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20030435.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS MAILING ADDRESS \-I 0 CON I 4L�W-i CITY ZIP TELEPHONE [A,-v,oYy1% 9' 142.1 S — "Ilt — NAME ADDRESS CITY ZIP ITELEPHONE NAME — , _ - . ^. - /) f - . J.'.. I- '.- 1�21. N ADDRESS CITY ZIP I TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE I CHECKED BY PROPERTY TAX ACCOUNT PARCEL NO. I . Q�AII01 Li 0' -7 0 0 0 NEW RESIDENTIAL PLUMBING MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL 0 MULnFAMILY SIGN REPAIR GRA ING CYDS FENCE x ( _ FT) 0 DEMOLISH TANK OTHER AGE 19�=PORT RETAINING WALL 0 FIRE SPRINKLER ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR NUMBER OF NUMBER OF DWELUNG CRITICAL AREAS STORIES -UNITS NUMBER DESCRIBE WORK TO BE DONF C_oNSTP,U_C_f_ a-rTjqf_j-jr_0, a LAZING % 0 [PERMIT ( o EXPIRES USE PERMIT ZONE NUMBER JOB SU.J'E/APT# ADDRESS OC) tA -Q 11bC PLAT NAME/SUB�� NO. T NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Appfo"d RW Perrrk Required EXISTING PROPOSED-----' Guest Use Parmit Req, Inewwri Required 13 Sidewatk Required 13 REQUIRED DEDICATION dc:=::::— FT UnderWourid Wiring required C3 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO (3 z REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE- ENGINEERING REVIEWED BY DATE FIRE REVIEWED BY DATE I W, r VARIANCEORCU sHORELINE6RADBN' I INSPECTION BOND P REO'D " 113YES I POSTED - V- -Wo- WNO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , X 1 --- I I I -�.) . S; 5 I -_ -I EXP CgL LOT COVERAGE :3; OEQUIRED SETBACKS PR P SED SETBACKS (FT.) EPA)ALLOWED PROPOSED REJ PARKING LOT AREA I pLAN%TAa.%Evi BY REO'D I PROVIDED Jy REMARKS 1 22 CHECKED BY TYPE OF RUCTION PA GRO 7- SPECIAL INSPECTION JAREA OCCUPANT T REQUIRED [:] yES 7 — LOAD r At REMARKS PROGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION REQ'D A;A�*A &.,,w i- A., A z wAtJ_Pjor�zs,7qo $ h/ -L 1-11.749/a Description FEE Description FEE Plan Check State Surcharge I /)169 :z Building Permit City Surcharge PLAN CHECK NO��. I VESTED DATE_._ Plumbing a2 Mechanical THIS pERMff AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVIEWAYS, UARQUEES, ETC.) V61LL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: ISO DAYS PERMIT LIMM I YEAR - PROVIDED WORK 16 STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 0 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCES PIS 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 N �jl AS—[ 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt # 4�2 bili 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 COM PLy WITH CITY AND STATE LAWS REGULATING CONSTRUc- CALL This appileaflon Is not a permit until signed by the TION; AND IIN WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN Do F " " INVIOLATIONO THE kEOR CODE OF THE STATE OF WASHINGTON RELATINGTO FOR INSPECTION Building Otficial or hisfhor Deputy: and Foos are paid, and receipt Is acknowledged In space provided. WORKMEN`S,eCftNSAT N INSURANCE AND RCW 18.27. T OFFICIA ON DATE (OWN R A NTI R(��n DATE SIGNED IAO "'.5) 9M ktIlLy.3 �XTU - 771-0220 I 'RELEASE9 B i AVTENTidN EXT 1333 ff1ph-1 V, ;�,)' 3 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL 1(14 - A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI. ORIGINAL YELLO� - IN4ECTOR CATE OF OCCUPANCY HAS EEN GRANTED. UBC SECTION 109 PINK - 0 GOLD -ASSESSOR 04/02 1 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING I VA FINAL PRWECT APPROVAL FORM TO: z 0 m =iii m MO 0 80 c m mz 10 -1 0 -n n m m 055 0 r- 0 M C (j) c cl) M 0 z A z (j) z 0 m GRANT FINAL PROJECT APPROVAL RE-INSpEcTED OUTSTANDING ISSUES Si Date ocaprvi.doc.l:tenip:bldg:fonnsIO/OI 6 . I 7C 'IDA: TE E( DATE ECEIVED PERMITEXPIRES Lim. 2� .1 USE PERMIT ZONE F' CITY OF EDMONDS 'I NUMBER CONSTRUCTION PERMIT APPLICATION OWNER NAMENAME OF BUSINESS 3-orio-) A- &-yl C'-05 MAILING ADDRESS CITY ZIP ITELEPHONE NAME WO —DRESS CITY NAME ADDRESS CITY STATE LICENSE NUMBER ZIP ITELEPHONE JOB U E/APT# ADDRESS C)C) q -1-albcd7 V- !sl PLAT NAME/SUB !�� NO. LOT NO. LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APMV*d AW Perrffl Required EXISTIN4 PROPOSED Street Use Ps" R0Q`d 34q*W REQUIR110 10"EDICATION FT Sidwalk Required Underwound WkMg required METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED YES13 NO 13 REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE 6100 e kx--u 11APMvtotAs _j 6AOL N ]ENGINEERING REVIEWED BY DATE ZIP I TELEPHONE PROPERTY TAX ACCOUNT PARCEL NO. 7.10 4 071 0"% 1 -7-oc) 1 — NEW DENTIAL A RESI ADDITION COMMERCIAL REMODEL MULTIFAMILY 1 4, REPAIR C401§1 LA 13 DEMOLISH TANK rE RETAINING WALL PORT ROCKERY OWE 0 F USE, BUSINE88 j NUMBER NUMBER OF OF DWELILIN STORIES UNITS DESCRIBE WORK TO BE DONE CONSTIIZUCT ATT !A tv ILLZ :2ari- Ac DATE PLUMBING / MECH COMPLIANCE OR CHANGE OF USE SIGN `y, j" FENCE FT) 11 OTHER,�?r,.rl rl,,, FIRE SP-RINKLER FIRE ALARM j V M I LAX-A5--j— FIRE REVIEWED BY DATE I --. VARIANCE OB CU I SHORELINEORADB# I INSPECTION REQ'D 1$ BOND, POSTED - z V Iwo ............ 113YEs 3VNO I*M- SEPA R COMPLETE , EXEMPT EXP X SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED a5 I -T— LOT COVERAGE -.� ALLOWED PROPOSED %*EQUIRED SETBACKS . S% R jgr 7 JE&I 6, T 4 PROPOSED SETBACKS (Fr.) z Ala -�!A&ING LOT AREA P BY C.. 0 CHECKED BY IOLMW I ITYPE :WRUCTION 'EUGUFAN ROUP CRITICAL AREAS -nON SPECIAL INSPEC' OCCUPANT t NUMBER C)l JAREA REQUIRED rl 75 7 SZ-1211_- LOAD REMARKS PROGRESS INSPECTIONS PER U13C 108/FINAL INSPECTION RECCVD 4/1-,- Z - 11. 41 f PAZ.. J A2,-A'-7 A1194JA $ Ej- I �' ) �%"' V, Description FEE Description FEE Plan Check )5ir — IStateSurcharge SOU CE G LAZING % LOT SLOPE U 0 Building Permit C2 City Surcharge j PLAN CHEqK 0 %TSTER PA Plumbing _ - Mechanical r THIS P0Wr1rA;h&IdR&S OMMUE WORK THIS PERIJIT COVERS WORK TO -Ay AW CONINMUCTION ON THE PUBLIC Grading LL DOMAIH (dURBS, SIDEWALKS, DRfVEWAVS, MARQUE,0, ETC.) REQUIRE t: SEPARATE PEMISSICRb."-'; f I : . Engr. Review -.— PERMFTAPPUCATIONI: 180 D* PERMff UMM I YEAR - PROVIDED WORK 18 STAITRED WffHIN 180 DAYS Engr. Inspection BEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRSi ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit W IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CnY OF EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND :Fire lns�ection 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. Thtal Amt. Due DEEMED TO MODIFY, WANE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*__ Receipt # L26. Recording Fee I HEREBY ACK14OWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREC31 AND THAT I AM THICOWNER, 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 unill signed by the TION; AND W DOING THE WORK AUTHORIZED THEREBY, NO PER80N WILL BE EMPLOYED Building Oftial or his/her Deputy: and Fees are paid, and IN VIOLATION PE THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION recelpt Is acknowladgedin space provided, WORKMEN2:fMTSATION INSURANCE AND RCW 18,27. OFFlCIA $,40NAT DATE G R R AGE" DATE SIaNED . (425) % -- C 3 [r=(OWN L-1 Vq�103 - 1 77 1-0220 1 i ELEA ED, BY NTI Exr1333 /11 /m/ lz41A h7 11 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUREUNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL(FI - YELLIO� - IN4ECTOR GOLD -ASSESSOR GREEN - ACCOUNTING