20020463.pdf11
PERMITEXPIRES Li4
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CITY OF EDMONDS L�� a N BER
CONSTRUCTION PERMIT APPLICATION JOB
ADDRESS 5_0 C/ -5
OW
(��AMEJ� NeRS FLAT NAMEISUBDIVISION NO. Ll NO
I LID FEE $
MAILING ADDRESS 7ESCP —d I
PUBLIC RIGHT OF WAY PER OFFICIA A.
EXISTING — PROPOSED
CITY ZIP Sid-1k
FT
VA) JILEP"IIE REQUIRED DEDICATION—
alm METER SIZE LINE SIZE NO. OF FIXTURES FEW REQUIRED
NAME YE s13 NO 13
REMARKS
ADDRESS AFSPONSIBLE FOR EROSION CONTROLIDRAtNAGE
tu
ENGINEERING REVIEWED By DATE
ADDRESS
FIRE REVIEWED By
DATE
CITY
ZIP
ELEPHONE
t'qto�"Si'
5-r -
18'.270 , '&
SHORELINEORADSO
INSP.'.ECT�ION
BOND
STATE L DENSE NUMBER
EX
0Y A ONO
I E 13
POSTED
a
(1j. 161— ff-063
&I'
SEPA A I
COMPLEETE EXEMPT
ALLOWED PROPOSED
HEIGHT
ALLOWED PRO"OSED
PROPERTY TAX ACCOUNT PAIRCEI �rq
EXP
LOT COVERAGE
REQUIRED SETBACKS (FT
SIDE BEAR
PROPOSED SETBAC14. 11)
FRONT tj 8 SIDE REAR
rj NEW
RESIDENTIAL
PLUMBINGIMECH
ALLOWED PROPOSED
FRONT
rl ADDITION
COMMERCIAL
COMPLIANCE OR
CHANGE OF USE
PARKING
'Or AREA
PLANNING REVIEWED By DATE
0 REMODEL
MULTIFAMILY
17 SIGN
REDD VIDEO
I PRO
REPAIR
F NCE
GRADING CYDS 0 1 _X_M
REMARKS
DEMOLISH
rl TANK
El OTHER
GARAGE
ri CA PORT
[3 FIETAININGWALL r-1 FIRE SPRINKLER
R
—_ W/1 OCCUPANT
rro EXPLAINi CHECKED By TYP .. up
NUMBER NUMBER OF /,/A_l 11CAL OCCUPANT
�f DWELL AREAS SPECIAL INSPECTION AREA LOAD
'GRIES UNTS'"" NUMBER /v) REQUIRED [] YES
DESCRIBE WORK TO BE DONE REMARK'
PROGRESS INSPECTIONS PER UBC 10II/FINALINSPECTIOIN
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Description
FEE D..!IlEllon FEE
Plan Check
Rd. SuIcha'g.
LOT SLOPE %
Building Permit
City Surcharge
VESTED DATE
Plumbing
Mechanical
SPERUM—Ilg,RI.ZE.SPONLPV,T".'W--,I(-',"'- "IS PERMIT COVERS WORK TO
DONE ON , V 1, R. CONSTRUCTION ON THE PUBLIC
Grading
HE REQUIRE
OMAIN (CURDS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL
CEPARAGE PERMISSION. Engr. ReViSW
E PE MITAPPUCATI N INDAYS
PERMIT LIMIT. I Y�RRPROVIDED WOOK'IS STARTED WITHIN ISODAYS Engr. Inspection
SEE BACK OF PINK PERMIT F 3R MORE INFORMATION
PIanChk.jDePOSR
S On - - SPOUSE. HEIRS. ASSIGNS AND BUG
'PPUCA� DEFEND AND HOLD
sTOAN= F 00 Fl rH)" M N I I 1E HARMLESS THE DESOORS
IN I N T E I I
WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANYAND
Fire Inspection
�Re.eipt
EDMONDS,
ALL C Me F R DAMA ES OF HAT ER NATURE, ARISING 01
CE OF THIS ERMIT SH LL NOT BE
F THIS PERMIT ISSUANCE OF THIS
Landscapoinsp,
T Due
Total Arnt, Due
is
FRO THE ISSUANCE
D E EDT MODI , AIVE R REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
PROVISION.
Receipt 1001�
N RLIMITINANY AYTHECI SABILI TO ENFORCE ANY ORDINANCE
11 Recording Fee
IAT I 14AVE READ THIS APPLICATIO TliAT THE INFORMATION
A. N;
APPLICATION APPROVAL
a,, IS .9�-�-�_,�LTEGG�. THAT I AM THE OWNEFL -a THC - ULY AUTHORIZED AGENT OF
WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
0. g.r.,
THE rrlfl� OMPLY
=%'IE ORK AUTHORIZED THEREBY. NO PERSON WI
"ON OW ' 0 WC LL BE EMPLOYE
'01
511'dirIg 116.1 .1 hi�ftl
ac,lpt 1, acknovdQd
.AN
IN VIO !ON OF THE 0 C OF THE STATE OF WASHINGTON RELATING Too
FOR INSPECTION
DATE
I NSU NCE AND
WORKME S COMPENS CW 18.27�
OFI; HE
us low BIT 0 NT) D
izcz!2i�
(425)
_IAL 14
i 771-ID220 'RELEA.t. .1 LI/
EXT 1333
ATTENTION
------
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL - FILE YELLOW INSPECTOR
GOLD
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK OWNER -ASSESSOR
GREEN ACCOUNTING
PRESS HARD -YOU ARE MAKING
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RECORD OF INSPECTIONS
INSPECTOR DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
Wall ..........................
Pier/Porch ............
z
Retaining Wall
Slab Insulation ..........
PLUMBING:
Underground .............
OM
Rough -In ...................
C
mo
0
V
Commercial Final
C
HEATING:
In
Gas Test ....................
10
Gas Piping .................
Equipment .................
Commercial Final
n
EXTERIOR SHEATHING
M M
0
NAILING ..............
0
FRAMING ........................
001
FIRST FLOOR FRAMING
Q 0
z
INSULATION
t, Insulation
Wall Insulation ...........
z
Calling Insulation
0)
SHEETROCK NAILING
z
SPECIAL INSPECTION
ITI
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
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