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20020414.pdfDATE RECEIVED 1 5_1 PERMIT EXPIRES 7— CITY OF EDMONDS sE Z.N PERM T NUMEIER CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRESS 2 96, /�Ue /,,/ "AIIEINAMI OF BUSINESS 7IR T N M To Ily LOT NO, L D NO. 1BIS11 �O MAILING ADDRESS — r LID FEE 1 PUdLIC RIGHT OF WAY PER OFFICIAL STREET MAP .. I— �.-­ T-1 U.. I.— A.. CITY E EXISTING — PROPOSED 77,�. 411 X_j� REQUIRFO DEDICATION— F7 — 13 NAME METER SIZE LINE S No .1 11. ES PRV REQUIRED WE I YSS C3 NO E3 I ADDRESS REMARKS CITY OWNERICONTRACTOR RESPONSIBLE FOR ER SION CONTROL/DRAINAGE NAME 2 ENGINEERING REVIEWEDIDATE ADDRESS FIRE REVIEWED BY DATE ZIP 01�1` IZ &PI07 R-4__ STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCEORCU SHORELINE OR ADB# INS E71 N RED �0 P11ND, z YES No 0 PROPERTY TAX ACCOUNT PARCEL NO. $EPA REVIEW COMPLETE SIGN AREA A�7 HEIGHT 11011 A�Zj d 0 , E7PT ;D CZ7 1 1 M -2,5— EX, 0 NEW PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) Fjt;� PROPOSED SETBACKS FROM US SIDE )2�13ESIDENTIAL COMPLIA CE OR A�LLORWED FRONT, 5n ADDITION COMMERCIAL CHANGE OF USE 2-S 0 M VI 11) ATE C 0 REMODEL 0 APARTMENT 0 SIGN RECID PROVIDE ITI 0 0 REPAIR GRADING FENCE CYDS _1_1 4 REMM gooF C)q 8 C DEMOLISH TANK OTHERI IT! ITIZ ARAG E3 REFAINING WALL RE 0 GAAPONT OCKERY [3 RENEWAL C R : Ew Cf-0 tz_�4 F—= r-- (TYPE OF USE, BUSI NESS OR ACTIV" EXPLAIN: - CHECKED BY TYP IGH J77 OCCUPANT GROUP NUMBER OF NUMBER F I. DWELLING nE 0 SPECMI-INSIE—H STORIES UNITS U 4 .j�q eg at REQUIRED 0 YES 1-��7C DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 11001FINAL INSPECTION REO'D S ITT M 0— 0 CO .0e 02 ITI ./Ij C In I,—/ fn K Do M z 10 A V VALUATION $ LU T'0 $ Description FEE Description FEE z rAN Plan Check B ELI uilding Plumbing z I Mechanical THIS PERMIT AUTHORMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO ITI t: BE DOME ON PRIWXrE PROPERTY ONLY. ANY CONSTRUCTION ON THE PU LIC 2 Grading Recording Fee ooMmN (cunas, SIDEWALKS, DRIVEWAYS MAROU ES. ETC.) WILL REQUIRE E :1 SEPARATE PERM;SSION. Engr. Review City Surcharge t PE MarAPPLICATION: 180. PERMIT LHUM 1 YEAR - PROVID D WORK 15 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection State Surcharge z/5-11 i -APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit IN INTEREST, AGREES TO INDEMNIFI. DEFEND AND HOLD HARMLESS THE CITY OF — Receipt # EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY On INDIRECTLY Fire Review FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Inspection Total Amount Due DEEMED TO MODIFY. WA VE OR REDUCE ANY REQUIREMENT OF MY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDIN E PROVISION. Landscapelnsp Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVE IS CORRECr, AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMP WITH CITY AND STATE LAWS REGULATING CONSTRUC� N CALL IN, PPI Old, TION; AND IN DOING TH WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Ildf�g Offt _Ipl i­k­I.dpd in space PI.AdOd WORKMEN$ COMPENSAT ,!qW�RNNCE AND HOW 18.27. CI SIGNA E DATE 42G�� 50RE ';E (425) lid -50-?h> a iTION )2'— 771-0220 PFATE A I 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- ORIGINAL -FILE YEuLow-tWsPE6ToR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK -OWNER - GOLD -ASSESSOR 10101 LOT LINE STAKES MUST 0;j Vj BE IN PLACE AT TIME OF LF FOUNDATION INSPECTION .......... F'' fop 21q#2 .2AI gym fAl drive . ...... . ...... Ve- CAJ ;sb RECORD OF INSPECTIONS INSPECTOR DATE APPROVED VVA SETBACKS .................... FOUNDATION: Footing .......... wall Pier/Parch z Retaining Wall Stab Insulation PLUMBING: =1 "R Underground ............. In C a Rough -In ............ 0 0 Commercial Final C: HEATING: ITI M z Gas Test ............... C — Gas Piping ................ > Equipment 0 -n Cornmercial Final M M EXTERIOR SHEATHING NAILING ................... 0 0 C FRAMING ...................... Q 0 FIRST FLOOR FRAMING INSULATION ............. Floor Insulation z Wall Insulation ........... Ceiling Insulation z SHEETROCK NAILING SPECIAL INSPECTION 0 IT!