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20030102.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAWJNAME OF BUSINESS Zan MQ_-E�� Hcco I v)( )QL— MAILING ADDRESS __ I NAME rDD—RESS I — CITY NAME 1U --� _] I PERMIT EXPIRES j!j� USE ZONE mom� PERMIT NUMBER JOB ADDRESS 106L4 PLAT NAMEISUBDIVISION NO, LOT LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP ApProvfd RW Fern9t Required streei Use Parmit R6q'd TELEPHONE EXISTING —P"OP08E43FA1— Sidewalk Required REQUIRED JE49M*6-,r 13 P2 SPRV REQUI# METER SIZ N&OT;.f ED S 'MM& YES 13 13 z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ZIP TELEPHONE __nk&_MP1P T ST M111,qT RF CBL 0 /07a [ENGINEERING ADDRESS ,--a C=.1 0 W I LAJ PWE K) CITY TELEPHONE KZIP 04 12=Q__&02-4_7a 17& UlAlt: ILIULMOC NUMULK EXPIRAT110NDATE U)psif/ �.F_5 A aqj2w U021 ) tj E PROPERTY TAX ACCOUNT PARCEL NO. Co's -4 1 jsaa C002),ocil RESIDENTIAL �LUMBING/MECH DITION COMPLIANCE OR COMMERCIAL CHANGE OF USE REMODEL REPAIR MULTIFAMILY GRADING CYDS SIGN FENCE X FT) DEMOLISH TANK OTHER EiGARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM UWE OF USE, BUSINESS OR ACTINTM EXPLAIN- NUM13ER NUMBER OF CRITICAL OF DWELLING AREAS /\07� STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE I I A CM - I . . _j , BY BE ACCERED DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINEORADB# I INSPECTION I BOND I REO'D POSTE EXP rQt1U11%;L" an '"' --_.I -_ � - I I L ted 8jrW& SAN&O' (A7 30lbOOSEO SETB*KS (Fr.) otcoxv, RONT ALLOW BED SIDE REAR FRONT UR S!21 REAR ---------- RE PfWbL&;�Odea :0.1) errT City Code. ECDC 19.30.020 CHECKED BY ITYPE 2NFTRUCTION coop OCCUPANT -71 GROUP 1Z5 SPECIAL INSPECTION AREA OCCUPANT REQUIRED 13 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REG'D z;:;7_ - . A 12 0 $ zsoclo ffiltd!q 4 Description !FEE Descrilptlen FEE 0 Plan Check State Surcharge S HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing e7^ A -- Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 1180 DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK 15 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 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 REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due NOR LIMIT IN ANY WAY THE CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT6 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 applicaUon Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBV, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEWS #3MPENSATFN)K%rNC54ND RCW 18.27.//7 OEPIC At N ,,SIGNATURE NER OR DATE SIGNED /L Ld 1-125) JAIE A � a /A I 771 -0220 LA/LA,-] "I VzV �) 4�� RELEASED BY DATI! 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�� YELLOW - IdSPiE CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 9 0 M 3 I ......... RECEIVED CITY OF EDMONDS N ;DS CONSTRUCTION PERMIT APPLICATION '. OWNER�A�NAME OF BUSINESS (a r�wls C-) C MAILING ADDRESS ODA C) A m o i r, 1-� NAME ADDRESS CITY ZIP NAME ZIP STATE LICENSE NUM13ER 1A)A58 / C,5 q 6 PROPERTY TAX ACCOUNT PARCEL NO. r -�(— .4 In n y , E �-1 I,:)- CBL /07 W1 17 USE ZONE JOB ADDRESS PLAT NAME/SUBDIVISION NO. LINE REMARKS PERMIT EXPIRES 1%9v? PERMIT NUMBER LID NO. LID FEE $ PRV @EQUIRED NO 13 DRAINAGE IR DATE FIF& *MMEAYOr JU VOTIX COnneCtOrS DATE requilled on fuel -burning appHwces In . F. a --T1 W101 NFORMIAlftw#115 PBOND DST .0 77 POSTED SE_�A REVIEW SIGN AREA I HEIGHT COMPILE TE I EXEMPT I ALLOWED I PROPOSED ALLOWED , PROPOSED &�EW RESIDENTIAL LUMBING/MECH LOT COVER ALLOWED PRI ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE [3 REMODEL MULTIFAMILY SIGN PARKING REO`O 13 fROV REPAIR GRADING CYDS FENCE X FI) REMARKS DEMOLISH TANK OTHER GARAGE RETAININGWALL FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY I[TYPE OF USE, 13USINESS OR ACTIVTM EXPLAIN- to;j ;11, Of P16-sed--A; Eare "0" . r tanks per 'If% AA � "nt, CHECKED BY ITYPE;9F COW OCCUPANT -7 GROUP 9..:e 1 IZ5 NUMBER NUMBER OF CRITICAL . ' I OCCUPANT OF DWELLING AREAS - - SPECIAL INSPECTION AREA STORIES 'UNITS NUMBER 1\f1 � I LOAD REQUIRED [] YES 'DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG'D "50 —,c, V - I V, IV 117r-, Ainl - e*a"V*t)cris%j A-t v— I jN/ Pe (W+-u Alf t1bA VALUATION $ 3SO Description FEE Description FEE DesCr rState Plan Check Surcharge HEAT SOURCE GLA23NG % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 1q0, Mechanical THIS PERMITAUTRORIZES ON17:1111ORK. NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PIWATE PROPEM ONLY. ANV CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWAILKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review A PERMIT APPLICATIOW 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMrf FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit ;A NP=T,AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF j EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLANS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Arnt. Due DEEMED TO MODIFY, WAIVE On REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording ee I 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 CRY AND STATE LAWS REGULATING CONSTRUC. CALL This appilcation is not a pwmlt until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building OIficW or hl"r Deputy. and Fees we paid. and IN VIOLATI THE LABOR CODE OF THE STATE 0 NGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMERS MPENSATpW ,$MKANC�.�ND RCW 18.27.,,' TE / AvDATE SIGNED -SIGNA!rER OR U!/// 1425) 1-02 acl CAQ=n ov DATt ATTENTION W 1333 1-T IT IS UNLAWFUL TO'USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - F I I CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD -ASSESSOR 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 0 U=1 z 0 0 m =i 9 am a ma 88 C 3� r. m m 10� z 0 -111111 0 Z� z 0 m