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20030445.pdf13 . V(N�s DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEMAME OF BUSINESS -rCMAAJ-r S.-TCUIa- fhf\c L-�-1 bo S. 7AILING ADDRESS Aj �W - ILI ZIP ITETL;EPHONE L 5, I LIZ 42— NAME ADDRESS CITY ZIP ITELEPHONE S % ADDRESS CBL # 11 . %_.0 - I VTY I ZIP FAUICLL 4%vv) TELEPHONE STATE LICENSE NUMBER EXPIRATION DATE 0) V PL...\j C—* oil PROPERTYTAX ACCO NT NO. NEW RESIDENTIAL X9i7`ECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN GRADING FENCE 0 REPAIR 0 CYDS ( _ X_Fr) 0 DEMOLISH TANK OTHER [GARAGE RETAINING WALL FIRE SPRINKLER 3_CARPORT ROCKERY FIREALARM (TYPE OF USEr4WSjNE 8 19 . -A 77� NUMBER NUMBER OF OF DWELLING CRITICAL AR AS STORIES UNITS NUEMBER nrnraini: tainale Tr% cc %^um A VAc,,.v, AteJA-AaA z\' -1 LOT SLOPE % [PERMIT EXPIRES ISE PERMIT ZONE NUMBER 1003., JOB ADDRESS 214�)G 9(01-v A\jL SUITEIAPT# W /02- PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Perff"nil Req'd EXISTING — PROPOSED Inspection Requitod Sidewalk Required REQUIRED DEDICATION— FT Underground Wkingroquired 13 METERIP01-10 PRV REQUIRED Reg4llsss of whliftr (he w—at [3 NO 103 9 Y 0 i REMARJJS OWNERllCONTRPCGTq.9%SgqAA 0 F9PRA*%jNh*SDGr19\G - I I Lill flul WaTerTanks )r per REVIEWED BY DATE FIRE REVIEWEDBY PURSUAN7 TO ECDC 19.30=0 APRESSUREREGULATORVALVE.Wn VARIANCE OR CLI BOND UM WA UMIEW"r POSTED 1 S No $ SEPA REVIEW I HEIGHT COMPLETE - EXEMPT I ALLOWI ED - PROPOSED LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR PARKING lei fflM"APGNZQ URBAW.2 DATE REQ`D I PROVIDED A WAM ISERVICE SHUTOFF REMARKS CHECKED BY ITYPE OF gDWBPCTION ULOUNIV141 IX7— ,.1W 1 ;9? GROU 7PECIAL INSPECTION AREA OCCUPANT REQUIREDP LOAD REMARKS PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REG'D- VALUATION 919fba--;r— -Q 'V1Z1V-bjh]0E— $ = 3MEAM — Description FEE Description FEE Plan Check State Surcharge Building Permit City Surcharge PLAN CHECK NO: ESTED DATE I Plumbing Mechanical THIS PERMIT AUTHORRES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading N DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 1180DAYS PERMIT LIMM 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 INTEREii, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt N ALL CLAIMS FOR DAMAGES OF WHAIL EVER NATURE, ARISING DIRECTLY OR INDIRECTLY 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 C17Y ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt N 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 FOR INSPECTION Building Official or his/her Deputy; and Fees are paid, and rec!)Ipt is acknovdodged In space provided. i &"RANCE AND RCW 18.27. WORKMEN'S COMPENSAT FFI A[ U D TE TURE (OWNE O*GEN-r) j I DATE SjPNED 7w, .0 o3 771-0220 —FrELEASED BY ATE ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL IMRA A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL.FUE YELLON-14SPEC R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OW . GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 d 0 M M ME 40 0 r I z M M 0� -z 0 `71 M� I M ai Fn 0 M z 0 11 0 M I 4qtoo .am 4ws;00000 (x _�ATE RECEWED PERMIT EXPIRES S SE PERMIT E ZONE CITY OF EDMONDS NUM b-3 IN6 V. JOB SUITWAK# CONSTRUCTION PERMIT APPLICATIONTADDRES T� 14 A Q,�L_ W OWNER NAMEINAME OF BUSINESS TCAj(A^J-r ss 21(9)o -T C ut^:_- P-N f\c.\,< t�—j PLAT NAME/SUSDIVISION NO. LOT NO. LID NO. ILID FEE S clus &J,W. R\LkAv4- v) kAco PUBLIC CITY EXISTIl zip REQUIl NAME I ADDRESS REMARKS OWNER/CONTRACTOR CITY ZIP ITELEPHONE I CBL # I rk rd rill t TO] N Fleq�d PRV RHIQUIRED Cy a YES C1 NO 13 Z I �1. FOR EROSION CONTROLIDRAINAGE [ANT TO ECDC 19.30.020 qz,p TELEPAONE )S9 FIRE REVIEWED BY VARIANCE OR CU SHORELINE OR ADB# . INSPECTION REO'D 10YEs 13NC STATE LICENSE NUMBER EXPIRATION DATE 0) V i>L,\j C..* %% % I I . , I 1 C V SEPA REVIEW EXEM11? ANUUMB *&a A W, T EXP -_ PROPERTY TAX ACCOff..r PAR�Eb NO & 61 tz=:P—COMPLETE OIL NEW— RESIDENTIAL ECH PoEROM . LOT COVERAIElftLot . . . . ALLOWED F@&IM%i COMPLIANCE OR ADI�ITION 5d COMMdRCIAL 0 CHANGE OF USE o REMODL MULTIFAMILY -SIGN' 0 REPAIR 0 GRADING CYDS FENCE X FT) PARKING REOD I PROVIDED LOT AREA PLANNING REVIEWED BY REMARKS ff Ill DEMOLISH 1:3 TANK 410 OTHER vii 0 GARAGE [3 RETAINING WALL CARPORT ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF U 81 EP4 "1_16411 !--- - - — 1 4 - I I .. , __ , - DATE ul W M No PBOOSTED HEIGHT WED -f I PROPOSED SETBACKS (Fr.) 'R SIDE REAR DATE CHiCKEb BY TYPE OFS&4URVCTION CODE�,:, OCCUPANT _5p GROUP NUMBER OF NUMBER CfF DWELLING CRn "ICAL A EAS R OA SPECIAL INSP CTION OCCUPANT STORIES UNITS N� R U REQUIRE D KE JAREA LOAD 14 DESCAIRF w' REMARKS PFkOGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D Ala L �*'e"JSMS L-,. 1ffi1E32kt&. t ju v,,_ L 11AJ Lt-- &/ AVJ%/"-"A A _- A�� A A 144--� A I 'r-- A�- Al �N VALUATION Description -M -ft) Vb I Do FEE Description 7TSta Plan Check State Surcharge HEAT SOURCE.,.. /LOT SLOPE % Building Permit I City Surcharge 16 PLAN CHECK NO VESTED DATE Plumbing P K To THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVER11 WORK TO 'R Mechanical M j C BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading G R E DOMAIN v�IRBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review E PFRMITAPPLICATIOW 188DAYS PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WTTHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION SORS 'APPLICAW. ON BEHALF OF HIS OR HER SPOUSE:�HEIRS, ASSIGNS AND SUCCESORS Fire Review Pian Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF Y EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt # C 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. Lj Total Amt. Due I 4 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CIT'YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. N' * Recording Fee Receipt # T,ON I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPRONA OF GIVEN IS CORRECr AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF U C THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL TN9 application Is.not a permit unlit sigzal YE TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED 3 (JR IN VIOLATION OF THE LABqflS_ODE OF THE STATE OF WASHINGTON RELATING TO FOWINSPECTION Building OMW or hWMr Deputy: and F"s 40 recel koknowledged In space pMWi PUS WORKMENS COMPENS�S=CE AND ncw 18.27. FFICIA .0 _!�M 87T URE (OWNER ORfG!NTI DATE III N 1425) % TK_ I JA 2- (.)3 771-0220 _4vJ %TTENTION Off 1333 RELEASED BY �f 111111411i"fli 11) FEE )y Me paid, and I ! I IT IS UNLAWFUL TO USE Oh OCCUPY A BUILDING OR STRUCTURE UNTIL I t V -_j 1 1 A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - Fl YFI I OW - INSP R CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 p !OLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING Z 0 ITI M M -48 0 r 5� C Im Z_ 0 _n M M a V5 0 0 rn X Z 0 ITI