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DATE RECEIVED
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ERMIT EXPIRES
LP,
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER ;&0-3-06)"30
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS 115 9 7 th Ave S
OWNER NAMEINAME OF BUSINESS
PLAT NAME/SUBDIVISION NO, LOT NO. LID NO.
Laura/Jeff Brou
MAILING ADDRESS
LID FEE S
1159 7th Ave S
AP TESCP AMOVOCI
PUBLIC RIGHT OF WAY PER OFFICIAL STREET M RW Permit Required
Permit Raq'd
CITY ZIP TELEPHONE
Street Use
EXIS PROf S 0
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Edmonds 98020 1425-fi23-6451
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ADDRESS
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APRESSURE-RI: -IjL&TMVAI.U(pg30
NAME CBL#
SHALL BE INSTALLED NEAR
Fast Water Heater
T W
ENGINEERING REVIEWE DATE
ADDRESS
PTjRR!",AT-,1T 70-LEi" 605-2
12601 132 Ave NE
FIRE REVIEWED BY Sr_�I�VICE SHUTOY&TE
CITY ZIP TELEPHONE
1425-814-3
1�,',,.TALLED ON TTIj - i :1
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Kirkland 98034 4
VARIANCE OR Cu" 'SHOAEL&Tb_F:C_AW. BOND
STATE LICENSE NUMBER EXPIRATION DATE GMECM!kBY
REO'D POSTED
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0YEs ONO $
TWHC052DF ______2_ 6-03
SEPA REVIE SIGN AREA
PROPERTY TAX ACCOUNT PARCEL NO.
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00619400900601
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REMODEL muLnFAmiLy SIGN
ING REVIEWED BY DATE
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FENCE
13 REPAIR 1:3 GRADING CYDS X FT)
REMAR
ObtWn Electrical Permit fmm I
OTHER
DEMOLISH TANK
State Labor & Industries
0 GARAGE [3 RETAINING WALL FIRE SPRINKLER
ALARM
CARPORT ROCKERY FIRE
UWE OF USE, BUSINESS OR ACTIVITY) EXMN.
CHECKED BY TYPE �Fl JC2VOCCUPANT
GROUP
NUMBER NUMBER OF CRITICAL
D ELLING AREAS
OF W
RNITS
SPECIAL INSPECTION OCCUPANT
M
STORIES NUMBER
JAREA
LOAD
REQUIRED [:] YES
DESCRIBE WORK TO BE DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REG'D
Removelreplace gas water heatpr in
garage 40,000 btu's
VALUA11ON
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Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZIN13 % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
Grading
2
3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
Engr. Review
15 PERMIT APPUCATION: 180 DAYS
CL PERMIT UMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
2 EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt #
IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapeinsp. Total Amt. Due
9 DEEMED TO MODIF'X WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
zi
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 This application Is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt 15 acknowledged In space provided.
WORKMEN'S COMPENSATIO RANCE AND RCW 18.27.
OFFICIAL"IGNYURE DATE
SIGNATURE (OWNER O�R E DATE SIGNED
1425) 6
771 -0220 DATE
RELEA;§!!Eba��
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER - GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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.. .........
RECUML) Ur INblarq.; I IVIMQ
INSPECTOR DATE APPROVED
SETBACKS ......................
FOUNDATION.
Footing......................
Wall .......................
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Pier/Porch
. .................
Retaining Wall
...........
-Slab Insulation-
9-1
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PLUMBING:
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.............
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Gas Piping
.................
on
..:'Equipment .................
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Commercial Final
IZ
EXTERIO R SHEATHING
NAILING. ..........................
01
'FRAMING ..................
FIRST FLOOR FRAMING...
INSULATIO14 ....................
Floor Insulation
.........
Wall Ins ulation
...........
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Ceiling Insulation .......
SHEETROCK NAILING ...
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MISCELLANEOUS- ...........
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FINAL APPROVAL FOR
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.L ATE LREC�EIVED
PIRES
PERMIT EX
USE PERMIT
CITY OF EDMONDS ZONE NUMBER&O-3-0 3e
JO SUITE/APT#
CONSTRUCTION PERMIT APPLICATION ADDRESS 1159 7th Ava S
OWNER NAMEINAME OF BUSINESS
Laura/Jeff
Brou
P T NAME/ UBDII
PLAT NAME/SUBDIVISION NO.
LID NO.
15
MAILING ADDRESS
LID FEE $
11-59 7th Ave S
PUB IN POI *w0lerifferNater 0
TESCP Wed
.
CITY
ZIP
TELEPHONE
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EXI 16 apen-a P600 _0 k%411
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S=n uIred
Edmonds
98020
425-673-6454
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WIW9 raq
IF
NAME
M 0,020%TES
REOt
PRV EQUIRED
YES NO 13 25
I
ADDRESS
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
R-SUANT TO ECDC 19.30.020
CITY
ZIP
ITELEPHONE
uaax_mm�
hAMd
V,ast Water Heater
ADDRESS
0. 12601 132 Ave NE
" CITY ZIP
"kirkland 98034
STATE LICENSE NUMBER
TELEPHONE
425-8
PROPERTY TAX ACCOUNT PARCEL NO.;
0061,9140090,0601
NEW
RESIDENTIAL
0 ADDITION
COMMERCIAL
REMODEL
MULTIFAMILY
REPAIR
GRADING CYDS
0 DEMOLISH
TANK
GARAGE
RETAININGWALL
CARPORT
ROCKERY
gYPE.A.f. UP_E.:BQS1.NE8S-Pfl ACTIMIM. EXPLAM&
NUMBER
NUMBER OF
OF
DWELLING
STORIES
UNITS
DESCRIBE WORK TO BE DONE
SHMOFP
REVIEWED BY
DATE
FIRE REVIEWEkGj�_
'j SERVICE SIJUTOF-F DATE
SI-WilL BE IMSTALLED ON TlIT",
-3124
VARIANcE[9ffW_A9 lsillblkti�"Adw 1A bN- BOND
E By REO'D POS TED
rE3YEs 13NO S
SEPA REVIEW SIGN AREA HEIGHT
COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
E XP
PLUMBING / MECH
E
BEQUIREDe,% 'M
.8 ya&
s
'Z�
OSED 8 (FT.)
NT 6 E REAR
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COMPLIANCE OR
ell. uridngapp
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21
CHANGEOFUSE
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lbaesl
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19
0.
L_j SIGN
RECY
o FENCE
X FT)
REMARKS
OTHER
FIRE SPRINKLER
FIRE ALARM
CHECKED BY
TYPE 0 M
CRITICAL
AREAS
SPECIAL INSPECTION
NUMBER
REQUIREE
JAREA
Labor &
arage 40,000 btu's i
OCCUPANT
GROUP ;xe3---
OCCUPANT
LOAD
REO'D
adustriei i —
No $ 449.00
11AMI 1101-m-p-Ift Description FEE Description FEE
Laub TMI Plan Check State Surcharge
HEAT SOURCE
GLAZIN
Building Permit
City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZEC ONLY THE WORK NOTED. THIS PERMIT COVFRS WORK TO
t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAIMEES. ETT$ xU E
4:Rp
A -
Engr.
PERMIT APPLICATION. 180 DAYS
PERMIT LIM111 I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPLICANT, ON 13EHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
N EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE
..andscapainsp.
U
Total Amt. D a
NOR LIMIT IN ANY WAY THE CnY8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.,
Recording Fee
Receipt #
2';�6
I HEREBY ACKNOWLEDGE THAT I HAVE 4EAD THIS APPLICATION: THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN IS CORRECr AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITHICRY AND STATE LAWS REGULATING CONSTRUC.
CALL
This application Is not a permit untIl signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
Building Official or Illeftm Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOH—CODE OF TH STATE OF WASHINGTON RELATING To
FOR INSPECTION
rwelpt Is acknowledged In space provided.
WORKMENS COMPENSAT12jnFIANCE AND RCW 18.27.
IA13
IVAW)
OFFICIALPIGN (URE D TE
-r'
SlaiqATURE (OWNER OR AnENT)
TE 11111
DATE SIGNED
00r_
/ I
771-0220
.
RELEA DATE
ATTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAI. OR A CERTIFI-
ORIGINAL -FILE YELLOW -INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES
GREEN - ACCOUNTING
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