20020550.pdf0
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i PERMIT EXPIRES dZE
CITY OF EDMONDS
I
USE, PERM T
'ON &/ Z-)- NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB ERB
ADOR 62
SUITE/APT#
OWNER NAMEINAME OF BUS17ESS
C11 o n ct f L�
PLAT NAMEISUSINVISION NO.
I LOT NII*
LIO NO,
MAJ ING ADDRESS
RIGHT OF WAY PER OFFICIAL STREET MAP
LID FEE S
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a.
CITY
EXISTING PROPOSED
11QUIRED IIIIICAIIIIN—
FT
NAME
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METEA7
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UNqc 81!5.1.7
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STATE LICENSE NUMBER EXPIRATION 0
al rylu a'.Vai
PROPERTY TAX ACCOUN,
FIRE REVIEWED By LATE
F By
S R
VARIA SH IINS SCION No
" �EUNErAf# STED
I
tate GIr n S S
NT 09 cu YES NO $
$EPX1%71M_' f AIL. 9;G;ED'jA1LOwED PrOPOIED
COMPLETE , EXEMPT A
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P L U .IN. '.EC.
NEW F'PCLuM"'N' IMEC'
e.E.I.ENMAL
OVERAGE I REQUIRED SETBACKS (FT, I PROPOSED ST.-I<a (,T)
a
D R 'EAN
FRONT SIDE W FRONT UR SIDE I
�LLOWE C PROPOSED F
ADDIT10N COMMERCIAL
LIAN .R
G PLANC OR
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A N BE OF Us.
CHANGE OF USE
H
I
MULTIFAMILY
SIGN
T'_
LOT AREA PLANNING REVIEWED By DATE
L 0 A
PARKING R
'Ond D
REaD I PROVIDE
'WEMODEL
REPAIR GRADING
CYOS
FENCE
FEN -
I X_ FT)
X
MA.
REMARKS
BE
DEMOLISH TANK
OTHER
GARAGE RETAININGWALL
IF SPRINK
o F I SPRINKLER
CA PORT ROOKERY
R
FIRE
_j LA M
IREA RM
IF LA
1
(TYPE OF USE, BUSINESS OR A4TPM
OF jo ou T
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IS
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up
NUMBER NUMBER a
DWELLING
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an"
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. B
A. A
SPECIAL INSPECTION AREA OCC UPANT
0
STOR HES UNITS
NUMBER
JAREA
LOAD
REQUIRED 0 YES
DESCRIBE WORK TO BE DONE
REMARKS
PRnrRFSS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
SP..TIO.
$
Description
FEE
Description
FEE
RUNRIA
a n C It
P an Check
P
State Surcharge
L - T
LOT SLOPE
LO'E
IT
Building Permit
U I i'ding P
I I
City Surcharge
TED AT E
PLAN CHECK NO: ITED DATE
In R
I urnh�ng
u
P
C a ItI a I
Mechanical
a
THIS PERMIT AUT90—RInS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
f-.ire
B c
BE DONE ON PRIVATE PROPERTY ONLY, ANY CONSTRUCTION ONTHE PU Lt
Grading
-radmg
L
0 C.) WILL
OMAIN (CORDS, SIDEWALKS, DRIVEWAYS, MARQUEES, ET ' REQUIRE
SEPARATE PERMISSION. I
RE MITAPPLICATION: INIDAYS
Engr. Review
g Review
PERMITIAMIT. 1 YEAR - PIROVIDED WORK IS STARTED WITHIN 100 DAYS
Inspection
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
*APILICA . ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESONS
Review
Fire Review
PlanChk.Deposft
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Inspectim.n
Fine I .... I
Receipt #
I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
a
9 DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
I _H__
Landscapeinsp.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
Reco'p t# 12L.qll�;
I HERE ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPUCATION APPROVAL.
A PLICAT
GIVEN IS CORRECT. AND T14AT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
CONSTRUC-
Thi-ppli-itual. net a pennit until signed by star
'a�
pp�
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
CALL
Building Offhand, his/her Deputy; and Fees am paid. and
"Id's. Data urn"adu
IN VIOLATI OF THE LA BE oij THE STATE OF WASHINGTON REILATING TO
FOR INSPECTION ..Ird Is kr..I.dg.d ln.pa.. p—lded.
WORKMEN'VCOMPEN _U N AND ROW 18,27.
SATIr^
OFF)CIAL
C, L UFF
St AT (OWNER OR G E SIGNED
(425)
5)
�E'.
t
:3
1 1
REIIAS. By DATE
0TENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORGiNAL-FILE - YELLOW�INSFECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GO -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .............
FOUNDATION:
Footing ...........
Wall..........................
z
Pier/Porch ... ..............
Retaining Wall ...........
0
Slab Insulation ..........
PLUMBING:
a
Underground .............
M
C=
M
Rough -in
C
Commercial Final
__4
IT
IT z
HEATING:
10 _q
GasTest ....................
Gas Piping .................
Equipment .................
Commercial Final
M M
EXTERIOR SHEATHING
0
o Fn,
NAILING ..........................
C co
co
FRAMING
M 0
FIRST FLOOR FRAMING
W
INSULATION ..............
-4
Floor Insulation
z
Wall Insulation
Ceiling Insulation
z
SHEETROCK NAILING
ITI
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FO R
0 d
OCCUPANCY ..............
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