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20030718.pdfDATE RECEIVED __ —1 //" ) P.ERMIT L I,,)- / j EXPIRES CITY OF EDMONDS _aE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDRESS C/ KISA OWIER NAMEINAME OF BUSINEfS /D k L-a t Q P1 Dieu PLAT NAME/SUBDIVISION NO. _7NO. L�D NO. M MAILING ADDRESS 7tq V1 P D FEE $ TESCP Applav PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Per. .,V CITY ZIP TELEPHONE Street Use Permit Req'd EXISTING — PROPOSED Inspection Required Sidewark Required C 9 26 1 REQUIRED DEDICATION— FT Undargmund Wiringroquired 13 NAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED YES 13 NO 13 ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION C TRO 0 CITY ELEPHONE NAME CBLN lublic 815.1.4 /Z 749 ulaiieated sPOM& ENGINEERING DRESS 4-S-100 Yfk",A ej A'�U— Cj CITY TELEPHONE ZIP ci FIRE REVIEWED BY DATE STATE LICENSE NUMBER EXfIRATION DATE VARIANCE OR cu SHORELINE OR AD1311 INSPECTION 13OND REQ'D POSTED M WS Q -716 61 t -3 [3YEs 13NO $ PROPERTY TAX ACCOUNT PARCEL NO. -7 -2 SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED , ALLOWED PROPOSED CO 400(!D C) 62-60 I , — EXP NEW ESIDENTIAL PLUMBING MECH LOT COV PROP68ED 5 CKS (Fr.) ^:I COMPLIANCE OR NT flD� I ALLOWE OPOSED FRONT SIDE S E REAR [ElectricAmal rref 11 Obta Ct C ADDrriON COMMERCIAL 0 CHANGE OF USE &qAjMAffi%N REMODEL MULTIFAMILY El siGN PA LI REO'D Pj Alf FENCE REPAIR GRADING CYDS X_ F7) REMARKS DEMOLISH TANK OTHER oGARAGE RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR A5rr. IC90.;7 70 �r OCCUPANT /V f- CHECKED BY TYPE ;V7Y G NUMBER NUMBER OF CRITICAL OF DWELLING AREAS �W 7) SPECIAL INSPECTION OCCUPANT UNIT$ NUMBER A/A_ JAREA REQUIRED LOAD _jTORIES [] YE DESCRIBE WORK TO BE DONE REMARKS JLl's-fAA1 To PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REQ'D !�aas !g 6? 6, Ub Q S VALUATION $ A)V A2ZLJ ad'�S Description -FEE Description FEE Plan Check State Surcharge SOUW GLAZING % LOT SLOPE % Building Permit City Surcharge PI AN tHECK NO- VESTED DATE Plumbing 29, Mechanical THIS PMMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. AMY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 180DAYS PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION ;APP ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit N I&RWEdT, 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 DEEMED TO MODWY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.- Recording Fee Receipt # -4 �11` T I't'le I I HERE13Y 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- 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 Official or his/her Deputy: and Foos are paid, and IN VIOLATION OF THE 0kGRE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged In space provided. WORKMENS COMPEN 0 INWRANCE AND RCW 18.27. )r ___ _ OFFICjALS,6IGqATURE PATE U� w 0 E"I SIGNPAURE (0 IED DATE SJGI� '-7f� = 1A#j=j k"AQUI '/' z/ A q 4 LLL6 771-0220 RELEASED IN DATI! AWENTION 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 .......... 4 . I D ATE REC:EIVE: EPERMIT EXPIRES CITY OF EDMONDS Uh PERMIT ZONE NUMBER24;o3 -owp) CONSTRUCTION PERMIT APPLICATION SUITE/APT# 'AODBDRESS OWI`jER NAMEINAME OF BUSINE la ki Die a PLAT NAME/SUBDIVISION NO. LOT NO. UD NO. MAILINd'ADDRE68 71 q Vi P LID FEE S TESCP Amried PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PenrJt Required Street Use Permh Req�d CITY ZI TELEPHONE 2.6 i?6p MSE11 -7719(1 0 EXISTING - PROPOSED- Inspection Required Sidr*,A& Required Underground REQUIRED DEDICATION- FT mqwr" 13 7iiAME METER SIZE LINE SIZE I NO. OF FIXTURES PRV REQUIRED I YES 13 NO C3 ADDRESS REMARKS OWNER/CONTRA2;g "RSfQNWW1.F: F -9F 3�qe B or L c05E CITY ZIP ]TELEPHONE .1 required gju fud-burrilag Womm 5bu an fe 915 NAME BLO unhe" Ic /Z 70 DATE ENGINEE ADDRESS FIRE REVIEWED BY DATE CITY TELEPHONE Z" VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE REO'D POSTED 10YEs I I 13NO S SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. —7 EXEMPT ALLOWED PROPOSED ALLOWED , PROPOSED 9 EXP , NEW A'RESIDENTIAL PLUMBING MECH L PR_QPOSED StT.BACI(9'(!FT) ALLO D PRQPWED �tFfftjb"WW IDE -REAR a CV i COMPLIANCEOR Yo ADDITION COMMERCIAL CHANGE OF USE _j__ af� & REMODEL MUL TIFAMILY SIGN REtr D r4 LJ48M N A0 M ff a Y DITE 0 REPAIR GRADING CyDS' FENCE X FT) REMARKS OTHER 10 DEMOLISH TANK RETAJNINGWALL [3 FIRE SPRINKLER I NEW CARPORT ROCKERY FIRE ALARM (TYPE OF USE, BUSINESS OR A!MN: CHECKED BY TYPE OC CUPA NTk3. GRO Up I NUMBER OF 7NUM8ER___ ---- TCRrrICAL OF DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT I . !� _S STORIES UNITS NUMBER LOAD REQUIRED [:] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REG-D j 6, 6fb 0 WUS VALUATION A.)zw a-lei's al ac, Description FEE Description FEE Plan Check State Surcharge HEAT SOURW GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN tHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES OMYTHE WORK NOTED. THIS PERMIT COVERS WORK TO 9 BE DONE ON PRr4ATE PROPERTY OHM ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS. DRIVIEVAYS. MARQUEES, ETC.) WlLL REQUIRE SEPASIATE PERMISSION. 9 Engr. Review PERM11TAPPLICATION: INDAYS , PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'A NT N BE IAL OF His OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS, Fire Review Plan Chk. Deposit REWAGRMITO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF INI71MA EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER MATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE IDEEMED N NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* Recording Be Receipt N LZ lb I I HERE13Y 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 WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or hi0or Deputy: and Fees are paid, and IN VIOLATION OF THE E OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMERS COMPENV INt"R CE AND RCW 18.27. OFFIC SAIMATURE TE SIGNffURE 0 ENTI DATE SJPNE IA13 1.,.5) 4 677 771 -0220 _____T RELEASED IN DATLT EXT 1333 IT IS UNLAWFU ',TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPEdTION 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