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20030086.pdf0WX--A,vGq-,# 5k 10 1,00 DATE RECEIVED USE CITY OF EDMONDS ZONE____" f`ank1Q 12 f%"f%Kl OCK2RAII AD I lf%Alrlf%kl LOB OZ; NAAUE OF SI S NES L IING AVSS ZIP TELEPHONE NAME z") zip TELEPHONE 04 AAAe%_.4 J_ 4736).9j] I dR— PERMIT EXPIRES somommon� PERMIT NUMBER 7 T 7t =, -, L T -e,, _T -:! 11: �n -, 2) � ( _�& PLAT NAME/SUBDIVISION Nd. IF LOT NO, LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Partrift Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Requited Sidewalk Required REQUIRED DEDICATION— FT Underground Wiring required 13 METER SIZE LINE SIZE NO. OF,FIXTURES PRV REQUIRED 1 1 13 z REMARKS I OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I REVIEWED BY DATE =GOV" J4 - FIRE REVIEWED BY DATE Ir ClTyg P TELEPHONE =ZIPTELEPHON 1--'awg-g VARIANCE OR CU SHORELINE OR ADB11 INSPECTION BOND STAT LICENSE NUMBER EXPIRATION 0 TE BY REO'D POSTED I MD 0YEs 13NO SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 51$071) S 'F67j / , , , EXP j�NEW DENTIAL ROPLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Ft) PROPOSED SETBACKS (FT) FRONT REAR ALLOWED PROPOSED FRONT SIDE REAR LIRSIDE ADDITION MERCIAL COMPLIANCE OR VCOM' CHANGE OF USE --- z PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REOD I PROVIDED [j REPAIR GRADING FENCE CYDS 0 ( X FT) -REMARKS DEMOLISH TANK 0 OTHER oGARAGE RETAINING WALL FIRE SPRINKLER 0 CARPORT ROCKERY )IRE ALARM lik O)R BUSI ES& OR 7, CHECKED BY ITYPE F CONSTRUCTION CDDE OCCUPANT trj: q0j GROUP S b NUFABER ER OFJJ CRITICAL 11 P OF LILINq/ AREAS SPECIAL INSPECTION OCCUPANT /I STORIES NUMBER JAKEA LOAD REQUIRED 13 YES REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D L (,C L 1.7t -4-'L, 14W) tilt, J, f-41 I/-, I, TAF-4-11 am!% 4 21 3 1/4 y F, oil :` k= �32 -7 It VALUATION D ascription FEE Description FEE Plan Check State Surcharge HEAT SOURCE % LOT SLOPE % Building Permit I City Surcharge 15— PLAN CHECK NO: VESTED DATE Plumbing q 43 _() Mechanical io THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PEFMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT UMM I YEAR -PROVIDED WORK IS STAffMD WITHIN IGODAYS 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 C17-Y 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 MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAN' THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - 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 This application Is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL 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 LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSAT SURANCE AND RCW 18.27. OFF1 NAI ATE S TURE (OWNER OR DATE7ED 'A'35) 11111111101111111M 771-0220 DATE RELEASED BY ATTENNIJIN EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL F11 - 1 1. - A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FIVJ YELLOW - INIPECT'OR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNeK - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING m qw roe loorr ooft 0 E RECEIVED PERM IT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER 0c) FLA2 CONSTRUCTION PERMIT APPLICATION JOB 119, tit �J- ;E�E ZSINES L 1, PLAT NAME/SUBDIVISION Nd LOT NO. LID NO. MgNG AD/ S8 SS LID FEE $ 0 IESCP Appl= PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW P.,rW, . ". SIrset Use Paffnh Roced C 1 r,,� ZIP TELE PHONE EXISTING — PROPOSED lnspftWn nequired Sidmalk Requirad Undergmund REQUIRED DEDICATION— FT WWg required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YE NO 13 z j I 1� SX -leg— E ADDRUSS Cl 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 71P ELEPHONE F<AME CBLN ENGINEERING REVIEWED BY DATE ADD SS FIRE REVIEWED BY DATE W CITY�,o ZIP TELEPHONE a 0 VARIANCE OR CU SHORELINE ORAD13N INSPECTION BOND (S;T97�;CENSE NUMBER EXPIRATION D TE REO'D POSTED 4.1 4 4,0 OyEs 13NO $ SIGN AREA SEPA REVIEW HEIGHT 'Ala. PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 7., , , EXP 60�Ew DENTIAL WPIOLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) LIFISIDE REAR ALLOWED PROPOSED FRONT SIDE REAR FRONT ADDITION MERCIAL COMPLIANCE OR VCOM CHANGE OF USE I PARIGNJ3 LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REQ`D PROVIDED I ci FENCE . 0 REPAIR (JRADING CYDS ( X_FT) REMARKS A _ 0 DEMOLISH TtN K [—] OTI�EFI UU IV FIRE SPRIN oGARAGE. [3 RETAININGWALL KLER ALARM W moon 0-01111 CARPORT ROCKERY JWFIE U E. Bull E B 12 JOR CHECKED BY I TYPE OF CONSTRUCTION OCCUPANT GROUP SKINK FI-- NUtiBER NUMBER OqV tl CRIT11DAL OF DWELILINW AREAS I OCCUPANT SPECIAL INSPECTION STORIES UNITS NUMBER [AREA REQUIRM LOAD RIBE WP TO 0 NE 21DO REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D 230 91-7 VALUAnON $ Ax Description FEE Description FEE 3 Plan Check State Surcharge HEAT SOURCE' IGLAZING % jk LOT SLOPE % Building Permit City Surcharge PLAN CHEC VESTED 13ATE Z3 Plumbing o Mechanical ;?e 10 THIS PERMTrAPMOR1216 OMY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE pROpEffry ONLI ANY CONSTRUCTION ON THE PUSUC Grading :21 DOMAIN (CUPJM. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 1=1 SEPARATE PERMISSIO . N. Engr. Review I,— N� 15 PERMITAPPUCATION: 180DAYS "114 PERMIT Umm 1 yEAR. PROVIDED WORK IS STAFTMD WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION PUCA ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESO RS Fire Review Plan Chk. Deposit ;A NPINTERIET, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection III ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISINGDIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT 13E T( Landscao Insp. Total Amt. Due 7(Y� 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." # t Recording Fee Receipt I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPR L GIVEN 18 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 This application Is not a permit Until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED et4ldIng Oftial or his/her Deputy: and Fe as are paid, and Is in space IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt acknowledged provided. WORKMENS COMPENSAT5pjgURANCE AND RCW 18.27. OFF1 NAT DATI ED "film TURE (OWNER OR 61 �;AT 1A* �i - 72 771-02 DATE '20 RELEASED BY ATTE"(YN M 1333 kh, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - F11,1() YELLOW - 4PECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNI!ff GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z m am a mg 80 C m m 10 z 0 "n Fn m V5 0 o Fn MO Cn z 9 0 m