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20030570.pdfa DATE RECEIVED , 1_11 Al , PERMITEXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS qli M OWNER K E/NAME OF BUSIN?;,,, a U 11— PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I MAILING ADDRESS A) LID FEE $ HT TESCP Approved PUBLIC RIG OF WAY PER OFFICIAL STREET MAP RW Permit Required cily TELEPHONE not use re- .74 EXISTING 0 fifff 9ff fad"Efft-l"urn Ewrl fE%PFt.T a5 M-Z35y R E 0 U I R E D !%t1rLjC required 13 NAME LUO PAV RE METER Si INE Sl rAIM Q+D cF` ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE I T�pe B 0F"L_v_en_T_z01111"t08 NAME ik)l\f EX,E�L,.i � n CBL# UK) requirm oil radsiblIP114,49 1110sitplil-s nces_ 11MC 815.1.7 ENGINEERII jS 0 ADDRESS '7QW[\j _DATE Lu FIRE REVIEWED BY CITY ZIP TELEPHONE 7ste _T M whether the water sy STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANC net D 14c8p9n IRM AT d'0371ED at 1341% all hot w 11 -On 144 1 PRO CEL NO BE =,go Cj HEIGHT COMPLET LAIEW91 W%Ao L LOWED P POSED 2= aL �22Z . EXP NEW RESIDENTIAL LUMBING / MECH 11� _in: P LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED FRONT SIDE REAR FRONT URSIDE REAR PROPOSED ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE GA PIP E TEST MUS11. BE z REMODEL MULTIFAMILY SIGN PARK=PjjVe3Rfj�6ffjN3M0 DATE REO'D I R CL [j REPAIR GRADING CYDS FENCE X Fr) A FmAVI SHAI 1, NOT REMARKS El DEMOLISH TANK OTHER BE ACCUTTE-11 GARAGE o RErAININGWALL FIRE SPRINKLER CARPORT FIRE ALARM ROCKERY (ME OF USE. BUSINESS OR ACTIVITY) EXPLAIN. i2 Is FC.,= CHECKED BY ITYPE OCCUPAN F9 F GROUP NUMBER 1,�j NUMBER OF CRITICAL OF DWELLING A EAS SPECIAL INSPECTION REA OCCUPANT STORIES UNITS NuMBER REQUIRED 0 YES LOAD DESCRIBE WORK TO BE DONE REMARKS ROGRESS INSPECTI S PER UBC 1 ECTION REO'D ON 08/FINA)6INSP 0, 1 1z I Lj & LUATION t12A Z-Ze Description FEE Description FEE Plan Check State Surcharge H7/ORC LOX SLOPE % W)m Building Permit City Surcharge T9 PLAN CHECK -NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLIt ANY CONSTRUCTION ON THE PUBLIC 2 Grading DOMAIN (CURSS, SIDEWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE 3 t: SEPARATE PERMISSION. Engr. Review PERMIT APPUCATION: ISO DAYS 06 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 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 91 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapeinsp. Total Amt. Due ZAG 2 NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # M1 I I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL sonso 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- This application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Offlcial or histheir Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFF�1VI-S/SiG*TURE 81 URE ( W1`0R OR AGENT) DATE SICYED IA95) x zo. 771-0220 RELEASED BY DAT ATTENTION M 1333 IT IS UNLAWFUL TO�ZE 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 L z 0 M 0M a Ma 0 0 C— M 11711 �z 0 "n Irn M a C 0 CO) z 0 IT11 I PDATE REC'EIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NPME/NAME OF BUSINEV MAI I ADDRESS F/ j q& firt A) cirt TELEPHONE NAME ADDRESS CITY NAME ADDRESS — CITY STATE LICENSE NUMBER ZIP ITELEPHONE ZIP I TELEPHONE CBL N DATE I CHECKED BY ZONE JOB ADDRESS PLAT NAMEISUBDIVISION NO. "I PERMIT EXPIRE. PERMIT NUMBER A /fvz _"@ a Z L91 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP rnMI35EE)— RE liah6a%oElectdcal arMi REMARKS Tm B or L vent connectors required on fuel -burning applif SUITE/APT# UD NO. LID FEE $ TESCP APP" AW Pemift Ri FIR[ftgWft= of whether the water 3ystes Is open or dosed, expansion tanks are WdUon liffil"I]ALWOWD 'ON C j "I110'Iff"O RY Code. DO 19.30.0 C)YES [3NO COMPLETE EXEMPT ALLOWED PROPOSED ALLOY .jj_ in Ir smile EXP F NEW 09 RESIDENTIAL LUMBING / MECH LOT C D I)SCP ALLOWED MW&ROM. COMPLIANCE OR ADDITION COMMERCIAL 0 13 CHANGE OF USE A I REMODEL MULTIFAMILY SIGN PARKING ' 041 RECID I PROVIDE 7T REPAIR GRADING CYDS'� FENCE F7) REMARKS DEMOLISH TANK OTHER 0 GARAGE RETAINING WALL FIRE SPRINKLER IREMARKS CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR ACTIVTM EXPLAINI �5�_ CHECKED BY TYPE NUMBER OF # NUM13ER OF D WELLING TAREAS RITICAL — Npr SPECIAL INSPECTION PAREA STORIES _J�W UNITS N MBER REQUIRED [] YES DESCRIBE WORK TO BE DONE Ar-- �:j W�11 L, %17-ln h-46W �6ftt /I id, ux bmel -.0m 14 WX :&"7 SLOPE % I VESTED DATE Description Plan Check Building Permit Plumbing R8.1fd US W BOND POSTED I I PROPOSED ) SETBACKS (Fr.) UR SIDE REAR DATE. 06 OCCUPANT GROUP OCCUPANT LOAD NS PER UBC 1 08/Fll�jt INSPECTION REaD 145� FEE Description FEE State Surcharge I City Surcharge I Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t 1E DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading I a DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PmurrApOuc=ow. ieooAys PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE 13ACK 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 C17Y OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY Al"D Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY S FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT HALL NOT BE Landscapeinsp. 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 it : 1 HERE13Y ACKNOWLEDGE THAT I HAVE REM 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 pormll until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknoyAodged In space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. OFFI LSISIG*TURE TE � 81 3URE (OWNUI OR AGENT) ;zti DATE SICjNE0 1%4.2-5) mk� r7.1 771-0220 RELEASED BY DAIF "Im"Iff ENTION -'EXT 1333 IS UNLAWFUL TO�'/SE OR OCCUPY A BUILDING OR STRUCTURE UNTIL i FINAL INSPECTION HAS"SEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL -FILE YELLON- INSPECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 04/02 PRESS HARD -YO4 ARE MA� GREEN - ACCOUNTING !OPIES z 0 0 rTI uj M rn M rn 0 n _n M M a ai 0 0 Q) M 0 z z 0 rn