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20030746.pdfDATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION 15 ER NAME/NAME OF BUSINESS V, k -T?,, S C MAILING ADDRESS 7 �?o q t 7 1 CITY TELEPHONE �gwmds NAME ADDRESS CITY ZIP [TELEPHONE � k I PERMIT E 7E PERMIT NUMBER J013 E/APT# ADDRESS-7e 01 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Ugo Permit Req 'd EXISTING — PROPOSED Inspection Required 13 Sidewalk Required 13 REQUIRED DEDICATION— FT — UndarWound Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YESC3 NO 13 z REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE — I NAME BLN ic M-7 Arrinfilil I I 1111111111110 VI 11111_111GL�__ -DATE ENGINEERI ADDRESS -#-v�dqke AVI�_ Cj BE ACCEPTED DATE FIRE REVIEWED BY P TELEPHONE qVARIANCE STATE LICENSE NUMBER EXPI13ATION DATE CHECKED BY OR CU SHORELINE OR ADS# I- INSPECTION BOND REO'D POSTED Is WAMtEsq'I 1 q/03 It, 1-1 10YEs 13NO HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. SEPA REVIEW SIGN AREA UUMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP , , , NEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBACKS (FT) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE z REMODEL MULTIFAMILY 0 siGN P REQ`D I PROV EqD I I B I L nt MTe B or L V t connectors 916 GRADING FENCE REPAIR CYDS 11 x Fn :ne REMA Ktequi red lin fuel- urning upplimins in- ne. urni at , Ft OTHER DEMOLISH TANK 1:1 A. I tinhe—W-d space& Urvte St" RETAINING WALL FIRE SPRINKLER oGARAGE CARPORT ROCKERY FIRE ALARM '0 INESS OR ACTIVrrAEXPLAIN' CHECKED BY TYPMOF NST U ION CODE OCCUPA C3!+S _614157 eldcp. 1 177 GROUP C d* TN NUMBER NUMBER OF CRITICAL OF DWELLING AREAS SPECIAL INSPECTION REA OCCUPANT —STORIES UNITS NUMBER REQUIRED [3 YES LOAD DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REGID ,__m — �� h il�Ks - [ ( T�j rVA C., C%a _'O Lcjfjt�ej 1 VALUAnON %J Description -J FEE Description FEE Plan Check State Surcharge ?L09 E GLAZING % LOT SLOPE % VESTED DATE Building Permit Plumbing City Surcharge PLM'CHECK NO: Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTIRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 3 SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: ISO DAYS 1 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ,2 '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 W14ATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL 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 # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION API iROVAL 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 Building Official or his/her Deputy: and Fees are paid, and TION: AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 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. Q4'F)aIALS SI TURE - DATE SIG URE Ell QrAGE" DA NED (425) 771-0220 RELEAStO 13Y nAW ENTION M 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 0 C M M z 0 _n -n M M 8 V) 0 Fn C (j) (j) 0 z 0 4 0 M 11 qTE REC ATE RECEIVED PERMIT EXPIRES q CITY OF EDMONDS USE PERMIT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB /APT# ADDRES6-7e,0 171'V SI-S 4U _QWNER NAMEftWig F BUSINESS rC,PLAT 1(, V_ S C NAME/SUBDIVISION No. LOT NO. LID NO. MAILING ADDRESS _7 LID FEE S TESCF ApPrDv*d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pern'M Ractuirod Street Use Permh Req'd CITY ZIP -:�E�rods 4-62(.0 TELEPHONE EXISTING — PROPOSED Inspectio Required Sidmalk%equired REQUIRED DEDICATION— FT Undagrouoded vwffmgroq 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PAV REQUIRED YES13 NO 13 Ll ADDRESS REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY ZIP ITELEPHONE NAME CBL P Wiski YI-1 T FIDUITS SHALL NOT ENGINEERING REVIEWED BY BE ACCEPTED DATE I AD SS �DDQE AV12 c FIRE REVIEWED BY DATE 41P TELEPHONE VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER TION DATE I GUECKED BY REQ'D POSTED I 1E3YES 1 qPI LO AM (ES C? -7 1 X, � (a 1 2S L 13NO $ I - PROPERTY TAX ACCOUNT PARCEL NO.' SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP 0 NEW RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR ADDITION [j COMMERCIAL COMPLIANCE OR CHANGE OF USE I - REMODEL MULTIFAMILY SIGN PARKING LOT AREA PLANNING REVIEWED BY DATE RE FENCE REPAIR GRADING CYDS ( — X—n rpmo :A A"�E�iunedo= Regafts" 1. — — ____ flusel.bairining =OHM coils OTHER DEMOLISH TANK 0 enjW ERSCM UMC'- 815.1.7 GARAGE REIAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM PE. BUJINESS OR ACT OF U [VrDQ, PLAINy\ "Dew;r/W CHECKED By CODE OCCUPA7� 40 ov [ry��ON I NUMBER OF NUMBER CRITICiL_ OF 'DWELLING AREAS SPECIAL INSPECTION AREA OCCUPANT I LOAD STORIES UNITS NUMBER REQUIRED [:] YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC TOO/FINAL INSPECTION REO'D z 9 A'P% vp AA_ F%l P pri 1 rvNrc_,le� Lot-4 -kc) I VPLUAnON TWO I 1 11111111111111113 A) &___z1 6 2 LiOIAA;�— Description FEE Description FEE Plan Check State Surcharge GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical Ttile PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO 1= BE DONE ON PRIVATE PROPERTY ONLX AW CONSTRUCTION ON THE PUBUC Grading 2 DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPUCATION: 180DAYS 0. PERMIT LIMM I YEAR - PROVIDED WORK 19 STARTED WITHIN 1160DAYS Engr. Inspection I SEE 13ACK OF PINK PERMIT FOR MORE INFORMATION S 0 I 'APPLI N BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS LF F H APPL 0 N E "A 0 Fire Review Plan Chk. Deposit N IIN INTrEREVAGREES TO INDEMNIF% DEFEND AND HOLD HARMLESS THE CITY OF N NTE R E A G R E ES To N D F EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND DM 0 D S AS H GT 0 N T S 0 'I : M Fire Inspection Receipt # I IALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY L C LA` Me F 0 R D E 0 F 'HA — FROM THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE F Ro M T" E S S I A NCE 0 F TH IS P E' Landscapelnsp. Total Amt. Di to 019 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE DE E D To M D" WAM OR E' EM 0 THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' T"`E Cny8 A R UMff " NY W Y NOR LIMIT IN ANY WAY No Recording Fee Receipt # 2:9 I I HEAEUY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION E E W ACKNOWL"DGE THAT I HAVE APPLICATION APPROVAL G GNE14 IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF IVE 0 OR MAND THAT I AMT N C R E THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- E M I GH MPY THE WN A E To CO L 0 This application Is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED -no T IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO n LA 7 N VIO LA 0 0 BOR Co Building Official or his/her Deputy: and Fees we paid, and FOR INSPECTION receipt Is acknowledged In spaco provided. SA M WORKMENS COMPENSATION INSURANCE AND RCW 18.27, IALS DATE SIP,4TURE 81 URE WNER A ENT) D7 ED IA95) UV ZAIA A 16 S�N 7�4 0 SHE 771-02 __mELEAs�6 BY 20 tITIO f A ENTION U 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 ------- --- z M :;9 M C M 0 C M M C 2 0 -n M M 0 C z V) M 0 z z 0 M