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20030223.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS -L(- :k -T)� MAILING ADDRESs CITY ZIP ITELEPHONE NAME Ai3nRESi CITY 4e ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB ADDRESS m /V PLAT NAME/SUBDIVISION NO. LOT NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING — PRnposEn SUITE/APT# LID NO. LID FEE $ TESCP Approved RW Permit Requited Street Uja Permit RKd METER SjErejjUdjyftWff61hn f rilly-MIPILLIM Eim u1mbb HaFeTh" un ented es xlw"r 2110 NO 13 REMARKS1 f ENGINEERING REVIEWED FIRE REVIEWED BY cl ZIP TAEPHONE RIANCE OR CU Z541 VA STATE LICENSE NUMBER EXPIRATION DAIL! CHHECKEDBY N 9 PEN Hlb-0 Lir-1 — U &W SEIIA PROPERTY TAX ACCOUNT PARCEL NO. COMPLEfEMz (3 z SHALL NUF n4en DATE ILI 1% rL SHORELINEORADB# I INSPECTION I BOND AEQ'D POSTED 13YEs 13NO Is EXP I NEW --ia RESIDENTIAL PLUMBING/MECH LOTLnVERAU— ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SE*ACKS (Fr.) 61A SIDE REAR 2 ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE IL REMODEL MUI.TlFAMlI.Y 0 SIGN REOD PROVIDED I I I REPAIR GRADING CYDS [] FENCE X FT) _ REMARKS 0 DEMOLISH TANK OTHER ciGARAGE RETAININGWALL 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM I[TYPE OF USE, BUSINESS 01's N: rr� CHECKED BY OCCUPANT � IC GROUP NUMBER OF 12-1 NUMBER OF DWELLING CRITICAL AREAS IV14— SPECIAL INSPECTION JAREA. OCCUPAN I LOAD STORIES UNITS NUMBER REQUIRED [3 YES DESCRIBE WORK TO HE DONE t)67 REMARKS -.-A, y ESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 U (ITUJDa - WIV - :Pi62_f%QI 12A E, I - Lai bro Liro�10(- 13-1-K i N� $ I - f�WF_ PLAO-F n\� v ra(&F. !E 1-Lk- Description FEE Description FEE M Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing e5d Mechanical 60 THIS PERMIT AUTHORLTES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 160 DAYS 26 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 IN INTEREgi AGREES TO INDEMNIFY, DEFEND AND HOLE) HARMLESS THE CITY OF Fire Review Plan Chk. Deposit III EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Pier - 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 CIIYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # 1 HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL 0) 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 Building Official or histher Deputy: and Fees are paid. and TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE jABQ9.Q,0DE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space provided. WORKMEN'S COMF 4&ylq��NCE AND RCW 18.27. OFFICIALS JAGN 'URE DATE to E E GNED (425) 1-wi-LEAsED 771-0220 0 IATE ATTENTIOW EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY Illin GO STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- al q jj.j�j,��RIGINAL- FILE YELLON- INSPECTOR I GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION I Q j JW PINK -OWNER 04/02 PRESS HARD - y U AR� MAKIR9 �,C,?PIES GREEN - ACCOUNTING r z 0 M rn C M __I § 0 C: .2 x : rn M4 z 0 -n "n 4 M M D—O) 0 0 Fn C K2 0 z 0 4 0 M 0 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS &C MAILING ADDRESS Ct CITY ZIP ITELEPHONE NAME ADDRESS CITY N4 ZIP -±W) CITY ZIP I STATE LICENSE NUMBER t TAx ACCOUNT PARCEL NO. 19ak �jl PERMIT EXPIRES USE PERMIT ZONE egQa—oz NUMBER 2 JOB SL ADDRESS Zfz.�2 �� ,V,�, PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. PUBLIC RIGHT OF ]MAI, ectors 4 Rq. pibp t colm fttked 6 Ired W RrD DIQAiTIQUbJ"ab.,1rrWA WkM9 roqW 13 M ERB E L*VM& I UI&.*eP INWH�'197" PAV R QUIRED NO 61 �7 1 OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 1 6 1 1 FIRE REVIEWED BY 59 . - m-� —7-RIANCE OR CU SEPA COMPLETE EXP r,, DATE SHALL NOT . I T"to DATE SHORELINEORADB# I INSPECTION BOND REQ'O POSTED OyEs 13NO L$ �,�SIGN��A�REA %a HT ED PROPOSED NEW 0 RESIDENTIAL PLUMBING/MECH L GE: AWgIM MOPOSED SIjrBACKS (Fr.) ALLOW D S SW FRONT IDE REAR ,%Fr Sj�q� f ADDITION COMMERCIALL COMPLIANCEOR CHANGE OF USE -REMODEL MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE RE11D I PROVIDED [j REPAIR GRADING CYDS FENCE X FT) REMARKS DEMOLISH TANK 0 OTHER GARAGE RETAJNINGWALL -CARPORT 1:3 ROCKERY F RE SPRINKLER 1:1 FIRE ALARM (TYP . E OF USE, WSINESS ORSf7�=N: CHECKED BY OCCUPANT GROUP NUMBER NUMBER OF F DWELLING 2-1 rCRITICAL AREAS I SPECIAL INSPECTION AREA OCCUPANT LOAD STORIES UNITS NUMBER REQUIRED [3YES DESCRIBE WORK TO BE DONE 7 -Y REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECV0 i LA I I I V 13 Zt, -rl,u I VALUAnON 'RW Run LCf 7 /Jb f� INN $ Description FEE OF-- LA- 0-F I n�fF L--,E DescriptIon FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 2D. &I Mechanical THIS PERMrr AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DOME ON PRIVATE PROPERTY ONLV. ANY CONSTRUCTION ON THE PU13UC DOMAIN (CURGS, SIDEWALK% DRIVEWAYS, MARQUEES. ETC.) WILL REQUIRE Grading SEPARATE PERMISSION. Engr. Review 15 PERMIT APPLICATION: 180DAYS ERMff IUMM I YEAR - PROVIDED WORK 15 STARTED WR`HIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMR` FOR MORE INFORMATION ;A ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit PPU N INT=T AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF HINGTON. n`8 OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND EDMONDS, WAS 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 E Landscape Insp. Total Amt. Due DEEMED To MODIFY, WAIVE OR REDUCE AN I I Y REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' 11 Recording Fee Receipt # 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 APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LYPA REGULATING CONSTRUC- This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NTPE, CALL %fSOgTWILLBE EMPLOYED Building Officiall or hisMer Deputy: and Fees are paid, and IN VIOLATION 0 E.LAB0 DE OF THE STATE OF AS IN ON- RELATING TO FOR"INSPECTION receipt Is acknowledged In space provided. WORKMEWS CO PE 0 CE AND RCW 118.2�._� DATE// OFFICIALS; 17N fURE E GNED —W49 ,AIGNA D4T (AW21.5) 77, DATE 771-0220 RELEASED By 57 EXT 1333 (TTTENTIO&/ IT IS UNLAWFUL TO USE OR OCCUPY AMI-DING 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 HA GREEN - ACCOUNTING -YOU ARE MAKING 5 COPIES 1�