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20030290.pdfDATE RECEIVED CITY OF EDMONDS C CONSTRUCTION PERMIT APPLICATION 0" OMER NAMEINAME OF BUn:SS MAILING ADDRESS &A- C Cl ITY ZIP TELEPHONE -75 F970 YK C? A) 0 _S 80 IL/d-5-7 —500-1 NAME ADDRESS CITY ZIP 10,3 [PERMIT EXPIRES USE PERIAIT tw7 ZONE 2-ozo(o NUMBER JOB JAPT# sunF ADDRES:...2,a� - &vjdo)*V1 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ 7ESCP APP(Oved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Pamift Required Street Use Permit Req'd EXISTING - PROPOSED WpKwn Rsqu*red SidewalkRoctulmd REQUIRED DEDICATION- FT Underwound wwgrequirod METER SIZE LINE SIZE FNO. OF FIXTURES PRV REQUIRED YES REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE i4dol 10u. a z NAME CBL 0 MCI ENGINEERING REVIEWED BY DjTE 41 A ADDRES§_ EtaFIRE REVIEWED BY CITY ZIP TELEPHONE VARIANCE OR Cu SHORELINE OR ADB#, INSPECTION REQ'D 113YEs 13NO $ BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY SEPA REVIEW COMPLETE I EXEMPT EXP SIGN AREA ALLOWED , PROPOSED HEIGHT ALLOWED PROPOlIE13 PROPERTY TAX CCO PA8CEL NO. 13 NEW RESIDENTIAL PLUMBINGIMECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE REMODEL MULTIFAMILY SIGN LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.),. FRONT SIDE HEAR P06POSED SETBACKS (Fr.) FRON T L/R SIDE REAR 116 PARKING REO'D PROVIDED I I LOT AREA PLANNING REVIEWED By DATE GRADING FENCE REPAIR CYDS X FT) REMARKS OTHER DEMOLISH TANK oGARAGE [:3 RETAINING WALL FIRE SPRINKLER CARPORT RDCKERY FIRE ALARM . (TYPE OF U INESS OR ACTIVITY11 EXPLAIN: CHECKED BY TYPE OF VNQIUCTION COCIE d7-7 OCCUPANT GROUP NUMBER OF STORIES NUMBER OF DWE ILLING CRITIC AR kS 1,NU SPECIAL INSPECTION JARE), REOUISED [3 YES -70 OCCUPANT LOAD DESCRIBE WORK TO BE DONE a�-*A o 13 a-L 0,V. 5 1 S -t- 'Ai REMARKS PROGRESS INSPECTIONS PER USC 1106/FINAL INSPECTION REGIO b A^ JefA61/6 E.X= VALUATION $ 8'heo 1=0UPJ0A;T1#0A) UAJO,--& T-tig 15 q 0Q." Is Description FEE Description FEE 7 'ij ffAn Mik 0 k 6d &g&; �5, Plan Check 7q, State Surcharge EAT SOURCE GLAZING % LOT SLOPE % &A Building Permit 173"- City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO L 1: BE DONE ON PRIVATE PROPERTY ONLX AHY CONSTRUCTION ON THE PUBLIC 2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. PERMITAPPLICATION: ISO DAYS Grading Engr. Review PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection _5 'APPLICANr, 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 ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # 1i 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 I NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee - Receipt # V<0% 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 CALL APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: and Fees are paid, and IN VIOLAT N THE LABOR 9PDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAodged In space provided. �OF )RKM S _�E SATION I%URANCE AND RCW 18.27. 81 NE 0 DATE SIGNED 1A *3 I&W %425) 3 -7 771-0220 EXT 1333 IT I U FUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL OFF IAL NAT DATE DOE 22 go' 3 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 OR P�Gll AL - FILE - YELLOW - INSPECTOR NK-OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z� 0 0 M, M. C M 0 ITI 10 C .�z oil M R rn C ck Z. 0 0 M 0 v 4 f I t I I I L IT I I L .:LT IL' 4 'd I It ITT I . , I , i - - - I . � I. I k T, , - I : I I . I IT IT; I I I 44 1 1 4 -1 1 , , I. � . , - I L L I 'd I L I', IT I IT, It" ts o. t T L LIP I L IT L 14 1 it I It It- I 4 0� L IT 1 4 if T I % I 1 7 I T L -d 1, 1 %NO 4 IT T L Sig j il 4 ITT f') L I I I I 144 i,v - .. Mv 5 . t ;M*�� 41. ter . W,f Ile. . . . I . . . JF L I I I N r I r L I 1 44 �AiNITTi. lit. ;)kI I % It i L r L L Sri KI(p 1 I I I r T IT A I I.. . 11� rD I oT ;TTTl d I I I 4 IT I .4'. L TIT NJ' �,, L I Act. I L 511, -1. . ;I%;. J, - . I I . . I : L L L 60 Vr LLL titz V4 Ii' f It It, 11, L IT, L L LL To Nt k N . Ilk 11 f T d, IT I-c I A, lfl� I 14 G I L 'Lit It. . I I I - I I E , I s ur It it I L I I It I. TT L L 0 t �Iu -ZL I IT t57o IVit, I I . I , I , I% I I I L I : I I 'L I . I I I IT I'll, t It T IT IT IT IT LA 11 1 1 1 1 1 1 1 1 1- 1 4 4 IT 1 0 4 1 1 TL L IT 'r IT L it .0 ..Lrl IT - 4 F. I I I . : - I . I I I 41 L I I IT 1-k I I k J IT I, I L Lr k IL 6L rL L I L i it it L, L pI I I IT IT I T I (4000 1 1571 t J6 C, le IV% e .Sc-ALge 10 4101 1:4,N OVCF)k kk4 C FO� FIN r'.-Tto It. I 64 VOWPOFF'F 000,00 4 �r4 IT 14 NIT I I 41 �ilr Ra GARY HAAKENSON t-%T-rw nc PnM()NrV; MAYOR 4�` z 0 i 0 m q:fi vi ;i OM c rn 0 0 80 c m mz 0 -n "n m M 0 vi 0 o Fn C 0) r. (j) M 0 Z X z z 9 0 m . �T-v f -WAIL. 'qATE RtPEIVED Q, I PERMIT ES 103 EXPIR CITY OF EDMONDS -USE PERMIT ZONE tOO22- OZ-9 0 NUMBER CONSTRUCTION PERMIT APPLICATiON JOB SUITE/APT# ADDRESS 14ki wdo) V, OMER NAME/NAME OF BUSI 88 n 14-k PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADORISS U)A- LID FEE $ TESOP APPrO"d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Perrr9j Raqt*od street U&S Penh ROOM CITY ZIP TELEPHONE EXISTING - PROPOSED lngpwtlon Required 51dowallk ReQuIred qq__5 —7 -75 —5 W 7 Urmforground REQUIRED DEDICATION- Fr WkingrequLmd NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO I z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE a Q CITY ZIP TELEPHONE NAME C\ # CC (. ADDREST ENGINEERING REVIEWED BY 0 TE FIRE REVIEWED BY DATE CITY ZIP TELEPHONE M VARIANCE OR Cu SHOFIEUNEORADB# I INSPECTION 1$ BOND STATE 1.16*98E NUMBER EXPIRATION DATE CHECKED BY REO'D POSTED OYEs 13NO A SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAXAACCO PA§CEL NO L! A A == MPT ALLOWE OPOSED, COMPLETE EXE 0 PROPOSED ALLOWED PR lie EXP , NIEW RESIDENTIAL PLUMBING MECH LOT COVERAGE "REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIFISIDE REAR COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF U,�E. 19 REMODEL '0 MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE. REQ`D PROVIDED GRADING FENCE 0 REPAIR CYOS 0 X-FT) REMARKS OTHER �DEMOLJSH [3 TANK .-[:].GARAGE RETAININGWALL FIRE SPRINKLER EIROCKERY CARPORT FIRE ALARM (TYPE OF us"SINESS OR ACTIVITY) EXPLAIN: CHECKED 13Y OF OCCUPANT Ael 0 'k Z5 h 4 W wl+�, ITYPE GR0UP*7 VjJUCTION N CRITIC NUMBER UMBER OF ,OF. DWELLING REAS SPECIAL INSPECTAIONARE) OCCUPANT' STORIES UNITS NMA REQUIRED [3 ms LOAD 5 -70,suv= 'DESCRIBE WORK TO BE DONE 0 0 IL3rL x-5 I 5-r I A) ra REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RE(WD AQ1CW_ 1=19 'k VALUATION WIVIM.616LI 9wo 1=0U IJ 0 Nric A) U-4JOLM T-Per abam's Description FEE DescrIption FEE &hn7rd &n,� Plan Check State Surch e &7-xy-6A /0 A-I.L _, 6EAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE o Plumbing & a___s Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTE6. 'MIS 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. I Engr. Review PERMITAPPLICATION: 190 DAYS PERMIT UMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inopection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUGCESORS iew Plan Chk. Deposit ;APPLICANT, N INTEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS[ THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIAI.S, 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 $HALL NOT BE LandscapeinsP. Total Amt. Due DEEMED M MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINAW'E PROVISION." # I Recording Fee Receipt I I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPUCATION APPROVAL GIVEN IS CGRREC7� 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 porrrJt until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLA�T LABOR QODE OF THE STATE OF WASHINGTON RELATING TO Building 011icial or No/hor Deputy: and Fees are paid, and FOR INSPECTION receipt is acknowledged In space provided. �NTHE a WORKME SATION 110URANCE AND RCW 18.27. OFF IAL NAT DATE al (OMER ATE SIGNED 1A95) �A 771-0220 DAfrE RE Y EXT 1333 1717-1 �h vu," /-.I IT IS UALAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPECT V CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 5010R�', PINK -OWNER - GOLD -ASSESS R GREEN - ACCOUNTING 04/02 G 5 COPIES PRESS HARD -YOU ARE MAKIN