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20030942.pdf13 DA TE RECEIVED 112'0- PERMITEXPIRES USE PERMIT CITY OF EDMONDS ZONE NUMBER JOB SU E/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS 4�t_ � Lo OWNER NAMEINAME OF BUSINESS CL, C_%A PLAT NAME/SUBDIVISION NO. LOT NO." LID NO. MAILING ADDRESS LID FEE 4 TESCP Approved 1611- PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PorrNl R ad @qu:, 'Rq Street U., Form d cl ZIP TELEPHONE EXISTING — PROPOSED Inspeclion Required 13 Sidewalk Required CI aw,xis REQUIRED DEDICATION— FT underground ZSA..- es;b ule, Wiring required 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PFIV REQUIRED P�&INSPECTIPN REQUIRED YES 13 NO 13 z ADDRESS CLEAN13D OF DEBRIS REMARK z OWNERIATARMPTNOSIBBLEFFOR EROSION CONTROUDRAINAGE 9 SIDE sEwER MUST 88 CAPPED AT CITY ZIP TELEPHONE IMOPERW UNU 2 111MAQUign nn NAME CBL# VV @%a "M - WH AVB INSTALLED U4 ENGINEERJP REVI EWEDBY - ZWO AT APPROVED IDUMP SlIff'ONLY RESS ~L2- FIRE REVIEWEDW ECOST ON BACK OF JOB CCARD ZIP TELEPHONE POR INSPEMON REQUIREMENTS VARIANCE OR Cut HORELINEORADB11 I INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE B REO'D POSTED ZCHED I - [3YEs ONO S 0A6,cf—* 4 SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED I , EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) NEW RESIDENTIAL PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR COMPLIANCE OR ADDITION [j COMMERCIAL CHANGE OF z USE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MUI.TIFAMILY SIGN REaD I PROVIDED FENCE REPAIR GRADING CYDS X—FT) REMARKS DEMOLISH 13 TANK OTHER GARAGE -1 RETAININGWALL E] FIRE SPRINKLER 0 ALARM -CARPORT ROCKERY FIRE (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE.LY—CONSTRUCTION JCqOQE�_7 OCCUPANT GROUP LX-" U NUMBER NUM111M OF CRITZAL FDWELLING OF rAFI E� AREAS TiON A OCCUPANT 7 STORIES UNITS NUMBER REQUIREC S LOAD -J 'ES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC IGO/FINAL INSPECTION REO'D ci 3 VALUATION Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Surcharge Permit City PLAN CHECK NO: VESTED DATE Plumbing Mechanical THIS PFRMrr AUTHORMES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURDS, SIDEWALKS, DRIVEWAYS, MARQUEES, FTC.) WILL REQUIRE SEPARATE PERMISSION. - Engr. Review PERMrr APPLICATION: 160 DAYS 916 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 1130 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 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Ld-ndscapelnsp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE C11YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HI I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRECT� AND T14AT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF THE OWNER. I AGREE To COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the CALL 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 F INSPECTION receipt Is acknowledged In space provided. tG WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. dl� ICIALS SIGNATUO D 81 URE(O R AGE" DATE SIGNED 6A A 1-97,1114 Zal K 31n 771-02 i�ATE R ASED BY AWENTION ESM 3 3 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 I 77� (00) I DATE'RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAMEINAME OF BUSINESS 12; J1 CAA eA I\A, MAILING ADDRESS _Ilvc— &W ic ZIP TELEPHONE I&I"is 7-q3d, NAME 1@1 ADORES ICITY W-15. D1'dk7*i,.J ADDRESS 0;j <_ C,61AiA1%- STATE LICENSE NUMBER ZIP TELEPHONE C_ ZIP TELEPHONE Ote>44cl zr3— I PROPERTY TAX ACCOUNT PARCEL NO. NEW RESIDENTIAL ADDITION COMMERCIAL REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK oGARAGE [3 RETAINING WALL CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTIVITY]i EXPLAIN: at A ike, t— OF NUMBER NUM "DWELLING 'OF STORIES UNITS DESCRIBE WORK TO BE DONE f br CBL 0 N -o5l PERMIT EXPIRES L14 USE PERMIT ZONE NUMBER JOB SURAF�# ADDRESS PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. LID FEE S FEt;L;P P4)p—*d PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PerrrJt Required Street We Permit Reld EXISTING — PROPOSED inapocimn Required Sidewalk Required REQUIRED DEDICATION— FT UnderWourid Widnarequired 13 METER So PRV REQUIRED REMARKS to TREEI E CLEANED OF DMMS NO 13 OWNER/C08rRAS=3E&8%W1VE MV636" 6A?ffa&GE Planpawry LT14U- 0 R AT APPROVED DUMP sm ONLY B,i ENGINEERING REOWD BY DATE Sim DEMOLMON INSP=Om FIRE REVIZED2 6well ON RAGZ ag Tn WOR INSPWnON REQUIRUM40E VARIANCE 08 CU SHORELINE OR ADB# INSPECTION BOND BY REQ'D POSTED f I 113YES ONO $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE . EXEMPT I ALLOWED . PROPOSED I ALLOWED , PROPOSED LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR z CHANGE OF USE I I PARKING LOT AREA PLANNING REVIEWED BY DATE SIGN REQ`D PROVIDED o FENCE I I ( _ X_FT) REMARKS OTHER 0 FIRE SPRINKLER FIRE ALARM CHECKED BY TYPE:=N C OCCUPANTU OR CRITIbAL AREAS SPECIAL INSPECTIQNNj!�REA OCCUPANT NUMBER REQUIRED [3 YES LOAD C S R HEC PEC EOU K I I E A R D L E_ a IN D S R MA S_ tEMARKS- Pi10 S PROGRESS 1Nh0kCTIONS,PER U13C 108/FINAL INSPECTION REaD V UA ON M - R-IMEY 012;t' Description FEE Plan Check Description State Surcharge City Surcharge PlanChk.Deposft Receipt # Total Amt. Due Rec bipt # FEE Q11 APPLICATION APPROVAL This application Is not a permit until signed by the Building OMeW or his/her Deputy: and Fees are paid, and receipt Is acknowledged In space provided. SIGNATUA DA E 4ATURE (0 R - AGENT) DATE SIGNED 8/1 f YV00A1 &A, /9 771-02 TRASED BY DATEI TENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTI IRE 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 HEAT SOURCE LAZING*% LOT SLOPE % Building Permit i PLAN CHECK NO: VEsTEb &;�TE Plurribll`6 Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 71418 PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPAMATE PERMISSION. Engr. Review PERMIT APPLICATION: ISO DAYS PERMIT LIMI'll I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANr, ON BEHALF OF Hl� OR HER SPOUSE, HEIRS. AsSI&S AND SUCCESORS FNe Review IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection ALL CLAIMS FOR DAMAGES OF,WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THEJSSUANCE OF THIS PERMIT. ISSUANCE OF THIB PERMIT SHALL NOT. BE Landscape Ini;x. DEEMED TOVODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY10RDINANCE NOR LIMIT W ANY WAY THE 06W,13 ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee - I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECTI 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- ZCALL TION; AND IN DOINO-XHE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO F R INSPEC WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.