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FP_ERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
Z014E NUMBER
CONSTRUCTION PERMIT APPLICATION
jA00GRE.S
OWNER N EINAME OF BUSINESS
b 6N L-' N I i�i R P LLC,
PIT NA...U.BIVsCN NO,
L�D NO -
MAILING ADDRESS
1— 1 ) I �' a �
P BLIC RIGHT OF WAY PER OFFICIAL STREET MAP
D FEE $
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CITY
"P JT9 PHONE
EXISTING — PROPOSED —
... DREG EDICATION— FT —
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NAME
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METER SIZE I LINE SIZE
I N.� OF FIXTURES PRV REQUIRED
YES 13 NO 13 3
REMARKS
1.
ia
OWN RICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
1 9
—1 1 YA L R
kU ul� A'V,011L UU*f&� EN.Ill.EIIIN.REVI.E.. DATE
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FIRE REVIEWED BY DATE
CITY
3P E�q')
S FATE LICENSE NUMBER
EXPIRAT ATE CH
CIS-
VARIANCE OR CUI I SHORELINE OR ADBI INSPECTION IS BON
E3Y RE '0 POSTED
BE ONO
7-
Is _rEL(!�_U
SERA REVIEW SIGN AREA HEIGHT
COMPLETE ALLC PROPOSED
EXEMPT 'WE. PROPOSED ALLOWED
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EXP , I
E] NEW
RESIDENTIAL ljj!::�FPL�UMB'iN /EMOECH
LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOS 0 SETBACKS (FF.)
ALLOWED PROPOSED FRONT FRONT R SIDE REAR
SIDE REAR
I
f ADDITION
E3 L ANC 8
COMMERCIAL CHANGE OF USE
CHANGE Or
C] 7
AMU..ftY ,,.N
PARKING HIKING RVIIEVVEO BY DATE
REGG PROVIDED LOT ARIA Is
ZREE.K1
GRADING FENCE
I
CYGE ( — X — FT)
REMARKS
rl DEMOLISH
TANK OT7 HEW
GARAGE
CA PORT
RETAiNINGWALL F RE SPRINKLER
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(TYPE OF USE, GUS
ROOKERY FIRE ALARM
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CHIECKE!�jt�� — ocCUPON3 A
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NUMBER �
OF
I
NUM ER OF CRITI AL
DWELLING AREAC
I
SIECIALINSIECTION OCCU NT
PA
0 . STORIES
U
UNITS N MISER
JAFIEA
LOAD
REQUIRED [] YES
DESCRIBE WORK TO BE DONE
7\ ry, MbA� 0 V I v I
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
I I I V-\M r L-D L::.j'LJ4 I L—I I I I I \1 L� _21 T �_) I L- I I I
VALUATION
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Description
FEE Description FEE
Plan Check
State Surcharge
HUT SOURCE GLAZI
TOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO:
"bing zLeo
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO
a chanical
t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
X
Grading
V OMAIN (CURDS, SIDEWALKS, DRIVEWAYS MAIIII BEES, ETQ) WILL REQUIRE
SEPARATE PERM; SSION -
Engr. Revieter
PER ITAPPUCATION: INDAYS
T PERMIT LIMIX I YEAR - PROVID D WORK IS STARTED WITHIN 100 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
N BEHALF .1 .1. OR PER GFCILJS�. I-I.M., ASSK3N. AND SUCCESORS
Fire Review
Plan Chk. Deposit
;APPLICANT,
N INTER ST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
x EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS ROM ANY AND
A L CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
Fire Inspection
Receipt #
FIR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
0 EMED TO MODJFY� WAIVE OR RED CE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapainsp.
Total Amt. Due 57
7-6
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as NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION,
Recording Fee
FDc_-rP,,
I HERE- ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVE IS CORRECT, AND THAT I AM THE OWNER. OR TH DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is not a pentat until signed by VIe
7101,1� AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE CODE OF THE STATE OF WASHINGTON RELATING TO
�
FOR INSPECTION
SIA� , �01aso.1tic.WhIn Dapdly:..nd Feests, paid, and
I k —I.dg. at pace p_id.d.
T
WORKMEN, COMPENS SUFANCE AND RCW 18,27.
A� N'db�
DATE SIGNED
S'=21
(425)
OF �di' "Vsfi�p L [DATE
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IA19V 2_c�, 2-
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st _tLii
REIL to BY DATE
ATTENTION
Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING 08 STRUCTURE UNTIL
I
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL -FILE YELLOW - INSPECTOR
PINK -OWNER GOLD -ASSESSOR
04102 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN ACCOUNTING
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