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20030058.pdfFkAve i s I DATE RECEIYED , 4v� i I PERMIT EXPIRES T--7— CITY OF EDMONDS USE PERMIT ZONE NUMBERft!�_ PERMIT APPLICATION JOB SUITE/APT# _CONSTRUCTION ADDRESS OWNER NAMEINAME OF BUSINESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESSF LID FEE $ TESCP App"mod PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Rw Permit Requit street Us@ Permit 1.4�d CITY ZIP ELEPHONE EXISTING — PROPOSED Inspection Required 13 Sidaw&lk Required 13 (3-Z eclnZ�_D __Zo REQUIRED DEDICATION— FT UndevgrmM Wiringrequifed [3 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP TELEPHONE NAME CBL 11 ENGINEERING REVIEWED BY DATE ADDRESS CITY TELEPHONE Zip FIRE REVIEWED BY DATE Lu 14.F=l Aq VARIANCE OR CU HOR§LINE OR ADB#. INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE I CfffCKED BY RE02/ OSTED nV _113YEs HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW SIGN AREA COMPLhIE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP NEW RESIDENTIAL PLUMBING MFCH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LJR SIDE REAR COMPLIANCE OR 0410 ADDITION MMERCIAL CHANGE OF USE PARKING LOT AREA REVIEWED Say AT CL. 0 REMODEL MULTIFAMILY SIGN REO' IDED 1��NING I flucv_ 0 GRADING FENCE ZMEPAIR CYDS ( _ X_FT) REMARKS [] DEMOLISH 13 TANK OTHER GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIREALARM OWE OF USE, BUSINESS P"CTIVIIM EXPLAIN: CHECKED BY TYP!=UCTION C7 OCCUPANAL— A GROUP& I g NUMBER NUMBER OF CRITIC OF DWELLINi� AREAS — kNT SPECIAL. INSPECTION JAREA LOAD —STORIES UNITS NUMBER 1111A- REQUIRED [3YES DESCRIBE WORK TO BE DQNE I REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D vALuArON Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % I Building Permit City Surcharge PLAN CHECK NO: VESTED DxrE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPAPATE PERMISSION. Engr. Review PERMITAPPLICATION: ISODAYS PERMITILIMfr I YEAR -PROVIDED WORK IS STARTED WITHIN 1180DAYS Engr. Inspection SEE BACK 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 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 Landscape Insp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Receipt Recording Fee I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRE" AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL This applicaUon is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL his/her Deputy: and Foos are and TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLJDYED Building Official or paid, IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFICI NAT SIGNATURE (OWNER OKAG�NT) DATE SIGNED (425) 771-0220 aTE ATTENTWN Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL V IL--o A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPEITOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING d a AM 15 Ilk, IRES 'A lilt 7; 1PERMIT EXP 7 USE PERMI CITY OF EDMONDS ZONE NUMBER?ft!1 Joe SUIMAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAMENAME 0 INESS .c--- +4 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESSP lt�e, LID FEE S TESCP Approved --7e:=hC=N — PUBLIC RIGI-fr OF WAY PER OFFICIAL STREET MAP RW Ponrift'Reaulted EXISTING — PROPOSED Street Use Parinit RKd 13 hupection Required 13 fildewa& Required 13 CITY ZIP TELEPHONE 7 d_-ao RhQUIRED DEDICATION— FT ur'd wim= 13 METER SIZE LINE SIZE 0, OF FIXTURES PAV REQUIRED [ YES [3 NO 13 z ADDRESS REMARKS I OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I ."§ I CITY ZIP ITELEPHONE NAME CBLN -&rm"+—ru I ENGINEERING REVIEWED BY DATE !Fak M61 ADDRESS —1:1&. (CX-e, FIRE REVIEWED BY DATE ku CITY ZIP TELEPHONE OrE, :S�� 9614.w,- -1 "0 - ' VARIANCE OR CU SHORUUNEORADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION PATE C CKED 0 1p-r REQ�K OSTED _'" A&V I �w I 1 /0) A- L�� �_ N , ik I 113YEs _ 1$ oo NEW [j RESIDENTIAL ADDITION air,_eOMMERCrAL REMODEL 0 MUL11FAMILY ZAEPAIR GRADING CYDS .0 DEMOLISH TANK oGARAGE RETAINING WALL CARPORT ROCKERY (TYPE OF USE, BUSINESS .0fl-ACTIVITY) EXPLAIN: NUMBER. OF N UMBER.Of DWELLING I STORIES UNITS DESCRIBE WORK TO BE DONE rvAzL — e!2 ", IoLftc=a j. ip A~4�i SEPA REVIEW SIGN ARE HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED P, - 1_ EXP T_ ..— LOT COVERAGE REQUIRED SETBACKS (Fr) PROPOSED SETBACKS (Fr.) 13 PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ------- ­� ,13 CHANGE OF USE PARKING LOT AREA REVIEWED BY 0 SIGN REQ IDED PIP6ANNING o FENCE X FT) REMARKS OTHER FIRE SPRINKLER FIRE ALARM CHECKED BY JTYP�ff CRITICAL /,VUCTION AREAS SPECIAL INSPECTION JAREA NUMBER REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC GROUP OCCR LOAD VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK HOTED. THIS PERMrT COVERS WORK TO t: BE DOME ON PRIVATE PROPEM ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURSS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SFARgPIEROSSION. E Review I PEFIMITAPI . dp'AoPL- 49DAYA DAYS .!Igr. — — PERMIT LIMM I YM - PROVIDED WORK 18 BTAMb WITHIN 180 ction gr. Inspection BEE BACK OF PINK PERMIT FOR MORE INFORMATION I "APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, IIEIRS. ASSIGNS AND SUCCESORS V Fire Review Plan Chk. Deposit IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 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 ISSLLANCE OF THIS PERIAM ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt I f� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN'18 CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- CALL This applilcallon Is not a perntit until signed by the 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 FOR INSPECTION Building Ofklal or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space Provided. WORKMERS COMPENSATION AND RCW 18.27, OFFICIAL N7AT ATE __��SURANCE SIGNATURE (OWNER AGEM��S DATE SIGNED t0f) 4:5 771-0220' — - ATTENTICIN EXT 1333 1 IT IS UNLAWFUL'TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL I A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLOW-i CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING .. ..... ...