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20030240.pdfDATE RECEIVED IF A E CITY OF EDMONDS ZONE B JOB CONSTRUCTION PERMIT APP17LICATION ADDRESS AM WF BUSINE P Tr� V) s:::WV214— f--, v---x LA NA MI MAILINGADDRESS W 0 I�PV!r fj ADDRESS CITY NAME LICENSE PROPERTY TELEPHONE '111� \1�1, 4%.� ZIP TELEPHON 0 ham, ZIP ELEPHONE 0 NEW RESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL APARTMENT SIGN E3 REPAIR C:] GRADING CYDS C3 FENCE ( X FT) DEMOLISH 0 TANK OTHER GARAGE CARPORT RETAINING WALL ROCKRY 0 RENEWAL (TYPE Ok USE, BU§I S� OR A9TIVITY) EXPLAIN: CL IT FE nf\ Lu NUMBO� N E OF CRITICAL OF DWVVLLIRNG I L AREAS o STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE�ra I &AA rultavt btnle� (I tw I Z�5 VC, (ant ma txvvj� zptau wo K)W-UVOU nsb rK, I ENGINEER PERMIT EXPIRES PERMIT NUMBER-YL03 I JI I - __SUITEiAPTx VISION NO. LOT NO. LID NO. LID FEE S TIESCP r 0 11 B;FREE* I io P M" Min equ ad 0 Street Use Perm Req'd (3 1 3--0FOFLSEV=4 C01393C qui 0 CLAN Inspecciion Requi d If ajkj� Requot 0 spj**Alk Re 1;1.lvj REMARKS ....... ... UMNamt, aqNSI-1 1Iral I =11 116"WWWWALWOAVAils. Regardless oi whether the water system r i=56161, 9APdfl2n tanks are raal�rad on all he! WSW tanks per— i Qi,j Gode, ECOC jQ ?m o2o (o &G- - REVIEWED/DATE FIRE REVIEWED BY VARIANCE ORM1`1 APRE Kit SEPA REVIE;Atl COMPLETE I EXEMPT EXP LOT COVERAGE ALLOWED PRM9fV1lr5l mrwlll�-jl in QQ= ULq!1111r;1 to) 20 REQUIRED SETBACKS 1=0 0 0 z rr Lu z z 8 z W M HEIGHT WED . PROPOSED I PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR DATE 9116 THEBUELDING CHECKEDBY ITYPE FCONST CODE OCCUPANT I 0-01 46 011 10 GROUP A` SPECIAL INSPEC TOR AREA/ OCCUPANT REQUIRED 0 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION PLAN CHECK FEE. VALUATION FEE 0 z 5 W HEAT SOURCE GLAZING % %j LO OX PLUMBING PLAN CHECK NO: VESTED DATE MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO LOW BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC GRADING/FILL a M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. -STAIE-SURCHARGEnd Vl.-- PERMIT APPLICATION: ISO DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ENG. REVIEW FEES U SEE BACK OF PINK PERMIT FOR MORE INFORMATION U) 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS ENG. INSPECTION FEE !q IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF LANDSCAPING 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY RECEIPT FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENTOF ANY CITY ORDINANCE 01 NOR LIMIT IN ANY WAYTHE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' RECEIPT01 TOTAL AMOUNT DUE 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 Official or his/her Deputy: and Foos are paid. and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMENACOM PEN SATI?,;�RANC E AND RCW 18.27. 1 OFFICIALS 5IGNATUqE D [E SIGNATU 4VEO , ENT)VN f(i D&E (425) 0-11 /&&al) JIGN �e �;a 771-0220 RELEASE ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 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 FAX PINK -OWNER - GOLD -ASSESSOR �S*F I r-A 0 0 m M 0 —10 0 32 m m 0) 0 _n Oil m M Fn Ic 0 z fj) z 0 0 m 4NO DATE RECEIVED ;r i-� 4) PERMIT EXPIRES r CITY OF EDMONDS LfsE ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION JOB UITE/APT# ADDRESS f 0 A AME N PLAT NAM E/SO BDIVI SION NO. LOT NO. LID NO. LID FEE $ MAILING ADDRESS PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 0 RW Permit Required �� a a Street Use permit Req d .0 EXISTING — PROPOSED— Inspection Required 0 *d 0 CjIy I LEPHONE 7C) LWC-i 01 OU"d wiring require 0 RE ATION— FT w wm C ME 'EFULM Ar 'MkE ME v N1y1&m"m-N;;CriPRV reqWT el urnAingiff _�n fu V FRI !,51,r, UIRED NO 0 w E ADDRESS RE OW!tR/CONTRACTOR kFU=e31-- RESPONSIBLE FOR EROSION CONTROL/DRAIN" CC .4 w ZIP TELEPHONi k 7% waterAosm whether Ah 't'"'"M ENGII Mh dosed, expansiOn 'ir f 9DA open Wgibel gn all hot gater tanks Ber A 1015 5+ TF FIRE ECDC A9,30-020 (C) DATE w OR 'SU d w z 0 TELEPHONE m M VARIANCE OR CU SHORELINE OR ADB# INSPECTION _a RI z D OND PB OSTED , m TE LICENSE NUMBER EXPIRATI N DfTE Z I- :Pq C3NO . SEPA REVIgmim M __ - j vififfm EIGH PROPOSED PROPERTY TAX AC NO 500 COMPLETE IN TALLED 14EAR Ekp S BE rn m P C] NEW RESIDENTIAL LUMBING MECH LOT COVERA ALLOWED PROPOSED FRONT SIDE REAR PROPOSED SETBACKS (FT.) FRONT UR SIDE REAR 0 ADDITION C] COMMERCIAL o COMPLIANCE OR CHANGE OF USE z 0 C m PARKING VIDED LOT AREA PLANNING REVIEWED BY DATE m 0,REMODEL APARTMENT C:] SIGN ;4jou TO U 605.2 rn 0 GRADING FENCE 0* REPAIR CYDS FT) - ___ z MA S SUKVI&INI, kWATM 0 DEMOLISH C3 TANK 0 OTHER asib wm" nis BMID o GARAGE C3 RETAINING WALL CARPOEIT RENEWAL. z S CKERY_ _n 0 (TYPE OfUPE. rc I'M BU ItTS OR A9TIVIT-Y) EXPLAIN: 1 1. 1 . ne)i L CHECKEDBY jTYPEOFGONSMT ON COD OCCUPANT GROU lr�? m m 0 t3 NUMBE b F R E F DVEOL L I N Go CRITICAL A REAS A SPECIAL INSPECTOR AREA/ OCCUPANT LOAD on STORIER UNITS NUMBER REQUIRED YES 0 PESCRIBE WORK TO BE DONE o,-5e rw REMARKS _7Z PROGRESS INSPECTIONS PER UBC 108/FINAL 114SPECTION REO'D z 10 0 -LOA (,Vk P—X (51)a as, boi le r p JA ti a nimr1rarm a V 01 Ir 6 6- U.614 z r-�NIA-1151vt VALUATION FEE f a z 0 If PLAN CHECK FEE . —4 1 p 5 HEAT SOURCE GIIAZING % U - m PLAN CHECK NO' VESTED DATE PLUMBING MECHANICAL %THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONPTRUCTION'ON THE PUBLIC GRADING/FILL DOMAIN (CURBS, SIDEWALKIIII. ORIVEYVAYS, MARQUEES, TC.)WILLPEOUIRE 56P�kRATE;PERMISSIQ0. URCHAFIGA 4 �ra PERMIT APPLICATION: 180DAZAIql., U PERMIT LIMIT' 1 YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS IiNG. REVIEW FEES SEE BACK OF PINK PERMIT FOR MORE INFORMATION ENG. INSPECTION FEE .'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE; HEIRS, ASSIGNS AND SUQCESORS EREST. AGREES tO INDEMNIFY. DEFEND AND HOLD HARMLESS THE Cl TY OF ININT A LANDSCAPING 2 EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY , NO INSPECTION FEE ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY RECEIPT W FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE PLAN CHECK DEPOSIT 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REOUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN A NY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION,* T 0 RECEIP 7 .1 TOTAL AMOUNT DUE 9/ 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. This application is not a permit until signed by the CALL Deputy: Foos and T16N; AND KIDDING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or histher and are paid. IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. 4 WORKMEN;q COMPENSATIq�t�RANCE AND RCW 18.27. OAT OFFICI�LS PIGNATUPE. (425) * ir SIGNATUJ. rZ I I 771 -0220 RELEASED BY /DATE' ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 771-0221 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 FAX PINK - OWNER GOLD - ASSESSOR 5/98