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20030335.pdfS DATE RECEIVED [PERMIT EXPIRES USE PERMIT ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS OWNER NAMENAME OF BUSINESS 70ANKIE V)R_6E�-r PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE $ c M F_ �q 0 F5 TESCP Appr=,d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Parmit R Str9ei Ume Pennh Fia(fd _�Z2,f�52 , CITY ZIP ELEPHONE EXISTING — PROPOSED inspection Required [3 Sidewelk Required 13 ATION— FT — Underground REQUIRED DEDIC Wiring required— 13 NAME METER SIZE LINE SIZE ] NO. OF FIXTURES PRV REQUIRED YES13 NO 13 ADDRESS z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE I U CITY ZIP NE NAME CBL VALJ­A��_ ENGINEERING REVIEWED BY DATE ESS 'TH 19 5_5 I qV PL Wr_ DIE US cc FIRE REVIEWED BY AL FIRE MARSH CITY ZIP TELEPHONE rA. LAkF, 6Y-�e'r QW. V155 r! n" AS BOND STATE LICENSE NUMBER EXPIRATION DATE HE cim VARIANCE OR Cly yullm1fo POSTED K TAN 6,Eftsltl'�,p VrMK6 I) K F SEPA HEIGHT REVIEW SIGN AREA PROPEDJYJAX ACCO PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I I EXP N EW RESIDENTIAL PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR COMMERCIAL 1-1 ADDITION 13 CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED 13Y DATE 0 MULTIFAMILY [3 REMODEL 0 SIGN REOD PROVIDED GRADING FENCE [3 REPAIR CYDS X FT) REMARKS OTHER 1:1 DEMOLISH Cff TANK 0 GARAGE [3 RETAJNINGWALL FIRE SPRINKLER cARPoRT ROCKERY FIRE ALARM ME UWE OF USE. BUSINESS OR ACTl%aM EXPLAIN. dic . IV CHECKED BY TY N OCCUPANT :7 C7 GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS [NUMBER SPECIAL INSPECTION JAREA OCCUPANT STORIES UNIT$ REQUIRED [] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG-0 T a� A p -r (- ,a VALUAnON $ Description FEE Description FEE Plan Check I State Surcharge I HEAT SOURCE GLAZING % LOT SLOPE % I-- Building Permit & City Surcharge 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. AM CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMFT UMIr I YEAR - PROVIDED WORK IS STARMD WITHIN ISO 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 DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY Fire Inspection Receipt # ALL CLAIMS FOR FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. 'Total Amt. Due 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." # zi Recording Fee Receipt I HERE13Y 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- This application is not a permit until signed by the CALL Building Official or his/her Deputy: and Fees are paid, and TION; AND IN DOMG THE WORK AUTHORIZED THEREBY, NO P ERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is ackgowledged In space provided WORKMENS COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS S AT' 1AE /I TE Sl REJO VNE A DAT5 SIGNYD 1A9 1 )0 %425) 7? __E _1Y 771-0220 RELEASED Y___ PATE I ATTENTI EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLOW - INSPECTOR A CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING 04/02 z 0 4 0 ITI rn M 40 0 C: M M z ng MM 0 0 Fn C 0) M 0 z z z 0 IT! A TO: z 0 m q9 MO 0 3 40 c: q r. x M M Z 10-4 ca o -n n m M a 0 0 M C (j) E ch M 0 Z 3: z --I X us z 0 m 2. 3. ___RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL ocaprvi.doc.l:temp:bldg:forms6/98 . I :DATE RECEIVED 10. PERMITEXPIRES k 3 1 CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITEJAPT# ADDRESS 4�?,q �3714 q, OWNER NAMEINAME OF BUSINESS _3Z �]'OA N WI-Z 'r 0 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 15 MAILING ADDRESS LID FEE S 22 32- - tj 0) TO W TESCP AP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Perrnk=bd CITY ZIP TELEPHONE Streol Use Pormh RWd EXISTING — PROPOSED Inspeewn Required Sidews* Required I r-;zim ail) 6 mo IJ425) IM -1 5W REQUIRED DEDICATION— FT U e) Wiring required NAME METER SIZE LINE 61 7ENO. OF FIXTURES PRV REQUIRED YES13 NO 13 z ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP ONE NAME J CBL# T4441�'66,4� ENGINEERING REVIEWED BY DATE cc DDRESS 19.5.51 - A4D P LW tt FIRE REVIEWED BY DATE CITY ZIP I TELEPHONE 0 LAKa LaS!�-T Rik "W.Xij� 3k>vj VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CH REOD POSTED I rAdJK6 D + 00 1 K F 05 JAE kdAt5ou PyEs ONO $ PROVE AX ACCOUNT PARCEL NO -=Z2 SEPA REVI HEIGHT PRO COMPLETE 01 L EFCALLOWED POSED N AOa!5r ­ III&A ^0 EXP r-il be I BVIAI-1 Ids I CAP 0 NEW RESIDENTIAL PLUMBING / MECH EOUMED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION COMMERCIAL o COMPLIANCE OR CHANGE OF USE REMODEL MUL11FAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE REOD I I 0 REPAIR GRADING FENCE CYDS ( _ X_FT) — , - REMARKS DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (ME OF USE. BUSINESS .9R. ACT EXPLAIN: 4 CHECKED 13Y OCCUPANT �0 GROUP ALV ITYP! �IC)EN jC7 NUMBER NUMbER OF CRITICAL U OF DWELLING AREAS SPECIAL INSPECTION OCCUPANT STORIES UNITS NUMBER JAREA REQUIRED [:] YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IGOMINAL INSPECTION REaD PITR L 2. ro*,- A'* N) �e_ L) Leg QJ VALUATION VUBULL $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % 1 Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORLMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 Grading :1 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMIGSION. Engr. Review 15 PERMIT APPLICATICK' ISO DAYS 136 PERMIT LIMM I YEAR - PROVIDED WORK IS STAITMD WITHIN IGO DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ;APP j:CANT' ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit N It REiT, AGREES TO INDEMNIFX 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 # FROM THE ISSUANCE Or- THIS PERMIT. 16SUANCE 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 CnYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL in GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF n�q THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. This application is not a pormit Until signed by the CALL TION, AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building oftW or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is ockqovAedged In space Provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. OFFICIALS 8 AT E D)TE DAT5 SIGNJD 1A9 %425) 771-0220 —iii—LEAsEDV - — pATE 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