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20020076.pdf1-b " Wpm) P�:,Ida CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION u 1P;I MAILING ADDRESS m 7 ov LI" � :1,111( 1)(Vuvt u PERMIT EXPIRES USE PERMIT ZONE NUMBER '213 ADDRESS FLAT NA.EISLBDMSIOH NO. I LOT NO, 110 NO, LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP S", U.. Em",, EXISTING — PROPOSED— S—R, -I EQUIRED DEDICATION— PT —F—, .!j1rIM LINE IZE NO. OF FIXTURES PRV FEQU1,AED JIT! ____I �� YES N r3 REMARKS I.—I—T—T— FOR EROSION CONTROUDRAINAGE FIRE REVIEWED BY DATE Ic CITY ZIP 7, JTEL�HONE Z > VARIANCE OR CU SHORELINE OR ADB# INSPECTION E3 YREG'D ES [3 NO I BOND IPOSTED STATE LICENSE NUMBER EXPIRATION DATE CAI,�'Ul4f* 3 SEPA REVIEW COMPLETE EX MPT EXP I SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED I PROPOSED TAX ACCOUNT PARCEL ,/ 3 .17-- - / 7-Z -N0O327 0:�15 P(NE- RESI:E MECH LOT COVERAGE I(LLIGrED PROPOSED —L—L— REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.), FRONT URSVIDE REAR ADDITION Co. E rj COMPLIANCE OR 0 CHANGE OF.Sr REMODEL F_ APARTMENT SIGN PARKING D I PROVIDED LOT AF7-NIIIN, TR-I-EDB7 ATE REPAIR GRADING FENCE CYDS i X FT) REMARKS 0 DEMOLISH TANK OTHER o GARANT o RETAINING WALL CARPO ROCKERY RENEWAL (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: :R��I A, J/- CHECKED By TYPEd7 CONSTA N 1, u2c' 1,14 COWS Ia. E I I I 1 I OCCUPANT GROU 0, 5.:�) ..0 PANI' ISI NU SEA I NUMBER OF AREAICAL OF DWELLING /0 S STORIES u MTS NUMBER nja� D; WORK To BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I13fl/FINAL INSPECTION REaD IJI<7�416 ;?/,, r I UP40ft, .) li�117 1 0� I VALUAT ION $ FEE Doscirlption FEE HEAT SOURCE GLAZING 71.1T.I.PE % rDescription ffimelfflil.- ZIO PLAN CHECK GA "O:p 1 SEC) o c M.."En'.., Mechanical THIS PERMIT AUMRUES ONLY THE WORK NOTED, THIS PERMIT COVE" WORK TO t BE DOW ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUULJC Grading Recording Fee 2 DOMAIN (CURN. VIDEWALKS. DRIVEWAYS MIURGUEES. ETC.) WILL REQUIRE 3 SVAuuRrE PiFim;SSION. Engr. Review City Surcharge PERMIT ..". I YE MP_P-N0_AG`E-D _WRK-Ia`W_A=_- WTTHJN IN DAYS Engr. inspection- State Surcharge SEC BACK OF PINK PERMIT FOR MORE INFORMATION F G o —PLICANT ON SEKILF 0 HIS OR HER 1POU11, HEIRS, A111011 AN SOOCES RS Traffic MitigafiLn Plan Chit Deposit IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF A MOM ANY AND AND Fire Review Recelpf # EDMONDS. WASHINGTON. ITS OFFICIALS. EMrEES, AND AGENTS 'NY ALL CLAIMS FOR DAMAGES OF WHATEVER NA RE, ARISING DIRECTLY OR INDIRECTLY ECTLYNOT FROM THE ISSUANCE OF THIS PERIMR!, ISSUANCE OF THIS PERMIT $HALL NOT B Fire Inspection TolalAmountDuo, "NANCE DEEMED to UODIF�, WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINAN 'VISION NOR LIMIT IN ANY WAY THE CIT,% ABILITY To ENFORCE AKy ORDINANCE PROVISI N Landscapoli RMA' RMATI I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATI '�5 APPLICATION APPROVAL IVEN 0 CO RECT, AN THAT I AM THE OWNER. OR THE DULY AUTHORIZED AD OF 0 OF THE OWNER. AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CON U U_ J� T by th. CALL Y TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPPYED 'T To IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATRM TO Bulld�goffl".,NO- puIy:.dR=1P.Wd FOR INSPECTION .Iplikn��gd�.p,..wldd. WORIOMEVS COMPEN:�=CE AND CW 1.21. SIGNED 0 MF�IG E ATE (425) . 0z_ =E 771-MV 'DATE RILEA ATTENTION EXT 1333 Pity IT IS UNLAWFUL To USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL \ �_ 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI- ORIGINAL - FILE ELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 FAX PINK - OWNER GOLD - ASSESSOR 10101 z OM ca m 0 -40 0 C m m 0 -n n m ITI C3 Vi 0 0 Fn C V) 90) A z 7-1 V) z 9 0 IT , IIIIIIIII RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... wall.......................... Pier/Porch ................. 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 .7 INSULATION ................... Floor [mutation Wall Insulation ........... Ceiling Insulation SHEETROCK NAILING SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APP11OVAL FOR -3-n3p OCCUPANCY .................. OM I 0 M z -A CA 0 n M 0 0 Z 0 4 M oy UTE RECEIVEd PERMITEXPIRES CITY OF EDMONDS U E USE PERMIT Zo N E ZONE NUMBER 'AD a D D ESS 'AO%'RESS �37 S N CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS R.-A2t_z_1_ _T U N PLAT NAME/SUADIVISION NO. P LOT NO. _UD_N 0. LID FEE S HALING ADDRESS Sew PUDUC RIGHT OF WAY PER OFFICIAL STREET MAP XISTING — PAGPOSED— E X'S 11 CITY ZIP ITELEPHONE U ED DE.i.A-TION— FT — REQUIRED DEDIC 13 NAME ST R M!jrIZEJ LINE I j .0. �F 1. �.Ea j5f�> MV E.UZIED , YESPk NO 13 AIZI < CITY ZIP ITILEPHONE F.A.K OAINETCONMACTOA RESPONSIBLE FOR EROSION CONTRO "N AGE M'R� 0 CONTRACT� . RE., L41,*Y 164W6A16' /We-' ENGINEERING REVIEWEDI ATE BY PRE REVIEWED BY DATE ZIP ONE TE;H,_ gENGINEERNG VARIANCE OR CU SHORELINE OR ADS. INSF P 13 YE -HEIGHT STATE LICENSE NUMBER ExPIPATICH DATAE 31- _ rom, _W,qp* 61V� SEPA REVIEW COMPLETE EXEMPT EXP I —WONAREA ALLOWED I PROPOSED ALLOWED PROPOSED I — ;ROPERTY TAX ACCOUNT PARCEL NO. NEW 0 RESIDENT�LU M 0 ADDITION Dj COMMERCIAL CC OMPLIANCE OR HANGS OF USE 0 REMODEL r APARTMENT SIGN F NCE 0 REPAIR GRADING CYDS 0 1 X FT) [3 DEMOLISH 0 -rANK ci OTHER Ei GARAGE RETAINING CARPORT [:3 ROCKERY WALL 0 IIIEWAL EXPLAIN. LOT COVERAGE f"kGrED PROPOSED REQUIRED SETBACKS III FRONT SIDE REAR PROPOSED SETBACK$ (FTI FRONT LIRSIDE REAR REDO I PROVIDED L' T AREA FLANNING RMENED By DATE REMARKS 0 BE DONE 6 ; ECKEO By IT" CIAL INSPECTOI REQUIRED 0 YES VALUATION $ PER occu LOAD W5C HEAT SOURCE GLA;vNG tkzL 40 PLAN CHECK V1511 DATE -_� Plumbing A" IT6- _-o g 6- -,) o c Mechanical I THIS PERMP(AUTHOAGZES ONLY THE WORK WMED. THIS PEBUMM COVERS WORK TO BE DOKE ON pFUVATE PROPERTY OHM ANY CONSTRUCTION ON THE PUBLIC Grading Recording Fee N DOMAIN (CURBS, SIDEWALKS. ORWWAYS, MAHOUEJES, ETC.) WILL REQUIRE WARATEPERMISSION. Engr. R6Aaw City Surcharge PERMUTUUmj PERMITAPPLICATIOWNIODAYS YEAR. PROMMED WORK is STARTED, WITHIN MDAYS Engr. inspection StateSuPcharge SEM BACK OF, PINK pEMM FOR MORE INFORMATION PPUCANT. ON BEHALF OF HIS OR HER SPOUSE, HEIM, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit [A AGREES T INDEMNIFY, DEFEND AND HOW HARMLESS THE CITY OF N INTEREST. 98 OMCIALS. EMT,),YEES. AND AGENTS MOM ANY AND EDMONDS, HINGTON. Fire Review Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER ARISiNG DIRECTLY OR INDIRECTLY E, FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection Total Amount Du DEEMED To MODIFY, WAIVE OR REDUCE ANy REQUIREMENT OF ANY CITY ORDINANCE NOR LRC, IN ANY WAY THE crM ABILITY To ENFORCE ANY ORDINANCE PROVISI Land.cap.ln-P-1 -!-j Receipt III ,HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THATWE INFORMATION By APPLICATION APPROVAL IZED AD 01 GIVEN 18 MARIECTI, AND THAT I AM THE OWNER. OR ME DULY AUTHOR 0 C..fU,;. THE OMEFL I AGREE TO COMPLY WITH C47Y AND STATE LAWS REGULATIN CALL oftw W"r D.Ppz= P. YED TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EM Is IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELAT G TO Bwduv � FOR INSPECTION IPI w.C``wgw Inw. ;`�,JW. WOFUKMERS COMPEN:��CE AND IICW 1 �27. OFFIC III E DATE SIGNED (425) . 1 771-0220 Y 'CATE EXT 1333 ATTENTION Z!I IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 _ORJG1NAJL A FINAL INSPECTION HAS BEEN MADE AND APPROVAI - 08 A CERTIFI- - FILE YELLOW. INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 IMI F" PINK-OMER 13OLD-ASSESSOR z 0 d 0 171 M 0 80 C ITI IT! C: 0 n ni M 0 0 6 Fn C (/) K ca z z 0 0 M 4