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20030359.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS 2 1 2�2- - 2p(�� Sk CITY ZIP TELEPHONE NAME ADDRESS CITY ZIP ITELEPHONE NAME CBLN Le!?�e�y� ADDRESS — ­1 kok'b'�j W IAK i op CITY ZIP TELEPHONE )r-t? I I PERMIT EXPIRES USE PERMIT ZONE NUMBER JOB SUITE/APT# ADDRESS 0 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TIESCIR Approved RW I's"rit Required street Use Pernill AKd EXISTING — PROPOSED Inspection Requited Sidewalk Required REQUIRED DEDICATION— FT 1 underground VVMU FUqUUeu METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE ENGINEERING FIRE REVIEWED BY DATE DATE M L% us I kj� I QLof � j �j I t_—t - % \> VARIANCE OR CU SHORELINE OR ADBI INSPECTION BOND STATE LICENSE NUMBER EXPI ION DATE REO'D I I POSTED L-E C-') P, (- (2, -1- WS t\j*b cl/aI6 E3YEs 13NO $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED ED f , I , 0 121 C2 U Q EXP _PROPOS NEW P'oo"RESIDENTIAL 0 PLUMBING / MECH LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROPOSED SET13ACKS (Fr.) FRONT LIFISIDE REAR PROPOSED ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE z PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REOD PROVIDED I I I REPAIR FENCE [j GRADING CYDS FT) REMARKS DEMOLISH TANK jzO A Y\ n GARAGE CARPORT RETAININGWALL FIRE SPRINKLEk_3 ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS GR=N: CHECKED 13Y OCCUPANT 1"Ar-C-0 ME GROUP NUMBER OF NUMBER OF WELLING CRITICAL AREAS SPECIAL INSPECTION OCCUPANT STORIES UNITS JARtA NUMBER REQUIRED [] YES LOAD DES�kIBE WORK TOIBE DONE I I G3 . REMARKS PROGRESS INSPECTIONS PER USC 1108/FINAL INSPECTION REG'D k 141 r 0t) M n t)<,q IF%g� jofil 1116M 17 0V VALUATION s Description 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 AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 2 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES. ETC-) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 180DAYS Its. PERMIT LIMM 1 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 21 NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Ld 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 E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Official or his/her Deputy: and F003 810 paid, and receipt Is acknowledged In space provided. WORKMEN'S COMPENS SURANCE AND RCW 18.27. OFFI DA E S]NjjREj(9"R DATE SIGNED IA0 1425) 7IGNNfURE t 0-,/ 6a j Q,) 'AL-n- 771-0220 RELEASED BY /DATE 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 CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I a DATE RECEIVED I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS ZZ. - -2ckpt CITY ZIP ITELEPHONE NAME ADDRESS CITY ZIP TELEPHONE NAME Le Qo()Iqr\� CBLN I I 1��z ADDRESS -3 % q s<�D I Qd CITY ZIP :�7got PA m o p � ;,�) TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE Pc rz-s- WS "Ib (110Z �64 E PROPERTY TAX ACCOUNT PARCEL NO. -) on 0 Yi- NEW VRESIDENTIAL PLUMBING MECH 0 ADDMON COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL muLnFAmfi.Y SIGN GRADING FENCE REPAIR CYDS U ( X— FT) DEMOLISH TANK 0 ;y oGARAGE RETAININGWALL F,RE SPRINKLER_-) CARPORT ROCKERY F RE ALARM (TYPE OF USE, BUSINESS ORr NUMBER OLLING CRITICAL 'I NUMBER OF OF DWL AREAS STORIES UNITS NUMBER Qpr DER�XIBEM,]�r DONE P\M NO 2 -! Adl h j HEAT SOURCE GLAZING % LOT SLOPE % PLAN CHECK NO: VESTED DATE THIS PERMIT AUTHORUES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURS8. SIDEWALKS. DRIVEWAYS. MARQUEES, ETC.) W1LL REQUIRE SEPARATE PERMISSION. PERMIT APPILICATION: 1180DAYS PERMIT UMM I YUn - PROVIDED WORK 18 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF 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 INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR UL41T IN ANY WAY THE CITY`8 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- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LWR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMERS COMPENS#AbN4Ik8URANCE AND RCW 18.27. DATE SIGNED ,-\ e� - —V\ &-\ - U - PERMIT EXPIRES 11 16-t-4 U- USE PERMIT ZONE NUMBER 200 C3 - 0, JOB UITE/APT# ADDRESS 7_1 o PLAT NAME/SUBDIVISION N07­1 LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 7ESCP App"rild RW Permit Required T Streel ties Peffnh R6q'd EXISTING — PROPOSED Inspection Required Sidews& Required REQUIRED DEDICATION— FT — undorwourid WkingrequIred METER SIZE LINE SIZE -] NO. OF FIXTURES PRV REQUIRED I YES C3 NO 13 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE �. 11 DATE FIRE REVIEWED BY DATE 111! WAMIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REO'D 113YEs POSTED 1$ 13NO SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED I ALLOWED PROPOSED EXP , I LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR PARKING LOT AREA PLANNING REVIEWED BY DATE REO`D PROVIDED I �j I, REMARK A&AMOMMI ===Nk CHECKED BY ITYXF CO,� OCCUPANT GROUP C? SPECIAL INSPECTION JARfA OCCUPANT REQUIRED r LOAD REMARKS PROGRESS INSPECTIONS PER UBC 1081FINAL INSPECTION RECtD -7 t,--/1i,7 n /--Z- / A k,-,6K11171,-A I a $ F , - -- Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge Plumbing Mechanical I Grading Engr. Review Engr. Inspection Fire Review Plan Chk. Deposit Fire Inspection Receipt # Landscapelnsp. Total Amt. Due Recording Fee Receipt CALL FOR INSPECTION IA95) 1,42 771-0220 APPLICATION APPROVAL This application Is not a Ormit until signed by the B411ding Official or Matti I or Deputy: and Nos are paid, 4knd receipt Is acknowledged in space prov4ded. OFFIQMS,AIGNAXURE D E 11,114 RELEASED BY ATE MENTION LK I 1;j;jj 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 - INS CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD-ASSESSO GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES L .