20020847.pdfDATE PIECE
PERMIT EXPIRES
PERMIT
ZONE
CITY OF EDMONDS
NUMBER
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CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS
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PEAT NAMEISUBDIVISEONI NO.
I LOT NO,
LID NO,
FEE S
Iss
MAILING ADDRESS
ZIP ITEI PHONE
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ADDRESS
CITY
NAME jCBLa
EM
[3 NEW Q114rMIDIIETMI.
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ADDITION 0 COMMERCIAL 0 COMPLIA IT
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CHANGE OF USE
P11EMG.�L 0 1AUCTIFAMILY 0 SIGN
—.R_,H.
.... rl PENCE
REPAIR I X_ FT
[3 DEMOLISH 0 TANK ci OTHER
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CARPORT LJ ROOKERY FIRE ALAA_
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NUMBER UMBER OF ILA
_F, 'END
DESCRIBE WORK TO BE DONE
NEWA��r&l�aMWIM
THIS PERMIT AUINOOIZ98 ONLY THE WORK NOTED, THIS PERMIT COVERS WORK 10
BE DONE On PRIVATE PROPERTY ONLY. AMY C014STRUCY1014 ON VIE PUBLIC
a MAIN (CURNS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC I WILL REQUIRE
0
SEPARATE PERMISSION
MITAPPLICAIION; HITTIDAYS
PERMIT LIMIT. I INHIR"PROVIO11p) WORK 18 STARTED WITHIN 100 DAYS
IIIII BACK OF PINX PERMIT FOR MORK INFORMAYFON
'APPECANI, ON IIEIAIF OF tit' off litit UpOUSP, HFIRS. AMWENS AND SLICCI 8011
IN INTEREST, AGREES it) INDEMNIFY, DEFEND AND 11011) HATIMI FRS ;HE CITY 0
EDMONDS, WAIIIIINGTON, THE OFFICIAI S, FMILLOYFFS, AND AGENTS FROM ANY AND
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ALOSING 0111FC I It Oil INDIPECIt
FROM THE ISSUANCE OF TEND PERMIT ISSUANCE Of; 1111H PERMIT SHAA1 NOT 11
DEE ' IIEDUCf ANY HE QUII;fMFNI OF ANY CITY OHDINANC
M D To MOUIFYWAIVV 01
NO RATE IN ANY WAY lilt CffY8 Atilt NY TO IFIVOOECIF A
-IE
PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP
EXISTING — PROPOSED
REQUIRED DEDICATION— IT —
13
El
PEW REQUIRED
YES 13 NO 13
REMARKS
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLTORAINAGE
ENGINEERING REVIEWED By DATE
FIRE REVtFWFD BY DATE
VARIANCE On CU
I- INSPECTION
I13YE708NO
I BOND
I S POSTED
SIPA REVIEW
COMPLETE EXEMPT
—SIGN AREA I
ALLOWED PROPOSED ALLOWED
HEIGHT
PROPOSED
I —
Lot COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKIL (FEE PROPOSED
FROM SIDE REAR F
SETBACKS IFT.
ME UR SIDE REAR
PARKING LOT
RECHI I PHOVIDED
AREA
PLANNING REVIEWED DATE
REMARKS
G:�CKKG BY TV
OCCUPANE3
-GROUP
—6COUPANT
PCCIAL IN PCCTIO
A ED3�
UJETEO� YV
EOUIRED C] YES
LOAD
REMARKS
PRO RESS INSPECTIONS PER UBC 10S/FiNAL INSPECTION REO'D
VALUATION
$
FEE
ascription
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Building Permit
Plumbing
mechanical
Grading
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a
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Fire Inspection
Receipt H
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Total Amt. Due
Recording Fee
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Receipt N
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GIVEN IS CORRECT AN THAT AM E O�NEIL Oil HE CHLY ALIT, ORIZED AOENE Of
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THE OWNER I AOHiE To Willi CITY AND STATE LAW8,11FOULAHNO CONSTF=
0 COMPLY
CALL
g Ott list
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his tlprZ,�%�"d' F_ _ Paid, ad
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TION, AND IN DOING THE WORK AUTHORIZED TjIE,EUY No pE ESON WILL TIE EMPLO`fEQ
OF RELATING TO
NSP
FOR I ECTIONI
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202p2ffpl'p I
IN Viol A
.NX.F
11 CODE OF THE STATE WASHINGTON
IIHUJyAff.EAND HCW 18 27
(425)
ITT ORE ATE��
, A
51
E to Fit R 7)
DATE
j
771-0220
BE1 EDBY
ATTENTION I
EXT 1333
IT IS UNLAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFE,
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED, LEG SECTION 109
RNK-OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
RECORD OF INSPECTIONS
INSPECTOR
DATE APPROVED
SETBACKS .....................
FOUNDATION:
Footing ...........
wall .- .......................
z
Pier/Porch ..............
0
Retaining Wall ...........
Slab Insulation
t,
PLUMBING:
M
0
Underground .............
M 0
0
Rough -In ...................
C
Commercial Final
A
HEATING:
Gas Test ...........
vw
fill
Gas Piping .................
-n
_n �u
Equipment .................
Commercial Final
0
EXTERIOR SHEATHING
C:
MAILING ............. _ ..........
FRAMING ......................
FIRST FLOOR FRAMING
;0'
INSULATION ...................
z
Floor Insulation
Wall Insulation ...........
ca
z
Calling Insulation
SHEETROCK NAILING
0
M
SPECIAL INSPECTION
MISCELLANEOUS
FINAL APPROVAL FOR
OCCUPANCY ..................