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DATE RECEIVED _7
PERMIT EXPIRES
I � I ,
USE PERMIT
CITY OF EDMONDS
ZONE
NUMBER
_0t?6X
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS LL
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SUITE/APT#
EROE7ME OF" !8USINESS /)
PLAT NAMEISUBDIVISION NO.
LOT NO.
LID NO.
1
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Age. :5� -
ZIP TELEPHONE
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NAME
ADDRESS
CITY
ZIP ITELEPHONE
LID FEE S
PUBLIC RIGHT OF WAY PEn OFFICIAL STREET MAP
TESCP AP
RW P6rmltP;,=.
Street Use Permit RWd
EXISTING — PROPOSED
inspection Required
Sidewalk Required
REQUIRED DEDICATION— FT
a Underwound
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
I YES 13 NO 13 z
REMARKS
I
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CON1ROLjDRAINAGE 11
NAMEp.. 10 C I B I L #
ENGINEERING REVIEWED BY DATE
MAKSHAL
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ADD
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LL4zd1c, LAM 7zrlR�A
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1 11 13YEs 13NO $
..
SEPA REVIEW SIGN AREA: - HEIGHT
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, , ,
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11 EW RESIDENTIAL
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3 ADDMON COMMERCIAL COMPLIANCE OR
13 CHANGE OF USE
z
PARKING LOT AREA PLANNING REVIEWED SV DATE
REMODEL muLTIFAmwy 0 SIGN
REOD PROVIDED
I
GRADING FENCE
REPAIR CYDS ( X FT)
REMARKS
_
DEMOLISH TANK OTHER
GARAGE [3 RETAJNINGWALL FIRE SPRINKLER
CARPORT ROCKERY __FIREALARM
WME OF UaE, BUSINESS OR A;r
-rA
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Ic
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STORIES UNITS NUMBER A*_
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11 YES
DESCRIBE WORK TO BE DONE
1REMARKS
INSPECTIONS PER U13C 108/FINAL INSPECTION RECVD
varnp aAre igoo t7ar-it
,PROGRESS
C "T
VALUATION
Dewriptilon
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Perm it City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
11= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
3
SEPARATE PERMISSION.
t:
Engr. Review
PERMIT APPUCATION: 1180DAYS
CL PERMIT UMM I YEM - PROVIDED WORK 19 STARTED WITHIN 160 DAYS
Engr. Inspection
SEE BACK OF PIRK PERMrr 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
2 EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection Receipt N
IALL 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
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
M
Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICXrION: THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS CORRE" 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 THEREIXY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF 1Hfi.1ASOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt 13 acknowledged In space provided.
WORKMENS C
'PI111FENSAfl"URANCEAN"CW 18.27.
OFNO&LBeIG T'URE DATE
WNbRi OR DATE WNED/
IA95) r
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&1716�3
ri�� A �674 1 ?/
716Y
771-0220
od,
RELEASED BY D&E
ATTENTION
Off 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
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JDATE RECEIVED *
PERMIT EXPIRES L
USE PERMIT
CITY OF EDMONDS ZONE NUMBER _05eff_
JOB sunTJAPT#
CONSTRUCTION PERMIT APPLICATION ADDRESS
EROEMrE OF BUSINE�
- - _t PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
Ifi MAILING ADDJIESS et q
Ave.
6
CITY
P__
FAM,
Zip
0 0
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9
TELEPHONE
NAME
ADDRESS
(3
/V
%_
CITY I /
ZIP
ITELEPHONE
NAME
ADDRESS^
P.O. 06,x 312RS-,"
CITY ZIP TFLEF
STAZJJCENSE NUMBER EXPIII
H&(Wc /
NEW
P(RESIDENTAL
ADDITION
COMMERCIAL
REMODEL
MUL11FAMILY
REPAIR
GRADING CYDS
DEMOLISH
TANK
oGARAGE
CARPORT
[3 RETAININGWALL
ROCKERY.
(TYPE Of U412. BUSINESS OR ATFrY) qMN:
S!
NUMBER OF
NumWr:R DWELLIN
OF
STORIES UNITS
DESCRIBE WORK TO BE DONE
Man P Ald
I In A 11-
COL #
_5q
74
PLUMBING I MECH
COMPLIANCE OR
13 CHANGE OF USE
SIGN
FENCE
C x FT)
o OTHER
FIRE SPRINKLER
FIRE ALARM
ps., o- e-
CRITICAL
AREAS
NUMBER
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESUP Approved
Rw PfrMft ROWIred
Street Use Permh PAO
EXISTING — PROPOSED
lr%pecdonFWqWrvd
sidevrant Required
REQUIRED DEDICATION— FT
ur4ftwoLm
WMg required
I
_1C 017C
NO OF FIXTURES
PRV REQUIRED
M En BIZE
I I YES 13 NO 13
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION
FIRE REVIEWED BY
VARIANCE OR CU
INSPECTION
DRAINAGE
DATE
z
0
DATE
0
M
BOND
POSTED
3 $
HEIGHT
ED PROPOSED
M
11TI
LOT COVERAGE
REQUIRED SETBACKS (Fr.)
PROPOSED SETBACKS (Fr.)
ONT LIRSIDE. REAR
—i
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FRONT SIDE REAR
FR
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CHECKED BY TYPE
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-rAA S a Cu7- VALUATION
P I I t -y)-a $
L 1 1 rtl __X _,__P1 r-x 4
111114—A A ju A.4 _,1 1,0A) ".MF: Descrintion
03 In
OCCUPAZ:� M 11711
GROU P
0
OCCUPANT
0
I DAD
0.
ALINSPECTIONRE 'D
PER UBC 108/FIN'
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE % Building Permit
PLAN CHECK VESTED DATE Plumbing
Mechanical
THIS PERMIT A1,117HORIZES ONLY THE WORK NOTED. THIS PERMIT COVER$ WORK TO
BE DOME ON PRIVATE PROPERTY ONLY. AW CONMMUCTION ON THE PUBLIC Grading
DOMAIN (CURI39, SIDEWALKS, nRW_wAyS, MARQUEES, E-TC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr.,Review
PER ffAPPUCATION:, 180 DAYS
A
PERMIT LIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Description
FEE
0
State Surchargell
City Surcharge
Mi
-APPUCAUr, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASS16NS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, rFS OFFICIALS, EMPLOYEES, AND AGENTS, FROM ANY AND
Fire Inspection
Receipt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, APJSING DIRECTLY OR INDIRECTLY
FROM THE 113SUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT I E '
Landscapeinsp.
Total Amt. Due
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT ANY CITY ORDINANCE
TO ENFORCE ANY%rRDINANCE PROVISION.*
NOR UMrr IN ANY WAY THE CrF" ABILITY
Recording Fee
Receipt #
I HEREBY A4W_WUEDGE
THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPucATioN
APPROVAL
GIVEN IS ci:
THE OWNER.
RE" AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
1.1"A
CALL
This applict.tion Is not a pennil until signed by the
Building Olficial Of Nsftf DOWY: and Fees are paid, and
4
TION; AND IN
10
IN VIOLAT lhl�
0 ING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
OFJAWLLABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
recelpt to acknowledged In space Provided.
WORKMENS C ENSATR%!MURANCE 6WI)CW 18.27.
.
OF�jCIALS,6lGtj1ATURE
— I _e _ ____
0
/0
(425)
1 .. -
�OR
771-022U
-D -1 -
7ELEAdE BY D&E
ATTENII,Off-
J
t-1
M 1333
IT- IS UNLAWtUL TO USE OR OCCUPY A BUILDING
STRUCTURE li4y.-'eq
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CE-1 T1
ORIGINAL - FILE YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK -OWNER GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
04/02