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20030227.pdf7, 1 5`�k A-(,,r- I-q .DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMIUPAME OF BUSINESS S -t &- 0 it C A & k-a f-v- ffi MAILING &DRESS -Fk 198 -72 2 48 4 A ve CITY ZIP TELEPHONE 4dM0Aj,5 NAME N /14 IN ADDRESS CITY ZIP ITELEPHONE PERMIT EXPIRES USE PERMIT ZONE f-oo 3 NUMBER — JOB ADDRESS I 2L72Z_ I?lq rl- SUITEIAPT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved L RW Pannit Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT — Undswound Witing required METER SIZEJ_,"11,� or �ent connec e R or _xy��co�n�nec 0 tdft 13 NO vinniinnM In spaces. a z NAME ie 60,.S CBLO ENGINEERING REVIEWED BY DATE ADDREO -7go g 2,z 9 54- S W FIRE REVIEWED BY DATE CITY ZIP TEkEPHONE M U Cd d V1,3--774. 9 6 9? STATE LICENSE NUMBER EXPIRATION DATE SUSG�§D BY BOND VARIANCE OR CU SHORELINE OR ADBN INSPECTION 1$ POSTED REO'D 10YEs 13NO -7 PROPERTY TAX A9CC0 PARCEL No. BEIRA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLCWED PROPOSED ALLOWED PROPOSED 01) EXP , , I NEW *"RESIDENTIAL LUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR 0 ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE 1116 REMODEL MULTIFAMILY 0 SIGN REQ`O I PROVIDED REPAIR GRADING CYDS FENCE 1:1 x FT) REMARKS DEMOLISH 0 TANK ci OTHER 0 GARAGE CARPORT 0 RETAJNINGWALL ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE. BUSINESS IN: CHECKED BY ITYPE OF: C N OCCUPANT GROUP NUMBER OF NUMBER OF DWELLIN CR ITICAL AREAS SPECIAL INSPECTION JAREA OCCUPANT LOAD STORIES UNITS NUMBER REQUIRED [3YEB DESCRIBE WORK TO BE DONE I REMARKS PROGRESS INSPECTIONS PER UBC I DO/FINAL INSPECTION REGID 49 KZja la.irp - P)e Al, lZoPlmA Pla b1_7 4,0- 7-" �rw 19 A, %- no-ce— L4j I 'rh rTe/GU !L—S i n 'e>h viJ GLAZING LOT SLOPE HEAT SOURCE PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERIArr COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUULIC a DOMAIN (CURB11, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REG IRE SEPARATE PERMISSION. PERMffAPPUCATION: ISO DAYS PERMIT LIMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF 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 MODIFX WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - I HERE13Y 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS SATION INSURANCE AND RCW 18.27. SIGNr= A DATE S!1PNED $ - _I-- - Doscription FEE DescriptIon FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscape Insp. Total Amt. Due Recording Fee Receipt # APPLICATION APPROVAL This application is not a pernnit until signed by the CALL Building Olficial or "r Depuly: and Fees are paid, and FOR INSPECTION I) receipt ispi5lin 94ded9od In space provided OF SIGZRE�' DA ZIALS 771-0220 E EASED Bl,:--' DATE ATTENTION Y 6/ Off 1 3 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL L 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 IDATE RECEIVED PERMITEXPIRES 1011 L I CITY OF EDMONDS USE PERMIT Mo �' 0 1 ZONE NUMBER 'L I CONSTRUCTION PERMIT APPLICATION JOB m sunVAPT# ADDRESS OWNER-7 E OF BUSIPBS Ere a Vk C+ Cl re yk fr L4 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING XboRESS LID FEE $ TESCP APPMW �14-f Ave- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Roqu CITY ITELEPHONEr -7 4C 0101)ds qf'O'p -2( t/ 7- 5� q. qy'0'5' rn, Street u-, Pennkt EXISTING — PROPOSED Inspection Req" REQUIRED DEDICATION— FT S owalk Required u :> wiring reqtArod 13 NAME METER SIZE LINE ��F FIXTURES PRV REQUIRED NIA ESD NO 13 ADDRESS REMARKS O"111RAINAIGE OWN LE FOR EROSION CONTROLJORAINAGE Type or L vent connectll= CITY ZIP TELEPHONE a,—In 'tONCON reqwmd U111 1S.1 .7 815. .7 NAME CBL# E: M-CCA"I ce& -S C (A ENGINEERING REVIEWED BY DATE ADDREIM 0 -S W z z FIRE REVIEWED BY DATE CITY zip TELEPHONE T 0 Z -5-.7 7 66 9 L 9 C/ M STATE LICENSE NUMBER EXPIRATIONtTE CLWPMD BY vARiANCE OR CU SHORELINEORADB# INSPECTION BOND REO'D POSTED pq ( U 13 YES 13NO $ - ___ SEPA REVIEW SIGN AREA HEIGHT PF)OPERTY TAX a NO. AM UNI COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED M IWO [AJ EXP , , , C M 11-NEW �TRESIDENTIAL V-PLUMBING/MECH LOT CM REQUIRED SETBACKS (FT.) PROPOSiD SETBACKS (FT) ALLOWED P i&09NT SIDE REAR FRONT LIR SIDE REAR C COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE i,. I V1 I M M REMODEL MULTIFAMILY SIGN PA A&6 ED BY DATE RECY IL z REPAIR GRADING FENCE CYDS X FT) OTHER REMARKS DEMOLISH TANK 0 0 GARAGE ER [3 RETAININGWALL FIRE SPRINKI. FIRE ALARM CARPORT ROCKERY M'74 OF USE, BUSINESS N: CT ITYPE CODE OCCUPANT CHECK6 BY. CMN OR M M CRITICAL u NUMBER NUMBER OF OF WELLING AREAS Pr SPECIAL INSPECTION ]AREA OCCUPANT LOAD 0 Fn STOR UNITS NUMBER JES REQUIRED 0 YES DESCRIBE WORK TO BE DONE In 0 I REMARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REaO ea Ct ce exi5+1101cl Q '5L; iv� Pi ct c e Lv t4k` P�p 'J r L411 22 &15- e4 OL S e- VALUATION 155K61k, 0.1 Ock -PA. Description FEE Description FEE z in ap, I Plan Check State Slirchgm- 1 0 HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge M PLAN CHECK NO- VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PU13LJC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMIT AppubAmom iso DAYS P. PERMIT UMM I YI!AR - PROVIDED WORK 19 STARTED WITHIN 180 DAYS Engr. Inspection SEC BACK OF PINK PERMIT FOR MORE INFORMATION T N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit ;APPZAN N REW.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, 4RISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT, ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WME OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Arnt. EDue NOR LIMIT IN ANY WAY THE CITYs ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' it Recording Fee Receipt I I HEREBY ACK14OWLEDGE 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- This application Is not a permit until signed by the CALL TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or,14eftir Deputy: and Fees are paid, and FOR INSPECTION receipt Is, �qki)dWfedgod In space provided. WORKME�N�TiON INSURANCE AND RCWF 18.27. OF I LS 100 D A�/ R AGEO) � DATE S19NEID (425) 17_=J J t10 3 7il-02'20 /4LEASED 81�� DnE ATTE14TION I/ Off 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-F YELLOW -INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWFNIEER GOLD - ASSESSOR 04/02 GREEN ACCOUNTING PRESS HARD -YOU ARE MAKING 5 COPI