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20030487.pdfDAIL MICIAVED _'R� 0,3 1 — [PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE iiUMBER VZ;�2�1197_ CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# JNAME OF BUSINE ADDRESS /0 M441V OWNER NAME _g Jf I I f N PL NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS /6 / W 1;'7,qln Jt CITY TELEPHONE Zip I ADDRESS CITY ZIP NAME to e-.5 C(V ADDRESS S8100 CITY TELEPHONE lklf? —Z, Z f3 -2— ZIP STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY I I U.)A-j-H,7-eT4?,foCC---_1 A PROPERTYTAX AWICIIIEL�qo, I C)C)e 4b/3 NEW 0 RESIDENTIAL PLUMBING/ MECH 0 ADDITION COMMERCIAL COMPLIANCE OR 13 CHANGE OF USE 1:1 REMODEL E] muLnFAMILY SIGN REPAIR [3 GRADING [3 FENCE . CYDS I _ X_FT) 1:1 DEMOLISH [3 TANK ci OTHER GARAGE RETAINING WALL 0 FIRE SPRINKLER CARPORT Q:R;&15RY FIPEALARM ("E OF USE, BUSINESS 60a:k� NUMBER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS J 01 NUMBER DESCRIBE WORK TO BE DONE LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved AW ParniAt Required EXISTING - PROPOSED Street Use Permll Raqd inspection Required Sidewalk Required REQUIRED DEDICATION-,- FT UndwWMM Wiring required METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YEsI3 NO 13 I z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE I DATE BE ACCEPTED FIRE REVIEWED BY DATE 11111 VARIANCE OR CU SHORELINE ORADB11 I INSPECTION I BOND REQ'D POSTED 13YES 13NO s SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED ROPOSED AL LOWED , PROPOSED EXP I I LOT COVERAGE REQUIRED SETBACKS (FnT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR &EoILARWe VINKSM BY DA E 9L REQ` PRO E I qM Pnfuel. urningappRuices n F+ =7 - i, I CHECKED BY CTION OCCUPANT 17TTFO(sn') GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [:] YES LOAD REMARKS 21 9 PROGRESSI NSPECTIONS PER UBC 1108/FINAL INSPECTION REQ'D 6LY4ed 1,4-7YA-e $ J'_', � -_.1 1 1111 Description FEE Description FEE " &_ z �17_ ) 6 � t &Z� �/_t �/ Plan Check State Surcharge G HEAT5.OUFICE LAZING % 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 It 1E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC 2 Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review 15 PFRMITAPPUCATION: ISO DAYS UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION I 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit IIN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF 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 $HALL NOT BE Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, 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 # 9: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION � AP CATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CrTY AND STATE LAWS REGULATING CONSTRUC- CALL . p Is ppil flonis note permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Bu /117 1 1, M I or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION r I Is acknowledged In �7co provided. I WORKMEN'S COMPEN!�3��CE AND RCW 16.27. 0 S1qq4RE DA SIG DATE SIGNED (qftlR O�AGEPM 1495) 'MATURE 771-0220 L 11.01SCO 0 By DATE WT-tENTION 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 z 0 M M M 40 0 C: � 3C M M z 0 M M 9 vi, i 0 Fn 0 Z. Z� 0 4, 0 M 4 . (.rDATE RECEIVED CR PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER Z"00;9­0 y JOB SUIMAPT# I CONSTRUCTION PERMIT APPLICATION ADDRESS M4�ylv OWNER NAMEMME OF BUSINIES4 . k#'— r t-Y. 4— PLAT NAME/SUBDIVISION NO. LOT NO. UD NO. MAILING ADDRESS I& / n -51' CITY Zip I TELEPHONE f gow I y -29 NAME ADDRESS CITY ZIP NAME CSL Wesce:7 I ADDRESS S900 1,,�OY77 oll"VIC,167 CITY ZIP ELEPHONE IkIMM" (, z- e 2 STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY _T to 644. 1 W AS H,7 PROPERTY Tj%X A U PARCEL NO. j C) C) q _ qq NEW RESIDENTIAL [N PLLIMBINGIMECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL 0 MULTIFAMILY SIGN REPAIR GRADING FENCE X CYDS FTJ DEMOLISH [3 TANK 0 OTHER o GARAGE RETAINING WALL FIRE SPRINKLER r CARPORT QJOCKERY FIPE ALARM EXPLA (TYP E OF USE.BU SINESS �i= IN: NUMBER I NUMBER OF CRITICAL LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TE5CP Ap= RW P@ffrA ad Street Use Peffnit Raqd EXISTING — PROPOSED Inspeedwfigquired SIdews* Required REQUIRED DEDICATION— FT undsr� Witingfequired METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 REMARKS OWNE------- ------- TAni M91AINACIF !!fEB Type B or L vent connectors requiffl on fuel -burning appliances In FIRE REVIEWED BY DATE cc IE VARIANCE OR CU SHORELINE OR ADB# 10YEs INSPECTION REO'D ' BOND POSTED 13NO S SEPA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED POSED PR7. EXP , LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.) FRONT SIDE REAR PROPOSED SETBACKS (FT.) F RONT L/RSIDE REAR PARKING RF11131 REVIEWED BY DATE RECID PROVIDED 06 T_WSTBE nif REM,A NOT CHECKED BY (Rq=ON' ITYPMrS OCCUPANT GROUP OF DWELLING AREAS SPECIAL INSPECTION JAREA STORIES I UNITS NUMBER REQUIRED [] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC I 'I -&Le 16f+1w1i HEATj3OUaCE PLAN CHECK NO: THIS PERMIT AUTHOMIUMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPEM ONLZ ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: ISO DAYS PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS BEE 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 PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CffY`S 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 C17Y AND STATE LAWS REGULATING CONSTRUC- TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLAT113N OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO WORKMENS COMPENSA��CE AND RCW 18.27. 01�.PO,R AGENT) DATE SIGNED i - -�, o3 VALUATION $ /�)D() Cz Description FEE Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapeinsp. Recording Fee CALL FOR INSPECTION IA&3r-% t"T"I 771-0220 EXT 1333 LOAD INSPECTION RECrD Description FEE State Surcharge City Surcharge Plan Chk. Deposit Receipt # Total Amt. Due Ts Receipt # j�aI742 CATION APPROVAL ot a permit until signed by the M,h,Iw,b,*er Deputy: aqo ftes are paid, and Is acknow 96pice provided. 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= z 0 0 M :i5i ra � 0 M C MS 40 0 C � r. M M 10 z 0 n M 0 0 MO z 0 ­1 0 M