20020799.pdfDATE RECEIVED
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CONSTRUCTION PERMIT APPLICATION J..
ER NAMEINAME OF ADDRESS Z- Z,
PLAT NAME/SUBDIVISION NO. LID N
ING ADDRESS' LID FEE $
Ind A 6 61 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP er
EXISTING — PROPOSED —
REQUIRED DEDICATION— FT — P
13
MEIER 111E LINE SIZI� NO. 01 FIXTURES PAW REQUIRED
YES M No 13
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OWNER/CONTRACTOR IIESPONIIBLE FOR EROSION CONTROLMRAINAGE:��
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I STATE LICENSE NUMBER EXPIRATION DATE I Imr-rn --mJ11
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0 COMMERCIAL
o COMPLIANCE OR
CHANGE OF USE
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0 REPAIR
0 GRADING
0 FENCE
cyca
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f-I DEMOLISH
rl TANK
OTHER
oGARAGE
0 RETAININGWALL
r-1 FIRES RINKLER
CARPORT
ROOKERY
L-J FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIVR`Y) EXPLAIN:
NUMBER
NUMBER OF
CRITICAL
OF
STORIES
DWELLING
UNITS
AREAS
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IRE REVIEWED By
DATE
P — I , — 1UYES 121%p Is —
SEPA REVIEW SIGN AREA
HEIGHT
COMPLETE EXEMPT
ALLOWED PROPOSED
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LOT COVERAGE
REQUIRED SETBACKS (FT)
PROPOSED SETBACKS IFT)
ALLOWED PROPOSED
FRONT SIDE AFAR
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CLIO,
PARKING T IRIA�ILAININ. REVIEWED BY DAtE I
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CHECKED BY ITYPE OF CONSTRUCTION I CODE 1 0 CUPANT
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SPECIAL INSPECTION
RE El YE JAR15A
QUIRED _WPL.W , , _I LOAD
I OCCUPANT
97
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RENA KS
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PROGRESS INSPECTIONS PER UBC 1101311FINAL INSPECTION REaD
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De cription FEE Description FEE
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Plan Check
State Surcharge
HEAT LOT
Building Permit
Bull g P rmt
City Surcharge
PLAN CHECK NO:
It.:
unbing
Mechanical
THIS PERMIT AUTHORI�S ONLY THE ORK.01B..THIEPBA.Q`C.1EAAw.AKT0
t 11 GONE IN Fall PROPERTY ONLY. ANY CONSTRUCTION ON THE PUB LIC
.'AIN
Grading
(CURDS, SIDEWALKS. DRIVEWAYS MARQUEES, ETC4 WILL REQUIRE
SEPARATEPERMiSSION.
2
Engr. Review
PERMIT APPLICATION: 100 DAYS
PERMIT UMM I y EAR - PROVIDED WORK IS STARTED WITHIN 18. DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
ON 11-LI 01 HIS 1IR HER 1POUEE, HEIRS ASSIGNS AND AUCCE..A.
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO IN.I.Ml DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS ' WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE
DEEMED TO MODIFY' WAIVE OR RE LICE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
U31--
0 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
-
Recording Fee
I Receipt # 12CV2 le
71 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION. THAT 114E INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRECT. AND THAT AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER . I AGREE TO COMPLY WITH CITY AND STAT LAWS REGULATING CONSTRUC-
CALL
I- I� b.I. p.
T 1 1, -ii.i,bod by th.
TION; AND IN DOING THE WORK AUT14ORIZED THEREBY, NO PERSON WILL BE EMPLOYED
N 0
IN VIOLATIO OF THEA�� F THE STATE OF WASHINGTON REILATING TO
FOR INSPECTION
Lb,'chl-ppli�.
ft Offtl.l .1 N0.1 Opuly. nd F.. -pid-d
WORKMEWS COMPENS �A E AND RCW iS.27.
DATE 1
(425)
OFf11
N11
771-0220
s
SOL A E
ATTENTION
Off 1333
E 7,y/ /A
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
046 E YELLOW-INSPEOTO
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINIH A G LD-ASSESSOH
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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APPROVED ENGINEERING
2 2002
CITY COPY
RECORD OF INSPECTIONS
f
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ......................
wait ............. I ............
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Pier/Porch .................
Retaining Wall ...........
Stab Insulation ..........
PLUMBING:
Underground
IT!
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.............
M
0
Rough -In ...................
0
Commercial Final
M
M z
HEATING:
to
Gas Test
—4
....................
Gas Piping
0',
Equipment .................
M M
t Commercial Final
a
EXTERIOR SHEATHING
0
0
NAILING _ ...................
cc 'coo
FRAMING ........................
*_A122-
M 0
FIRST FLOOR FRAMING
INSULATION ...................
Floor Insulation
z
Wall Insulatil on ...........
CA
Calling Insulation
z
0
SHEETR6CK NAILING
0
M
SPECIAL INSPECTION
MISCELLANEOUS ..........
FINAL APPROVAL FOR
OCCUPANCY ........... ...