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20030158.pdfDATE RECEIVED PERMIT EXPIRES --j —L USE PERMIT CITY OF EDMONDS ZONE NUMBER 2603_01 J0 UITE/A7PT# CONSTRUCTION PERMIT APPLICATION ADODRESS OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVIS ION NO. LOTNO. LID NO. MAILING 'ADDRESS LID FEE S PUBL my Permit Requi W Street Use Parml RKd CITY EXISJNqy� @&j.,yPni ronnecin Inspection Requk d ZIP TELEPHONE REG RVtjfQked4ajUe6bvrn1n&aW Sidewalk Flpquife A 1-4(#' 5`7 76.- .10" MET . nA Ellpl� qp" of U NAME vah te& __!�rIx&AC&jL 7 PRV REC ARED lx�o 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE CITY 1 194d ZIP TELEPHONE NAME W ADDRESS 0 laqx 're, CIT Y ZIP TELEPHONE U -7 -75- 0 :Z.7 d66' STATE LICENSE NUMBER EXPIRATION DJ%TE I CHEO� ROPERTY TAX ACCOUNT PARCEL NO. I F — 5-.007.2 40 0 121:3 6007 NEW RESIDENTIAL 91 PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR 1:1 CHANGE OF USE REMODEL 0 MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X ( FT) 13 DEMOLISH 13 TANK OTHER oGARAGE [3 RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME OF USE, BUSINESS OR OF NUMBER J,,*1 NUMBER OF WELLING CRITICAL AREAS UNITS� NUMBER .STORIES DESCRIBE WORK T6 BE DONE(-'? 11!1"l FIRE FroEc7ugury DATE ul 01 0 btW Iz btain Electrical Permit I VARIjCbjftde jqRftFfLINFfffl ON I BOND POSTED ..J.OyEs ONO $ ta"M -- �JHT SEPA REVIEW SIGN AREA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED :XP I I - LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) NLLOWED" FITIN I SIDE 11low— — E REAR I negardle of whether the w ter system z -Qpeq PIT PA 06 REO'D I P&Mffr%l C)n e11Vt w*ater tanks per AFMARKI CHECKED BY TYPjff OCCUPANT'g�� GRO SPECIAL INSPECTION JAREA OCCUPART REQUIREDE] YES LOAD REMARKS PROWESS INSPECTIONS PER UBC 108/FINAL INSPECTION REWD] f. I"YAA- / - IA4 11 z 4"A el, 'n 19 $ - -------- GAS P1 FEE 1"VALV,e hia-541MWL kf&422aj�z Plan Check biate tourcnarge HEAT SOURCE GLAZING % LOT li-L—OPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing ----------- — Mechanical THIS PERMIT AUTHOR12ES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading a IS. ETC.) WILL REQUIRE DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEE SEPARATE PERMISSION. Engr. Review PFnMITAPPUCATION: 180 DAYS CL PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WITHIN 150 DAYS 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 NOT BE FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY WAIVE ON REDUCE ANY C NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., z — 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 IN VIOLATION QF'%HE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S C ,PPENfATION INSURANCE AND RCW 18.27. SIGNATUREJWN:ER DATE SIGNED 1,495) V OFFICIALS SIGNAT DATE &RGENT�) a— 3, 03 4 L 771-0220 i _. RELEASED BY ENTION 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. UBG SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 M fn M -48 0 r rn M 10 z 0 -n n M In a _W 0 0 Fn C2 ic z z 0 M III. _. - III I. - I . . 4 1 RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS I I t L I I p 1'7 I� FOUNDATION: Footing -I q0to see is s's in 0 as I a k I I I I L I % 6 1� I I I I I I L Mall I Pier/Porch 9 0 d 0 a 4 0 a a 0 6 0 6 0 9 0 9 1 I It W- ft- r R6pt alning Wd d Slab- Insu lation 6 ;iqmtoo opt 004 4 9 a d PLUMBINGO VISION tt. P- n erckround�*.698866*46606 MI j C 4 U JD m 14 R 9 1 .0 ppp� 4 1 1 4 DATE RECEIVED cay6PEDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS qjy'l - _/,� -rq CITY ZIP TELEPHONE *7 74 NAME ADDRESS CITY NAME CRLH &did S2 EA,� j,0_.5-T, ADDRESS 0 x e. CITY zip TELEPHONE 00) 14,0 t? r 7 z4n!��6_- '.'/ / STATE LICENSE NUMBER EXPIRATION D7E C �E -A 1:dl PROPEMY TAX ACCOUNf PARCEL NO. 0 NEW RESIDENTIAL PLUMBING/MECH aADDITION ] COMMERCIAL COMPLIANCE OR CHANGE OF USE 6 REMODEL MULTIFAMILY SIGN b 'REPAIR GRADING CYDS FENCE X FI) DEMOLISH TANK OTHER GARAGE o RETAININGWALL FIRE SPRINKLER 0 CARPORT ROCKERY FIRE ALARM (ME OF USE, BUSINESS OR 4�� NUMBER OF NUMBER OF DWELLING CRITICAL AREAS STORIES UNITS, NUMBER 'IRK TG rlyd-44 RE DONE LA rue -a ag if4weA q 0 a—vq PERMIT EXPIRES USE PERMIT ZONE NUMBER ;2603 JOB UITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I In EEC a 7ESCP APPMW PUBLI BY UP c1floniffr%medor W Parrnit Requir I'Trest U,q Permh 'd METES SIZE LINE SIZ NO. OF FIXTURES PRV REG IRED YES 13 NO E3 3 15 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE — 4 1 L-4, —4e > a go Vi - A O?j j I- If I e cal Permit rrom FIRE `ie*ie"ex nIk4fi%AIvI Iwo -4-9 D PBOOSNTED ISEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED P 1 1 LOT 081110AGE CKS (FT.) ALLOWEjFfVjy8fg8 Er trARWIteFRONT J_/RSIjE REAR b � Robeffe e r smern REQ'D llvvqmq on all qot water tanks per CHECKED OCGUPAN%&?�� IS E TYPFAREA"M OCCUPAtfT BY GRID SP CIAL INSPECTION LOAD REQUIRED r-' YES REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REG'D /j 2 1 _77 1,yT1.1.1 ,_ Ao e� AAZ,4�1 kw,-v 2 & --Z= /2) FIRE `ie*ie"ex nIk4fi%AIvI Iwo -4-9 D PBOOSNTED ISEPA REVIEW SIGN AREA HEIGHT COMPLETE , EXEMPT ALLOWED I PROPOSED ALLOWED PROPOSED P 1 1 LOT 081110AGE CKS (FT.) ALLOWEjFfVjy8fg8 Er trARWIteFRONT J_/RSIjE REAR b � Robeffe e r smern REQ'D llvvqmq on all qot water tanks per CHECKED OCGUPAN%&?�� IS E TYPFAREA"M OCCUPAtfT BY GRID SP CIAL INSPECTION LOAD REQUIRED r-' YES REMARKS PROGRESS INSPECTIONS PER USC 108/FINAL INSPECTION REG'D /j 2 1 _77 1,yT1.1.1 ,_ Ao e� AAZ,4�1 kw,-v 2 & --Z= /2) $ GAS P UT U31 BE IUM A1 I/ Desc 1W NEW I I FE Plan Check halig, Irge HEAT SOURCE GLAZING % LOT S r- % Building Permit rge ity Surcharge ity MSurcha PLAN CHECK NO: VESTED DATE Plumbing 490, pow 07% -_ q . Mechanical - 00. THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 2 Grading 0 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, UARQUEES, ETC.) WILL REQUI RE t: SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 180 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION �APPLICAIA 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 CL41MS 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 Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS 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 CORRE" 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 DQING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION QP"E LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEWS CAPEAqATION INSURANCE AND RCW 18.27. OFFICIALS SIGNAT DATE R ENT) DATE SIGNED IA95)SIGNATURE ,/RE 771-0220 P 1AR RELEASED BY DAE 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 YELLON- 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 z 9 0 M =P% M rn 0 --I O� 0 C= .1 C MIM z 0 _n n M M 0 6) 0 0 C C M 0 z 0 1 0 M