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20030772.pdfM 7 DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS CITY ZIP TELEPHONE qpb-34 NAME k ADDRESS CITY ZIP TELEPHONE NAME I tc, ADDRESS 1-1915� A SIL CBL # An-15 EP i PERMIT EXPIRES USE E PERMIT ZON NUMBER JOB U Ut AW SU YE/ ADDRESS qqjq ILAX PLAT NAME/SUBDIVISION NO. 777O.'a'se LID NO. LID FEE S PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Required Street Use Permit We EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRED DEDICATION— FT Underoround Whing required 13 METERSZE P NN?d?6flffiff PRV REQUIRED YES C] NO 13 z REMARK? 011 -a"MIldnnnil or bows OWNER1gNjjjW RESPONSIBLE FOR EROSION CONTROUDRAINAGE - MUD - at" IPROPBRTY UN8 =WGINILT FIRE RqWwCMKUST ON BACK OP JOB CMD CITY ZIP TELEPHONE 111111ing IM-aDarMMnlill! RVnInDimuckrm W 11101t 0 9LO-31 I -I STATE LICENSE NUMBER E: _L­Wo � 4 . . b . A A Aft -7 'ROPERTY TAX ACCOUNT PARCEL NO. & �n - = Q� 6L NEW RESIDENTIAL X-8- 0 ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS JRCQWOLISH TANK ciGARAGE [3 RETAINING WALL CARPORT ROCKERY DTr.)OF USE. BUSINESS OR ACTIVITY) EXPLAIN: 1`11:1MBER NUMBER OF OF DWELLING STORIE1 UNITS DESCRIBE WORK TO BE DONE no,, DATE VARIANCE OR CU I REOD SHORELINE OR A08# INSPECTION 1$ 113YES BOND POSTED I 13NO !M SEPA RE71EW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED ti EXP , , PLUM13ING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRO NT URSIDE REAR COMPLIANCE OR 1. CHANGE OF USE I I - PARKING LOT AREA PLANNING REVIEWED BY DATE SIGN RECfD PROVIDED FENCE ( X FT) REMARKS OTHER 0 F RE SPRINKLER FIRE ALARM CHECKED BY TYPWF CONSTRUCTION CODE OCCU GROUP CRITIC, A SPECIAL INSPECTION A OCCUPANT ER LOAD REQUIRED [] YES I REMARKS PROGRESS INSPECTIONS PER URC 108/FINAL INSPECTION REG'D VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOUR7E GLAZIN13 11 LOT SLOPE % Building Permit Al City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMrrAPPUCATION: 1160DAYS PERMIT UMrT11 YEAR -PROVIDED WORK IS STARTED WITHIN 1160DAYS 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 Landscapeinsp. Total Amt. Due I 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 # 7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APP ICATION APPROVAI.,. GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH C17Y AND STATE LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the TION; AND IN DOIN ORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos are paid. and IN VIOLATIONAW,;TH7E0, OR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged In space Provided. WORKMEN TIO ,PtO�MP TIONI�qRANCE AND RCW 18,27. WFUIAW SIGY� RE DATE SI UR R DATE SI NED z' Zo. 771-0220 —R-ELEAS06" DA (TT -MI 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 I 'L.. " t 3. RE-INSpE . CTED OUTSTANDING ISSUES - GRANT FINAL PROJECT APPROVAL Date Si ocaprvl.doc.l:temp:bldg:fomisIO/OI z 0 m M rn 0 -10 0 C --I -c X M M Z C) -1 c E: :� co 0 -n n —i m m a 0 0 M co) cl) M 0 Z M z --I 3: V; z 0 m irw, I 2-LATE LRECEI.� PERIMIT EXPIRES L J, -PATE RECEIVED USE PERMIT ZONE 7,&2 CITY OF EDMONDS NUMBER _4�J. 77 S_ CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 0- % V WI sz� i—VKV - 1-/ V­- CITY ZIP - TELEPHONE NAME ADDRESS CITY ZIP —JELEPHONE NAME CBL# ADDRESS 1-1 If— A C PL-, ok, t=. JOB S E1APT# ADDRESS PLAT NAME/SUBDIVISION NO. I.Off NO. LID NO. LID FEE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Pentilt R"uired EXISTIV -PzaJ-NW Stmet Use Permit R I'd Inspection Hiliciuked Irod qu, REQUISD DMLtM:Fq 1;9 Oall4bUM" I 1 13 METER SIZE AB .8 St WffR 4Uft WgIUMM) ATRV REQUIRED I I REMARKS — HOSB B113 e DuM AN YES LJ NO 1­11 _ 11 ZARGE ID MUIpjW8MATE - zi FIRE REVIEWED BY DATE till CITY ZIP TELEPHONE rc IE S2 q&07 +Z1r I oll I i I I VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER E�f`IRATIC CMECKE I I REO'D POSTED 10YEs 1$ -T 1�&L04 M ONO BEIRA REVIEW SIGN AREA HEIGHT PROPE TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED co I I I . EXP I NEW >(.RESIDENTIAL PLUMBING/MECH LOT COVERAGE ALLOWED PROPOSED REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT) FRONT SIDE REAR FRONT L/RSIDE RM- .13 ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED 13Y DATE 0. 1:1 REMODEL MULTIFAMILY SIGN REQ`D I PROVIDED 0 REWR GRADING CYDS FENCE I[, X� FF) REMARKS OLISH TANK OTHER GARAGE RETAININGWALL 0 FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (DPG)OF USE, BUSINESS OR ACTIVITY) EXPLAIN: /I CHECKED BY CONSTRUCTION OCCUPANT , I ITYPIbOF GROUP NUMBER 'OF NUM BER OF OWE ILLING CRM jt!,4g A EACtL R 4t SPECIAL INSPECTION JAREA OCCUPANT STORIEJ UNITS NUMBER REQUIRED [3YES LOAD T, DESCRIBE WORK TO BE DONE REMARKS P ROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REGID $ Description FEE Description FEE V. Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit A - City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical 'THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX AM CONSTRUCTION ON THE PUBLIC Grading 23 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. t: Engr. Review 5. PFIRMITAPPLICATIOW IGO DAYS 06 PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'j"APPLICANT, ON BEHALF OF HIS OR HER SPOUSE HEIRP, ASSIGNS AND SUCCESORS IIN IkTEREST, AGREES TO INDEMNIFY, DEFEND i�D HOLE) HARMLESS THE CITY OF Fire Review Plan Chk. Deposit )ED YONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # �ALU CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISIND DIRECTLY OR INDIRECTLY �FR OM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE �VEEMED TO MODIFY WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due PW LIMIT IN ANY WAY THE CITTS ABILITY TO ENFORCE A14Y ORDINANCE PROVISION.' NIXON Recording Fee Receipt # I HME13Y 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 THEOWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC. CALL This appikatIon Is not a permit until signed by the T104; AND q Doloq,�RK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED 01 -_ , _ IN VIOLATIO THE OR CODE OF THE STATE OF WASHINGTON RELATING TO euuftg Official or his/her Deputy: and Foes are paid. and FOR INSPECTION /I � receipt Is acknowledged in space provided. WORKM���TIO'N RANCE AND RMY 18.27. t* SIGNAIJU RE DATE BIG R R OR DAIE 81 NED (4�25 Z163 7M��l 7 771- -0220 RELEASE6 tY AT Wf 1659 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