20020514.pdfFEE,—" PERMIT EXPIRES
PERMIT
CITY OF EDMONDS ZONE 61- 6- NUMBER
CONSTRUCTION PERMIT APPLICATION Jo SUITEIAPT#
0 NDS ADDRESS
Z
1IT APPLICATION JA
0
N
P
6- N E
U
R
M
M
B
IT
ER
DWN;�;A 15;," 1�
;A;10F1U LET ---
PLAT NAME/SUBDIVISION NO, I LOT No L
L�D Nz�
D FEE a
MAILING ADDRESS —.1
PUBLIC RIG14T OF WAY PER OFFICIAL STREET MAP R7
o'.."U. _!�
IN. Poa�._ nb1n..1,".a E3
CITY ZIP EXISTING — PROPOSED —
FT
REQUIRED DEDICATION— FT d
ITILEPHON1
No
NAME METER SIZE I LINE SIZE NO, OF FIXTURES PRV REQUIRED
YESE3 NO 13
ADDRESS REMARKS
OWREF'O.NTR To. F EP.N.'GLF FOR
OWNERICONTRA.TOR RESPONSIBLE FOR PH 2 OSIO�CONTROLID
CITY ZIP
NAME
A-1
'e "0
FIRE REVIEWED By
0
'2-AT
VARIANCE OR CU
SHOT LINE(
STATE LICENSE NUMBER EXPIRATION
77 A5
COMPLETE C:7
ALLOWED
PROPERTY TAX ACCOUNT PARCEL NO. 1
E.P
PLU`"`NGMEGH
NEW RESIoE IAL PLUMBINGIMECH
LOT COVERAGE
ALLOWED PROPOSED
REQUI
FRONT
COMPLIANCE OR
rl ADDITION COMMERCIAL 171 CHANGE OF USE
I
BE. PARKING
1A I
El REMODEL MULTIFAMILY
F SIGN
REMARKS
0 REPAIR GRADING Cy. [:] PENCE
I X FT)
DEMOLISH rl TANK 0 OTHER
GARAGE RITAININGWILL F RE SPRINKLER
CARPORT ROOKERY [I PIPE ALARM
g
OWE OF USE. BUSINESS OR ACTrV" FXPLAN:
-NUMBER
CHECKED By
Cc STRU T
NUMBER OF
J NWIA
CRITICAL
=a
SPECIAL INSPECTION
---
STORIES UNITS,
'4
JAREA
1 0
[REQUIRED YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PEI
DZTE
If
IINSPEC�TIONI
ION
WEQ.
a ONG
POSTED
,
0
HEIGHT 1377-
OSED
ALLOW P PROPOSED
/q
dt (FT.)
PROPOSED SETBACKS (FT.)
REAR
U HEAR
rn
C
M
0
8 a
REVtEWEG BY DATE
-4 C
m M
To Z
10-4
z
O"n
-n
1CLIPANT
GROUP
m M
'0
JOS/FINAL INSPECTION REDD
r'i;
a G)
7-0)
on M
z
$
>
z
Description
FEE
Description
FEE
Plan Check
1p",
State Surcharge
HIEAT SOURCE
LOT SLOPE %
Building Permit
City Surcharge
z
.STED DATE
I umbing
0
m
mechanical
A z.-c 2
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK To
BE DONE ON par,, relplarry ON, ANY CONSTRUCTION ON THE PUBLIC
Grading
C L A a
DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
"U"'
SEPARATEPERMISSION.
LGA E
v EW
Engr. REVIEW
En g R a
PERMITAPPILICATI N: INDAYS
'W
IT H a 0 YS
PERMIT LIM . I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
"
'-a
in 'tton
Engr. Inspection
En g s p
M A
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
N A N S. CC"S.R.
'APPLICANT. ON BEHALF 0 HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
B
-eV
ire Review
F
F a
Plan Chk, Deposit
A. M EE THE TV OF
IN )NTE EST, AGREES TO NOEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
A ST. AGREES To
A ENT. FROM AN' AND
2 EDMON S, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
in "n
Fire Inspection
Receipt #
DIRECTLY on INDIRECTLY
ALL C1,MMS FOR DAMAGES OF WHATEVER NATURE ARISING DIRECTLY OR INDIRECTLY
NOT BE
Nor BE
IS 'EFM$T SHALL
FROM THE ISSUANCE OF THIS PERMIT SEDAN& OF THIS PERMIT SHALL
ANY 'V ORDINANCE
ANY CITY ORDINA CE
Landscapeinsp.
LB da a in.
n Cap IS
Total Amt. Due
45.
13EEMED TO MODIFY. WAIVE OR REDUCE ANY REGUIREMENT OF
' OF
NICE PH
y R.rNANcE ".."S'.14 -
OR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINA OVISION.'
R Ending '.a
BE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTIfORIZED AGENT OF
CONSTRUE-
Tho oppliongan to hat a pharaft AI4 Ogr.d by th.
THE OWNE . I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATINC
WILL BE EMPLOYEE
0 L - E
R ERS W, L E ' YED
CALL
ohCj,j 0, his hot onpoly: and Fato th, paid, and
HUI, I
't "C"' a'
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, No PERSON
E. , To L " ,
VIOLATI STAT To
IN ON OF THE "BOB CODE OF THE E OF WASHINGTON RELATING TO
I Sp C
FOR INSPECTION
0
Ipt SaUZ.op—p—Idad.
t ckrowoodg.� I
WORKMENa COMPENSATIO�RANCE AND RCW 1817,
.a
FC I@ATURE
ATF
DATE SCHIED
(425)
7
ftXED
771-0220
BY
Y
ATTENTION 61U "A
EXT 1333
A
�YEL �INSPT
�ORIGINAL.FtLE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL 08 A CERTIFI-
I
CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109
PINK -OWNER - G �ASSES
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - AC �TING \2-
Pier/Porch .................
ii
0
M
Retaining Wall ...........
Slab Insulation ..........
PLUMBING:
0 M
ITI
Underground .............
0
RoUgh-In ...................
--I K
Commercial Final
M
HEATING:
Gas Test
ca
Gas Piping .................
0 -n
-n 2111
Equipment
MT
Commercial Final
0 (n
0
0
§
EXTERIOR SHEATHING
NAILING ..........................
(P
Q 0
FRAMING ...................
z
4
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
-4
Wall Insulation ...........
ca
z
Ceiling Insulation
SHEETROCK NAILING
ITI
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................