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20030455.pdf13 DATE RECEI� A A ____ I PERMIT EXPIRES te"ll 7—S USE PERMIT ZONE CITY OF E;MONDS NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS zz OWNER NAME/NAME OF BUSINESS l4w&wativ PLAT NAME/SUBDIVISION7 LOT NO. LID NO. MAILING ADDRESS I-Voo v6A LID FEE S TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Pernift Required Street Use Permit R&Wd CITY ZIP LEPHONE EXISTING —_ PROPOSED Inspection Required Sidewalk Required 13 -&W - ?5 1 i,:_2 REQUIRED DEDICATION— T-7. FT Undergmund Wiring required NAME METER SIZE LINE SI�E OF FI XTURES PRV REQUIRED Q��e_I 4 I YES13 NO 13 z_ % ADDRESS P-0 12, REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE z 162-010 21 f�'. CITY TELEPHONE 70, 1 '37 APG-74G --32-10 L21(kvl" 9 100z'P I NAME ICBL# -P'k, L/ VJI kX/L--* X/I I I (U�4 C-c-' L ENGINEERING REVIEWED BY DATE W 01 ADDRESS FIRE REVIEWED BY DATE Lu CITY EPHnNE I a 'a da 11 VARIANCE OR CU SHORELINE OR ADB# I- INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CHECK D BY REO'D POSTED I OyEs 13NO I SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCO PABC NO. COMPLETE EXEMPT ALLOWED PROPOSED AL LOWED PROPOSED a`761 1 00 15400D , , , EXP NEW RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/R SIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE 0 z PAR DATE KING LOT AREA PLANNING REVIEWED BY REMODEL MULTIFAMILY SIGN REQ`D PROVIDED GRADING FENCE 0 REPAIR CYDS I X FT) REMARKS DEMOLISH TANK OTHER GARAGE RETAJNINGWALL FIRE SPRINKLER 0 PRE ALARM CARPOE ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN. CHECKED BY OF CONSTRUPTI OCCUPANT / ITYPE j2'j'--::WjAM mlaw, fLeA-oL_, GROUP47 NUMBER NUMBER OF CRITICAL OF OCCUPANT A/A IDWELLING A/A I AREAS /VA SPECIAL INSPECTION LOAD STORIES UNITS NUMBER REQUIRED [:] YES /35k 2 DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D lAb=lul 4n 41 VALUATION 1A &76 Description FEE Description FEE Plan Check /9,5 state surcharge HEAT SOURCE GLAZING % LOT 11LOPE % Building Permit city Surcharge 16- /VA- /V/Of- — — VESTED DATE Plumbing PLAN CHECK NO: 0�) r9 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I: BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 23 OOMAIIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 150DAYS IL PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WTTHIN 180 DAYS Engr. Inspection N SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANr, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit 05 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF a EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY _ FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due 9 DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE 2 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- 33 Recording Fee Receipt # L 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 WOR 0 1 THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and LAB !tS�� )R ZED receipt Is acknovAodged In space provided. IN VIOLAMON OF THE 0 OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION ��W �OMPENS;�� AND RCW 18.27. - OFFICIALS SIGNATURE PATE IG14ATURE NER R AGE DATE SIGNED IA-95) 1,7 %-Ta- //9Az3__ 0,3 771-0220 DATE mj ATTEN ION t:x I 1JU IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL LU-- (4-1 / Z__ / 0 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 FINAL PROJECT APPROVAL FORM t RE-INSpECTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Sign, ocaprvl.dGc.l:tcnip:bldg:fonnsIO/OI z 9 0 M :;:R ai;l am c Ma 0 80 c -4 C MM mz jo --I CE 0 -n n m M 065 0 r- 0 M C ch M 0) M 0 Z z --I X U5 z 0 m a RECORD 0 F INSPECTIONS INSPECTOR DATE APPROVED SETBACKS . ..................... FOUNDATION: Footing...................... Wall........................... ZI pier/Porch ................. Retaining Wall ........... Slab Insulation ...... PLUMBING:'. Underground .......... Rough -In ................... ----------------- rornmercl al Final . . . . . . . �:,HEATING��­, Z' GasTest, .................... ............... ... Gas Piping ................. Equipme nt ....... ...... m COMM6 1 '10 co EXTERIOti SHEATHING, NAILING .......................... C FRAMING .................... 9 FIRST FLOORF RAMING.. :4 bATE RECEII-f- A PERMIT EXPIRES 5 -A USE PERMIT ZONE CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION J0 ADODRESS "35CO zo 0-t, SUITF., �# OWNER NAME/NAME OF BUSINESS /MR161-woo /4-95 C:-PflM0!5 56+1W, VltT,. PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. T MAILING ADDRESS 14 LID FEE S TIEUCIF APP(O"d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required 49T. W Street Use Permit RKd ZIP l­LEPHONE EXISTING — PROPOSED InspocUon Requited Sidewalk RaWked qbj�)Z& 1z) 5 REQUIRED DEDICATION— FT Undergmund 13 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED W/t�6w - YF:q 13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CITY ZIP TELEPHONE L�hvl"0_0 eq,0037 142G--74S NAME CBLN (pwfv., "A -k REVIEWED BY DATE ENGINEERING ADDRESS FIRE REVIEWED BY DATE C(,ry TELEPHONE STATE LICENSE NUMBER EXPIRATION CKED VARIANCE OR cu SHORELINE OR ADB# INSPECTION BOND REQ'D POSTED I 10YEs . ONO $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCO C E 6N 0;5. COMPLETE EXEMPT tALLOWED PROPOSED ALLOWED PROPOSED EXP , , EW PLUMBING/MECH N RESIDENTIAL LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOS*ED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE A RE ODEL muLnFAmwy SIGN PARKI L06T AREA PLANNING REVIEWED BY DATE� No REO'D I PROVIDED IL 1:3 W GRADING o FENCE REPAIR CYDS X FT) REMARKS '40 1 OTHER DEMOLISH TANK DGARAGE , REIAININGWALL FIRE SPRINKLER CARPORT. 0 ROCKERY FIREALARM (TYPE OF USE, BUSINESS OR ACTIVITY), EXPLAIN: CHECKED BY OCCUPAN 1 TYPE OF CONSTR 'F GROUP M __r 'NUMBER NUMBER OF RITICAL AREAS WELL NG C OF I IVA ssx� SPE MEA SPECIAL IN CTION JA OCCUPANT LOAD . 2. 'AIA ��STOFUES UNITS NUMBER REQUIRED 13 YES t DE&MBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REIWD A 4 plul At VALUATION $ 7t05 -I Description FEE Description FEE Plan Chock State Surcharge State: HEAT SOURCE GLAZING % % -)U 4)67 IVA- �W Building Permit 1A ID'as' City S city 4 Surcharge /6 PLAN CHECK NO: _VESTED DATE Plumbing Mechanical THIS PERMIT AUTHOR[ZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION Oft THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MAIIIQUEES. FTC.) WILL REQUIRE SEPARATE PERMISSION. t: Engr. Review PERMIT APPLICATION: 180 DAYS . .. I PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN106DAYS Engr'. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 1APPLICAUr, 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 BE FROM THE ISSUANCE OF THIS PERMM ISSUANCE OF THIS PERMIT SHALL NOT Landscapeinsp. Total Amt. Due 13. , WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE DEEMED TO MODIFY NOR LIMIT IN ANY VfAY THE CffVS A131UTY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECM AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPIY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL This application Is not a permit until signed by the TION; AND IN DOING THE WOR&ALATHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LAW1,1"COUE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION Building Offtlall or his/her Deputy: and Fees are paid, and receipt Is acknovAedgod in space provWed. r�MPENSY��AND RCW 18.27. URE IPATE IGOATURE ( Vhiq���� DATE SIGNED 1A9 %425) 2W hAfk� 0 771-0220 'KE DATE -ON 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 04/62 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING