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20030324.pdfa I DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS :5 M I T- H iz MAILING ADDRESS (G b I L -7 to + A- V CITY ZIP TELEPHONE (FO VVN 2 NAME - ffQ Q�n ADDRESS CITY ZIP I TELEPHONE NAME NO Vyq ?tf04e_ I'll— I CBL # qfd� ADDRESS - %'�-2_04- iff>f.��Ckec tj-" NIF CITY avo- ZIP TEI EPHONE T?-n91& — -5 & s:-- I STATE LICENSE NUMBER EXPIRATION DATE C BY Wtla--t 1-f %P H 6 /412:11 .4r PROPjFRTY_JAX A 0 Nt PARCEL NO. cco IQ4q 9NEW RESIDENTIAL PILUMBING(9) 1:1 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR GRADING FENCE CYDS ( x FT) DEMOLISH 11 TANK 0 OTHER oGARAGE CARPORT I RETAINING WALL 13 ROCKERY [:] FIRE SPRINKLER FIRF ALARM (TYPF, OF USE. BUSINESS OR ACTMM EXPLAIN:_ PERMIT EXPIRES USE ZONE PERMIT 1)_3 NUMBER B ADDRESS 7L 4j,@0+V1F Lj SUITE/APT# PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.. LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Aw Permh Required Street Use Permit Req'd EXISTING — PROPOAFn muLfed I biziz LINE SIZE il� fIC F Fifir PRI REQUIRED ndUS State ILabor YES A NO 13 z /CONTRACA"finy"'R nar%LAGE z _BSERVED BY CITY WbFttilun a AFFIDAVITS SHALL NOT I _"osed, expansion tan"A13"o is open Of cl.. jgoh& per FIRE REVrwea On all �DATE C) Code. ECDC 196.30.0 0 (C) VARIANC_ iORELINEORADBI I INSPECTION BOND REO'D POSTED 13YES 13NO $ SEFA REVIEW SIGN AREA I HEIGHT -VrArLC I C EXEMPT I ALLOWED PROPOSED ALLOWED PROPOSED EXP I I I REQ`D ft7 _2111:111,1-T-1 .. 1 Z7 CHECKED BY JTYPE7� 7ffbO;k NUMMER NfJMBER OF CRITICAL 'PS AREAS SPECIAL INSPECTION _JAREAJ STORIES UNITS NUMBER C I OF .7-4 DWELLING AAT REQUIRED [:1 YES I )U DESCRIBE WORK TO BE DONE REMARKS P OGR A f% r /I ^i% il i) -n 1� J PROGRESS INSPECTIONS PER UBC :If P, _01 MAI b GLAZING % LOT SLOPE % Q — - PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC DOMAIN (CURBS, SIDEWALKS, ORNMAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS ERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED VATHIN ISO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON 13EHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS 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 INDIRECI LY 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 NOR LIMIT IN ANY WAY THE CITYS ABILITY 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- TIO AND IN DOING, E WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 0 R Cj RINLAIJON OF TH BOR CODE OF THE STATE OF WA3HINGTON RELATING TO I Wo KME _COMP EbRANCE AND RCW 18.27. BIG (OW*N DATE SIGNED ff;-, e - o 3 3 SETF&CKS (Fr.) UR SI REAR dn z DATI OCCUPANT GROUP OCCUPANT LOAD 2 INSPECTION REQ'D $ r Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge JA Plumbing 0 Mechanical Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Be Receipt # 0t, CALL FOR INSPECTION (425) 771-0220 EXT 1 3 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. OFFICIAL7S)I;GNATVRE D�TE RELEAsE% - — - - 7 5 �E 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 04102 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 6 4 , d 4 I � r . t ol , A 5, ..2:ADATE RECEIVED r T PERMITEXPIRES USE PERMIT CITY OF EDMONDS ZONE 7(761T NUMBER —j)� JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS I 4P FOWNCER NAME/NAME OF BUSINESS :' rV1 I -r H P r- C PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS R.9 (-o 1 6 7 (o + vj e- CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP NAME CBL# ADDRESS 14R-2,ot.� CITY zip TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE F _ t) 41 PROPERTY TAX ACCOUNT PARCEL NO. ECHDXNEW RESIDENTIAL PLUMBINGOC COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE 0 REMODEL MULTIFAMILY SIGN REPAIR GRADING CYDS FENCE X FT) 0 DEMOLISH TANK OTHER oGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM OWTOF USE. BUSINESS OR *T[VnV EXP RW Parmh fewired Street Use IlIermit ftq�d Wai It lii0h'i4dA..1Wn AN— �_L!�T NO z un all fluit teM11110 PH C11=00 ESM a TROL/DRAINAGI 11ENOW UT . on fuel -burning applianm 1 IEL BOND VARIANCE OR CU n7if WR We I war it POSTED SEPA R of =89 AMM I oil a 01.%F a -urptNu "I COMPLETE I E EMP 1INK Or ED I PROPOSED EXP ng- LOT COVERAGE REQ1l4kA%kWS Ilk. PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR PARKING LOT AREA I PLANNING REVIRVED BY DATE REQPD I PROVIDED I NUMBER . . kAN[JMBER OF RITICAL OF DWELLING AREAS STORIES UNITS i I CUM,ER AJA DESCRIBE WORK TO BE DONE 1A,&-rf71JJ 1,40,se; I CHECKED BY ITYIE OF C0 I CODO OCCUPANIA lib GROUP W1 SPECIAL INSPECTION AREA OCCUPANT REQUIRED [3 YES LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D % 11k'4'f xf _'yjzj1_1a'4 iv I a Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE G;b,-s GLAZING % I LOT SLOPE % Building Permit --- City Surcharge PLAN CHECK NO* VESTED DATE Plumbing Mechanical ,7 in THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBIII, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMrTAPPUCAT104: 180DAYS PERMIT LIMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 160 DAYS Engr. Inspection SEE 13ACK 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 INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF I EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR 13AMA03ES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY — FROM THE IeSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due 1-13 DEEMED TO MODIFY,,WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE Crr1r8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION." ILI tf Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPUCATION A PPROVAL GIVE IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF N THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL This application lo not a Perm It until signed by the Tno IN , AN IN D ING WORK AUTHORIZED THEREUY, NO PERSON WILL BE EMPLOYED 'ID I N'0 THE 'OLA N 11A. BOR CODE OF THE STATE OF WASHINGTON RELATING TO 110, D 0 , FOR INSPECTION Building Official or his/her Deputy: and Fees are paid, and rocelpt to acknovdofted In space provided. WO ME COMPEV� CE AND RCW W.27. OFFICIALS qIGNAT08 DFE IG B BIG ±OFT)iE UR TU 'T R , WN 0 FGENT) DATE SIGNED j'd2Iq% 771-0220 -WE RELEASEb 6V 7--l' k, TION NTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INPPECTION 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.�RE MAKING 5 COPIES GREEN - ACCOUNTING z 0 0 M 0 M C: N a �c M M lo � _z 0 _n 'i"! 9 M M C3 a; 9 Fn C: C) z 0 q 5 M q