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20030060.pdfDATE RECEIVED_ PERMIT EXPIRES memo, 11 USE PEFIMIT ZONER5 CITY OF EDMONDS 1A NUMBER (-)Ou U JOB surrEIAPT# CONSTRUCTION PERMIT APPLICATION ADD:= OWNER NAMER4AME OF BUSINESS PLAT NAME/SUB61VISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S FESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Lak"o SUeet Use Perrmh Req'd rhe-koe)L� EXISTING — PROPOSED Inspecton Requited CITY j ZIP TELEPHONE Sidews0c Requited REQUIRED DEDICATION— Fr UndeMmund Ll Z,;- 11 -11 (a 5-:5 'n Wiring faquLrod [3 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES [3 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROQORAINAGE CITY ZIP I ]TELEPHONE NAME CBL Jp%ve- ENGINEERING REVIEWED BY DATE ADDRESS L0% r I 6c—il St - DATE FIRE REVIEWED BY CITY ZIP TELEPHONE -Sea�— SHORELINEORADB* INSPECTION BOND VARIANCE OR CU STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY POSTED REO'D 13YEs ONO $ SEPA REVIEW SIGN AREA HEIGHT PIR ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED ROPOSED ALLOWED PROPOSED FETY EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) NEW RESIDENTIAL OLUMBI� lk�� ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR COMMERCIAL COMPLIANCE OR ADDITION CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REC(D PROVIDED I REPAIR GRADING FENCE X Fr) REMARKS CYDS OTHER DEMOLISH TANK GARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTP7EXPLAIN, r CHECKED By JTypE :MCTION IC01 OCCUPANT GROUP NUMBER NUMBER CRITICAL DWELLING TION OCCUPANT OF AREAS SPECIAL INSPE( JAREA LOAD STORIES UNITS NUMBER M/A REQUIRED [3. DESCRIBE WORK TO OF DONE "-v-n v%ic-X23 REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION REaD 0C LAM&V�6.1� !IgAyh -LAj ga'&-k '.A.%q ki�:,4 VALUATION L r'AV% -Ajgk--" Descriptlon FEE Description FEE Plan Check j State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % - Building Permit da z/ City Surcharge 1 I 0i yor PLAN CHECK UO: VESTED DATE Plumbing ic23 —z= Mechanical THIS PERMIFT AUTHORIZES OILY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= HE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: 180DAYS PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS ASSIGNS AND SUCCESORS 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 Landscapeinsp. Total Amt. Du e 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.* �5i Recording Fee I Receipt # M 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 histher Deputy: and Fees are paid, and IN VIOLATION OF 71!F LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAodged In space provided. WORKMEWS COMPE14SATI ON INSURANCE AND RCW 18.27. OFFICIA IGNA`rLr'j DATE N(R 0 NED iA9 URE low 5) A( DATE Sl X.(& 1/47/e" A Vh L gla 771-0220 RELEASED BY IIATE 091333 /Z.53 W 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 411 RECE, USE CITY OF EDMONDS ZONER5 JOB CONSTRUCTION PERMIT APPLICATION ADDRESS OWNER NAMF4WAME OF BUSINESS AL � I PLAT NAME/S MAILING ADDRESS CITY &2)yVN0A..)a)-5 NAME PERMIT EXPIRES PERMIT -)o NUMBER P SUITE/APT# NO. LOT NO. LID NO. LID FEE $ I ESCIR Approved LoL.A) v- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP my Permit Requirod Slrg@t Use permit R*Wd ZIP TELEPHONE EXISTING — PROPOSED inspection Rsqutred Sidewalk Required All 9 -1 k (a _i� REQUIRED DEDICATION— FT underground tWitingrequired METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED CITY ZIP TELEPHONE NAME ADDRESS (0 1 t �j . . "I CITY ZIP TELEPHONE 12o, ot STATE LICENSE NUMBER EXPIRATION UAl I A It d Ii / I YES NO (3 Z IREMARKS I m OWNEWCONTRACTOR IESPONSIBLE FOR EROSION CONTROLIDRAINAGE . I I DATE FIRE REVIEWED BY DATE 51 (V30 VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND CH REO'D POSTED SEPA REVIEW SIGN AREA E3YEs 13NO S HEIGHT COMPIL E EXEMP ALLOWED PROPOSED ALLOWED PROPOSED 9 U 1 PR A0=0 It rAnurL. r4u. EXP NEW RESIDENTIAL PLUMBIN M LOT COVERAGE ALLOWED pROPOS�D REQUIRED SETBACKS (FT) FRONT SIDE REAR PROPOSED SETBACKS (FT) FRONT LIRSIDE REAR ADDITION., 0 COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA DATE PLANNING REVIEWED BY 06 REMODEL, MULTIFAMILY SIGN REOD I PROVIDED noAnirio rj FENCE U REPAJR U CYDS X_FT) REMARKS DEMOLISH TANK OTHER GARAGE RETAINING WALL, CARPOFff ROCKERY FIRE SPRINKLER FIREALARM '(rYPE -OF USE, BIUSPESS.PR ACTrAffr EXPLAIN CHECKED BY Type TR 'ON OCCUPANT GROUP NUMBER NUMBER OJT DWELLING cRrrICAL AREAS CTION EAREA OCCUPAF STORIES U REQUIRED [] YES LOAD DESCRIBE WORK TO Of NE I Po I I fir, i t-1 V11 1. M REMARKS MMIEW INSPF :CTIQ% hft CkAJ 6_AVy1%DUe. el, �4 .0 Iry, VALUATION $ L..,,,q �iE TA,) Description FEE Description Plan Check State Surcharge GLAZING % LOT SLOPE HEAT SOURCE Building Permit z City Surcharge tl-'(�!=*_A� C-S LM VESTED DATE Plumbing P CHEVLKtqo: Mechanical THIS PERMIT AUTPIORneEs Oi& THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION OH THE PUBLIC Grading DOMAIN (CURSS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATEPERMISSION. Engr. Review IL PERMIT APPLICATION. 180 DAYS PjAMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection —If IN PINK RAW FOR MORE INFORMATION Fire Review Plan Chk. Deposit ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS t Receipt N a -7 J.4- ;APPUCA N INI AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF Fire Inspection OM NDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS ROM ANY AND CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRE��Y',-, / FROM TIHE48SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NO It Landscapeinsp. I Total And. Due - DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY 0 DI CE — Receipt # NOR LIMIT IN ANY WAY THE CffY`S ABILITY TO ENFORCE ANY ORDINANCE PR l3lUrV Recording Fee I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICA PROVAL -a GIVEN IS CORREcr, 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 permit until signed by the Building Official or his/her Deputy: and Fees are paid, and 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 INSPEC receipt Is acknowledged In space provided. WORKMENS�,COMPENSATION-INSURANCE AND RCW1 10.27. DAT OWN DATE SIGNED 1A*5) C4 L. 17& 41 tP kko 771-02'0 6ATE AT*�ftk Off 13 3 '7 IT IS OR OCCUPY A BUILDING OR STRUCTURE U01,06501-34110, UNLAWFUL TO USE A FINAL INSPR AS BEEN MADE AND APPROVAL OR A CE 1* ! CTION H 109 3 ORIGINAL - FILE - YELLOW - INSPECTOR � 07 PINK -OWNER GOLD -ASSESSOR CATE OF OCCOPANCY HAS BEEN GRANTED. UBC SECTION 04/02 -YOU ARE MAKING PRESS HARD r Cj 5 COPIES.�g4+q!�� z 0 M rn 0 C ic 0 -n FIE MITI 0) C C Mo. z z 0 0 M