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20020688.pdfDATE RECEIVED c�!/PW PERMIT EXPIRES CITY OF EDMONDSTADDIE11 PERMIT / NUMBER c�� _5 CONSTRUCTION PERMIT APPLICATIO SUITE)APT OWNER NAA./ MAfMjEyOrF DU INEEBB /_411VIV � /w IwW 1-4ODIVIEIDN N0. l0 NO. UD N0.ABOHESS LID FEE S j • OF WAY PER OFFICIAL STREET MAP pw Pa-a^n. an I•^o�MkaOl^gn ZIP TELEPHONE �CITy/Y EXISTING __ PROPOSED "'aP•°'^r G i �,t• q I"' j_A/MI �(%�-/ "7 • Z7�. J • / f REQUIRED DEDICATION FT WNn�Q �`^°a"' . NA E METER SIZE LINE SIZE NO. OF FIXTURES PRV BE. Y V r , Q,-4 � YES ❑ NO g�""`•/ ADDRESS REMARKS S •�'" G'tT✓r/t py21p OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ya u`S CITY TELEPHONE NqM CBLN iv�1 y3Gt�c p 1�4i•'//tr— 7i`l ENGINEERING REVIEWED BY DATE ADDRESS iVVLfJ =off 'F/-c'"rj FIRE REVIEWED BY DATE in [ CITY ZIP l kox TELEPHONEca ;"32• IZ z STATE LICENSE NUMBER EX[IRATtQN DAT CKE08Y VARIANCE ORCV 3H11ELINEORA081 INSPECTION OW BOND POSTED Q rim-c'eV 066LkI L© C�3 AYES uXC S TY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLQWEO PROPOSED m •• - yPROPE ryf EXP ❑ NEW � p L:y RESIDENTIAL UMBI t)MECH All nwTC OVERAGE ^^^^^SED REQUIRED SETBACKS (FL) FRONT SIDE REAR PROPOSED SETBACKS (FT.) FROM UnR SIDE BEAR i' CHANGE , lOn n.�l� as M ❑ ADDITION ❑ COMMERCIAL OF USE ❑ CHANGE OF USE t - ILL S._ r PMC" .Io „i ll mO �.{ PARKING LO BEA LAN NO REVIEWED BY DAjF I t/E) REMODEL ❑ MULTIFAMILY ❑ SIGN REQ' -PFIQVJ ED / \" `/'�' '.,.j � C•7 Q C 0 REPAIR GRADING FENCE ❑ ❑ CVOS ❑ ( X FT) '"' �ti, G 7Inn � K �_ ❑ DEMOLISH ❑ TANK ❑ OTHER ? . 1 �Tr1 m z p 2 Z.. ❑GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ❑ ROCKERY ❑ FIREALARM D r -{ (fY{PE`O`F USE, BUSINESS OR ACTIVITY)-1 f[it ..dqq f CHECKED BY TYPE flU TION CO y ul NUMBER t,L �• O vl� ' ✓NUUMMBER F ,(� DWELLING I O.V CRITICA �` GROUPANT OCCUPANT LOAD Q T -I LINSPECTtON AflEA STORIES � UNITS NUMBER , REQUISPECIRED REQUIRED ❑ YES m m DESCRIBE WORK TO BE DONE ArewEVE^-�/n" /'/1i2Z7 REMARKS PROGRESS INSPECTIONS PER UBC 109/FINAL INSPECTION REGO 9 O ITT , z AM A- 4VII1d ON-�-/VO'xJ VALUATION 6z:um_ ws'-ivs�ni D PLIAZ65 t�'t�`CtYv lrurfi $$ / �i� . Description FEE Description FEEs,..,` jl", IelL pv -- Plan Check d State Surcharge0)HEAT S URCE GW.IN6 % LOP Building Permit City Surcharge 96, z O DATE Plumbing j( l n m THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORKTO Mechanical t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading = DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION, gj PERMIT APPLICATION: 188DAYS Engr. Review PERMIT LIMIT,I YEAR-PROVIDEDWOFIX IS STARTED WITHIN 180DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection r� 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 8 :3 '- aj IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF i EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt k Oq FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE. OF THIS PERMIT SHALL NOT BE 9 DEEMED TO MODIFY, WAIVE OR REDUCE REQUIREMENT OF ANY CITY ORDINANCE Landsca B IRS p p• Total Amt. Due I ANY i NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE. PROVISION.' Recording Foe Receipt N ��... I HEREBY 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 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CAL`. This application isnot a parmllumli slgnad by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN ION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION 8ulldinq 011lalsior hls/her Daintily: and Faasare paid, and reselptIs acknawledriod In apaca pro,ldad. WOVIO E COMPENSATION INS CE AND flCW 18.2Z. OFFI TALE SIGNATURE SI N TU O NEfl A E DATE NEO (425) ` All �5 [q/��g� a� 771-0220 REIEA � DATE A NTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- oRlcmnL"FnE YeuaWINSPEcroR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK .OWNER COLD ASSESSOR 04)02 PRESS HARD -YOU ARE MAKING 5 COPIES GREENACCOUNTING k / \, I 1 / •� avu 07.1 Ea"ft-�'"I I / I _ r _ �• —(` 1'y � �-r Tr">��'�%,/ //� ,'1 ' �, i � cC+ � r_ ck- ZONE jN" ®.�CITY COPY q ,q ©L yM�YG WHY'/ �DA=4 dB° SETBACKi_S- FRONT t SIDE RECEIVED REAR OTHER JUt 25 i''•„''. HEIGHT BUILDING DEPT. j RECORD OF INSPECTIONS INSPECTOR DATE APPROVED, 'n Y • 1 \ "•�'� �Ls ^� SETBACKS ...................:. FOUNDATION: `t dG Footing ...................... _ ._�°> —/ Lt7 Wail .......................... ,? Pier/Porch ................. } - Retaining Wall ........... ( Slab Insulation .:........ .PLUMBING: c Underground ...... Commercial Final j HEATING: Gas Test ............ .. l Gas Piping :........... i Equipment ............. } Commercial Final ....... ` EXTERIOR SHEATHING V �•� NAILING .. FRAMING ............. FIRST FLOOR FRAMING... �•- �' —�� INSULATION ...................�� Floor insulation .:..... t .. Wall Insulation ........... Ceiling Insulation ....... f �,, i SHEETROCK NAILING " SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR V^ OCCUPANCY .................. zoo? O 0 m �m mo 80 C mm az mm O� r c w Ego ..4 Z Z O O m t