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20020731.pdf4 DATE L. RECEIV 7 LPERMIT EXPIRES CITY OF EDMONDS USE PERMIT "N'C(� ?, NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEPI)T# ADDRESS ;JU OVJNE(I NAME E OF BU INEk 6 31 PLAT NAME/SUBDIVISION NO, LOT NO. LID NO. AV2, C. MCA MAUNd-ADDRESS LID FEE $ IESCP APPIDV$d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited street Use Permit RoWd ZIP lnspwwn Required EXISTING - PROPOSED Sidewalk Required �TELEPHONE E/fu REQUIRED DEDICATION- FT underwound vvlmgr -- 13 NAME METER SIZE LINE SIZIEJ NO. OF FIXTURES PRV REQUIRED I YES C3 NO C3 z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBIL # tc ENGINEERING REVIEWED BY DATE ss 1,5­4._:� P/ FIRE REVIEWED BY DATE LU CITY I ZIP ELEPPONE T rL 66 IANCE OR CU SHORELINEORADB11 INSPECTION BOND STATE LICENSE NUMBER EXPIRATIOq DATE CH a REQ'D I POSTED 13YEs ONO $ _4e5LI �Ir? .91/k A j ME SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED I ALLOWED , PROPOSED 1�3 , EXP 1:3 NEW RESIDENTIAL XQLUMBIN MECH 9 LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR _ MPLLC C ADDITION COMMERCIAL C PLI[ANCE OR CHANGE OF USE I a z I PARKING LOT AREA PLANNING REVIEWED BY DATE 1116 (REMODEL MULTIFAMILY SIGN REO'D PROVIDED E RE GRADING F NCE PAIR CYDS X FT) REMARKS OTHER 0 DEMOLISH TANK 3 GARAGE RETAINING WALL F RE SPRINKLER 0 FIRE ALARM CARPORT ROCKERY (ME OF USE, BUSINESS OR N: CHECKED BY OCCUPANT GR C NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT STORIES UNITS NUMBER REQUIRED [3YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 106/FINAL INSPECTION REQ'D (gp,5�ey jP6?%g-7'i1 eke 4) Ile- r VALUATION V.- 4a .5t $ e #I fit Description FEE Description FEE Plan Check state Surcharge HEAT SOURCE GLAZING % LOT SLOPE % I Building Permit City Surcharge ;Ej - PLAN CHECK NO., VESTED DATE Plumbing 6 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDL-WALIKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. t: Engr. Review PERMITAPPLICATION: ISO DAYS PERMIT LIMIT: 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 Fire Review Plan Chk. Deposit IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt 4 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION PLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- I id 11cation Is not a permit unfit signed by the I CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED BuIldin Ial or his/her Deputy: and Foes are paid. and IN VIOLATION OF THE LABOR -CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ec pt Is acknqModged In space pf2ld:6 I, WORKMENS COMPENSATPfqR_S"C St�ND RCW 18.27. OFFIQI SIGNATU I /- A/ SIG U ER 0 AGENT) D�UE SIGNED 1425) '7 ? -r.,? L? 771-0220 D BY DATE ATTiNTION 7' 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- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 rn aj if 0 fn C M C In rn z 0 _1111 M ITI 8 V5 0 Fn C (a K ca 0 z z 0 0 M t-;� ff 1DATE RE E C Z 7- 1 (�L 11 ... PERMIT EXPIRES 2 CITY OF EDMONDS N001 USE PERMIT W3 " " C CA NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS OTZE/7E OF BU)INFS8_' 1L2 n_k9,e-0A PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 15 MkLlkG ADDRESS LID FEE $ --- TESCP App"rad PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Permit Required 9.2 0,!054� oe Aw street Use Parnh 1180 CITY ZIP EXISTING — PROPOSED Inspection R&qLiW Sid&wa* Required ATELEPHONE V0 k REQUIRED DEDICATION— FT Undargmund uIred 13 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED 1 YES [3 NO 13 5 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE NAME COLN ENGINEERING REVIEWED BY DATE SS /5 FIRE REVIEWED BY DATE CIV 9 ZIP TELE 'LiONE 1z STATE LICENSI% NUMBER EXPIRATIO4 DATE CHE IANCE OR CLI SHORELINE OR ADS# INSPECTION BOND REO'D POSTED [3YEs 0 [13' -A s PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW SIGN AREA HEIGHT PR EXEMPT ALLOWED PROPOSED ALLOWED OPOSED , EXP NEW RESIDENTIAL PLUMBIN MECH LOT COVERAGE . REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR LIANCE OR ADDITION COMMERCIAL El CHANGE 00 USE' PARKING LOT AREA PLANNING REVIEWED BY DATE PROVIDED 9L y Mo L muLnFAmiLy 0 RE DE SIGN RECrD R GRADING i FENCE EPAIR CYDS X FT) REMARKS DEMOLISH 0 TANK OTHER o GARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKE El FIRE ALARM __RY (ME OF USE. BUSINESS 0 N: CHECkEDBY jTYfAFjCjOM1ON OCCUPA GROUP,; VL t NUMBER NUMBER OF CRITICAL OF AREAS DWELLING SPECIAL INSPECTION JAREA OCCUPANT Z— LOAD STORIES UNITS NUMBER REQUIRED YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD. 9P,6 -7 Yj ue 'r7 eko 4) a V— VALUATIOW----] ell to $ Description FEE Description FEE. Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AVTHOR17ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. t: gr. Review I PERMIT APPILICAT14. ;1130�*VS ­� IL PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAVS Engr. Inspection SEE RACK OF PINK PERMIT fOR MORE INFORMATION it 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IN INTEREiW AGREES TO INDEMNIF% DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, IT$ OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapainsp. Total Amt. Due DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Receipt 4 Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION A131 L PLICATION APPROVA GWEN 18 CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- t CALL Thl a leation Is not a permit unfil sIgned by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, 'hO PERSON WILL BE EMPLOYED BuIldIn let or hWher Deputy: and Fees are paid, and 1(.4, IN VIOLATION OF THE LASO PDE OF THE STATE OF WASHINGTON RELATING TO BX FOR INSPECTION oc Pt Is acknqWodged In space proA�0jL,, WORKMENS COMPENSA 10.27. _^NSqANCE AND RCW___ A� OFFIq_ AIGNATURf/ SIG 6J WNER 04fAGENT) D5E SIGNED 1A#3 ) 25 771-0220 —D B Y DATE ATTENTION 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- ORIGINAL - FILE YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 GREEN - ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPIES.,