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20030288.pdfI I DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OMER NAME/NAME OF BUSINESS J)6-onrJ��rV)a4 Hr.1- MAILING ADDRESS TELEPHONE NAME ADDRESS CITY ZIP NAME ADDRESS TELEPHONE STATE LICENSE NUMBER PROPERTY TAX 10&EW ORESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY 0 REPAIR GRADING CYDS DEMOLISH TANK oGARAGE RETAININGWALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVrTY) EXPLAIN: NUMBER NUMBER OF OF DWELLING I STORIES 4 UNTTS DESCRIBE WORK TO BE DONE 4 CBL N LISE ZONE JOB ADDRESS i 4� NJI-1 fLAT NAME/SUBDIVISION NO. PUBLIC RIGHT OF WAY PER REQUIF METER REMARKS PERMIT EXPIRES It // 14 I _%4 -1 A�' PERMIT NUMBER LOT NO, LID NO. LID FEE $ RW Pam* Req.k Use Permit RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I r_e_tr�cn� Permit fmm Qbta't-; 1R3 4URE\TIEWED BY DATE State,, Lsboz dustrie-S FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINEORADBI I INSPE(71ON I BOND 3D POSTED ONO 1$ 13YEs SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT ALLOWED . PROPOSED I ALLOWED . PROPOSED LOT COVERIMI qvLUMBING/MECH _ ciCOMPLIANCE OR ALLOWED %go CHANGE OF USE 0 PARKING SIGN REOD I PROVIDED FENCE X FT) REMARKS OTHER FIRE SPRINKLER FIRE ALARM (5 z 5 z z W cc or. D SETBACKS (Fr.) UR SIDE REAR z By DATE CHECKED BY I TYPE t I C OCCUPANT,,r/0 fle— 10 GROUP CRITICAL AREAS SPECIAL INSPECTION JAREA OCCUPANT NUMBER REQUIRED El YEs LOAD REMARKS ]PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE010 Uyl VALUATION $ y lily 'f 6Y12 D Description FEE Description FEE 9 Ra Plan Check State Surcharge HEAT SOURCE JILAZING %j LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE I'Ir') Plumbing , -�-- Mechanical 00"_ THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) V61LL REQUIRE SEPARATE PERMISSION. Engr. Review 15 PERMIT APPLICATION: 160DAYS PERMIT LIMM 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 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 Landscapelnsp. Total Amt. Due 21 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." 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 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 hi0or Deputy: and Foos are paid, and IN VIOLAT!ON OF THE LAJKM-CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN S COMPENStpb AND RCW 18.27. ,"RANCE SIG __> 1 IA63 1425) OFFII;Ihk,& SI NATURE/ DATE/ 4n) 771-0220 RELEASED BY MOE 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- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL - FILE YELLOW - INSPECTOR PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN ACCOUNTING IfT V, I 40ATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS % I A - j) I 6-n nri- a/ MAILING ADDRESS CITY ZIP TELEPHONE ca M w& �10A o -I _0 ADDRESS CITY ZIP ADDRESS 1 `94�� (� ZIP \J I TELEPHONE 1 (Vl4d4 n 4CO -nN/.— STATE LICENSE NUMBER EW ;20 ADDITION COMMERCIAL REMODEL MULTIFAMILY [3 REPAIR GRADING CYDS DEMOLISH [3 TANK GARAGE CARPORT- o RETAININGWALL ROCKERY (TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN:7 NUMBER NUMBER OF OF DWELLING STORIES UNITS DESCRIBE WORK TO BE DONE 4 CBL N [PERMITEXPIRES u's E ZONE PERMIT NUMBER JOB ADDRESS 1�11,q tyLAT N E/SUBDIVISION NO. LOT NO. 4 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP �EXISTING — PROPOSED .1 REDUIRED M E_ L mn.vai;.wx METER SIZEI —frUN SIZE REMARKS LID NO. LID FEE $ TESCP ApWand RW Psmift Requk Stmet Use Parmh ,11F NO ENG INE MbIEW bectrical PerWt M& FIRE R 119119 W! DATE 4 VARIANCE OR CU SHORELINE ORADS11 I INSPECTION 1$ BOND REO'D POSTED 13YEs ONO SEPA REV] ;X; PA HEIGHT x , "g( �YMU' � COMPLETE Ex .-MAU A&ED ...... PROPOSED "XP BSERI@D BY Cffy IN n PX S UMBING/MECH LOT COVERAG ALLOWED -) WOSED SETBACKS (Fr.) PROPS I NT LiR SIDE REAR I COMPLIANCE OR BE ACCEffED rl CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE 9 SIGN RECrD PROVIDED I FENCE REMARKS ( — X—FT) o OTHER FIRE SPRINKLER F RE ALARM CHECKED BY ITYPE IVZb_WS I OCCUPANT Z10 K___ GROUP CRITICAL J CzV '6493;1 AREAS SPECIAL INSPECTION JAREA OCCUPANT NUMBER REQUIRED LOAD REMARKS ]PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 9 I is f)L,191A _)n I rrffr1.Cf I L, - VALUATION _L1 - _111VIVI - El y- $ a wwomen ses P Df f) (�YW DescrIptlon FEE DescriptIon FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE -Not Plumbing X0 r THIS PERMrr Mechanical AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC 2 DOMAIN Grading 3 (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 1= SEPARATE PERMISSION. 2 Engr. Review 5 PERMIT APPILICATION: 160DAYS 06 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACKOF 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 ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due 71:�," 0 NOR LIMIT IN ANY WAY THE CffY`S ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee Receipt # 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 APPLICATION APPROVAL 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 Olficial or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LAPO"ODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged in space provided. WORKMEN'S COMPENSAYO AND RCW 18.27. JAGURANCE SIGNA DATE SIGNED 1 1A -we, '35) OFFICIALS S14NATU JE DATE 7 M, _1�k ;14 771-022 0 RELEASED BY D&E 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 ------------- z 9 0 M