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USE PERMIT
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CITY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS 8110 200th St SW
OWNER NAMEINAME OF BUSINESS
P NAM E/SU BDIVI SION NO. 0. LID NO.
Alexander, Earnestine
15 MAILING ADDRESS
LID FEE $
8110 200th St SW
TESUP Approved
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Parmit RsqulW
CITY ZIP TELEPHONE
Street Use permit Raqd
EXISTING — PROPOSED Inspection Required 13
Sidewalk Required Cl
EDmonds 98026 425-774-9004
REQUIRED DEDICATION— Fr undergramd
Whing required
NAME
METER SIZE LINE SIZE NO, OF FIXTURES PAV REQUIRED
YES NO
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ADDRESS
REMARKS
OWN A/= AGE
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obtain Electrical Permit froM
CITY ZIP ONE
17
SWe Labor & Industries
NAME C13%
Fast Water Heater
ENGINEERING REVIEWED BY DATE
ADDRESS
12601 132 Ave NE
FIRE REVIEWED BY
CITY ZIP TELEPHONE
1425-814-3124
ygnt connectors
Kirkland 98034
3ND
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PROPERTY TAX ACCOUNT PARCEL NO.
COM ETE XM -,%tOWMr- OPOSED
00431200002403
EXP
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SETBACKS (Fr.)
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CARPORT ROCKERY FIRE ALARM
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CHECKED BY OF CON.6TRUCTION __jCODE OCCUPANT
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NUMBER NUMBER OF CRITICAL
OF DWELLING AREAS
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STORIES UNITS NUMBER
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LOAD
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DESCRIBE WORK TO BE DONE
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REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D
crawl space back of ciarage
a) 11 nt ra Uwe,
0,000 btu's
VALUATION Intl eo
$ 449-00 Ijb &6 oXea
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE T____6LXZING % LOT SLOPE %
Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE
Plumbing
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Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
III: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
Grading
2
3 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEFS, ETC.) WILL REQUIRE
t: SEPARATE PERMISSION.
Engr. Review
2
15 PERMIT APPILICATION: ISO DAYS
IL PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WffHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
APPLICAK ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review Plan Chk. Deposit
I
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 CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
Landscape Insp. Total Amt. Due
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
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Recording Fee Receipt #
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I HEREBY 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 histher Deputy: and Fees are paid, and
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknovelodged In space provided.
WORKMEN!$ COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DAFE
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SIGNATURE (OWNE! EWD DATE SI NED
(425)
. =M;L�
771-02 IDATE
20 BY
ATTENTION
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
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.1 PERMITEXPIRES
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PERMIT
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CItY OF EDMONDS
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
I
SUrrF/APT#
ADDRESS
8110 200th
St SW
OWNER NAMENME OF BUSINESS
PLAT NAME/SUBDMSION N
LID NO.
MAILING ADDRESS
8110 200th St SIN
CITY ZIP
EDmonds 98026
NAME
ADDRESS
CITY -
ZIP
TELEPHONE
425-774-9004
TELEPHONE
. L.,
I
it ADDRESS
12601 132 Ave NE
CITY ZIP TELEPHONE
Kirkland, 98034 1425-314-3124
STATE LICENSE NUMBER EXPIRATION DATE I CH
FASTWHC0520F 2-16-05 CY
PROPERTY TAX ACCOUNT PARCEL NO.
.00431200002403
NEW
RESIDEN TiAL
ADDITION
COMMERCIAL
REMODEL
MUI.TIFAMILY
REPAIR
GRADING CYDS
DEMOLISH
0 TANK
GARAGE
RETAININGWALL
CARPORT
ROCKERY
NUMBER
NUMBER OF
OF
STORIES
DWELLING
UNITS
DESCRIBE WORK TO
BE DONE
a
I]
BY
0 PLUMBING / MECH
COMPLIANCE OR
11 CHANGE OF USE
0 SIGN
o FENCE
FT)
OTHER
FIRE SPRINKLER
FIRE ALARM
CRITICAL
AREAS
NUMBER
qater heater in
e
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCIP Approved
RW Permit Rewired
Street Use Permit RaWd
EXISTING — PROPOSED
Inspection Rewired
SidewaSt Rewired
REQUIRED DEDICATION— FT
UnderWound
WMg required 13
METER 6
!E
NO. OF FIXTURES
PRV REQUIRED
9
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(3
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FIRE REVIEWED BY DATE W
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EXP
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ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR
PARKING LC IG REVIEWED BY DATE
REO'D I P ID —n
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ot doad
on d hot water tanks pOr
Chy PW
& ECDC 19.30.OM(C-)
CHEC F CONSTRUCTION CODE OCCUPANT
74 GROUP
SPECIAL INSPECTION AREA OCCUPANT,
REQUIRED [3 YES LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC I DO/FINAL INSPECTION REG?D
L)'V' e �ffi 0 a p it
1711 -1 01 .
10
Ll a b L
Ac L_
$ 449.00
- V., - I—
11:1) / ()f darlea—
Description
FEE
Descriptlo-1
FEE
Plan Check
State Surcha - rge
HEAT SOURCE --l—GLAZING % LOT SLOPE %
Building Permit
CitySurcharge
PLAN CHECK NO: VESTED DATE
Plumbing
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
DOMAIN (CURB PIDEWALKS;DRIVIEWAYS.IUARQUEES ETC
ngr� eview
7-
PERtArrAppi.jo4now isoDAys
PERMIT uMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
,ApPUCAW, 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 0
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 ( oc;
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CffY`8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Receipt # E�� 1-7
Recording Fee
I HEREBY AChNOWUEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
APPLICATION APPROVAL
GIVEN IS, CORRECr 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 AUTHOR12ED THEREBY. NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION receipt is acknowledged In space provided.
WORKMENS COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE D E
SIGNATURE (OW DATE NED
1AdJ
771-0220
BY (DiATE I
RIACASED
ENTION EXT I a
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 qPCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
GREEN - ACCOUNTING
A—
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES