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20010929.pdf:I EXPIRES K ::� ��/77 PERMIT r USE PERM T CITY OF EDMONDS ZONE NU.B'Et�'& 2,6� CONSTRUCTION PERMIT APPLICATION JOB UPPEJAPTO ADDRESS 'ILI BUSINESS ;)a4 PLAT NAMEISUBDMSIO4 NO LOT No, LID No, AJ i Aj I LID FEE 14la- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Aj EXISTING— PROPOSE. — z" J� 20 ITELEPHONE 1/9_� - 7 2- REGUIRED DEDICATION— FT METER SIZE LINE SIZE I NO, OF FIXTURES P V REOUIRED REMARKS I YES E3 No C3 tz ADDRESS O.NERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ___i7P__7PHONE CITY PUR'z �'1' FCDC 19.30.020 NAME A NSIAT I Ln _b�. ENGINEERING TtlE wAm smyrcff W 1..1E ADDRESS MAE REVIEWED By DATE ZIP jTE1EPIIOII1 VARIANCE OR CU SHORELINE CIA ADEI# IN' ODON E3YRE ES [31,10 I BOND 1101TED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY SERA REVIEW COMPLETE , EXEMPT SIGN AREIA ALLOW 0 1 PROPOSED HEIGHT ALLOW 0 1 PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. EXP RESIDENTIAL PL-U.SIN New MECH X_ LOT COVERAGE ALLOWED PROPOSED RED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (F-1.) FRONT UR SIDE REAR G AIP CE! OR ADDITION COMMERCIAL CHANGE OF USE . PARKING MEWED BY DATE L, REMODEL APARTMENT SIGN REPAIR F NCE [:I GRADING . GIGS 11 1 — X FT) RECrD I PROVIDED UPC 60-5.2 A SER3LT('R Sw4qj+ REMARKS 311A1,11 BE INSTALLED ON THP, LINEA"pt'T'r DEMOUSH TANK OTHER ING o GARAGE A"' WALL RENEWAL CARPORT OCKERY OWE OF USE, BUSINES EXPILAIN; zzna�,w4f_11 CHECKED BY STRuc"ON g gZ "22- -Or,'c'up';:,,�, NUMBER OF STON, ES N MBER OF D ELLING UNITS 91CAL AREAS I NUMBER �7 I OCCUPANT 40 DESCRIBE WORK TO BE DONE REMARKS Plan Check HEAT SOURCE GILAZING % LOT SLOPE % Building PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON pWATE PROMEFnY OHM MY CONSTRUCTION ON THE PUBLIC Grading =,,,N (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE Engr, Review SEPARNTEPEPUISSION. Mr PER BIAPPLICATION: IWDAYS PEFAINT UMM� I Y"UA* FROVIOM WORK 19 STARTED WITHIN ISBDAYS Engr. Inspection v SEE BACK OF PINK PERMIT FOR MORE INFORMAIAON "PUCAW, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. SIGNS AND SUCCESORS Tialfic M ligafion IN INTEREST, AGREES TO NGE.N11 DEFEND AND HOLD HARMLESS TH CITY OF EDMONDS, WASHINGTON. ITS OFFICLA", EU1111YEE1, AND AGENTS FROM ANY AND ALL CLAIMS FDA DAMAGES OF WHATEVER NATURE, ARISING D RECnY OR INDIRECTLY V w TO RL FROM ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 81 THE P.Ii.n Fi,.,A.0 H DEEMED TO MODIFY. WAVE OR REDUCE MY REQUiREMENT OF CITY ORDINANCE Moo LIMIT IN ANY WAY THE CrIYS ABILLITY TO ENFORCE ANY ORDINANCE PROVISION. - Landscape�nsp. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I ABBE TO COMPLY WITH CITY AND STATE LAWS REGULATING CON E SMUC CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED OF WASHINGTON RELATING TO FOR INSPECTION IN VIOLATION OF THE LABOR CODE OF THE STATE WORK11EIVS SRMLE_NkATION INSU))MCE AND RCW 18,27. OAT SIGNED j (425) IL101 ZLLL_L 771-0220 ATTENTION EXT 1333 Fr IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX 1010, Recording Fee City Surcharge State Surcharge Plan Chk Deposit Receipt # Total Amount DUO IIPPLICATION APP S SIGNATURE I C I vt .. piJd, DATE ONIGINAL-FILIE YEILLOW-INSPECTOR MNK.OWNER GOLD -ASSESSOR x__ z 0 :j -: 0 IT! M 0 __41 0 0 0 M ITI C 0 n ITT M 0 in - a 1 6 Fn M W Q 0 X z 0 M FIN—AJ, P 2T APPROVAL FORM TO:_ DATE:_ MEMO TO: PERmrr COORDINATOR, BUILDING DIVISION FROM: FIRE DEPARTMENT DATE� F NGMERiNG DIVISION DATE—L�l 'J PLANNING DIVISION DATE� PROJECT— �,Ov(n SITE ADDRESS- u� Ave � f0or4— TED k 16-2— PERMIT it ...................... ADB#____________pATE INSPEC DESCRIPTION OF WORK TO BE INSPECTED—w— A field inspection was conducted to determine final compliance with approved plans. Final approval denotes that there are no objections from the above signed Department to the release of pERFOR_MANCE BONDS and the granting of: -VZG�T FINAL PROJECT APPROVAL GRANT PROJECT APPROVAL WITH CONDITIONS NOTED M Copy OfCONDITIONS given to owner/contractorby inspector 1. FAILED FINAL INSPECTION - OUTSTANDING ISSUES u Copy of CORRECTION NOTICE given to owner/contractor by inspector 1. 2. 3. RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date_____. Sign___—� ocaprvl.doc.l:tcmp:bldg:formslO/01 z C: M rn 0 --10 00 C: -4 x rn M z ID C: o -n n -4 x MM 0 0 C M. 9 co M 0 Z ;U -4 z -4 a: CD z 0 i 0 M 0 A RECORD OF iNSPECTIONS INSPECTOR DATE APPROVED SETBACKS ................. FOUNDA71ON: Footing...................... .. ....... I Pier/Porch ................. �Retalnlng Wall Stab Insulation .......... . PLUMBING: Underground ............ Rough -in ................... Commercial Final HEATIN GasTest ........... Gas Piping ............... Equipment .............. C ramprcial Final EXTERIOR SHEATHING NAILING........................ :FRAMING ....................... FIRST FLOOR FIRAMING... INSULATION ................. ... Floor Insulation WallInsulallon Calling insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. E__ a M, 0 m 0 co): PERMIT E(PIRES CIrY OF EDMONDS PERMIT Zo HE NIUMBE CONSTRUCTION PERMIT APPLICATION jor, 8UITEJAPT# B Do 'SS It ADDRESS Al T PUT NAMEISUBDMSION NO P WT No, N . u N - LID FEE MAULING ADDRESS -7 157 41,5- AJ P BUC RIGHT OF WAY PER OFFICIAL STREET MAP PU UC 'GW rjAo EX T' No— EXISTING PROPOSED-- REQUIRED DEDICATION— FT FE.0 I... -E ZIP < j1E1P"11E 7 7�; 2- NAME METER SIZE ET a LIME 11; P REQUIRED I -YES [3 NO - C3 ADD.E.. REMARKS Tr OwNERICONTRACTOR RESPONSIBLE FOR EROS!.ON CONTROL/DRAINAGE PURSUANITTO ECDC 19,30,020 CITY TELE HONE A PRESSURE REGUI-4TORVALVE ORY) NAME �rry ZIP TELEPHONE FIRE REVIEWEI DATE 4� W ij r, 6 VARLANCE OR CU SHORELINE OR ADS& I INS'PI.C�ON IE [3YES f3NO I P1.ONO. STE I ITATIE LICENSE NUMBER EXPIRATION TE SEPA RM DOM Ew PLETE I EMPT EXP SIGN AREA I ALLOWED PROPI )BED I HEIGHT ALLOWED PROPOSED I ROPERT' TAX IMUI�� NEW ... WENTIAL "mAL R E PUM-NQ'MECH -CIE.:- LOT COVERAGE A LOWED PROPOSED I REQUIRED S=CKS (Fr.) FRONT REAR PROPOSED SUMCKS (FT) FRONT LIR SIDE FEAR AoDrrtoN ,!5P.LU. C E "AL 2� COMMERCIAL CHANGE OF USER PARKING LOT AREA DATE 2 1:1 REMODEL 0 RFPMR 0 APARTMENWT SIGN FENCE X PT) E] GRADING eyes 1:1 X PT) 'd REaD I PROVIDED PURSU 3x ICE S --- REMARKS SHALL 13E INST 0 DEMOLISH 13 TANK 0 OTHER LWEAS 11 LNFIIIIZI o GARAGE C ARPORT R ING '[3 [] " WALL OCKERY RENEWAL E (TYPE OF USE. BUSINE�M 101LAIN: z6t&�4oqZ� CHECKED By STRU ON OCCUP GROU,7_2 NUMBER ,_) OF "_ STORIES I NUMBER IF DWELLING UNITS C' L 1"111L AS AREAS NUMBER _&7 SPE R QCVLEIDNSPECTOA JAREA RE UIR [:] YES OCCUPANT LOAD DESCRIBE WORK TO BE DONE PER UBC VALUATION $ Descri tion FEE Plan Check HEAT SOURCE GLA23NG I LOT SLOPE Building PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PEJIMTr AUMNIORIZES ONLY THE to" NOTED. THIS PERMIT COVERS WORK To a, DONE ON PRIVATE PROPERTY OHM ANY OONVIRUCTIOH ON THE Grading OCRIAUN (CURM SIDEWALYS, DRIVEWAYS, MAROUEES. ETC.) MILL R EPOUVRI SUAR04TEPERMISSION. Engr. Review PERMrTAPPL'XATibW-,1@0bAY8 , PERMIT UMM I WAR.PROMDEDWORKISSTARTEDWITHIN NOWAYS Engr. Inspection 'Ea BACK OF MW PERMIT FOR MORE INFORMATION 'APPLICANT, 04 BEHALF Of NO OR HER SPOUSE. HEIRS. ASSIGNS Arlo SUCCESORS Traffic Mitigation IN INMRESr. AGREEB TO INDEMNIFY, DEFEND AND HOW HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFfWIAW. EMPLOYEES, AND AGENTS FROM ANY AND Fire Review AILCLAIMSFGRDAUA ESOFWHATEVER NATURE. ARISING DURECTLYOR INDIRECTLY FROM THE ISSUANC OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT E DEEMED TO MODIFY, WANE OR REDUCE ANY "'GUIREMENT OF ANY CITY ORDINAN E ction Fire Inspection NOR LIMIT IN ANY, WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- a Insp.. I HERESY ACKNOWLEDGE THAT HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN 2 CORRaCr. AND THAT AM THE OWNER, OR THE DULY WP40RIUO AGENT OF � THE OWNER. I AGRZE TO Co MPLy WITH CITY AND STATE LAWS REGULATING CONSTRUC- ALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. No PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RE�TINO TO I SPECTION WORKMEN'S CSMEWTIT INS= AND CW 1112T. OF D SIGNED (425) 10 ZLL�� 77 1-02.2w RE 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 RAS BEEN GRANTED. UBC SECTION 109 FAX 1010, Recording Fee City Surcharge State Surcharge _T1-;Ch1 —..P..It Receipt # kPIPLICATION APPROVAL o awlmwn is w a P-4 ww Wg�d by Md I O� m � D"uty; wd FmIz wo PW, Ipt is ad—iWgto W sp� Fwo,4d*d UTURI DATE .D BY pArE ORIGINAL - FILE YELLO INSPECTOR PINK - OWNER GOLD - ASSESSOR __ _j z 9 -1 0 =i �n ui � 0 M C: a M 0 -10 0 C � C M M o -n A M M Fn M M z z 0 4 0 M