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20030920.pdfI DATE RECE IVED Z221-jV9 43 1PERMIT EXPIRES f USE PERMIT ZONE CITY OF EDMONDS NUMBER JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDR:��.Z Aeb Ae OWNER NAMENAME OF BUSINESS MOP- PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S MAILING ADDRESS TESCP Approved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Per" Required 9—"P—V— 0 — 95 'i>c use Peffnit Req'd street Inspectio Required 13 EXISTING - PROPOSED [3 CITY ZIP TELEPHONE Sidewalk Required Undo C: GV ?_ REQUIRED DEDICATION- FT widnfo 0 METER SIZE LINE SIZ NO. OF FIXTURES PRV REQUIRED NAME YES13 NO 13 z REMARKS ADDRESS N CONTROL/DRAINAGE OWNER/CONTRACTOR RESPONSIBLE FOR EROSIO ZIP TELEPHONE Of C Xc 1W WT r-11FL 1L.W5 all%, Anoy'nilICA a W NAME CBLN uDarnvLw lill %plis cc mnisy= A. ENGINEERING Rilwagg"N a a W W.- DATE ADDRESS/ E ACCEPTED B 0 DATE 4L FIRE REVIEWED BY cp ZIP TELEPHONE rL 6 VARIANCE OR CU SHORECINE 08 ADB# I INSPECTION BOND EXPIRATION DATC D BY REO'D POSTED 1$ STATE LICENSE NUMBER I 113YEs 13NO SEPA REVIEW SIGN AREA HEIG PROPERTY TAX ACCOUNT PARCEL NO. EXEMPT ALLOWED , PROPOSED ALLOWED I PROPOSED ,.OeFwv:�i - & EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) '-WRESIDENTIAL MBING MECH R SIDE REAR NEW ALLOWED PROPOSED FRONT SIDE REAR FRONT L/ COMPLIANCE OR 0 ADDITION COMMERCIAL CHANGE OF USE P IN] LQT Al EVIEWED BY Da 0 ARKING JE "r pAeNger ine Ater sy em P R 13 REMODEL MULTIFAMILY SIGN RECeD PR FENCE on tanka ara GRADING 0 REPAIR CYDS X FIQ EMARKS tiked on all hot watAr tinks P gn 0 DEMOLISH TANK 0 OTHER City Cod . ECDC 19.30.020(c) GARAGE RETAINING WALL FIRE SPRINKLER 1:1 CARPORT ROCKERY FIRE ALARM (TYPE OF USE, Bust S OR ACT� EXPLAI CHECKED BY CONSTRUCTION OCCUPANT rc ITY GROUP Z.-I :5- I 0 ER NUMBER OF ITICAL SPECIAL INSPECTION JAREA OCCUPANT OF DWELLING AREAS LOAD kl"UAFR REQUIRED STORIES UNITS YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG'D 7- & VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PFRMITAPPUCATION: ISODAYS 0. PERMIT ILIMM I YEAR - PROVIDED WORK 16 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 INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF 2 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 Landscapeinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE /)A" NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Receipt # Recording Fee 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 LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE CALL Building official or his/her Deputy: and Fees are paid, and TION; AND IN DOING THE WORK AUTHO ZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATIONOF THE LABOR COWDE THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknoydodged In space provided. �ORKMEN'S 9 rION InU E 1827. RE DATE 0 LS SIG SIGNATU ( VN R Ao I DATE S14NED 1A 1-225) W�R�AG/ 771-0220 RE A D BY AFEWION 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 HARD ARE MAKING 5 COPIES 04/02 PRESS -YOU I 0 as' IL m§ m 10 C z 0 _n m m 0 Fn C 0) ca z 0 m iv; I 11 DATE RECEIVED PERMITEXPIRES f CITY OF EDMONDS ZONE USE PERMIT &al� NUMBER CL CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT# ADDR::!g,2:,�Z 2 V NAMEINAME OF BUSINESS .J6�OWNER mok> I C_ c PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS LID FEE S I TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Ifed per== .2,1_r stmetuseParmhWd CITY ZIP TELEPHONE EXISTING — PROPOSED Inspectlon Requked GWewalk Requlmd Q.T1,1i'00A.1 "FU (-nr(5'z (r, 09 REQUIRED DEDICATION— FT Ur4wgmund I vy1mg foqw— 13 7ME METER SIZE LINE SIZE NO. OF FIXTURESTPRV REQUIRED YES 13 NO 13 YE ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBLN & z z/ ENGINEERING REVIFWM BY- DATE ADORE 88 P11 "W/ `7 &4t 0 FIRE REVIEWED DATE CITY ZIP TELEPHONE 9C Ic 40� &ZW 1!k� 0 , VARIANCE OR CU SHORELINE O;RADB I BOND STATE LICENSE NUMBER EXPIRATION DATE I CHECqD BY POSTED I / 14 ad:&k d �&� M OyEs 1133NO $ - SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL Yo. EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I , I EXP NEW. _5g�RAESIDENTIAL _G1.UMBING / MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR Ix ADDITION COMMERCIAL COMPLIANCE OR El CHANGE OF USE z 0 REMODEL MULTIFAMILY SIGN PAR Ima LOT A tANNING REVIEWE BY REOD ess Mel f, 06 (If "*sip !I REPAIR GRADING 0 FENCE CYDS X Fr) REMARKI!t expansi hot OTHER DEMOLISA 0 TANK Mquired 0h all wat&* janks Der Ck CW9. ECDC 19.30.020 (c) [3 GARAGE o RETAINING WA LL F RE SPRINKLER CARPORT ROCKERY FIRE ALARM (TYPE OF USE, Busib"s OR ACTIVI"LY) EXPLAIN' CHECKED BY ONGTRUCTION OCCUPANT GROUP MEL NUMBER NUMBER OF CRITICAL OF DWELLING AREAS, SPECIAL INSPECTION OCCUPANT LOAD LSTO IES UNITS NUMBE JAREA REQUIRED [:] YES DESCRIBE WORK TO BE DONE REMARKS FLN L IN PROGRESS INSPECTIONS PER LIBC 108L jCTiWEaD g 1�9 GAS Ifflat 110 0_&,2Yw9C Zn2 $ L__ -or, nUM169 11650 f�L-a&AZd=f Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE _F____'6LAZINC1 % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DOME ON PRIVATE PROPERITY ONLX ANY CONSTRUCTION ON THE PUBUC Grading X 3 DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, FURGUEES, ETC.) WILL REQUIRE 1: SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: 160DAYS PERMIT ILIMM I YEAR ' PROVIDED WORK IS STARTED WITHIN 180DAYS 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 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 Landscapeinsp. Total Amt. Due DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR UUIT IN ANY WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # 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 AUTH D THEREBY, NO PERSON WILL BE EMPLOYED Building Official of his/her Deputy: and Fees are paid, and IN VIOLATION jOF THE LABOR CODE., THE STATE OF WASHINGTON RELATING TO FOR race pt a c no a go n opera Pr 0. WORKMERS 2PWff"TION IM U E 0 10-27. JU ,RC%N_ 0 S DATE SIGNATU R AG ATE 8 NED . 1A* 1425 MLS/&GURE '771-0220 bY RELfASf6 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 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING z 0 M '45i ca � 0 M C M8 40 0 C: -� C ITI 0 z CO) 0 "711 "n M M 0 75 0 6 Fn Co C ca M 0 z z 3! CA z 0 4 0 M