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20020913.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION �Y7�7 BUSINESS i�� ING ADDRESS g��'�]P ITELEPHON1 0 , /A�� PERMIT EXPIRES us PERMIT --t zo NUMBER a02- -Oql JOB 1Uff11APT1 ADDRESS 7— PLAT NAMEISUBDIVISION NO. I LOT NO, UD 110, LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXIST NG— PROPOSED REZRIED DEDICATION— FT —d METER SIZE I LINE SJ�� PAV REQUIRED YESD NO 0 E0 ENGINEERING REVBZWED/DATE ADDRESS 9--3,67 FIRE FIEVIEWED By DATE CITY -ZIP TELEPHONE M STATE LICENSE NUMBER EXPIRATION VARIANCE OR CU SHORELINE OR ADS# INSF `HON so PSC� I 3in" DENG It:- ---, - -- TED "to HEIGHT 'HOPERTY TAX ACCOUNT PARCEL NO. 1-/- 95 004/- 0/0 - 0 f� BAIL I A POSED lid" lime F17 N W RESIDENTIAL REQUIRED SETBACK$ (Fr.) PROPOSED SETBA S (Fr.) 0 PLUMBING MECH BEAR ADDITION COMMERCIAL C MPLIAN E OR CHANGE OF USE I --FATE PARKING LOT ��EVIEVIID By 9-BEMODEL APARTMENT rl SIGN RECID I PBOVST�11 0 REPAIR GRADING Y.. [3 F NOE I x Fn REMARKS 0 DEMOLISH 0 TANK 0 OTHER [3 GARAGE C po o RETAINING WALL AR AT ROOKERY [3 RENEWAL USE, BUSINESS Oil ACTIVITY) 9PLAIN: CHECKED BY ITYPT 1C OCCUPAN;�� GROUP NUMBER NUMBER OF or! WEL".. C 'TC L A AL SEAS A - IJ SPECIAL INSPECTOR jA"1A I OCCU NT R SOUIRED LOAD STORIES NUMB M'ER 0 YES DESCRIBE WORK TO BE DONE REMARKS d�"A L-vuz- 61-4-7- PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D 616 4_ If 41. 6 t90 6 7-�jf/� VALUATION $ LU 'Ptl-n FEE Description FEE rDescriptlon 7� Plan Check P, LOT 81OPE Building PLAN CHECK NO: V Plumbing Mechanical :207 THIS PERMITAUTHORIZES ONLYTHE OAK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading Recording Fee DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr, Review City Surcharge �2 PERMIT APPLICATION: AN) DAYS PERMIT LIMIT I YEAR - PROVID WORK IS STARTED WITHIN 180 DAYS Engr. Inspection State Surcharge SEE SACK OF PINK PERMIT FOR MORE INFORMATION - PLICANT� ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Traffic Mitigation Plan Chk Deposit ININYEREIT. AGREES TO INDEMNIFY, DEFEND AND HOLE) IIAIMLEI* IR, 111, 11 Receipt III EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS MOM ANY AND ALL Ct ME FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM Tf E ISSUANCE OF THIS PERMU. ISSUANCE OF THIS PERMIT SHALL NOT BE Fire Review DEEMED TO MODIFY. WARVE OR REDU E ANY REQUIREMENT OF A14Y CITY ORDINA CE Fire Inspection Total Amount Due NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISIO Landscapainsp. Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CO RECT. AND THAT I AM THE OWNER, OR THE DULY UTHORIZED AGENT OF THE OWNER. I AGREE TO CO PLY WITH CITY AND STATE LAWS REGULATING CONsrRuc:- CALL tippik. l.n 1, A.,. p-11-111,igr.d III, ft N. AND IN DING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED TIO D IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON REILATING TO FOR INSPECTION Av"Thi. ding0flidt.,hi./hu GtR,.Iy:Ntd F .. —pitid,tirIal '_IP, I—k—I.Rgad in spuce 0:0,1ded WORKMEN'S COMPENSAT=URANCE AND RCW 18.27 o FFICIAL So (425) _ ;M; 77 Nev, 771-0220 -RELEASE. My EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI� ORIGINA Fit C - YELLOW - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 FAX PINK - OWNER - GOLD - ASSESSOR �</ 10101 z a M C Ma ITT N 01 9 2 rh ?S rn 0 z 1711 If RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ............ FOUNDATION: V Footing ...................... J Wait .......................... z Pier/Porch ............... Retaining Wall ........... Slab Insulation .......... P LUMBING: Underground M Rough -in ................ 7. 0 C Commercial Final HEATING: 10 C GasTest ................. Gas Piping .... ............. Equipment ................. M Commercial Final EXTERIOR SHEATHING Fn NAILING ................. FRAMINO .............. 0 FIRST FLOOR FRAMING INSULATION .......... Floor Insulation Wall Insulation (j) z Celling Insulation 0 SHEETROCK NAILING R1I SPECIAL INSPECTION MISCELLANEOUS .......... FINAL APPROVAL FOR -o3 OCCUPANCY ..................