20010934.pdf-SE T
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CITY
LICATION CA Al
CONSTRUCTION PERMIT APP ADDRESS
iO.NE E NAME OF BUSINESS 9 (a 2 5
l>./�As/
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0 At
D ADDRESS
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40 .2_5 Z 'We��7
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PE
FU.U. RIGHT .1 WAY Pt. .111CA, STREET A'
1ESCIA11-1,1 o
11
E ISTING — REQUIRED CEDtCATION
IS,
A. P11111 11,1111
SIIU, P,,R�d 0
0
PROPOSED
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S.—Ilk R.q..Ild cl
METER SIZE
LINE SIZ
NO OF FIXTURES
PRV REQUIRED
YES 0 NO 0
ES
t,� -7
E IIIATIOI DATE
ALLOWED I PROPOSED I COMPLETE
= I PLANNING REVIEW ly DATE
SETBACKS — FEET
E�FEIGFITJIOT COVEIAOE
F.H. SIDE AR
00.5-0 A*f 7 0 C" //00
N111
J�L.I.I.E.TIAI
El PLUMBING
ADDITION
El COMMERCIAL
�Z MECHANICAL
FE...EL
E] APT. L...
E]
PENCE
REPAIR MS. 1:1 L--.,
FECKE
I
71 k
I
WO.-TOVE SW M POOL
SPECIAL INSPECTOR
DEMOLISH INSERT HCATU"PA
REQUIRED 13 YES
RETAINING WALL/
E] GAA�V.014ET RENEWAL
MARKS
ROCKERY
PROGRESS INSPECTIONS
PER UBC 305
0 (TYPE OF USE. BUSINESS 0 IT IN:
NUMBER
NUMBER OF
OVELLIN G
CRATI L
AREA
0,
STORIES
U I S
NU.
gC119EW 0KTOBEOO..IATTAQ.P1.TP1
JU /2
FINAL INSPECTION REOUIRED
CHECK FEE
VALUATION
PUN
BUILDING
HEATSO ACE
""MG
PLLMSING
Plan Check No.
MECHANICAL
This permit covers work to be done on privets property ONLY.
GRADINGIFILL
A",=,�ru.cr,,On he.)pwb (curbs, Ild.Wliks,
Be. ,. ff�,=:I,
slon.
driv separate permission.
G.,,
STATE SURCHARGE
P miltAppli"ItIon:180 Day.
STORM DRAINAGE FEE
P:mlt Limit: 1 year. provided Work is Started Within 180 Da
—
in nl.r..�! ogreea 0 nsp`mnlief�he (a s a
"ApPI Car'. OTT "" his Dither u -assig
1 stand and hOld
E G. INSPECT] N FEE
SU CCE.S.r. its officials.
harmIeSS the City of Edmo S. shington.
11 of Grids
(471 0 0 #fiA%;Le�
i
employees A agent. fr.. any a�nd cat s for damage$ Of
hatever nature. Z irising direct or in irectly fro the Issuance
IN it S1.11 not b deemedlo
PLAN CHECK DEPOSIT
Aiance of per
0 f in permit. ISE us
mod is we ive or red .: any r Lire ant of any city oraind",
fy'
nor liim it in any way the City's Willy to enforce any ordinance
a
TOTAL AMOUNT DUE
orovision."
I h eby acknowledge that I hal reline
he dul
an that I am the owner, or t Y
ATTENTION
APPLICATION APPROVAL
orerat ' A give" is correct;
in, Th I
Wrier. I "fee 10 comply With city and
THIS PERMIT
This application is not a permit until
..,I.riZed agent of the c
laws regulating cons,,..tl.n. and In doing ttiewo(kautholiz-
AUTIOXQES
THE
signed by the Building official or his/her
state
ad thereby, no person will be employed In Violation of the Labor
WONLY
OR. NOTED
0 ut ; and fees are paid. and receipt is
Code of the State of WaNington relating to Workmen's Comptinsa.
c nowie g d i space provided.
VtV 1 7
A _,—NE AGENTI
NSPECTIO!j
DEPARTMENT
CITY OF OF
CALL FOR
E
ATTENTION
NSPECTION
IT UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
AND APPROVAL 0 71-0220
opt GINAL — ",le YELLOVJ — IHSPectOr
UNITS 'L A,F:NAL INSPECTION HAS BEEN MADE
A C ERTF CATE OF OCCUPANCY HAS BEEN GRANTED. U
PINK — O...,E, GOLD — ASSOSS01
CHA PTER 3.
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS ...................
�FOUNDATION: l'
Footing ....................
Wall.., ... ................
Pler/Porch ................
Retainingwall ............
'A
Slab Insulation ............
PLUMBING:
Underground .............
M
Rough -in .................
M
CommorcialFinal ........
HEATING:
M
GasTest .................
GasPiping ................
Equipment ................
Commercial Final., .......
EXTERIOR SHEATHING
M
NAILING.'.,:� ...........
-INSULATION:
%
Floorinsulation ..........
Wall Insulation ............
66illn g nsulatlon .........
SHEETROCK NAILING ......
SPECIAL INSPECTION ......
—01
M
RADON MONITOR ATSITE.
;FINAL APPROVAL
FOR OCCUPANCY.-: .....
r: -7 .1 -7
0
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271
LI; 1171,
-OF
u sE T
us
ONE
2 L
2 LH
CITY EDMONDS
CONSTRUCTION PERMIT APPLICATION
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AOD.Ess S-) kjjQb 0,vna
If 6;7
OWNER NAME NAME OF BUSINESS
_Y,* AIAJC (V -4,90 7A/
fikkj '
['.IL
L SGAL DESCRIPTION CHECKISUBBI-117-
SU
LID "D
MAILING ADDRESS
C RIGHT OF WA
PUBLIC RIGHT OF WAY PER
PLO I
OFFI CIAL STREET MAP
TESCP AFF—ed 0
0
P
ca
0
�6�NE�4
I ;1E �P'.VE I
77, —
7
REQUIRED .-CATIDN
EXISTING AE.U..E.
EXIST' No
RW
R " ' "' ""d
SW '""' F"d
I —I UY. P.—I -0 11 13
Sir III`— P'"""B""
_F_
I� 0
...... 0
P—OSED
S _ 0 1,,
N A.E
METER SIZE
LINE SIZE
NO OF FIXTURES
P11 1EOU1111D
P
ES 13 NO 13
Y YES . No
NRe
IF A
o
ENGINEERING MEMO DATED
REVIEWED BY
1EIEP..
REVIEWED By
o
TE CENSE NUMBER
L�56t�-!5 / A0 Q?
SEPA REVIEW ADS "I
ALLOWED PROP05ED COMPLETE EXEMPT
,9
Legal Description of Property - include all e-e-11.
HbREUNEN
L
VARIANCE OR CU
E p
X
PLANNING REVIEW By DATE
SETBACKS —FEET
HEIGHT LOT COVERAGE
FRONT SIDE
BEAR
Property
REMARXS
TrI, Al- .. tpo
N.
(1� Jill 11,1/�('
DPLUMBING
AUDIT—
MECHANICAL
REMODEL
SIGN
CHECKED BY PE OF CON TRuc ri I CODE OCCUPANT
RA.WG CYBS
FENCE
L_X—FT)
BE— _4_.,
N1
pi'mr, spEcTo
OCCU AN
A E LOAD
DEMOLISH INSERT
HOT TUBiSPA
1EQUIREO 13 YES
G RAGE. RETAINING WALLI
CARPORT ROCKERY
11 RENEWAL
MARKS
PROGRESS INSPECTION$ PER UBC 305
�Pi+
(TYPE OF USE. BUSINESS OR ACTry Ex
�!IY)
NUMBER
OF
C&
rel-
FINAL INSPIECTIONIFIEUtt"Im"Ll
VALUATION
FEE
05
0.
7 W, e.
PLAIN CHECK
BUILDING
161
HEAT SOURCE:
GLAZING I/'
PLUMBING
Plan Check No.
MECHANICAL
This Perm t covers Work to be done 0 rivate roperty L
GRADINGFILL
Any construction on the public domain (cur a, sidewpiks.
separate per IssiOn
STATE SURCHARGE
driveways, Marquees, Atc-1 will require
Pe ItApplicallon:1800aYs
STORM DRAINAGE FEE
Permit Limit: 1 Year . PrOVIdQd W9.Ok Is St"Iled Within I ' SO Days
I SIFECIPONFEIS
b �! ghla or.heln ersgdsggn and
an. dsh
. ..a spoua"�h n 9d
Pps d6.nll d
,A
2
Bu CBS IT fe'a
harml 'S5 the City Of Edmonds. Washingto , its offlcials.�
for damabes of
&F
'in an aims
employees. and -g-rus to " end .1reC'tly from the Issuance
IT .... . rising directly or rid . 10
LAN CHECK DEPOSIT
whatever all not be deemed
,ml,. I�Suance Of this permit sth. ( any city ordinance
Of 'h�s G,0.iv. h
�_
ELI-
modii y or reduce any r Of I lity to enforce any ordinance
TOTAL AMOUNT DUE
x
nor I mit in any Way the CRY'S"N
provision." that I have read this application; that the
T
A EN ION
T
APPLICATION APPROVAL
If he':,b,0ynac"en`�:G0. d that I am the owner,, or the duly
in of m ,v n&.1: an city and
I T S, PER ,T
n
This application is not a Permlht,u fit
at , agreento cn.mpl.y�,.Itrh
authorized agent of the otwncificn...nd do h kauihoriz.
AUI
signedbyth Building Official Or $/her
a
5 ru'
con'
late laws r gulallng n
On will be ifm�l-yed In violation of the Labor
0 NLY THE
WORK NOTED
Deputy; and eas are paid. and receipt is
f
0 par'.
ad ereby. IT
th
Code of the State of Washington falating to workmen's Compansa
TE SIGNED
INSPECTION
DEPARTMENT
SIGNATU-t
CITY OF
MONDS
A
ENTION I SPE TION
IT IS UNLAWFUL T,( SE OR A ILDING OR STRUCTURE
OCCUPY PPROVAL OR ;1 -0O22
' U MADE AND A
ORIGINAL — YELLOW — Ir'sPeCIO'
".N
UNTIL A F:NAL,IN PE. HAS BEE
A CERTI F CAT OF OCCUPANCY HAS BEEN GRANTED. UB
PINK — O-el GOLD —Assessor
CHAPTER �1
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