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20020232.pdf�104� I rt,oj CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS 70-1 'a*. 'Sw CITY ZIP k C V 00 0 1 ADDRESS NAME kA0^ALeA IRm ADDRESS 08 1p 2 CITY ZIP Z VOCA 1i \Aq IWA 1,1207Z STATE LICENSE NUMBER k� % 0-4 I I (a - 2ak \ Q-A- � 0%-� NUMBER �3-545@7 XPIRATION DATE Va a hm -Z. Legal Description of Property - inclulie-eff easements Co. \31K Vol. 2.4 4 P. mo =unt Parcel No. NEW RESIDENTIAL PLUMBINGIMECH EJADDITION 11 COMPLIANCE OR E] COMMERCIAL CHANGE OF USE REMODEL APT. BLDG. D SIGN FlREPAIR El GRADING CYDS. FENCE L__ x _FT) DEMOLISH WOODSTOVE D INSERT SWIM POOL HOT TLIB/SPA GARAGE CARPORT RETAINING WALL/ ROCKERY 0 RENEWAL I NUMBER -5-T II� NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER 11 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) I ZONE RVA \ - 5" JOB ADDRESS PERMIT NUMBER ;UBDIVISION No ILI Z) R SUIT&APT N P PU BLC UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 X'ST' G EXISTING —REQUIRED DEDICATION — RW Permit Required 0 Street Use Permit Req'd 13 P P OPOS E ROPOSED Inspection Required 13 Sidewalk Required 0 MT METER LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NO 0 3: I 0 REMARKS Z Z REVIEWED BY 1r11Zv11ZvVQU OT Lu cc VARIANCE OR CU ADB 0 SHORELINE 4 SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED EXP -OVERAGE D 7REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT, I ALLOWED I PROPOSED FRONT SIDE REAR FRONT LJRSIDE REARI BY jrF JONSTRUCTION CODECI -+ I OCCUPANT *1Z � I TYP f 4nolif.01 GROUPK REQUIRED 13 YES REMARKS PROGRESS INSPECTIONS PER UBC 108 /1 Al _,, r % FINAL INSPECTION REOUIRED a PLAN CHECK FEE mrVok ksNk _L%mas) BUILDING HEAT SOURCE: GLAZING I % PLUMBING Plan Check No. 0j - O+q MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days MW =V Permit Limit: 1 Year - Provided Work Is Started Within 180 Days eTOM DRAINAGE FEE tWG.rNSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold Tu harmless the City of Edmonds, Washington, its officials, x employees, and agents from any and all claims for damages of < whatever nature, arising directly or Indirectly from the Issuance x of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT 0 _1 modify, waive or reduce any requirement of any city ordinanc 0 x nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision.' I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of WaWngton relating to Workmen's Compensa- WORK NOTED tion Insurance aria RZW�K27. INSPECTION SIGNATUREi NER NED DEPARTMENT UZ CITY OF EDMONDS ATTENTION CALL FOR INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 0220 = A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 10247 4ct OCCUPANT LOAD JD o ..— r j I -'IZZ' 111175 lk � No t APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. 0 0 1 1 MGNAT 4 11911NAL — File YELl[OVV — Inspector PINK — Owner GOLD — Assessor 0 Z t� rl i a Z 0 0 M A CO) 0M a MID 0 -10 0C �c MM 0 _n n M M 0 M 0 0 Fn C C8 M0 Z 71 X Z Z ?5 ITI a RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign, ocaprvi.doc.l:tenip:bldg:forrmlO/01 z 0 1 0 m =i --fl m mo 0 —10 0 3: M M Z cl) 0 -n n m M a 0 0 M C (j) 9 cl) M 0 Z r, X —4 X z z 9 0 m m dpp�A 0 ..... . ..... /0Z USE ZONE PERMIT CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION IJOB su,TE/APT r.7, , � 7 ADDRESS OWNER NAME/NAME OF BUSINESS k k X <.L- V-' A 0-1 - I&C� \AAIM�,�ks 4AME rJ11151;14*2 ZIP TELEPHC :�%C)Vol R25, NAME Pta\q0-\'k'C_ et� ADDRESS *?.0. IR-20y, CITY ZIP itlo cc� k \,\\j W A q 2 0-7 z STATE LICENSE NUMBER -3 �C_ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP NUMBER EXISTING — REQUIRED DEDICATION 7 -7 G 1\ \ I PROPOSED NUMBER �3 --54tf I KPIRATION DATE on MEMO DATED VARIANCE OR TESCP Approved 0 AW Permit Required C3 Street Use Permit Req'd 13 inspection Required C3 Sidewalk Required 13 PRV REQUIRED YES E3 NO 13 REVIEWED BY z— rcr-C Legal Description of Property - incluVaafreasq enis IT SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED p. m EXP LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (171 FRONT LJR SIDE REAF SA 6 I =unt LOT AREA PLANNING REVIEW BY DATE Parcel No. .4S C) rj-1 NEW RESIDENTIAL EJ PLUMBING IMECH REMARK'S COMPLIANCE OR CHANGE OF USE ADD`ITION COMMERCIAL REMODEL APT. BLDG. SIGN GRADING El FENCE CHECKED ]_:Y TYPE OF CONSTRUCTION -T CODE OCCUPANT GROUP I REPAIR — CYOS. L_ x _FT) I 15zl�ay r I e. WOODSTOVE DEMOLISH INSERT SWIM POOL HOT TUB/SpA rrc(AC INSPECTOR REQUIRED OCCUPANT LOAD 13 YES GARAGE RETAINING WALL/ CARPORT ROCKERY RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 108 (TYPE OF USE, BUSINES? OR ACTIVITY) EXPLAIN: NUMBER 1-t NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS 63 INUMBER IDESCRIBE.WORK TO BE DONE (ATTACH PLOT PLAN) I � Jcl -.= I FINAL INSPECTION REQUIRED 1.9 , - I — - PLAN CHECK FEE 1,\5?ft ala tA__h%-Z, BUILDING HEAT SOURCE: GLAZING % PLUMBING MECHANICAL Plan Check No. 0 o +q This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewpiks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days r-A It-e- Permit Limit: 1 Year - Provided Work is Started Within 180 Days S*GW M ATR A G &eE EV %.W %t P'E�T'ION FEE "Applicant, on behalf of his or her spouse, heirs. assigns and WO S -------- successors in interest, agrees to Indemnity, defend and hold onds, Washington. Its' dIffitials, Lu harmless the City of Edmi _j m employees, and agents from any and all claims for damages of cc whatever nature, arising directly or Indirectly from the Issuance 9 PLAN CHECK DEPOSIT of this permit. Issuance of this permit shall not be deemed to requirement of any city ordinance - modify, waive or reduce any 0 nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I I hereby acknowl that I have read this application; that the ATTENTION Information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES ed thereby, no person will be employed in violation of the Labor ONILY THE Code of the State of Wg*lngton relating to Workmen's Compensa-- I WORK NOTED tion Insurance dric FLM�%.27. INSPECTION SIGNED DEPARTMENT SIGNATURE I E". UH Aula" I I CITY OF 171v*�L EDMONDS CALLFOR ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771 =0220 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 10247 30� F,n - riitoziillnilqm orl APPLICATION APPROVAL This application is not a permit unt il signed by the Building official or his/her Deputy; and fees are paldj and receipt is acknowledged in space prbvided. 7A -7� El, RIJINAL — File YELLOW — InIspector PINK Owner GOLD Assessor t I A