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20030886.pdf0 DATE RECEIVED A 101a3 PERMITEXPIRES F - Ce-/d/�tITY OF EDMONDS 7, USE PERMIT ZONE NUMBERA12!5_ - 4!��456 CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITE/APT# ;5/ OWNER NAME/NAME OF BUSINESS t�7 I -f,2 IV V-0 PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE 4#�,i sT, TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 8W Permit Required Use Parmit Roq'd CITY ZIP ELEPHONE �l EXISTING — PROPOSED Street Inspection Required Sidewalk Required 93 1 -0)va 0 14 _3 3 //k - REQUIRED DEDICATION— FT Underliround El ,FJ,L NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES13 NO [3 15 ADDRESS z REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBLO R, N-7; eh/Altifuq 'iTsQV A/j ENGINEERING REVIBVED BY DATE ADDRESEr 14 A 9 1 j 4 1 Kew A a 5; FIRE REVIEWED BY DATE CITY ZIP ELEPHONE 0 re 7j, _36( -.;136r? Z-70 I —S —PE—C—T STATE LICENSE NUMBER EXPIRATION DATE CHEMD BY VARIANCE OR CUI SHORELINEORADB# 1 Y__1N BOND I_0­NT POSTED a All 0,3 Plial'T S P& a q3 P"r I / I �16E_PA 113YE"SE'8NO 1$ , R IEW SIGN AREA HEIGHT :01 PROPERTY34& Arcqtw.P4A09L NO. XEMPT I ALLOWED , PROPOSED ALLOWED , PROPOSED NEW 0 RESIDENTIAL ECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR IADDITION COMMERCIAL COMPLIANCE OR 3 1:3 CHANGE OF USE 1%f DATE Ej REMODEL MULTIFAMILY SIGN PARKING LOT AREA RECrD PROVIDED PLANNIN13 REVIEWED BY 06 GRADING FENCE X REPAIR CYDS FT) REMARKS OTHER DEMOLISH 0 TANK oGARAGE [3 RETAININGWALL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM OWE OF USE. BUSIIMNS OR ACTIVM3 EXPLAIN: CHECKED BY ON OCCUPANT r:5121 61h ITYAff]g GROUP NUMBER NUMBER OF CRITICAL OF DWELLING AREAS NJ Nk SPECIAL INSPECTION JAREA OCCUPANT LOAD —STORIES UNIT$ IER _ REQUIRED E &Y DESCRIBE WORK TO Of CPN A)l Jd!s S /+ A A.., qL 6� A4 KjVj _rV ]5X & T— j:Aj Sr REMARKS PROGRESS INSPECTIONS PER USC IGO/FINAL INSPECTION REO'D I'm!j Ak!j, &.a. Ct 0 C, 4 jAj WOO TAI S rks. It f _rAl A 0joe-'t, 'lZifj S VALLIAMON x& S I —At( Af okaelrAL dp $ ItAl S ra I 0�a_ Toz. L e_ Q 4a,% V^,c. fte, Description FEE Description FEE A A1,L 5U M pt/01 4, Plan Check State Surcharge HEATBOURCE____ GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO- VESTED DATE Plumbing I 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 2 DOLMN (cunes, sIoEwALKs, DRIVEWAYS, MARQUEES. ETC.) W1LL REQUIRE 3 SEPARATE PERMISSION. 1: 2 Engr. Review 5 PERMIT APPLICATION: 180DAYS IL PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR PADRE INFORMATION MIN -APPLICAK 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 Landscapelnsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE C"S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt# I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORREC T, 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 applicaflon Is not a permit until signed by the 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 Building FOR INSPECTION official at hisfher Deputy: and Fees are paid, and receipt Is acknowledged In space provided. WORKMENS COMP SUVO�NCE AND RCW 18.27. ? DAT 11) cl SIGNIPO.- S1 UREJOW ER DATE SIGUED (425) �P=" i y /// /J 2 - 7; 7c,) � 1 771-0220 z1z I SED a VATE ATTENTION off 1333 ayyoa-) 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-INSACTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER - GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING lop. .�A� -W It 'tr m DATE RECEIVED I ls� b= e� I q.. 46e :Y:� ERMIT EXPIRES 44 LP mmf� //z/1"folTY OF EDMONDS T USE PERMIT ZONE NUMBE CONSTATICTION PERMIT APPLICATION JOB SUIMAPT# ADDRESS OWNER NAMEINAME OF.BUSINESS A CzE I i7pty oy P PLAT NAME/31,19DIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S 4 TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Peffnit Required Street Use Perm4 Roq'd CITY '% ZIP TELEPHONE EXISTING PROPqSED Irapection Required Sidew0k Required D 344-14-33"1 1 40 undergrourw REQUIRED DEDICATION— Fr Wiring required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED 0 I YEs13 NO 13 I z ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAQE CITY ZIP TELEPHONE NAME CBLN Pv44_r5DV4/j ENGINEERING REVIEWED BY DATE CC ADDRESEr 4-A91 4;Kem Aa sif -A FIRE REVIEWED BY DATE ul 01 CITY HONE ZIP ITELEP PpVt Orc��ripcj V366 13M-7b9--1-3S*4? m VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CHEGMD BY REO'D POSTED 113YES I a "i it Piunq-T PIT / IV/ 3 A ONO $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY L NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Q2 1 IX) EXP , , NEW RESIDEN-nAL MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR C MPLIAN CEOR ADDITION rje COMMERCIAL 0 CHANGE OF USE z PARKING LOT AREA PLANNING REVIEWED BY DATE EL MULTIFAMILY REMOD SIGN REOD PROVIDED FENCE RE PAIR GRADING CYDS x FT) TEN REMARKS I OTHER TANK �0 GARAG E:3 RETAINING WALL FIRE SPRINKLER E CARPORT ROCKERY FIRE ALARM CrM OF! USE. BUSINE LAIN: E 8 OR ACTIVITY1 EXP Q71 (At CHECKED By OCCUPAN" GROUP NUMBER OF CRITICAL �`NUMSER - n OF DWELLING V\,,:rAREAS "STORIES N SPECIAL INSPECTION OCCUPANT UNITS NUMBER Ulu JAREA REQUIREDM LOAD DESCRIBE WORK TO 61 RDNE sr I ims IrCA 7v VA /I REMARKS - 311,110GRE INSPECTIONS PER UBC 108/FINAL INSPECTION REGID CA&.,d of,-ri- 1#4 woo Sh srk, Dam 102 -41'r 0f)e*L, 11,V*!9 S VALUATION Af qatvr4L M!S VA -z Ev,% Description FEE DescriptIon FEE Plan dhock State Surchargq HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 01 _.:2� Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME 0 ROPERTY ONLX AW CONSTRUCTION ON THE PUBLIC N PRIVATE P Grading :03 DOUNN (CURBS, SIDEWALKS, ORMVAYS, MARQUEES, ETC-) Wwu. REQUIRE SEPARATE PERMISSION. Engr. Review PER ITAPPLICATION: 180DAYS PF RMrr UMM I YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS We Review Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE C17Y 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 MODIFY, 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 # 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 aWlIcation Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building OMcW or hb/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMENS COUPE SUfANC No RCW 18.27. C SIG PPAQ-DATF 8? RE ER ro DATE SIG D I'm rw� I � ; m IJ A7JO-3 QfATE ..771-0220 RFI�M%SED BY ATTENTION EXT 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR ST RUCTURE UNTIL, A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE YELLON - INSI(EECTOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUM ING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES