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20030173.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME NESS 0 a OF M MMW I G 01 1U_ cl ZIP & TELEPHONE NAME If ZIP 76 E ICBL# I L 41 ZIP TELEPHONE gctite '-v'e, 4 -j LICENSE NUMBER EXPIRATIO DATE LPr Y) 0 r -7q TAX ACCOUNT PARCEL NO. ( I 0� I I PERMIT EXPIRES USE PERMIT ZONE NUMBERC JOB SUITE/APT# ADDRESS U2,2 — -az PLAT NAME/SUBDIVISION NO. "I LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APR7.�d� RW Permit Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underwound Wiring required 13 METER SIZE �E77NO. OF FIXTURES PRV REQUIRED 0 YES9 NO C3 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE 110 VARIANCE OR CLI SHORELINE OR ADB11 I INSPECTION 1$ BOND REO'D POSTED 13YES ONO SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED 15 S( C/ 6 'o o - e, EXP Off"NEW RESIDENTIAL E?VLUMBING M17ECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (170 ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR 2 ADDITION MERCLAL COMPLIANCE OR 9 CHANGE OF USE z REMODEL MULTIFAMILY I SIGN PARKING REO'D I PROVIDED LOT AREA PLANNING REVIEWED BY DATE REPAIR GRADING 13 CYDS o FENCE ( _X—FT) REMARKS DEMOLISH TANK OTHER GARAGE CARPORT RETAININGWALL ROCKERY F RE SPRINKLER F19EALARM F USE. BUISINESS A LAIN: MI. 7 IR CHECKED BYTTYPE GROUP OF CONSTRUCTIOTT"'F OCCUPANI�? I IFL� 'r.1 P 9 humadA OF N BEff 0 UM LL A)IJ4 C RITICAL AREAS el " K/8 SPECIAL INSPECTION OCCUPANT LOAD STORIES UWE NITS REQUIRED [] YES JAREA DfigghIBE ORK 61 DONE I REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REaD f VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge PLAN CHECK Nllje�N -2 ( 22 --OL Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONCY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. I: Engr. Review PERMITAPPLICATION: 1130 DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION I '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 a 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 9 REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR 0 NOR LIMIT IN ANY WAY THE CrIYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- X1 Recording Fee Receipt # L,6"? 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 applica0an Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LAA�� OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowiedgad in space provided. WORKMEN'S COMPENYAgRINS RARGE AND RCW 18.27. DATE --9%90MJqE (OWNER IE 1405) %-Wlr- 3MM4 31-7103 321115- �Lc 771-0220 RELE 611113 BY DATE ATTENTON M 1333 /%W1 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 M a 4h I 0 V ATE RECEIVE9 PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBE��a—(�'/ CONSTRUCTION PERMIT APPLICATION JOB SUnVAff#,!We ADDRESS onNAME/N NESS Q�_ 77 OF Wffl PLAT NAME/SUBDIVISION NO. LID NO. 77 LID FEE S i0_4FG AULr 5 TESCP APPMVW PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Wd EXISTING - PROPOSED Inspection Required cl ZIP LLEPHONE Sidewalk Required REQUIRED DEDICATION- FT Underground Wiring faquinsd d METER SIZE LINE SIZE NO. OF FIXTURES� PRV REQUIRED E YESX NO 13 OLE ry aAeejl��e_ I ADDRt "o, 04 REMARKS S� -j4 OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE ZIP ITELEPHONE z a 41ib NAME CBL# ENGINEERING REVIEWED BY DATE ADDRESS �40 0 FIRE REVIEWED BY DATE CIT TELE ZIP PHONE sew 9_� & ;9. -9-74-7 BOND VARIANCE OR CU SHORELINE ORADS11 INSPECTION CEASE NUMBER EXPIRAT 0 ATE 9PVCKE REO'D POSTED 14 1 3 OYES ONO is lopr=13= 70 $EPA REVIEW SIGN AREA HEIGHT F111OPERTY TAX ACCOUNT PARCEL NO. COMPLETE , EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED —7 EXP LOT COVERAGE IRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) [ff"NEW RESIDENTIAL., 1LUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR z 0 ADDITION M.-tOMMERCIAL 0 CHANGE OF USE PARKING LOT AREA LANNING REVIEWED BY DATE 1:1 REMODEL MULnFAMlI.Y SIGN REO-O PROV ED ID GRADING FENCE 1%�& 0 REPAIR 13 CYD�f 0 ( X _ FT) REMARKS I I I [:] OTHER 81 DEMOLISH TANK GARAGE 01 RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIFIE ALARM n=R A37 CHECKED BY I T'�PE OF CbNSTRUCTION COU OCCUPA� GROUP AUMBdk NUMB CRITICA WV 5; e R I yk I - OF DWELL AREAS SPECIAL INSPECTIO OCCUPANT STORIES UNITS [NUMBER REQUIRED [] YES LOAD GRK M Bd DONE V-'4'V 4 REMARKS PROGRESS INSPECTIONS PER UBC 1 08/FINAL INSPECU1. AA k HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECKR VESTED DATE r)3 —OLEs, THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, ORP&VAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCAIV*- 80 DAYS PERMIT UMM I YEAR - PROVIDED WO'A" 10AMM11vilTHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION -APPLICAK, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY U, EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND 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 NOR LIMIT IN ANY WAY THE CITVS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 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- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE F OF THE STATE OF WASHINGTON RELATING TO WORKMENS CO U AND RCW 18.27. a E (OWNER DATE NE9 p m4eA — ( , "71i g I Description FEE Description FEIT" Plan Check State Surcharge Building Permit 16� Surcharge Plumbing Mechanical Grading E22r. Review r ngr. Inspection Fire Review Plan Chk. Deposit I Fire Inspection Receipt # I 11 Landscapoinsp. Total Amt. Due A - Recording Fee Receipt # L2C Z CALL FOR INSPECTION L , 1A25) 771-0220 APPLICATION APPROVAL This application Is not a permit until signed by the Building official or his/her Dcputy: and Fees are paid, and receipt is acknoWledged in space provided. I OF WIGSN. DATE 4 3/4)C>3 -0 F*R—'E L­4 0 By DATE A71EW10N "T"I 33 . , :��7/&4 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL MWWWMZ& �1 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