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20010926.pdfOAT RECEIVED CITY OF EDMONDS 'RUCTION PERMIT APPLICATION r PERMIT EXPIREL� USE PERMIT Z.,,E p NUMBERJgL-aa SUITEJAPT' ADDRESS PLAT NAMEISUBDIVISION NO, I LOT NO. L L�D 0. D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - PROPOSED- ­- R. V.d AEOUIREDDEDICATION- I -- ww­q- METER SIZE I LINE Sl P V REQUIRED YES 0 NO 0 REMARKS OWNER-NTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE NAME ENGINEERING REVIEWED/DATE ADDRESS FIRE REVIEWED By DATE CITY ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADO# INSPECTION BO D STATE LICENSE NUMBER EXPIRATION POSTED 0 YREOO NO ES C3 SEPA REVIEW SIGN AREA HEIGHT PR�ERTY;,�gCOUNT Pll EL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 4-0 z9 I LOT COVERAGE REQUIRED SETBACKS (FT.1 PROPOSEDSET CKS(Fr.) NEW RESIDENTIAL PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT UP SIDE REAR C3 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE -1 - Mo XRE DEL 0 APARTMENT C] SIGN PARKING REDD I PROVIDED LOTAIREA IF NNINGFIEVIEWEDBY DATE 0 REPAIR o GRADING CYDS FENCE 0 X 0 DEMOLISH 0 TANK 0 OTHER oGARAGE CARPORT r-1 RETAINING WALL - ROCKFAY 0 RENEWAL (TYPE OF USE. 9 ESSORA C.IC�IOBY ION OCCUPAN�� M ITY IC GROUP u IMBES OF MILLING CR ICA AS S SPECIAL I SPECTOlq- ATIlEA OCCUPANT IITS NU BE REQUIRE'D YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG' C-4441 A&lbl— VALUATION FEE PLAIN CHECK FEE LOT SLOPE I BUILD IN. �3 2E57:::� (oO.- PLAN Cl%� 111S]TED OA2TE PLUME, PLUMBING 1-n THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ,_"A, P BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE UEUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS' MARQUEES. ETC.) WILL REG ISE SEPARATE PERMISSION. - STATESURCHARGE 0 I PERMIT APPUCATLDN: 180DAYS PERMIT LIMIT. I YBAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW F SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS ENG, INSPECTION FEE IN INTERESI AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF LANDsEZI-wi ECYQNUS.WASHINGToN ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANIAND INSPECTION FEE ALLCLAIMSFOR DAMA Ei OF WHATEVER NATURE, ARISING CIA- - 11 - 1 -1-1- - - FRO. INS ISSUANCE ISS ANCE OF THIS PERMIT SHALL HOT BE PLAN CHECK DEPOSIT RECEIP) OF THIS PERMIT. DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE I 0 NOR LIMITIN ANYWAYTHECITY SABILITY TO ENFORCE ANYORDINANCE PROVISION' FECEIPT/,j�� TOTAL AMOUNT DUE 1 HEREBY ACKNOW EWE THAT I HAVE READ THIS APPUCAT,,H� THAT THE INDORMATION APPLICATION APOROVAL GIVEN S CO RECT. AND THAT I AM THE OWNER on THE DUL AUTHoRZ AGENT ol REGULATING CONSTRuc ThIl aPP:-t- 11 - I Pl-t THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS TION, IN DOING THE PERSON WILL BE EMPLOYED CALL OM�-1 0, h,llhll Dlp,,Iy� ,,d F- ,, P AND WORK AUTHORIZED THEREEIV. NO IN VIOLATION Or THE LAB R CODE OF THE STATE IF WASHINGTON RELATING TO FOR INSPECTION _ , ..... P-,- W05K'E)\S COMPENSATION INSURANCE AND ACVY 18 27 OF I IALS SIGNA'I'll D (425) , . ktqlc-)l I 771-0220 R ED`E�y- DATE L 8 AftgNTION EXT 1333 IT ITUNLAWFULTO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI 771-0221 A FINAL IN SPECTION HAS BEEN MADE AND APPROVAL OR A CERTIF - ORIGINAL - Fl . LLO INSP CTO CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK OWNER - G LD ASSESSOR 598 Z 0 �n m m ,o 00 m 0 n M m 0 C.) F 'r (n c ca 0 z CA z 2 0 m f THIS FRAME IS LESS CLEAR THAN THIS NOTICE NOTICE: IF THE DOCUMENT IN IT IS WE To THE QUALITY OF THE DOCUMENT. t-xlsTlve�- #&q c- (P/ hlay k). I . -&Por mg- 1-44-) z ; x Rc- CEIV ED ocl 19 NO . ) i- ) T IAP BUILOING DEP 1Z >rl. A4 0 u C RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch ................. Retaining Wall ........... Stab Insulation .......... PLUMBING: Underground ............. Rough -in ................... commercial Final HEATING: GasTest .................... Gas Piping ................. Equipment ........... . .... Commercial Final EXTERIOR SHEATHING NAILING .......................... FRAMING ..................... FIRST FLOOR FRAMING INSULATION ................... Floor Insulatlo n Wall Insulation ........... Calling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. c'-fo4-IL"m �41 On vAAA O-A fowl;,-k L) Cwt z RM C M Fn 0 Z M DATE RECEIVED [PERMIT EXPIRES CITY OF EDMONDS .. PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT, ADDRESS 01 BUSINESS Z-A P, ­ NAMEISUBOIVISION NO LOT NID. LID NO. _!��l �'2 - '172 I LID FEE$ C AILINARESS �o 1411 - PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IESCP­" U P.- F-W 0 ., ­­ 0 EXISTING - PROPOSED- REQUiREDDEDICATI.N- IT 0 0 IV& p)4TILEIHONE 77/ 77/ NAME METER SIZE I LINESIZE I NO,O11IXTURE5 Pll lEOUIlll YES 13 NO 0 JAEGRESS REMARKS OWNERADONTRACTOR RESPONSIBLE FOR EROSION CONT UDZN�AGE CITY 7AM E FIRE REVIEWED By DATE ZIP TELEPHONE VARIANCE OR CU SHORELINE OR ADBX INSPECTION EXPIRNIONU- R E"D I PBOND OSTED I OYES [3NO SEPAJ3EVIEW COMPLETE EXEMPT SIGN AFEA ALLOWED PROPOSED HEIGHT ALLOWED I PROPOSED COUNT P PCEL NO. 4991:2.61 EXP I I LOT COVER GG 7E_Q_UlRED SETBACKS (FT) SETBACKS EFT�j PROPOSED, 0 NEW RESIDENTIAL 0 PLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT J SIDE REAR ADDITION COMMERCIAL [3 C MPLIANCEOR CHANGE OF USE [CCO]l -BY DATE ;KREMODEL APARTMENT C] SIGN rPl_NNlIN­GREVl_AD C] REPAIR C] GRADING GyQS 0 EENCE X REMARKS C] DEMOLISH TANK Z GARAGE M RETAINING WALL RENEWAL 0 CARPORT ROCK5RY 0 p (TYPE OF USE, CHECKEDly TION c CUPAIT of ITY Gs u 177 o' NUMBER OF CRITICA AREAS SPECIAL NSPECTOPF I AREA c DW LUNG R UNITS NUMBER REQUIRED o YES lo DESCRIBE WORK TO BE DONE ,a REMARKS 'PAnrRFqS INSPECTIONS PER UBC 1081FINAL INSPECTION REQ' I PLAN CHWO -I THISPERMIT AUTHORIZES ONLY IKE WO NOTED. THIS PERMIT COVERS WORK TO U D'E" ' I"' S PERMIT A THOR + LIC Pub ;Tcc, I 2 m ATE PROPERTY ONLY ANY CONSTRUCTIEJ4 ON'THE N P "VAT' P E DONE ON PR'V BE ONE 0 Do IN , , SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE UR BS SIDE' DOMAIN ICURBS MA C G D' It SEPARATE PERMISSION. STATE SURCHARGE PER.ITAPPLICATION: 180 DAYS PEI PERMIT LIMIT: I YEAR - PROVIDED WORK S STARTED WITHIN 100 DAYS YEAR ENG. REVIEW FEES TI SEE BACK OF PINK PERMIT FOR MORE INFORMATION C PELICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS A P F ENG. INSPECTION FEE IN INTEREST. AGREES TO INDEKNI FY. DEFEND AND HOLD HAPARESS THE CITY 05 1 LANDSCAPING EDMONDS. WASHINGTON1. ITSCIFICIAll. EMPLOYEES. AND AGENTS FROM ANY AND AS­GTO- I A 'LE"MS OR D MAG_ WHATEVER NATUFE.ARISINQU­­1 LCLAIMSFORDAMAGESOF INSPECTION FEE 41/9 FROM THE ISSUANCE OF THIS PE SSUANCE OF THIS PERMIT SHALL NOT B E IN 'SSUA r " N ' FM'T Pl_AN CHECK DEPOSIT D E. Q I. Y W_ ANY REQUIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY. WAIVE OR REDUCE A A E 'SASILITY 0 ENFORCE ANY ORDINANCE PROVIS'o OR LIMIT IN ANY WAYTHE CITY N R ".,I IN NY W , 1. TOTAL AMOUNT DUE 11 CEIIT IHERE8YACKNOWLE.IT.ATI.VE READ THIS APEL�ICATION. THAT THE INFORMATION APPLI ATION APPROVAL GIVEN IS CORRECT. AND THAI I AV. THE OWNER. OR THE DULY AUTHORIZED AGENT 01 THEOWNER I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL ". II.� ep" ld F,o,,,, PAd. TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING 10 FOR INSPECTION 111.pt 'p- PIlld-d IN V TION OF III LABOR CODE 01 THE STATE E COMPENSATION INSURANCE AND FCW 'S". WE^ OF I MLSStGNA. RE AT NATUR 0' E . EN OA (425) 771-0220 Y DATE TI qAON EXT 1333 FILE SED IT I, UNLIAWF I- TO USE 08 OCCUPYA BUILDING OR STRUCTURE UNTIL IT 771-0221 -1 SP CT 0 A NAL INSPECTION AS BEEN MADE AND APPROVAL OR A CERTIFIk ORIGINAL - Ell . LLD AS ESSD CATE OF OCCUPANCYHHAS BEEN GRANTED, U8C SECTION 109 FAX PINK -OWNER - G LD X z 0 0 p 4 �n 0 m mo 80 c MITI o -n m IT! 0 0 o C co 0) 0 m