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20030660.pdfDATE RECEIVED CITY OF EDMONDS r CONSTRUCTION PERMIT APPLICATION OWNER N_AMQ%WE OF BUSINESS CITY NAME ADDRESS CITY NAME ADDRESS IR 01 CITY I ZIP ITELEPHONE 10,07 0 149-9-1 729- TELEPHONE lz�_3 1 '1 PERMIT EXPIRES USE PERMIT ZONEeln 1.5 NUMi& 4�� JOB — SUITEIAPT# ADDRESS /* 9r) 6 -0 PLAT NAME/SUBDIVISION NO. LOT NO. I LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Perm4t Required street use Permit PKN EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT underground WIM9 requhred 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED 7. YES 13 NO E3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CBL N -;'ANK FILL, 40144, OW 14V 9 ENGINEERING REVIEWED BY wl 1DWP C2 011.1, FIRE REVIEWED BY DATE ul ZIP IE TELEPHONE W e2liz - ? -'s'- 96 STATE LICENSE NUMBER RDYES EXPIRATIPN DAIE OT CHECKED 'BY VARIANCE OR cu SHORELINE OR ADBN I INSPECTION REQ'D 13NO I BOND POSTED S z SEPA REVIEW COMPLETE , EXEMPT EXP SIGN AREA ALLOWED , PROPOSED HEIGHT ALLOWED , PROPOSED 'ROPERT ,�TAX ACCO PARCEL NO. r] NEW KRESIDENTIAL 11 PLUMBING MECH COMPLIANCE OR ADDITION COMMERCIAL 13 CHANGE OF USE 13 REMODEL MULTIFAMILY 1 13 SIGN GRADING o FENCE REPAIR CYDS ( — X —FT) DEMOLISH TANK 0 OTHER oGARAGE RETAININGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (Fr.). FRONT SIDE REAR �PROPOSED SETBACKS (Fr.) FRONT LJRSIDE REAR PARKING REOD PROVIDED LOT AREA PLANNING REVIEWED BY DATE REMARKS ITYPE IN 38 N, on EXPLAIN: uh, 71h, 4 P C "o mm CHECKED BY E OF TYPZN CONSTRU OCCUPANT GROU NLMSER OF STORIES I N F UMBER DWELLIN UNITS CRITICAL AREAS NUMBER SPECIAL INSPE nON AREA REQUIRED YES S OCCUPANT LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER U13C 108/FINAL INSPECTION REG'D IYS I — il X f/.Vk N4 AtS--P 7?4/wf T A 0/4-S 401*4 lceyk* A*_S L TION VALUA $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit h5 City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIUMB ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPEITrY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading a 3 DOMAIN (CURBS, SIDEWALKS, DRrIfEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: 180 DAYS 916 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 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 # 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 DOIN WCRK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION HE &RIC911 CODE OF THE STATE OF WASHINGTON RELATING TO eMPENSATIO FOR INSPECTION receipt Is acknovAedged In space provided. WORKMEWS 9 PENSATION INSURANC5,Mf RCW 18.27. —, -.e-% OF LS SIGN RE DATE ' NER OR DATE SIGhED / 1405) z4?-7v PQ I 71 7 -0220 RELEASED BY f DATE/ ATTENTION 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 ISSUES GPANT yjNA.L rnvir,%, iL rL-L-w :RE -INSPECTED OUTSTANDING Si Date ocaprvl.doc.l:temp:bldg:fomisIO/OI I 1 -0 I M At I T3ATE RECEIVED r-6FP ERMIT EXPIRES I USE PERMIT CITY OF EDMONDS ZONE NUMBERX6t7g CONSTRUCTION PERMIT APPLICATION JOB V*9 f SUnVAPT# ADORES S&e ;r I /:�e t:710 'Pkt 0 OWNER NAMIE&IAME OF BUSINESS ART StAmF V PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILIArl LID FEE $ M 7— PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESGF Ap= RW F�Ima JMd S"M Use Pwmk RW ZIP TELEPHONE EXISTING — PROPOSED kwpKdon FMqLdM SldswWk PAquired F/WWOUN. 162a(L- 72�-1_5-33 REQUIRED DEDICATION— FT undKgmund Wkinareq**! NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 No 13 ADDRESS REMARKS 1A OWNEWCONTRACTOR RESPONSIBLE FOR EROSION C ONTROL/DRAINAGE CITY � V/ Z`P TELEPHONE FIRE MARSHAL M1 I-Izi ME PRERNNT F4R NAMIEP IC 750vc CBL# REMOM OR AR BY DATE 4�00- ENGINEERING REVIEWED ADDRESS R 01 FIRE REVIEWED BY DATE su Ir W CITY ZIP TELEPHONE &,e qpw .,Sea :2 0 STATE LICENSE NUMBER EXPIRAT1,9N DAJE CHECKED BY VARIANCE OR Cu SHORELINE OR ADBN INSPECTION REQ`D: 10YEs BOND POSTED F1 I- ef c / tT S 414 7 ONO s SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ,,j ACCO PARCEL NO. K4 COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED �PROPO BED M 14V lwg4 ej E XP , C M it :'j NEW� RESIDENTIAL 0 PLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR PROP68ED SETBACKS (FT.) FRONT LIR SIDE REAR -4 El ADDITION. r] COMMERCIAL COMPLIANCE OR CHANGE OF USE 0 REMODEL MUL11FAMILY SIGN PARKING REO'D PROVIDED LOT AREA PLANNING REVIEWED BY A a 10 . -GRADING FENCE REPAIR CYDS X FT) z REMARKS OTHER. 0 DEMOLISH TANK L3 GARAGE RETAINING WALL - FIRE SPRINKLER - . CARPORT ROCKERY FIRE ALARM 0 In . . I[TYPE Of USE, BUSINEBB OR 'EXPLAIN: Ss� Ad A )�PCO/11M,L &V MM CHECKED BY TYPE OF CONSTRU9r!ON Conti OCCUPANT GROUP 0 OF N IUMBER ZF WELLING CRITICAL AREAS SPECIAL INSPECTION AREA OCCUPANT, LOAD STORIES UNITS NUMBER REQUIRED YES DESCRIBE WORK TO BE DONE a REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPEC`nON REQD 01 as r Ph RiAlS 4P A V4` P014 R14 Pr 0 VIZ f VALUAnON 4. $ z Description FEE -Description FEE Plan Check State Surcharge 0 HEAT SOURCE GLA23NG % LOT SLOPE % building Permit %...0 City Surcharge M Wa CHECK NOI:� VESTED DATE Plumbing lvq Mechanical THIS PERMIT AUTHORIZES ONW THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLZ AM CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CUIRBS. SIDEVALKS, ORNMAYS, MARQUEES" ETC.) WILL REQUIRE 1: SEPARATE PERMISSION. Engr. Review PERmrrAPPucATtcft ioaDAys CL PERMIT LIMM I YEAR - PROVIDED WORK 18 STARTED WTTHIN 180 DAYS Engr. Inspection SEC BACK OF PINK PERMIT, FOR MORE INFORMATION 'APPLICANT. ON 13EHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS Fire Review Plati 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 Landscape Insp. Total Amt Due DEEMED TO moDiFy.wAra OR REDUCE ANY FtEOUMEMgNT OF ANY CITY ORDINANCE NOR LIMITIN ANY WAY THE CITY1 ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Receipt # W//W I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN 18 CORRECT. AND THAT I AM THE OWNER, OR THE DULY A11THORIZED 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 DOI RK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or hWW Deputy: and Fees are paid, and IN VIOLATION THE R CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged in space prov Idod. WORKME 8 MPENSAT! ZRANCE 18.27. ,,A#f RCW I OF5C LSSIGNA URE DATE ER OR G I DATESI�IED 1A9 %425) 7,7��_ 771-022 0 RE LEASED BY ATTENTION M 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL _j 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