20030284.pdfI
DATE RECEIVED pj If I
[PERMIT EXPIRES
C17Y OF EDMONDS Z
CONSTRUCTION PERMIT APPLICATION i
A
OWNER NAMEINAME OF BUSINESS
Mary Nash
MAILING ADDRESS
711 Alder St
CITY ZIP
TELEPHONE
Edmonds 98020 1425-697-5510
NAME
ADDRESS
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CITY ZIP _[TELEPHONE
NAME
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CBL#
Fast Water HEater
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ADDRESS
12601 132 Ave NE
CITY ZIP
ELEPHONE
Z-814-3124
Kirkland 98034
STATE LICENSE NUMBER EXPIRATION DATE
C
.FASTWHC052DF
2-16-05
I
4
PROPERTY TAX ACCOUNT PARCEL NO.
00434209003300
F
NEW RESIDENTIAL PLUMBING / MECH
ADDITION COMMERCIAL COMPLIANCE OR
CHANGE OF USE
REMODEL MULTIFAMILY SIGN
REPAIR [3 GRADING 0 FENCE
CYDS FT)
X
DEMOLISH TANK OTHER
GARAGE RETAINING WALL FIRE SPRINKLER
ALARM
CARPORT ROCKERY FIRE
WVE OF USE, BUSINESS OR ACT��M
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NUMBER. NUMBER OF CRITICAL
OF DWELLING AREAS
M
TORIES UNITS NUMBER
DESCRIRE?WORK TO BE DONE
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in garage btu's 40,000
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lyd Affto 67AS PJPJA)L�
HEAT SOURCE
GLAZING %
LOT SLOPE %
PLAN CHECK NO:
I
VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t:
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC
2
:3
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
PERMIT APPUCATION: ISO DAYS
IL
PERMIT UMM I 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 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a
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
0
NOR LIMIT IN ANY WAY THE CITTS ABIUTY 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSAT!�P�SURANCE AND RCW 18.27.
SIGNATURE (OWNER 0 GENT)
DATE SIGNED
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NUMBER
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REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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Obta'in Electrical Permit from
State 1,abor & Industries
!IRE REVIEWED BY W
PURSTIANT TO ECDC 19.30.02rT' ME:
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11ROGRESS INSPECTIONS PER UBC 1108/171NAL INSPECTION REO'D g
VALUATION
$ 449.00
Descriptlon
FEE
Description
FEE
Plan Check
State Surcharge
Building Permit
City Surcharge
Plumbing
Q
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Plan Chk. Deposit
Fire Inspection
Receipt #
Landscapelnsp.
Total Amt. Due
Recording Fee
Receipt #
CALL
FOR INSPECTION
(425)
771 -0220
APPLICATION APPROVAL
This application Is not a permit until signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt Is acknowledged In space provided.
OFFICI.�ILS SIGYATURE TE
RELEASED BY
( I ) / DATTE 7—
ATTENTION 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
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RECEIVED Iq
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF 13USINESS
Mary (lash
MAILING ADDRESS
711 Alder St
CITY ZIP TELEPHONE
Edmonds ! 1425-697-5510
NAME
ADDRESS
CITY ZIP TELEPHONE
4�4
NAME BL#
Fast Water HEater
ADDRESS
12601 132 Ave NE
CITY ZIP �ELEPHONE
Kirkland 98034 25-314-3125
STATE LICENSE NUMBER EXPIRATION DATE C
FASTWHCO,52DF 2-16-05
PROPERTY TAY, AccouNT PARCEL NO.
0.*0434209003300
PERMIT EXPIRES
6SE PERMIT
ZONE
'?� ;7
NUMBER
JOB SUITE/APT#
ADDRESS 711 Alder St
PLAT NAMEISUBDIVISION NO. LOT NO. LID NO.
I I LID FEE S
PUBLIC jlfWjrj#jjjR8fFW&WjfTfj
ROQV
METER 113313126- - tMV. EMDq 11.16.6916) PRV RE WIRED 13
YES C3 I NO 13 z
z
REMARKS z
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I
DATE
FIRE REVIEWED BY DATE W
cc
PURSUANT TO ECDC 19.30.020 rL
VARIANCE 0% "UMMMILl BOND
';;L QT POSTED
S BE INS
TAq
$
SEPA REVIEW HEIGHT
COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
NEW
RESIDENTIAL
PLUMBING / MECH
LOT CO
ALLOWED
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[R'ADDITION
COMMERCIAL
COMPLIANCE OR
13 CHANGE OF USE
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0 REMODEL.
13 MULTIFAMILY
SIGN
17 _'_jW1xhll4__1U_9_RE_VIEWED
PARKINTM AREA _T IN
REO'D PROVIDED ML
FENCE
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GRADING
D I sETSAcks (Fr.)
LIR SIDE REAR
DATE
t
Lj REPAIR
U CYDS
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REMARKS
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DEMOLISH
TANK
OTHER
oGARAGE
CARPORT
RETAININGWALL
ROCKERY
FRESPRINKLER
FIRE ALARM
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CHECKED BY ]TYPE
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obdopkNf
G011UP"
NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
STORIES UNITS NUMBER
DESCRIBEIWORK TO BE DONE
Remove/renlace gas water heater
in gfirage btiu's 40,000
SPECIAL INSPE -TIO
REQUIRED YES
S
AREA
EA
OOCUPANT
REMARKS
PROGRESS INSPECTIONS PER UBC 1108/11FINAL INSPECTION REG'D
fVd_'/VZa)..(.:7kG PJO)A)b
VALUATION
$ 44-9. 00
Description
ZFEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE
GLAZING %
LOT SLOPE %
Building Permit
City Surcharge
PLAN CHECK NO:
VESTED DATE
Plumbing
2_0
'S(
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
I= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBILIC
MARQUEES, RFOUIRE
Gradl
PO�N PfS, SIDrALKS,,=Rl= ETC.) WILL
'T
Sw
Engr.' ev ew
PERMIT APPILICATION: 180 DAYS
.
IL PERMIT ILIMM 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 ,
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscapelnsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CffYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
91
Recording Fee
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION
APPROVAL
GIVEN 19 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 hi"er Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknoydedged In space provided.
WORKMENS COMPENSATIOWURANCE AND RCW 18.27.
TE
OFFICI S SIGVATURE��
SIGNATURE. (OWNER 04GENT)
DATE SIGNED
(425)
)17D
771-0220
v
RELEASED BY DATE/
ATTENTION
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 NG 5 COPIES GREEN - ACCOUNTING
PRESS HARD -YOU ARE MAKI
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