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20020817.pdfe kou" 5 DATE RECEPmr, CITY OF EDMONDS CONSTRUCTION' PERMIT APPLICATION -e_t,65e'v�_ ha to z PERMIT EXPIRES 'USE ERMIT P N NUMBER in- TADDRESS FLAT ..F ..... V'S'.. No I LOT NO, I'D D FEE $ '�' PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP IE11PA, Per's, I EIISTING — PROPOSED— auses" REQUIRED DEDICATION— FT — U-9— METER SIZE LINE S�� EQUIRED I YEPRV s13 No C3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJORAINAGE ETBA FICILIED j I'_ L, FIRE REVIEWED 13Y DATE ELEIHON9 NUMBER EXPI ION 0 C 0 BY VAMANIE OR CU AmA`E SHORIIIN801AIIII I INIFECTI N REGO BOND POSTED RX M'1-4 E3YES ONG s 't-- SEPA REVIEW A SIGN AREA HEIGHT ACCOUNT PA E 0. Co-pu_ E -W. PT ALLOWED , PROPOSED ALLOWED , PROPOSED -RV`B` E I SET.AcIS 11 LOT COVERAGE REQUIRED S KS( I P I rl NEW 0 RESIDENTIAL 0 PLUMBING/MECH , ALLOWED PROPOSED FRONT SIDE OREAR FRONT URSIDE REAR Q, COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED By DATE M REMODEL MULTIFAMILY U SIGN REGO I PROVIDED n REPAIR n GRADING CYCE PENCE I x FT) REMARKS Eff DEMOLISH n TANK oin _jr1A1A4k &,al/r- se GARAGE R CA PORT RETAIN Ej POOKEINGWALL RY ri F ESPIUNKLER FIR Re - (TYPE OF USE. BUSINESS OR ACTIVIM EXPLAIN: COWDO CHECKED BY ITYPE OF�ey X I Cf)Z_ 0 GCRCUU A .A, ISSE SPECIAL INSPECTION JAREA OCCUPANT LOAD R REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS R ... I.S INSPECTIONS PER UBC 108/FINAL INSPECTIC Ftl thov W-O lAe $ F Description FEE Description FEE A.AIE Plan Check State Surcharge HEAT SOURCE GILAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: ED c lumbing Mechanical THIS PERMIT AUTHORIZER ONLY THE ORK NOTED. THIS PERMIT COVERS WORK TO 5 DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading a -WALKS, DRIVEWAYS E B" ETC.) WILL REOUIR, DOMAIN (CURB% SIDE MAR"U t: SEPARATE PERM; BRION. PE MITAPPLICATION: INDAYS n" Ro"8w PERMIT UMIT. I YEAR - PROVIDED WORK IS IrTAMED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION LR-iew 'APPLI ANT. ON BEHALF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS Fire BY Plan Chir DEFOE IN INTEREST, AGREES TO INDEMNIH, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt A ALL CLA ME FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANC OF THIS PERMIT. SSUANCE OF THIS PERMIT SHALL NOT E E A Y CITY ORDINAN' DEEMED TO MODIFY. WA E OR REDUCE ANY REQUIREME , OF GE Landscape Insp, Total Amt. Due NOR LIMIT IN ANY WAY THE CHYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION 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- CALL T application is net a permit until signed by Me TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO 8,ilrah�lgs Offirim., nalh., Deputy: and Feel .. Fred, and FOR INSPECTION 'ecolpt Is acknowledged 11 1D.F. pnooded. WORKMENPS INSURANCE AND RCW 16.27, OFFICIALS SIGNATURE �OMPENSATION Wn DATE SIGNED NEE (425) % _i �'Z '411 771 "0220 DATE 11&z0z_ ENTION EXT 1333 M IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- i, ORIGINAL - FILE - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PI —OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 M rR 0 80 C rR m z '0-4 C 0 M M w Co 0 r- 0 ITT C co 9 v) M 0 Z f- z _q z 0 d 0 IT! SETBACKS ..................... FOUNDATION: Footing ...................... Wall .......... .......... Pier/Porch ................. z Retaining Wall ........... 0 Slab Insulation .......... PLUMBING: Underground ............. 0 fill Rough -in .......... C: C3 M 0 Commercial Final -.10 0 HEATING: M Gas Test .................... Gas Piping > r Equipment .............. 0.r Commercial Final EXTERIOR SHEATHING ITI ITI NAILING 0 0) 0 ir— FRAMING 0 M ..................... C (A Q FIRST FLOOR FRAMING 0 INSULATION .... ............... Floor Insulation Wall Insulation ........... z Calling Insulation Cl) SH EETROCK NAILING z SPECIAL INSPECTION 0 171 MISCELLANEOUS .......... FINAL APPROVAL FOR lo- OCCUPANCY .................. D1*71