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20030197.pdfDATE RECEIVED 1 PERMIT EXPIRES IF .1 USE PERMIT ZONE J,003-01? 711 CITY OF EDMONDS NUMBER _,0 CONSTRUCTION PERMIT APPLICATION Jo SUITE # ADODRESS 7V OWWER NAME94AME OF BUSINESS Z_ YWE-45- M1WT7f%J PLAT NAME/SLIBDIVISION NO. LOT NO. L�D NO. I 15 MAILING ADDRESS L D FEES I<__7e211i 67 in Sr TE-5UP APPI=. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Pa. R Sttold Use Parmh Rbq'd C;>u 7M;9RVMjqulred CITY ZIP TELEPHONE EXIS' Rt&-- PRI75SEL) Sidewalk Relituirod TbIwimb5!1�aal 27L-aoQ9 REOL IRlIftiftiftNElettEkal x"MAt I op.qt 931 NAME METI R fttl PRV tEQUIRED YES 9U NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z z CITY ZIP ONE NAME 7" al.verz ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE Lu CITY ZIP TELEPHONE rL f�v STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE CU SHOREUNE 0" INSFECTIQN I Sot D Is or dosed, n9womm m KS aP&S'ED 0 T n n fir PROPERTY TAX ACPO PARCEL NO. ARI#�4E - SEPA F I—— -HEIGHT COMPLETE Foo EN( (6)LOWED PROPOSED ekLLE 1-13,011--, 04/9 1,90 ook, — i EXP I NEW -RrRESIDENTIAL 32--PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE BEAR FRONT URSIDE REAR COMPLIANCEOR ADDITION COMMERCIAL 1:1 CHANGE OF USE z PA 1110 LOT ARE PLAN ING REVIEWEo BY DATE 0 REMODEL 13 MULTIFAMILY 1:1 SIGN REQ`D 4"M Oft en connectors GRADING FENCE 0 REPAIR 1:1 CYDS 1:1 ( _ X_FT) a vqv-r�Tuu a REMARK - but — PS)"num In — DEMOLISH 1:3 TANK 0 OTHER unheaL-d S12wv-, 10 _81i.1.7 0 GARAGE -1 RETAINING WALL [3 F RE SPRINKLER CARPORT 1:1 ROCKERY FIRE ALARM (TYPE OF USE, BUSINE OR ACTIYTC0 EXPLAIN: CHECKED BY jtCODEJ OCCUPANT M /1111dif-7 GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION A!REA OCCUPANT UNITS NUMBER REQUIRED [3 S LOAD Y(qES —STORIES DESCRIBE WORK TO BE DONE REMARKS PROGRESS IGAWL% ffSjCjN*MrVSPECTION REO'D Ima2V= TZ4, 6E&� OBSERVED BY CITY INSPECTOR /V IJ U1 A Y-7 AFFIDAVITS SHALL NOT rjygp;T 40,OAZ VALUAnON VE ACCEPTED jig 11�� PA - vj\ Cl d1l 7Z 4Z) $ 01 Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 20. j5f,,iZ_, Mechanical THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 180DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 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 2 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. Due _75-777771 9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 TO ENFORCE ANY ORDINANCE PROVISION.* NOR LIMIT IN ANY WAY THE CITYS ABILITY X1 Recording Fee Receipt III IL�x� 2421 1 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 applicaflon 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 lhl�.9�TION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. _ S,?�ION INSU CE AND RCW 18.27. 7_1 OFFIC!,AIR S P%TURE DATE E IGNED 7IG,.u,,r 4 (425) e3 71M SL 771 -0220 DAYt RELEASED BY U_ 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. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z m M —18 0 r � x m m 10 � C z —C4 0 _rl m M rn 0 z 0 m a 7-7 AA A-4 ,A )e7tl I iDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OVTER NAMEMME OF BUSINESS Lyqmr 45 M Aj MAILING ADDRESS --'7 -;-A :;-Vq Sr CITY ZIP TELEPHONE qt�g& 1 L_41,f NAME ADDRESS CITY ZIP TELEPHONE NAME Cal. N (111k3 1 � . =-PERRMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS / & t/ .& 2ZL�_� / PLAT NAME/SUBDIVISION NO. OT NO, LID NO. LID FEE S F-L 7:. PUBLIC N;U— RW Permit Retruibd METER SfL LINE "j YES 13 NO 13 REMARKS -ropER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE e--- 1AA- A -4-9- -r, A -t-,P. v:) I FIRE R rqm or dosed, expansion tanksDam 'I W CITY ZIP HONE reauked on all hot water tanks per T—LE P VARIA 0 [ON BOND STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY WCodi. OSTED SEPA REVIEW SIGN AREA HEIGHT POSED ALLOWED , PROPOSED PROPERTY TAX ACryO fj%RCEL NO. COMPLETE , EXEMPT ALLOWED , PRO A93 00 EXP NEW ESIDENTIAL MBING MECH LOT COVERAGE RE UIRED SETBACH, 15LI EFRON:TL/RS EC WAR' ACR IN:POLU ALLO 1-1vuPubhu- I I ADDITION COMMERCIAL COMPLIANCE OR Orl L vent cOnned" CHANGE OF USE I A; REMODEL MULTIFAMILY SIGN R E (CY FED REPAIR GRADING o FENCE " space� UMC 815.1.7 CYDS X FT) REM KS OEMOLISH TANK OTHER All, oGARAGE o RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM UWE OF USE. BUSINE OR ACTIVTM EXPLAIN: CHECKED 0 UPA UE �f!PRG V/ GROUP NUMBER CRITIC 0 SPECIAL INSPECTION EA OCCUPANT OF DWELLING AREAS L NUMBER OF OAD UNITS NUMBER REQUIRED LOAD STORIES A/W YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIP"S I!ER UBCAM419SPECTION REG'D TM A < Ir 1_�' Irt Itbl, MU41 BE 4— @MANI I&/ bUIA6 UN IT W UtEJ`1747 )PAX i M' R rFLL vALuAno_N77Rrr Vila vir Anite $ L UUL1 9 IE60 zz r Description FEE Description FEE Plan Check State Surcharge GLAZING % LOT SLOPE % Building Permit City Surcharge HEAT SOURCE PLAN CHECK NO: VESTED DATE Plumbing -20.0'0'*' Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 23 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE SEPARATE PERMISSION. r Engr. Review PEnmrrAPPucATioN: isooAys PERUff ILIMM I WAR - PROVIDED WORK IS 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 ISSUAHCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due 21 NOR LIMIT IN ANY WAY THE CITYS ABILRY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 12 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 Otficial or his1her Deputy: and Fees are paid, and IN TION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. RRVgF J�ON INSUR�NCE AND RCW 18.27. �O JRE -2 ATE _ffjltA�6 SIG �UURE DATE / -2 ER E 'A'35) % o5l 771-0220 RELEAEED6 L) DAYE 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. UBC SECTION 109 PINK - OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z M F" M8 4 C) 0 C 3� z M M 0 _1111 3- M M 017 C n M 0