20020650.pdf11�11E 2�10EIVID
ERMIT IRES
5, Fp
USE PERMIT
ZONE
1
� CITY OF EDMONDS c'o) NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITEAPT#
ADDRESS '7—
OWNER N7M_E/NAMEoF susINEss
FLAT NAMEISUDDIVISION NO, LOT D NO.
I�D FEE I
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 1.1,ac.1=11111
gl�l ftg%ll d 'd
� Pe `
CITY EXISTING— PROPOSED —
ZIP 11LIP ONE
REQUIRED DEDICATION— FT — U-d
Vl"-C '170-7o
NAME METER SIZE I LINE III PRV REQUIRED
YES C3 NO 13
ADDRESS REMARKS
146 th6- -5.. !SJ I-m— OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTAOUDRAINAGE
CITY ZIP IT111PHON1 0
4FOt-16.)A" -180-7-0 jZC_ -7-7-'S cz,1_r.-j
FIRE REVIEWED BY DATE
city
STATE LICENSE NUMBER EXPIRATION VARIANCE OF CU I I�OREUNIOIADDI IN118CTI N BOND
RE"D POSTED
E3yEs ONO I
SERA REVIEW SIGN AREA "EIGHT
;I PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
ed 'L-
!3 , ,
F
T
NEW [3 RESIDENTIAL LUMBINGIMECH L LOT COVERAGE REQUIRED SETBA KS (FT. PROPOSED SETBACKS JFTT
ALLOWED PROPOSED FRO SIDE REAR PRO UR SIDE BEAR
OWED PROP HT
C MPLIANCEOR
ADDITIO MMCRCIAL El OF USE
CHANGE
PARKING LOT ARIA PLANNING REVIEWED BY DATE
REMODEL MUL11FAMILY SIGN REaD I PROVIDED
I
[3 REPAIR E] GRADING FENCE
CYDS El I X FT) REMARKS
TANK E] OTHER
riGAAAGE� RETAINING WALL ci FIRE SPAINK ER
CARPORT LJ ROOKERY` I, IRE ALARM
(TYPE OF USEI� BUSINESS OR ACTIVITY) EXPLAIN:
Cc I I c4P71 Occu__
a 24_-Wb 15MTVJ!�; /A/fVti0R CHECKED By ITYPE UCTION
89y)W"I`JT_ GROUP
M NUMBER UMBER F
OF - No ARE �A.�EA Ocou "T
I GETS 0 CRUi
DWELL 11",
STORIES LOAD
I I
DESCRIBE WO RK TO BE DONE
REMARKS
2- PROGRESS INSPECTIONS PER USC 110811FINAL INSPECTION REaD
4 1 t -AA) A, I
&'QA1 IT—. 1$
Description
FEE Descriptio FEE
Plan Check
State Surcharge
UOT SLIIPE %
%)rE I
Building Permit
City Surcharge
PLAN CHECK NO:
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t: Be DON15,014 PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUSLIC
I
Grading
DOMLAIN' ETC.) WILL EQUIRE
ICURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, R
SEPARATE PERMISSION.
2
Engr. Review
PERMIT APPLICAnON! NODAYS
T PERMIT LIMm I YEAR - PROVIDED WORK is STARTED WITHIN 180 DAYS
Engr, Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLE 8 THE CITY OF
Fire Review
Plan Chk. Deposit
2 EDMONDS, WASHINGTON, ITS OFFICALS, EMPLOYEES, AND AGENTS FROM ANY AND
ALL CLAIMS 0,0 DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FROM THE ISSUA CE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. D..
0 NOR LIMIT IN ANY WAY THE CIWS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Reconding Fee
Receipt #
1 HERESY ACKNOWLEDGE HAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL:
G E� EtEAITID M 11.1 ECOWNE n, 0 FATT�H E U IY AUTHORIZ E D AGE NT OF
Co' ' ,
by
E T I PLYWIT 'BYAN IT LAWS REGULATING CONSTRUC-
THE R. I py
WILL BE EMPLOYED
CALL
This application to not a ponel—bi signed the
8nddiogOlffl-i I., Medlin Deputy: Fee. .1. no
LTILA
JA�i'
THE AUTHORIZED THEREBY, No PEnS')N
I, I A
3 R CC
T I HE R CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
and paid.
Inc. JPtIs'ckhI'dg,didspac,pd,1d,d.
I,
N NaIQI�t �ANCE AND RCW 18,27,
0 CIAL AT
DATE SIGNED
SIMI
(425)
771-0 220
SJOATE
7jk
A
Off 1333
ITV LAWFUL TO PY A BUILDING OR STRUCTURE UNTIL
51;9 7)t/)�
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORGINAL-FILE YELLOW eiNSPEITOR
CATE OF OCCUPANCY HAS BEEN GRANTED, USC SECTION 109
PINK -OWNER - GOLD -ASSESSOR
04/02 GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKING 5 COPIES
z
0
M
4 -n
V; �
a M
C
M
0
M
In Z
0 -n
n
M 171
C
M C)
Z
74
>
z
i!
C0
z
ITI
FIRST FLOOR FRAMING...
INSULATION . ..........
Floor Insulation
Wall Insulation
Ceiling Insulation
SHEETROCK NAILING
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ..................
z
9
DIV
c
M
0
80
c
m m
z
0-4
0
m m
0
0
0
C
m 0:
X
z
z
0
m