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20030910.pdfDATE RECEIVED PERMIT EXPIRES i:�,2� it 1 �5. 1 1 /1 let :j USE PERMIT CITY OF EDMONDS ZONE NUMBER &OW2_4�? ! JOB W SUITEIAPT# CONSTRUCTION PERMIT APPLICATION ADDRESS 2ZU0 PL uj OWNER NAME/NAME OF BUSINESS CITY gcA tjj 14AME ADDRESS CITY NAME ADDRESS 1 09— STATE LICENSE NUMBER PLAT NAME/SU DIVISION NO. LOT NO. LID NO. LID FEE S '70 -0*'\ PL LA—) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW Permit Requir Street UB@ Permit ZIP TELEPHONE EXISTING — PROPOSED Inspection Required Sldewak Required ji� REQUIRED DEDICATION— FT underground Witirig required 13 METER SIZE LINE SIZT-1 0. OF FIXTURES PRV REQUIRED YES E3 NO 0 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE ZIP TELEPHONE L Lj_ 'CBLN meL ENGI1NrztR(0 BY DATE Sal ZIP TELEPHONE Q n 1t4j7<-Q0I_ -79 -2() FIRE REVIEWED BY DATE Lu PROPERTY TAX ACCOUNT PARCEL NO. W41910--0921Q0 - NEW RESIDENTIAL WPLUMBI ADDITION COMMERCIAL COMPL 0 CHANG REMODEL MULTIFAMILY SIGN [SrREPAIR GRADING CYDS FENCE ( [:] DEMOLISH TANK OTHER o GARAGE 0 RETAINING WALL FIRE 8 CARPORT ROCKERY FIRE SJUSINESS OR ACTIVITY) EXPLAIN: C te, ew) _ N64BER NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE A — d' WAMS, R, % MP ". t M MARIANCE OR CU SHORELINE OR ADB# I INSPECTION 1$ BOND REO'D POSTED 13YEs ONO BEIRA REVIEW SIGN AREA I HEIGHT COMPLETE EXEMPT ALLOWED PROPOSED 1, ALLOWED PROPOSED NG / MECH LUI L Lu' L ALLOWED LLOWED IANCE OR E OF USE PARRI RECqYD kREMARKS X — FT) PRINKLER ALARM -Me — HEATSOURCE GLAZING % LOT SLOPE % 6W; I I — PLAN CHECK NO: I VESTED DATE THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 1160DAYS, PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND 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 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 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- 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 WORKMEN'S COMPENS:=URANCE AND RCW 18.27. SIGNATUAE iCAMER OB&OPWA) -I DATE SIGNED J Affieftlin- M-g Iffiffinwifa 1&1 7 LOT AREA PLANNING REVIEWED BY DATE 06 CHECKED BY ITY [ON C.0ftE,..,&_ OCCUPANT GRO SPECIAL INSPE AREA OCCUPANT REQUIRED [3 YES LOAD REMARKS 1 PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REGID VALUATION Description Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee FEE Description State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due 4q Receipt # APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or histher Deputy: end roes are paid. and ON receipt Is acknowledged In space provided. nIMMIA1 9f.Q1nNA.Tt1RF — DATE I (425) 771-0220 ATTENTION Off 1 3 TI IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UN ��7 [-- A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES ORIGINAL -FILE YELLON-INSPECTC PINK -OWNER GOLD -ASSESSOR GREEN - ACCOUNTING 1 z 0 4 0 M M M -48 0 C: � C M 10 � z 4 � 6) 0 _n "�n 9 M M Fn M z z 0 4 0 M TT 13 DATE RECE 1: MD. PERMIT EXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION JOB SUITE/AP`T# ADDRESS 2D(c,20 :Zg4_'-% ?L kJ OWNER NAMEA"E OF BUSINESS T)ARLEY 622L& PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAIMING ADDRESS LID FEE S 4t^ TESGF AP=Sd PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW P@rn* :70 PL GO Sum Use Permit Req'd CITY EXISTING — PROPOSED inspection Required ZIP TELEPHONE SW&wa* Required REQUIRED DEDICATION— FT UndarWound 9cA mo 2k� ya� n673 - 62.C9 " gF - NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED I YES 13 NO 13 I I z ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP ONE NAME ICBL# 10lAtiptu MAo-q- Rtfic6ih4l 109.3 DATI It ENGIrEERINGTfMEWEIYbY ADDRESS .5WO, /0//)Ck C — 2-00 "S FIRE' 7167P DATE ZIP TELEPHONE Wpf %QA%al_1/25�801__�920 1 ly-W VARIANCE OR CLI SHORELINE OR ADB# INSPECTION BOND STATE LICENSE NUMBER EXPI TI DATE Y REO'D POSTED E I 10YEs 13NO $ L WCK F M=b&2 _C1 I iba. I �z SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. %,UMrLC?C EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I owifeg I 10 ocol 00 EXP , , PLUMBING / MECH LOT COVERAGE REQUIRED SET13ACKS (FT.) PROPOSED SETBACKS (Fr.) NEW RESIDENTIAL ALLOWED PROPOSED FRONT SIDE__�_k.�E_j ONT ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE PARKIN JLJ TLA9NT1_G__REV1_f*_ED BY RKING guming MFMJ red APP112fif& REMODEL 0 MULTIFAMILY SIGN R E aIDP R I U1 0 1, Troll 0 ftle 2RFPAIR GRADING FENCE X —_ S &4_ CYDS FT) REMARKS DEMOLISH TANK 0 OTHER GARAGE RETAININGWALL o FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM E OF USEJUSINESS OR AGMITY) EXPLAIN: CHECKED BY OF C07T U ON E OCCUPANT I( e" r GROUP C.& Icint 2 NOMBER NUMBER OF CRIT CAL _ ", OF - I DWELLING fAREAS SPECIAL INSPECTION JAREA OCCUPANT STORIES . I UNITS NUMBER [].YES LOAD -REQUIRED DESCRIBE WORK TO BE DONE Ae &&49� 15k�5 REMARKS 101�11#a PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD 1 AS 6x o64- 3 _2 10 coo 3TQ j 11 1 k^ CAMS& SfA_1 I VALUAnOW1 s Aak die&�t!m LIM C—EM OPJ WIC1,0 $ f2utlicie- TeiJurlas hL_4u_,-aLL Description FEE Description FEE W 01,j exL4 A.X Plan Check State Surcharge &EAASOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge 0�_ :5 1 PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO h BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading :23 DONIAIN (CURBS, SIDEWALKS, DRIVIEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMITAPPLICATION: 180DAY13 IL PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE 13ACK 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 OFFICLALS. 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 a,;, DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE q NOR LIMIT IN ANY WAY THE Crr" ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' # Recording Fee Receipt : �i 12.1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION L APPUCATION AP ROVA 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- L 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 LABOR CODE OF THE STATE OF WASHINGTON RELATING TO ION receipt Is acknowledged In space provided. CO�fEfil!= CIE AND RCW 18.27. OFFICIAl ff SIG NONURE DATE __W�KMENS SIG E( RO 0 �7 DATE IA05) .- 7WOw/ rA_T16 T, ///Z�;/ /1� � 7SNED 11 2 - 771-0220 RELEA§IfD ErY DATE - ATTENTION Off 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- ORIGINAL - FILE - YELLOW - INSPEC�Tbl`l CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING