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20030864.pdfDATE RECEIVED `7 *7 1 - 000-0 3L]' [PERMIT EXPIRES CITY OF EDMONDS USE PERMIT ZONE NUMBER Z ,03-0569!j CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT1# ADDRESS 7 11 fi P OWNER NAMEINAME OF BUSINESS _0 1-mm PLAT NAMEISUBDIVISION NO LOT NO. LID NO. MAILING ADDRESS LID FEE $ allIfe 'Ramp-PL 7ESCP Approved 'B A PUB VIS i E q trod Street Use =N Roq. '07quired CITY ZIP TELEPHONE I CAlb =n eqtAred [3 E X 1111 INQffi1aiMFAte0ftjGRj NjIffl 3790 RE Iftt6WAj1,Cftj)j01 U d. 13 _jftdDS=Q W'I'd 0 ",.q ed NAME M P..%ZF-- -mugut- NO. OF FIXTURES PRWREOUIRED 6 t YES NO 13 ADDRESS REMAR OWNE Sat WV TV'Itjj.1F.-!F Ine Wa for system CITY ZIP ONE I$ Wen or IjOud ' illfive"*en toliko-are requIred on all hot Water fanks NAME pqF LXY (;Ode. ECDC 1 �-'310.020 (c) 6 ENGINEJERING REVI _____DATEJ 0 ADDRESS I_ 3 1170 —A --4(.o FIRE RI DATE vwj§&Y B or L vent connectors UA OM CITY ZIP TELEPHONE -it I CUR '790'D -TOKUYLA Cai) I 111P.1-1111'. ul Ifni STATE LICENSE NUMBER EXPIRATION DATE Y VARIA!, Cli BMW tQN1 E I NW B D flWat N7 PO D I)f I E 3YEs 13NO Q PROPERTY TAX ACCOUNT PARCEL NO. RA REVIEW HEIGHT TE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED , , EXP NEW RESIDENTIAL PLUMBING/MECH x LOT ED SETBACKS (Fr.) ALLOWED L/R SIDE REAR COMD COMPLIANCE OR ADDITION COMMERCIAL 0 CHANGE OF USE BY CITY INS008 'j(REMODEL MULTIFAMILY SIGN PARKING DATE REO'D PROVIDAFMI ftl ErNer 0. GRADING o FENCE 0 REPAIR CYDS FT) 0 REMARKS TANK OTHER [3 DEMOLISH 0 [3 GARAGE [3 RETAJNINGWALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAJN: 01-12--1 CHECKED BY OCCUPANT R GROUP ITYPE7W NUMBER NUMBER OF CRITICAL OF DWELLING AREAS I— _PN SPECIAL INSPECTION —OCCUPANT STOR ES UNITS NUMBER I uhi JAREA LOAD REQUIRED [] YES DESCRI13E WORR Td-BE DONE fM fiAS REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REG'D -FbiamA66�' v i0v-, i�ry &As L4wT- 095L0(_A-n !�C ktkYT 0 VT to 0 196S t1je S 106 6 VALUATION T:Vn-1"AAt9 - OAS _PIPI#J�V r126 -M FoamAtC, 140Ty_TAAftE Description FEE Description FEE 01, Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS 7—RUIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBUC Grading X 3 DOMAIN (CURDS, SIDISWALKS, DRIVEWAYS. MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PEnurrAPPLIcATION: IGO DAYS PERMIT ILIMM I YEAR - PROVIDED WORK 15 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 a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAJMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECnY 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 REOUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION., Recording Fee Receipt 0 1:�= I HERESY 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 his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABORXQDE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknovAodged in space provided. WORKMEN'S COMPENSATYAT/Ai)IJI�ANCE AND RCW 10.27. OFFICIALS/SIG TURE D E WMIATURE (OWNER OR DATE SIGNED (425) 1A Z /Z) 10A 41/015 771-0220 RELEASED BY 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 z 9 0 ITI M M 0 80 C � r. M M 0 _n n M M 0 a; 0 r- 0 M C co) ic CO) M C) z z 9 0 IT! 4 - 577 "? 1 - 0 olao RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS — U011KI MAILING ADDRESS V-3 P U., - I PERMIT EXPIR ES 0 USE PERMIT 8 ZONE NUMBER &/)3 JOB SUITE/APT'# J JAODDRESS 17 P U0 _-A P p LAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE $ I LbUr Arproved P PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP Required Ampeffnli Reqd CITY ZIP TELEPHONE 60MON05 98g,'�, 149,T-(,JAr7-37'10 NAME ADDRESS CITY ZIP'. TELEPHONE NAME ICBL# M A7,,J k6AFF CITY I(AZILA ZIP qi-ita TELEPHONE STATE LJCENSE NUMBER EXPIRATION DATE CH By L 1 PROPERTY TAX ACCOUNT PARCEL NO. Pew _7001( to &O.D000 15-00 'NEW RESIDENTIAL PLUMBING / MECH ADDITION COMPLIANCE OR COMMERCIAL CHANGE OF USE li:!l EMODEL MULTIFAMILY SIGN REPAIR GRADING 0 FENCE X FT) CYDS ( DEMOLISH TANK 0 OTHER GARAGE CARPORT_ RETAININGWALL F RE SPRINKLER 0 ROCKERY: FIRE ALARM UWE OF USE, BUS114ESS OR ACTIVITY) EXPLAIN. NUMBER NUMBER OF CRITICAL OF WELLING AREAS STORIES UNITS NUMBER DESCRIBE WORI( TOIGE DONE . - a � . . o-. a . — % luancu Whindr Ired 13 PRI REQUIRED UNEMMI: ri z NO 13 MA INE CONTRACTUR-Ti FU?qbfbLr T water Wdem M-1111111111CM arm s 066i. . . .� Id-_ -,-- - F ., Edulb -1 kti2m 16 REVIEVR BY line or L vent connectors z DAT LLI 0 lax: ra d 0 M TWBIL �.NQ "N BOND POSTED 103YEs--E-3NO $ --SIGN AR HEIGHT EA COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED EXP rEAT MUST BE I M C= M 0 0 LOT C=Rv D SETBACKS (FEY� ALLOWED ff*T=9V1 ion UR SIDE REM 1 . C AFFIIiAIVIT S L NOT � C M PARKING - I REO'D PROVIDED LOW EWED BY DATE I --- z REMARKS 0 OCCUPANT CHECKED BY ITYPE n=N GROUP LV12 M M JAREA SPECIAL INSPECTION OCCUVANI REQUIRED LOAD o Fn 0 C: CA REMARKS M PROGRESS INSPECTIONS PER UBC 11081FINAL INSPECTION REaD --.ran Wm - VALUATION --- V, Ry MLA 11 W, C* Description FEE Description FEE z I 0500a Plan Check State Surcharge HEAT SOURCE 0% LOT SLOPE % 0 0 HAI 0.,—;* Citu Surch—a M u "tj PLAN CHECK NO: VESTED DATE Plumbing 11D h11V ;r?l� Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERIArTAPPLICATIOW. 180DAYS L PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS ngr. Inspection gEZ BACK OF PINK PERMIT FOR MORE INFORMATION ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESbRS,- Fire,,Review Plan Chk. Deposit ;APP 4 It MERE , AGREES TO INDEMNIFY: DEFEND AND HOLD HARMLESS THE CffV OF) I 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 PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE La ndscapeinsp. Total Amt. Due DEEMED TO MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LWIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee I Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APP L GIVEN IS CORRE" AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE TO COMPLY WITH CrTY AND STATE LAWS REGULATING CONSTRUC- CALL This application In not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED . nca Ayi.1- �^ n 1111,110IM01%,11711 U Budding Official or his/her Deputy: and Fees are paid, and recelpt Is acknowledged In space provided. IN VIOLATION OF THE OF THE 01AIC .1 T. .. 1. 9- WORKMENS COMPENSA�A�SU DE CE AND RCYV 18.27. OFFICIALS SIGNATURE DATE RE (o ER OR to DAY SIGNED 1A130% q T m�,raim L4 P i4�3= 771-0220 RELEASED BY ATTENTICt" 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 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES