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20020509.pdfLa [AU DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION "P ITEIEPHONE 425; 6-70 G*jZ6&, 040 PERMIT EXPIRES USE ZONE PERMIT NUMBER SUITEIAP7# ADDR Ess2 I" I&L PLAT NAMEISUBDIVIStON NO. LOT NO. L�D NO. I L D FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP .11VC_R_1 � EXISTING — PROPOSED — M., U.. P N.W4 REQUIRED DEDICATION— ff — 13 METER SIZE LINE SIZE NO. 01 FIXTURES REQUIRED I I YEIRV a C3 NO C3 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTR ILIDRAINAGE DATE FIRE REVIEWED BY DATE L1 T�_ '�IjE 6_3 VAMANCEi.FICU I SHORELINE OR ADB# I INSPECTION= I113YERSECISNO Is POSTED .0 2 R 7 T0179 7 !MN V SERA REVIEW COMPLETE , EXEMPT XP SIGN AREA ALLOWED PROPOSED ALLOWED HEIGHT I PROPOSED 0 NEW [3 PLUMBING / MECH AD COMPLIA CE OR rl ADDITION CHANGEOIFUSE M REMODEL SIGN M REPAIR GRADING CYOS rl FENCE X Fn DEMOLISH TANK OT7,i—SR GARAGE RETAININGWALL r_1 FIRE SPAI NKLER CARPORT ROCKERY LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOS FRONT SIDE REAR FRO D SETBACKS (Fr.) L/ SIDE AEAR PAR REDD I'll Be PROW LOT A11A P NNING REVIEWED BY DATE REMARKS L.J FIRE AtA (TYPE OF USE, BUSINESS GTTVA EXPLAIN./ RM C 0 CHECKEDBY ja.F..&NJRUC`R.N M cc N, CL04: 0 UPANT GROUP NUMBER NUMBER 0 OF UWELLINGF STORIES D NITS OR ITICAL AREAS Nu MBER 11ECIALINIPICTION oum�o JARIA RE 0 YES OCCUPANT LOAD DESCRIBE W4 IRMA KS 'ROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD $ F Description FEE Description FEE Plan Check State Surcharge HEAT 166—RCET GLAZING % LOT SLOPE % Building Permit City Surcharge N CHECK NO: L VESTED DATE Plumbing A .... PERMIT OHL' THE WO K --"a. THIS PERMIT COVERS WORK 1. Macham.al Mechanical 1: 11 DONE ON PRIVATE PROPER" ONLY. AMY CONSTRUCTIOM On THE PU UC Grading DOMAIN (CURBS,S]DIRVALKS,DnIVEWAYS OU ES, ETC.) WILL REQUIR E SEPARATE PERM;SSIO"N. Engr. Review 0ERMITAPPUCATION: INDAYS Engr. Inspection PERMIT umm. I v 'A � PROVIOEO WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREST, AGREES INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS ITS OFFICIALS, EMPLOYEES AND AGENTS FROM ANY AND ALL G..j1II11 T N � OF WHATEVER FOR DAMAGE — Fire Inspection Receipt # NATURE. AHiSING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED To MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMH IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION Landscape Insp. Total Arm, Due Record ng Fee Receipt I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I ACRE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONS Tat CALL Is Pkaflonisnotappe WFs1ped by ft TIOM AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMP LOYED 1. ffi0M.'hj'A'.'g d _paid,a, 14.11" IN VIOLATION OF THE LA'04' E OF THE STATE OF WASHINGTON RELATING TO WORKMEITS COMPENSA FOR INSPECTION 1. kn_j.dvi.P_ P-1d,,d. AND FICIN NLZI. a SIG DATE ).ME. (425) 4;�02 1 - - - _ ATTENTION VASID EXr 1333 BY DATE 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. UBC SECTION 109 ORIGINAL - FILE - YELLOW, INSPECTOR 04/02 PINK -OWNER - GOLD -ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING z 0 0 M C 0 Z I ITI 0 80 C: MM M4 0 -TI -n M M 6 0 'D OC M 0 M z -4 X z 0 0 IT! RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............ FOUNDATION. - Footing ............ Wall ........... .............. Pier/Porch ................. Retaining Wall ........... Slab Insulation PLUMBING: rn C Underground ............. ITI 0 Rough -in ................... C Commercial Final M m 10 HEATING: C — Gas Test .................... CO Gas Piping 0 -n n LU Equipment................. M IT! Commercial Final . 0 0 Fn EXTERIOR SHEATHING co NAILING ............ .......... CA R1 0 FRAMING ........................ Z r- 7`1 FIRST FLOOR FRAMING INSULATION ................... z Floor Insulation Wall Insulation ........... z Ceiling Insulation SHEETROCK NAILING IT! SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY ................. moo, 7,00f