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20030355.pdft W DATE RECEIVED LERMIT EXPIRES P mmmommomm� CITY OF EDMONDS USE PERIVII I "' NUMBER JC -17 0 N CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT# ADDRESS 2- 1 ?,S - V OWNER NAMENAME OF BUSINE 0 I 1I I PPAT NAM /SUBDIVISION LOT NO. LID NO. -- ij LID FEE $ MAILING ADDRESS Uk6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP(Dv*d RW Pam* Reciuked street Uge Permit Req'd CITY zip JTELEI�HONE EXISTING — PROPOSED InaWtion Required Sidewalk Required Underiyound q 4/d!5 REQUIRED DEDICATION— FT Wiring required 13 4��dm METER SIZE LINE SIZ PRV REQUIRED NAME YES13 NO 13 z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE 11 ADDRESS CITY ZIP TELEPHONE NAI� � /7 A CBL k' I'l-R ? 0�-"am!i2 ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE lu cc CITY 71P TELEPHONE rL I - VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND REO'D POSTED STATE LICENSE NUMBER EXPIRATIOP DAT-E7-F,—qkCKED, OyEs ONO 1$ A 'er ap . I SEPA REVIEW COMPLETE E XEMPT SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTY TAX ACCO PARCEL No. 60 "7 "7 If 00n o(I EXP I , NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR ADDITION COMMERCIAL COMPLIANCE OR 0 CHANGE OF USE DATE PARKING LOT AREA PLANNIN REVlIzWEO By CL REMODEL 0 MULTIFAMILY SIGN RECYD I PROVIDED I L 13 REPAIR 0 GRADING CYDS FENCE ( _ x _FT) REMARKS [] DEMOLISH 1:3 TANK OTHER 0 GARAGE RETAINING WALL 1:3 ROCKERY FIRE SPRINKLER FIRE ALARM AkRPORT gro'S OR ACTWM EXPLAI KED BY [ITYPS�' NSTRIUCTION OCCUPANLe) GROUPA::� 01 NUM BER NUIIBER OF DWELLING CRIfICAL AREAS SPECIAL INS PECTION OCCUPANT LOAD OF STORIES UNITS NUMBER REQUIRED [3 YES JAREA DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD Foe- 04/ft VALUATION ZE nr SA140:�, $ 11 1�� — I y— Description FEE Description FFEE Plan Check State Surcharge HEAT SOURgE GLAZING L SLOPE % Building Permit City Surcharge VESTED DATE Plumbing PLAN CHECLf. Ng: C&= iL;?�r . ---- - Mechanical THIS PERMIT AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRWATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBILIC Grading DOMAIN (CURGS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 160 DAYS PERMIT ILIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCE SORS Fire Review Plan Chk. Deposit Receipt # IN INTEREST. AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Fire Inspection EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND I ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 3 IN ANY WAY THE CITTS ABIL17Y TO ENFORCE ANY ORDINANCE PROVISION.* --- NOR LIMIT C Recording Fee Receipt I HERESY 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 Building Official or hilithet Deputy: and Fees are paid, and TIO IN DOING THE WORK AUTHORIZ THEREBY, NO PERSON WILL BE EMPLOYED THE LABOR COD 0 E STAT OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. IN VIO WOR 0 SATI I U D RCW 8.27 OFFICIALS _WaWURE DATE - -- - -- - SIGNA DATE SIGNED IA9 %425) 5-12-0 771-0220 IRELE DATE ATTENTION 1333 A 6;12 ) /J9 (,'All%- —Ie-1 / - IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL d A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OA�GINAL(Flt.j YEwd(V-INSi1ECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINIK-OftLeh GOLD -ASSESSOR ARE MAKING 5 COPIES GREEN - ACCOUNTING 04/02 PRESS HARD -YOU SEW z 0 4 M OM C M H 0 C= j! E, M 10 � z 31 0 M M D—O) 0 11-1 0 M C X W z 0 M DATE RECEIVED PERMITEXPIRES CITY OF EDMONDS PER MIT ZONE Z ��L00O3 _035,�Y NUMBER CONSTRUCTION PERMIT APPLICATION ICATION J JOB SUITE/APT# ADDRESS A I E 2,2- OWNER NAME/NAME OF BUSINESS 061 PL T NAMEISUBDIVISION LOT NO. L D NO. ;r al— I 15 MAILING ADDRESS L:D FEE S TESCP Appmed PU13LIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PtrffM ReWirod �CITY ZIP TELEPHONE Street Use I'Mil RQQA EXISTING — PROPOSED kospoction Requited Sidewalk Required _&A 5V(_/� REQUIRED DEDICATION— Fr UndwWaurld mciiid5 vvldnqrsqw� NAME METER SIZE LINE SIZE 0. OF FIXTURES PRV REQUIRED YES 13 NO D [ z ADDRESS REMARKS t7 0 1 WNERICONTRACTOR RESPONSIBLI )N CONTROLIDRAINAGE CITY ZIP ONE NA%. CBL# ENGINEERING REVIEWED BY DATE CC ADDRESS TA -/I FIRE REVIEWED BY DATE CITY_. 17EL;TPHONE Nsgwr!�,r STATE LICENSE NUMBER EXPIRATIOP DATE VARIANCE OR CU SHORELINEORADBI INSPECTION BOND REO'D POSTED 1$ A E3YEs ONO lug SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCO PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED 6 0 'A� *7 cloo""? On , , , EXP NEW RESIDENTIAL K PLUM13ING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE BEAR I ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULnFAMII.Y SIGN PA RKING LOT AREA LANNING REVIEWED BY DATE REO' PROVIDED L 0 REPAIR GRADI!t FENCE CYDs1"-- X FT) REMARKS DEMOLISH TANK OTHER GARAGE RETAIANdWL —,Z[j FIRE SPRINKLER I-, PAPORT ROCKEPY FIRE ALARM (TYP OR Aemro-OPOUN: KED BY TYP=CTION UPA ,�b 06 901 1 tdl "'I'00 j! NUMBER OF, Z NU F 1 0 =G OWE CArrICAL AREAS SPECIAL INSPECTION QUCUFANT- STORIES UNITS NUMBER t�1114 S JAREA REQUIRED [:] YES DESCRIBE WORK TO BE DONE RE"RK P80GRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 24116f VALUATION I &~ A $ Description FEE Description FEE Plan Check State Surcharge HEAT SOWQE GLAZI IG % 1.0�0`SLOPE % Buildip g Permit City Surcharge I Z5 2"1 I All lAl I— _ . -1 -E—.- — I Mechanical THIS PERMIT AUTWRIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t-- BE DONE ON PRIVATE PROPERTY ONLV. ANY CONSTRUCTION ON THE PUBLIC Grading D OUAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PEnWSSION. Engr. Review PEWITAPPLICATIO14i: 1800AYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 160 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 AND EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY 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 Landscape Insp. Total Aint. Due 21 NOR LIMIT IN ANY WAY THE CTTYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HERESY 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 AUTHORLZEJ) THEREBY, NO PERSON WILL BE EMPLOYED Building Officlal or his/her Deputy: and Fees are paid, and IN V101,011019'OR THE LABOR CODg-4017.117 STAT OF SHINGTON RELATING TO �W7 FOR INSPECTION receipt Is acknowledged In space provided. WORKA;WVOM D R 8.27) ,tENSATIC U _jg OFFICIALS DATE _WQN4 �URE SIGINATU DATE SIGNED 2zw 25) 771-0220 —RELEASO BV DATE ATTENTION -W EXT 1333 IT IS UNLAWFUL TO USE B G OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GINAI_ (FIL4 YELLC� - INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PNK-0WNE11 GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 :1 0 M rn M -0 0 r M M z 0 _n An Irn M 0) 0 Fn M 0 z 0): z 0 M