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20030326.pdf4 DATE RECEIVED '�) �)01 PERMIT EXPIRES CUP 1 CITY OF EDMONDS USE PERMIT ZONE ZW3 - 3 Ae NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS 21522 98 Ave OWNER NAME/NAME OF BUSINESS PLAT NAME/SUBDIVISION N LOT NO. LID NO. MAILING ADDRESS Heather Lingbloom LID FEE $ 21522 98 AVe SW TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Requited 0- CITY ZIP TELEPHONE Street Uee Perm,, RKd EXISTING - PROPOSED Inspection Required side*&IN Required Edmonds 98020 1425-778-5746 REQUIRED DEDICATION- FT underground 1 Winn r uW [3 NAME METER SIZE LINE SIZE NO. OF FIXTURES RV REQUIRED I YEPS C1 NO 13 I I z ADDRESS REMARIa 0 OWNER -AT�R!!jIfia dnsed- expansion CITY ZIP ONE -is nj)An nr Mtanksare p r required on all hot w9ter tanks per NAME CBL#q City Code. ECDC 19-30-020 (C FAst WAter Heater ENGINEftWr1a71Ef9ru gr DATE ADDRESS 12601 132 AVe NE FIRE REVIEWED BY DATE ell CITY ZIP L Kirkland WA 98034 TTELEP!IHONE 425-814-3124 LANCE OR I PECTION STATE LICENSE NUMBER EXPIRATION DATE PBOND O'D OSTED qr%rnp R or L V611' 13NOIJ FASTWHC052DF 2-16-05 S I E HT PROPOSED PROPERTY TAX ACCOUNT PARCEL NO. C P LOWED VL 27032500106100 EX Unh S NEW RESIDENTIAL PLUMBING MECH -Re0MMTTFn=r(_FT) PROPOSED SETBACKS (FT.) ALLOWED— PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWEDL By DATE REMODEL MULTIFAMILY SIGN RECYD I PROVIDED REPAIR GRADING Ei FENCE CYDS ( X FT) REMARKS DEMOLISH TANK OTHER 0 GARAGE o RETAININGWALL 0 FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY (TYPE OF USE. BUSINESS OR ACT N: CHECKED By OCCUPANT 20 _7 ITyp GROUP NUMBER NUMBER OF OF DWELLING CRITICAL AREAS SPECIAL INSPECTION AREA OCCUPANT STORIES UNITS NUMBER Pjk REQUIRED YES LOAD DESCRIBE WORK TO BE DONE IgEmo3ze/replace gas water heat REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 9 1-tncimmpni- lniinfiry rnnm VALUATION No t� E±ir2- $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surch rge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS. MARQUEES, ETC.) VALL REQUIRE SEPARATE PERMISSION. t: Engr. Review 2 5 PERMIT APPLICATION: 180 DAYS PERMIT UMM 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 OR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY ISSUANCE OF THIS PERMIT SHALL NOT BE FROM THE ISSUANCE OF THIS PERMIT. Landscapelnsp- Total Amt. Due DEEMEDTo MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 0 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # 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 IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING To Building Olficiat or his/her Deputy: and Fees are paid, and FOR INSPECTION receipt Is acknowledged In space provided. WORKMEN'S COMPENSATIQ�^iURANCE AND RCW 18.27. OFFICIALS kT QkTE 140� 'VNER OR E DATE SIGNED SIGNATURE (0 (425) 4 771-0220 R"LEAs/ Y 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 OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR CATE ARE MAKING 5 COPIES GREEN - ACCOUNTING 04/02 PRESS HARD -YOU f RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS Hea-ther Lingliloom 15 MAILING ADDRESS 21522 98 AVe SW CITY ZIP TELEPHONE Edmonds 98020 1425-778-5746 NAME ADDRESS CITY ZIP ITELEPHONE 0-3 0'FPERMIT EXPIRES 1 � . , __Ises� USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 21522 93 kva, W PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESUP APPIOV ". .'V AW i'sd stram Use Permit Recrd EXISTING — PROPOSED Inspection RequUed SidawalkRequtrsd REQUIRED DEDICATION— FT — Underground Wiring required 13 METER SIZE LINE 0. FIXTURES PRV REQUIRED �OF [3 z I REMARKS "to OWNER/C fis;oipeil' )U of closea. nar A—AM-1 MAL FAst WAter Heater ENGINEERING REVIEiwEDBY ADDRESS 12601 1.32 AVe NE FIRE REVIEWED BY 01 CITY ZIP TELEPHONE Kirkland WA 98034 425-814-3124 101-% VARIANCE OR CU SHORELINE OR ADB# INSPECTION EXPIRATION DATE c STATE LICENSE NUMBER RE IUYES FASTWITC052DF 2-1.6-05 U, a L NVOCA46 _jja rs PROPERTY TAX ACCOUNT PARCEL NO. COMP E LOW POSEb rehuind del. 4r ng up 2703�500106100 S3 EXP DATE Ul BOND *__17 D HEIGHJ[ OWED *--PROPOSED L A95161M SETBACKS (FT:) PROPOSED NEW kj RESIDENTIAL PLUMBING / MECH ALLO D PROPOSED FRONT SID ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED 8) 0 REMODEL MULTIFAMILY SIGN REOID I PROVIDED REPAIR GRADING CYDS FENCE X ( _ FT) REMARKS DEMOLISH TANK OTHER GARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM I - OWE OF USE, GMNESS OR. ACMTPLAIN: CHECKED BY ITYP NUMBER OF —NUMBER OF DWELLING CRITICAL AREAS SPECIAL INSPECTION AREA STORIES UNITS NUMBER REQUIRED [] YES DESCRIBE WORK TO BE DONE REmoveirel2lace-gas water heater in REMARKS PROGRESS INSPECTION"ER UBC 108/FINAL 11 DATE Or 4 or- L - 0- 1111W GRO%, (S (FT.) REAR REaD, 40,000 btus n VALUATION $ Description j I I-L'.. :6- 11' L FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: 13E DONE ON PRIVATE PROPERITY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading D041VV 1 0 W. kVALL UIRE 401"ARM in Engr.7iiew'vi Wi PERMITAPPUCATION. ISO DAYS 01. PERMIT UMM 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 Due ANY OF ANY CITY ORDINANCE Landscape Insp. Total Amt. DEEMED TO MODIFY, WAIVE OR REDUCE REQUIREMENT NOR LIMIT IN ANY WAY THE CTTYS ABILITY TO ENFORCE ANY ORDINA14CE PROVISION. - Recording Fee I Receipt # 191121 1 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 It not a permit until signed by the 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 FOR INSPECTION Building Olfficial or his/her Deputy: and Fees are paid, and rocalpt Is seknowladged In space provided. WORKMEI,?S COMPENSATI AND RCW 18.27. OFFICIALS D IRE (CPNER OR E DATE BIG ED (425) 'ATE ISIGNATURE 1�sh 771-02 20 'a, L E S_ e6 i DTTF— ATTEN ION 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-1 or'� L/ CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PI 01 D - A, *-.So GREE IN,, 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES I i's k z 0 4 0 M 71 :rl ra � M M -48 0 �z M M 10 i� z 3� ca 0 Irl M M a U) 0 6 Fn C (a C CO) Q 0 z Z. z 0 M