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20020445.pdfGATE RECEIVED �1. /1 j ✓PERM►T EXPIRES CITY L�� @y�'k 'USE l //} PERMIT r 1� ` •�(// j)�� 61� 0 Y ®� ��11(���d few ZONE ? L-..0 NUMBER 2COZ oz e - EMAILING STRUCTION PERMIT APPLICATION nooREss / rr/r / EUI;EIAPT8 NAME OF DUBINESS Nr PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. ESS {�7/ UDFEES �/ `-^'z✓ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Suoe1 V.s P1, Hoge ZIP TELEPHONE EXISTING PROPOSED Ineporuon aoeNred ? _ �f.Ikp.p kad / REQUIRED DEDICATION PT K,1enp1e� NAME v METER SFE LINE SIZE NO. OF FIXTURES PRV REQUIRED - MO CITY ZIP- - TELEPHONE uaa.LcyLLCO SPUM. UMC NAME C/ r1 Q► ENGINEERING REVIEWED BY DATE J I ADDRESS Lz ZIP TELEPH GIE FIRE REVIEWED DY DATE CITY w O ) � ��_�V C l / I' STAT/E�LICEN/SEyNUMDER VARIgN EO CUS^ �s���ppELIyE(�R AD9N INSPvE_G'T,LOI�I� OND EXPIRATION DATE CHI �bitit t�,tECY@7C°ctAr g STED Ulii l�l �•y /J YS,LINOS G/r1l7Ct�V� Q PROPERTY TAX ACCOUNT PAR% EL N0. ©� COMPLE E E%EMPT ALLOA .PROPOSD ALLOWED EIG ROPOSE. .�'.JZ -�� EXP NEW RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED pROPOSEO FRONT 310E PEAR FROM UR BIDE REM, ADDITION COMMERCIAL COMPLIANCE OR ``AA�r ❑ _ _ CHANGE OF USE ___ _ PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL 0 MULTIFAMILY SIGN REO'D PROVIDED REPAIR GRADING Ei FENCE CYOS ( _s X-FT) REMARKS DEMOLISH TANK- E3- OTHER r©{{ GARAGE WALL SPRINKLER 2 1_I CARPORT ❑ DOCKERYG Li FIRE AILAR(TYPE OF USE, BUSINESS OR ACT g CHECKED BY pF CONS UCTION CODE OCCUPANT , /l GROUP NUMBER -[ Q O NUMBEfl OF CRITIC OF - DYJEILING AREAS /y)� // SPECIAL INSPECTION ARE OCCUPANT STORIES '� UNITS NUMBER / V REQUIRED rl YES LOAD DESCRIBE WORK TO BE DONE L•'J ' REMARKS 19 _/ _ )4 - PROGRESS INSPECTIONS PER UBC 188/FINAL INSPECTION REO D v I L't VALUATION za / Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO:� VESTED DATE Plumbing y - C� THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical c BE DONE ON PRIVATE PROPERTY ONL%ANYCONSTRUCTIONONTHEPUSUC DOMAIN(CURBS,SIDEWALKS,DRIVEWAYS, Grading 9 C MAROUEES, ETC.) WILL REQUIRE SEPAMTEPERMISSION. -- Engr. Review ui PERMITAPPLtCATION: IN DAYS PERMIT Umm i YEAR • PROVIDED WORK IS STARTED WITHIN I. DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON OENALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk;Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDM0ND5, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire InspectionReceipt N ALL CLAIMS FDA DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIREC FLY FROM F THIS PERMIT. S OF THIS PERMIT SHALL T BE a_ 9 DEEMED O MODIFIC WADI E OR ED REDUCE ANY REQUIREMENT OF ANY CITY ORDUANCE INOANCE Landscape lnsp. Total Amt. Due s NOR LIMIT IN ANY WAY THE CITNS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording FeeI Receipt N HERESY ACKNOWLEDGE THAT I N; THAT THE GIVEN is CORRECT, AND THAT 1 AMVTHE OWNER, OR THEREAD THISTDULY AUTHORIZED AAGENTION OF APPLICATION APPROVAL t THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONETRUC. CALL This applicellon is nut a pormlt uwil signod by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Staining 011ieial or his/her Deputy: and Feos ero poll, t IN VIOLATION OF THE LA ODE OF THE STATE OF WASHINGTON RELATING TO WORKMEN'S COMPENS N'INS NCE AND new 1B2T. FOR INSPECTION _ roonhot la aaknoadodged in specapeo Ided. SIGN JE OWNER O AGE DATE SIGNED qC\ r'I�2(��3 OFFICIALS SI NATURE /jj DATE / { T 1 jam. 771-0220 .� / L�" / RELEASED BY DATE ; ATTENTION DIM 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBG SECTION 109 04t02 PRESS HARD -YOU ARE MAKING 5 COPIES PINK OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 0 n m Cm m0 On C mZ D Z 1:4 O III_m 00) O rr_ iA �r xD� D Z I 2 y zz O m s RECORD OF INSPECTIONS !INSPECTOR DATE APPROVED ; ',.. SETBACKS . 7 k FOUNDATION: h� Footing .....::...., Nall ... O. ,. Pier/Porch ............ ,.: .. n Retaining Wall - Slab Insulation-• T' tSy_ t� PLUMBING. O rn .. ., m Underground ........... —a O' .. C: Rough -in �.., to 4� j .. Commercial Final A .. I HEATING: Z }, Gas Test ............. S i 17" Q ©'V2 4 3: jI iml �rti '•�R�7 -^uZ' . ,, Gas Piping : �_,.: r. -, Equipment ............. m m, I Commercial Final ', rM Y' C EXTERIOR SHEATHING i ,.NAILING ......................... .... mN .` - j �; Q ` • FRAMING .::.:.......: i .. l FIRST FLOOR FRAMING...:. ' INSULATION .............. 1 .. Floor Insulation ......... '� - j Wall Insulation ...:....... (A Z , - Ceiling Insulation ....... O j O. - SHEETROCK NAILING ... RR 'SPECIAL INSPECTION.... j i MISCELLANEOUS ........... - 7 FINAL APPROVAL FOR y�/\� ,•'.�. urz" ,. :OCCUPANCY .................. I. - 7 j