fn- RECID ITI 0 z 7-1 ;u z :0 i ro =E z 0 1 0 m d�. OftW . N~ Dpy: d Fe. .. PW. ORIGINAL - FILE YELLO - INSPECTOR PINK-0YfNER : GOLD -ASSESSOR i