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20030818.pdfDATE R V ED PERMITEXPIRES E R M T P Ubt: M I T PERMIT CITY OF EDMONDS ZONE B ER NUMBER JOB CONSTRUCTION PERMIT APPLICATION ADDRESS ;EX :/APT# UITE/APT# UITE a 0 NAMEINAME OF BU s sr-ssl I WRO PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ 15 MAILING ADDRE E ved TESCP I " �V d �L sTR T sc'�" 'equ"I EET MAP RW P UBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RWPOFMI Ovultfed S a ft., Req stfaft S "rin, Req'd u ' U." P qss La 02) Required Z ri inspection Gquifbd 13 t 0 EXISTING PROPOSED- Sldewalkll quil6d CITY ZIP fTELEPHONE 01 REQUIRED DEDICATION- -d Uniderground FT Wiring required 13 METER SIZE NO. OF FIXTURES PRV REQUIRED NAME I YES 13 NO 13 z I 13) ADDRESS z REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE GAS PIP MITY ZIP ONE ORSFRYEn BY CITY INSPECT-03R.-- NAME CBL# AEE1 Al I NOI lnbkoidc. 91::j4 41? ENGINEERING REVIEWED 13Y DATE BE ACCEPTED L cc ADDRE FI E REVIEWED BY DATE W cc Imi ZIP TELEPHONE CITY 1 rtq-8841 FIANCE OR CU SHORELINE BOND -GR ADB# INSPECTION REO'D POSTED I 1 STATE LICENSE NUMBER EXpIRATIgtPgRTE CHECKED BY I 0YEs 13NO $ 1 aA - U 0M - BE PA REVIEW COMPLETE EXEMPT SIGN AREA HEIGKT ALLOWED PROPOSED ALLOWED PROPOSED PROPERTYTAX ACCOUNT PARCEL NO. I (IMS11-10 ont MEC" EXP - LOT COVERAGE REQUIRED SETBACKS (FT) PROPOSED SETBAC�KS (FT) MONT. 'j, W, fleAR a NEW IDENTIAL PLUMBING R�9, 9 z 'AbDCTI'6� co�w CHANGE OF USE 0 �RCIAL PARKING LANNING REVIEWED a DATE LOT AREA CL 0 REMODEL MULTIFAMILY 0 SIGN RECVD DED E.- GRADING FENCE REPAIR CYDS X REMAR Iffle B or L vent connectors 0 DEMOLISH 13 TANK OTHER Z96 iu required on fuel -burning apPlian M71 0 GARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY 0 FIRE ALARM 4 unbeated acm UMC .1.7 sp -- (TYPE OF USE, BUSINES A ACT[Vr_M EXPLAIN: CHECKE PAR GROUP NUMBER NUMBER OF CRITICAL OF DWELLING A AS_hl 'PECIAL INSPECTION JAREA OCCUPANT LOAD "RE STORIES UNITS UM__ 1EQUIRED [] YES DESCRIBE WOhK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REQU 9 % e�% 4n. 2- E%luTES MAO r- Ao naja 1-Z23 z I=Z q Abrn -%dft t r VALUATION V, 14, r1c, JE $ Description FEE Description FEE Plan Check P Ell State Surcharge HEAT SOURCE NG % LOT SLOPE % Building Permit e City Surcharge .00 PLAN CHECK NO: - VESTED DATE Plumbing -- 20 &Se Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRWATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBILIC Grading 23 DOMAIN (CURBS, SIDEWALKS. DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 180 DAYS PERMIT IUMM 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMrT FOR MORE INFORMATION Fire Review Plan Chk. Deposit 'APPLICANT ON BEHALF OF HIS OR HER SPOUSE. HEIRS, ASSIGNS AND SUCCESORS DEFEND AND HOLD HARMLESS THE CITY OF IN INTEREST. AGREES TO INDEMNIFY. OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # EDMONDS, WASHINGTON, ITS ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY OF THIS PERMIT SHALL NOT BE Total Amt. Due FROM THE ISSUANCE OF THIS PERMIT ISSUANCE Landscapeinsp. DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE ENFORCE ANY ORDINANCE PROVISION.* 01 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO Recording Fee Receipt # THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL I HERESY ACKNOWLEDGE GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Building Official or histher 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 receipt is acknowledged in space provided. FOR INSPECTION WORKMEN'S COMPENS12UZ� INSURANCE AND RCW 18.27. 1 LS Sl URE DATE SIGNATURE ER OR G DATEM NED IA95) A A.,,l RELEA D ATTENTION 7 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 - YELLON- INSPECTOR PINK -OWNER - GOLD -ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN . ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES k z 0 0 M M -40 0 M 10 z 0 -n .n M M —0) 0 0 Fn C V) M 0 z z 0 4 F) M L� r : T-71 RVED2 ,,DATE [PERMIT EXPIRES C1 FEDMONDS USE PERMIT ZONE NUMBER(::, �2 CONSTRU T16N PERMIT APPLICATION JOB UITE/APT# ADDRESS I & a DILL On NAME/NAME OF OU NESS in 'S nfrn S)no PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS (0q ()2) A \je LID FEE S TESUP AP — PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PernMiRoquir. Street Use PerMh Req'd C) CITY ZIP TELEPHONE EXISTING — PROPOSED h%spection Required Sidews* Required Underground REQUIRED DEDICATION— IFT "mu, Ired NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES C NO 13 L z ` ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR �ROSION CONTROWDRAINAGE GAS E TES? MUST BE CITY ZIP TELEPHONE u5btfl= By CITY INSPEDOR A CBL # AFFMAM -31MLL NOT I ic� ecy\3n .4 CaA ENGINEERING REVIEWE—DBYUL D DATE 0 ADDRESt L_ A 1) Irl wme. z FIRE REVIEWED BY DATE 0 CITY ZIP TELEPHONE 4 11 A Alk ET 1! ft 0 tlWve 0 is- r1ri LA M ZL== LICENSE EXPIRATI D E CHECKED BY STATE NUMOR VARIANCE R C IBOND� ION ;RD POSTED NO $ PR12PERTY1M ACCOUNT PARCEV NtT SEPA REVIEW COMPLETE EXEMPT SIGN AREA HEIGHT ALLOWED PROPOSED ALLOWED PROPOSED Vi � M 00� EXP ITI -_.--LOT-. COVERAW--,—, _'4)AOfOGE0a ep qY416AUJ, PROPOSED BAPKSAFEY1 i, M�l 0 7 COMPLIANCE OR O'ADI)rrioN-�, C..OMMERCIAL CHANGE OF USE I M rn RKING T AREA PLANNING REVIEW ED E REMODEL 13 MULTIFAMILY. El SIGN REO' r L.V t connectors IMIEW z FENCE GRADING CYDS 0 X [J�.REPAIPI FT) REM IW%IUJIR TIM RYDA DEMOLISH TANK 0 OTHER ees uA409 81544 0 GARAGE RETAINING WALL o FIRE SPRINKLER 0 ROCKERY FIRE ALARM In CARPORT J2 (TYPE! OFUGEe BUSINES ACTIV EXPLAIN' UJ-7-7A,/ /2 CHE CKED BY ITYPE OCCUPANT GROUP z A m I fit C a NUMBER, IUMBER OF CRITICAL OF MELLING AREAS SPECIAL INSPECTION OCCUPANT FARE7 0 0 Fn STORIES UNITS NUMBERVz4_ REQUIRED [:] YES LOAD C: (j) DESCRIBE WOAK TO BE DONE 03 REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 0 OLIS 0101M 4n 2- Vh wres 4= L 12 .4j"4 Le a d 7. P A X A— r M, eAr -6 nfL&2 1-2023— 5L44r#r_ baeF_ f1rxrr_'* VALUATION z _)0 I- 4T Doscription J FEE Description FEE z Plan Check I State Surcharge ITI HEAT SOURCE GLAZI�G % LOT SLOPE % Building Permit City Surcharge .16.00 PLAN CHECK NO: VESTED DATE 07 Plumbing n rv'"% Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLZ ANY CONSTRUCTION ON THE PUBLIC KS DRIVIEWAVS, Mmayligs, ETC.) WILLA 9011.11111119�..: DOM C�IPIB� SIDFWAL . I OU" "#"TE PERMISSION. 7 OF.0, Engr. Review PERMIT APPLICATION: 180 DAYS ILI PERMIT UMM I YEAR - PROVIDED WORK IS STARTED WITHIN 1180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION WPLICANT, ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND.SUCCESORS HARMLESS THE Cl OF Fire Review Plan Chk. Deposit Sk -4 14 INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD 2 EDMONDS. WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM )" D Fire Inspection Receipt # IALL CLAIMS rOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTVY OR INDIRECTLY FROM..THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscapeinsp. Total Amt. Due IL&.i I I 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. - I Receipt # iM Recording Fee I HEREBY ACKNOWLEDGE 1HAT VE READ THIS APPLICATION; THAT THE INFORMATION r. APPLICATION APPROVAL GIVEN Is CORRECT; ANDMiAT AM THE OW NEW;0 �-E DULY AUTHORIZED AGENT OF THE OWNE COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- R 'AGREE I ' AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED TION; AND I� DOING T11 Wor This application Is not a perm it unfit signed by the CALL Building Official or histher Deputy: and Fees are paid, and in IN VIOLATION OF THE SO CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknovAedged space provided. WORKMEttS COMPENS) ION INSURANCE AND RCW 10.27, .11 1 TURE DATE I TU, SIGNATUR A8aER OR AGE DAT NED fA-0 025) 771 -0220 _/ DAI(E ATTENTION 1333 RELEA - SED BY IT IS UNLAWFUL TO USE OR OCCUPY, A BUILDING OR STRUCTURE UNTIL V 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 GREEN - ACCOUNTING PRESS HARD -YOU AREJ`i,4AKtNG 5 COPIES