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20010928.pdf[PERMIT EXPIRES L�L CITY OF EDMONDS ZONE PE T N, =IER1900/_195� (2 SUITFJAMf L 5� CONSTRUCTION PERMIT APPLICATION 'AODDRESS OWNER E G 0 NESS cz ,1�71 FLAT NAMEISUBDMSION NO P I LOT NO I'D NO LID FEE 5 MALING ADDRESS Ug_ A, vrE: � � I F WAY PER OFFICIAL STREET MAP EXIS ING— PROPOSED— w . i. R= P,d d to —A— CITY ZIP VA— ITELEPHONE REQUIRED DEDICATION— FT .—W RC9UI1TT%.i PRV REQUIRED 20 NAME AP ugE ATORVALVE&qM0 No 13 1, 14WMIAN]. ENGINEERING AWATER SERVICE SlffrWeATE ENGINEERING A WA 13E INTALLFD ON' ADORfS slj',5_�'f 4 FIRE REVI�Ejjft IT HN I Vila Ew F HE Ev' E7 —Clw L— ,I TE E TELEPHONE T I VARIANCE R cu VARIANCE OR CU SHORELINE OR ADD# INSPECTION REO.D OYES --- BON 0 POSTED 2 BY IXN STATE LICENSE NUMBER. —RATION D' ED BY Di;�5 167 LLV_05 3 M -�i r), 'EP EvEw BEPA REVIEW COMPLETE E.IT COMPL T AD E.,T E E EK, SIGN AREA ALLOWED , IR0102ED HEIGHT OSED PROPERTY TAI= 1) 6L LZ e, r0jPE 0 NEW 0 PLUMBING I MECH 0 0 ADDITION o COMPLIANCE OR CKMOE OF USE 1:1 REMODEL 0 SIGN FENCE 0 REPAIR GRADING Y,, 11 X FT) 0 DEMOLISH TANK EjGARAGE RETAKING WALL 0 RENEWAL CARPORT DOCKERY LOT COVERAGE ALLOWED PROPOSED F�EOUJRED SETBACKS (FT.) FRONT SIDE REAR I PROPOSED SETBACKS (Fr.) FRONT LIRS1DE HEAR 1 PARKING PARKING I PRO DIEGO I PROVIIED GO LOT AREA PLANNING REVIEWED .1 DATE LnE EMA K REMARKS (ME OF USE, Bust 0 EAPLAIN: 4-L— C, IECK ED By TYPE OF CONSTRUCTION. Y/&V aIr 7 OCCUPANTV13 ORO P NUMBER OF STORIES 0 ED OF NUMBER F .0 1 0 . WELLING UNITS 7.NE CRITICAL AREAS BEFO 4 ni P ir — I.SIE Cut . 0 - OR REQUIBE YEB Do YE REA ARI LOAD DESCRIBE WORK TO BE DONE MARKS BE- KS ECTION REGO PROGRESS INSPECTIONS PER UBC 108/FIUALINSP OR ESS' R 1 VNSPEC VALUATION $ VALUATION $ Description FEE Description FEE Plan Check HEAT SOURCE GLAZING % LOT SLOPE % Building Plumbing PLAN CHEC - VESTED DATE Mechanical — THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO IS PERMIT I t DE DONE ON PRIVATE Mopt,,,, ON� jArtr CONSTRUCTION ON THE PUBLIC ST C E 'BE M "BE IRE DOMAIN (CURERI, SIDEWALKS, OFUVEWAVS. MARQUEES, UC.) WILL REQU I SE,,xRATE PERMISSION. Grading Recording Fee Engr. Review City Surcharge t) - PERMITAPPLICATI N; IWDAYS 0 A PEAMM LIMM. I YEAR. PROVIDED WORK 15 STARTED WITHIN Hed PAIS 0 N SEE BACK OF PINK PERIMIT FOR MORE INFORMATION sEE BA F�DEEUEDTO Engr. inspection State Surcharge Traffic Mitigation Plan Chk Deposit I 5 r.0 �hk 1) 0 p 0 U A 7 S CE .a —F.— 0. BEHALF .1, IS OR HER P.U.E. HELPS. A.EiI.NS AND E..CES.R. H AD I E E IN INTERES ' T. AGREES TO NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF D A G E NT -0. ANY AND EDMONDS. WASHINGTON. OFFICIALS. EMPLOYEES. AND AGENTS MOM ANY AND Gn ITS I. BAMA _ W I. Y OF N 'R.C'Ly ALLCLAIMSFORDMiAGESOF NATEVER NATURE,APISINODIDECTLYORtNDIRECTLY His PERMIT S_LL T E UA AMY CITY LL NOT C FROM THE ISSUANCE OF TH PERMIT SSUANCE OF THIS PERMIT SHA E ISS Moor OR REDUCE ANY REQUIREMENT OF CITY ORDINANBE PY WARV. ANY WAY THE CITYS - TO ENFORCE ANY ORDINANCE PROVISION, NOR UMJ IN 0. _is 0 No. U.n IN . WAY THE ABILITY 7 Fife Review p,# Receipt# c Fire Inspection Dun, T.tra"'...nt... total At. Landscapal CALL FOR INSPECTION 42.5 (425) 220 771 'Or-J&%J EXI'1333 _7" n-3.31 Receipt # N - I N 'N THA T P_, 0 I HEREBY ACKNOWLEDGE AT � HAVE READ THIS APPLICATION; THAT THE INFORMATION _iW . HE G ENT OF GIVEN IS CORRECM AND THAT AIA THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OMER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC I , so W, MPLOY TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION R CODE OF THE STATE OF WASHINGTON REILATING TO WORKM INSURANCE AND RCW IS .;7. APPLICATION �PPROVAL API Jhj5 appli,ster, is not a pennit until signed by Me B111ding cellist It hoobliedD pony: end Fees ,, Md. Wd soslp,,sn� g dp ... W�Id e OFFICALS SIGNATURE DATE S, �GENT) BAT '17NID RELLEASED'SY /bATE I ---------------------- I I ATTENTION IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CEFITIFI- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCU FANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PiNK-OWNER GOLD ASSESSOR z 0 M M 0 80 M rn z C 2 0 -n M M 8 Vi 0 r: C U; r rj) M 0 z z 0) z 0 i 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................ j FOUNDA'nON: Footing ...................... W�ll ................ Pier/Porch .............. Retaining Wall Slab Insulation .......... PLUMBING: Underground .......... M In, Rough -in ................... M Commercial Final M HEATING: C) 0 C GasTest .................... Gas Piping ................. --------------- m- Equipment Commercial Final EXTERIOR SHEATHING NAILING .......................... M M FRAMING ........................ FIRST FLOOR FRAMING INSULATION ................... Floor Insulation V�all Insulation ........... Ceiling Insulation SHEETROCK NAILING 0) z SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. alp 40 fV78; v MICROFILM d Rmerve. 0 0 1 PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER 'ACGRESS ZI& _5 SURVAPTO �'/ // Sir / / . /\�� CONSTRUCTION PERMIT APPLICATION OWNEIA�HESS PUT NAMFJSUBO.SION NO. I LOT NO- LID NQ LID FEE S MAILING ADDRESS :�24-(r FL... BIG- In OF WAY PER OFMCIAL STREET MAP EXISTING — PROPOSED CITY Z' P 'ITE rAME PHONE REQUIRED DEDICATION— FT — NAME METER SIZE ME AIFI��.—MLAMRWV4ffM 0.0201AV REQUIRED NOO t ADDRESS REMARKS SHA-LL bt� INa REM OWNERICONTRACTOR RMW31JECMESIVOTOMO-FLUNAGE OWT -1-J"K CITY ZIP ITELEPHONE I E INEERING REVIEWED/DATE E N z 0 in 9n --7PLrRSU7M1 It) Upr (rU5'2DATE FIRE REVIEWED By "RE AWATFR SERVICE SIRMEF 'T CITY ELEPHONE 7Z VAR-CE OLME A S IT9RM9'ffMM B EWN [3YES [3NO .. G JPOITEO STATE LICENSE EXPIRArION DATE CHE. (�T -7 10;— SMA REVIEW COMPLETE EXEMPT EXP SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED , PROP03EII 2 rn m 0 0 C .1 m I I rn M z jo i C= > O'n -a PROPERTY TAX ACCOUNT PARCEL No NEW PLU.SIN. I E�. 0 ADDITION COMMERCIAL [3 C MPLIANCE OR GLANCE OF USE E] REMODEL APARTMENT 0 mm REPAIR G—ING Yes [3 FENCE X Fil 0 DEL40USH 1:1 TANK QGARA E RETAIN WALL RENEWAL AFIPGORT R 0 C K E'A"y" -(TYPE LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (I. PROPOSED FRONT SIDE -BEAR . . - I - I SETBACKS (FT) FRONT URSIDE REAR . - FAR ING jKMGV 0 HEO. IDE LOT AREA REMARKS OF USE, Bus m In CHECKED BY RUCTION 77 OCCUPANT/ GROUP 9 a 0 0 Fn- C u) r' ' n,:) Z' z OF _STORIES N-U YES OCCUPANT LOAD DESCFUBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPEI.�'RON REIYD I, c VALUATION $ Description FEE Description FEE fm z LD,em'lptio. IS C Plan Check NEAT SOURCE 0�146 % I LOT SLOPE % I Building m PLAN CHECK NO: VESTED DATE Plumbing wE Mechanical K To THIS pEFWff AUTHORIZES oNtyTHE WORK NOTED. THIS PIEFLAUT COVERS WORK TO C t: BE DOME M PRIVATE PROPERRYONVE ANY CONSTRUCTION ONTHE PUB C F, F E REQUIRE DOMN (CURBS. SIDEWALKs' ORBREWAYS, UAROU ES, ETC.) WILL. SEPARKTEPEJUIUSSION. Grading Recording Fee Engr. Review City Surcharge 5— P IT APPLICATIOW IN DAYS PERNUTUMMIYEAR-PROVIDEDW K 18 STAIRTEDWITHEN IN DAYS P SEr; BACK OF PINK PE"IT MR MORE INFORMATION Engr. Inspection State Surcharge SORS *APK"W, ON BEHALF 01 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCEIORI OF IN INTERESr=ET80T'O INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF ANG BO'CINGS�.W No 1. ITS OFFICVJL1, EMPLOYEES, AND AGENTS MOM ANY AND ALL CLAIMS FOR GAMAG. OFWHATEVER NATURe AASINQ DIRECTLY OR �_Ly OF THIS PERMIT S�R INDIRECTLY IA MOM THE ISSUANCE OF THIS PERMrr. ISSUANCE LL NOT BE C DEEMED TO MODIFY. WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Tralf"' ivilligation Plan Chk Deposit Fire Review Receipt # Fire Inspection Total Amount Due Landscapoinsp. Receipt # MA HAV READ THIS APPLICATION; THAT THE INFORMATION I HEREBY ACKNIOWLFP�TIL E ENT E OWNER I FEE To MP WITH CITY STATE LAWS REGULATING CONSTRUC AND No We BORK=ORIZEDINGREITY. NO PERSON WILL BE EMPLOYED IN VIOLATI OF LA R CODE OF THXATE OF WASHINGTON RELATING TO S ORM PENSATIrN INSURANCE AND Rm 3?'. APPLICATION APPROVAL M, apoIeUon is no a pannit a" WWod by the CALL y:.dF--p.W.� FOR INSPECTION n.WpU.o*nIdg 21npwipr.Wd. OFFICIALS SIGNATURE DATE (425) 771-0220 -�ILEASEG BY /DATE f .1 =(.ELL" ED ATTENTION EXT 1333 �'TT,IS UNLAWFUL TO USE OR OCC�Py' A 6LILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFi- CATE OF OCCUPANCY RAS BEEN GRANTED. UBC SECTION 109 771-0221 ORIGINAL -FILE YELLOW - INSPECTOR FAX PINK -OWNER (300 - ASSESSOR IBM