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20030954.pdfI , DATE RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ER NAME/NAME OF BUSINESS C_kr-ks+eM0-\ ING ADDRESS 2-1 S L4) ZIP TELEPHONE ,�md4 s q6-62-o 7-75- 2-9 1 E ZIP ITELEPHONE NAME CBL# �A) AS C) ADDRESS CITY ZIP �)�44-tt TELEPHONE 19�)c-o2_02-qL7601 STATE LICENSE NUMBER EXPIRATION DATE W A -,-IAA JeS q F1 4 W05 I CHEQKED 13Y PROPERTY TAX ACCOUNT PARCEL NO. NEW JS[_RESIDENTIAL PLUMBING / MECH COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE 13 REMODEL MULTIFAMILY SIGN 0 REPAIR 0 GRADING CYDS o FENCE ( _X FT) DEMOLISH TANK OTHER GARAGE CARPORT RETAININGWALL [3 ROCKERY FIRE SPRINKLER FIRE ALARM (TYPE OF USE, BUSIVS8 OR ACTIVITY) EXPLAIN: [PERMIT EXPIRES( 0. USE PERMIT -? ZONE NUMBER J013 ADDREssq?.2-5 -2—t-11% P1 p0 SUITE/APT# PLAT NAME/SUBDIVISION N077 LOT NO. LID NO. LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP 71ESCP kOoved Rw Ps"rut Required Street Use Permit Req'd EXISTING — PROPOSED Inspection Requited 13 Sidewalk Requited 0 REQUIRED DEDICATION Fr Undertiround wiring required 13 METER SIZE LINE SIZE NO. OF FIXTUREa_ _.MPEQUIRED E 13? NO 13 z REMAIIK, z 2; OWN!t!!qf2f p21JDRAINA�E M NUMBER NUMBER OF CRITICAL a DWELLING A EAS 0 OF 9 STORIES UNITS NUMBER DESCRIBE WORK TO BE DONE I 46e HEAT Sl RqE X 1 GLAZING % LOT SLOPE % PLAN CIRECK 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 PUBUC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPUCATION: 160DAYS PERMIT UMIM I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST, AGREES 10 INDEMNIFY, 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 C17YS 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 CONSTRUGOO TION; AND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATIN/To WORKMEN'S COMPENSATION.DLSU4,ANCE AND RCW 18.27. DATE conneciol's si1in?:,1APP1ianc"'x FIRE SpqCe& UIVIC 5=-Jk-' DAT Lu VARIANCE OR CU SHORELINE OR ADB11 I INSPECTION BOND REO'D POSTED 13-ps 13NO s SEPA 14—EV—IE HEIGHT COMPLETE 4 "SwEWWWO I*OWED I PROPOSED LOT C09E — - FT POSED SETBACKS (FT.) RA6 SSW - a ALLOWED PROPWI ONT URSIDE REAR E TRF ACCE ED !I z PARKING LOT AREA I PLANNING REVIEWED By DATE REQ`O I PROVIDED I REMARKS CHECKED BY SPECIAL INSPECTION JAREA REQUIRED [] YES REMARKS PROGRESS INSPECTIONS PER UBC I Deacription Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. RecoMffin-a-'Fee CALL FOR INSPECT� (4251 771-0220 EXT 1333 FEE GROUP OCCUPANT LOAD I INSPECTION REQ'D Description State Surcharge City Surcharge FEE Plan Chk. Deposit Receipt # Total Amt. Due Receipt # APPLICATION APPROVAL This application is not a permit until signed by the ding Official or his/her Deputy: and Fees are paid, and I receipt Is acknowledged In space provideq I LEASED BY IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUP*t-_ UNTIL FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A C%��TIFI ORIGINAL - FILE , YELLOW - INSPECTOR kTE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 10G PINK -OWNER - GOLD -ASSESSOR GREEN - ACCOUNTING 02 PRESS HARD -YOU ARE MAKING 5 COPIES z 0 0 M M M 0 M IT! z Irn M 0 aI C Or M 0 z ca z 0 IT! 0 DATE RECEIVED 0 1 PERMIT EXPIRES(d2i J*Y4 -3,03 1 1-1-1 1 USE PERMIT ZONE CITY OF EDMONDS NUMBER JOB UITEIAPTV' CONSTRUCTION PERMIT APPLICATION ADDRESSq22 s -OWNER NAME/NAME OF DUSINES� PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. 'brqokN--6Caro1 Lkris+er��,er\ LID FEE $ MAILING ADDRESS q2-1 TESCP APPMW 2 M SL4) PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Streat W, P-nnh Rold EXISTING — PROPOSED-- inspection Required CITY ZIP TELEPHONE Sidewalk RequkW Undeivround 7-752-9 1 REQUIRED DEDICATION— FT VAringrequired! 13 NAME METER SIZE LINE SIZTJ NO. OF FIXTURES PRV REQUIRED YES13 NO 13 z 12 ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR ER N Molt from CITY ZIP TELEPHONE 7-00,110 - :03 - 0*91cal Obtam ijustries RyAcks! & r NAME CBL# S UIA"%F- LA)/�rH DATE ADDRESS FIRE REVIEWED BY `71 Lu cc CITY ZIP TELEPHONE q(�j a�:) ct7 60 BOND 76RtU SHO IN STATE LICENSE NUMBER EXPIRAT19N DATE I CHEAKED BY do POSTED requi P:r $ A_VA� T11 red a q TIMC %M7MN01 rim W114 d�>� wSFGN HT 41 le AREA PROPERTY TAX ACCOUNT PARCEL NO. V CO PLETE EXEM.PT ED PROPOSED C)C> L7Lf -I nOCIN q60 I EXP LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SET13ACKS (FT) 0 NEW RESIDENTIAL kPLUMBING I MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT L/RSIDE REAR COMPLIANCEOR ADDITION COMMERCIAL [3 CHANGE OF USE GAS WE TEST MUST E z I DATE PA IMMSMOR 06 MULTIFAMILY REMODEL El SIGN REOD . I L_ 0 GRADING [:] FENCE I I 11M REPAIR CYDS X_FT) REMARKS 0 DEMOLISH TANK o OTHER CEPTE-0 oGARAGE RETAINING WALL FIRE SPRINKLER CARPORT ROCKERY FIRE ALARM 'ME OF USE Dust SS OR ACTIVITY) EXPLAIN: CHECKED BY JTYPEj��I OCCUPANT I-q GROUP NUMBER OF CRITICAL OCCUPANT DWEL �ING AREAS SPECIAL INSPECTION AREA LOAD F I 'OF STORIES NUMBER REQUIRED rj YES DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REG "J C4 4-LqJ- LUATION cr( hicuk, r2,8, �p (a Description FEE Description FEE Plan Check State Surcharge LAZING % LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing 007/11 10!:X G/ Mechanical - e-1 S-1 THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t= BE DOME ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr . Review PERMIT APPLICATION: ISO DAYS - DAYS PERMIT LIMM I YEAR - PROVIDED WORK 18 STARTED WITHIN 180 Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHAI�F OF HIS OR HER SPOUSE, HEIRs. ASIG'NS ANEFS 'CES Fire R6vew i. Plan Chk. Deposit P U 0 is AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THEq Cff OF IN INTEREST. EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Insp6dion Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY THIS PERMIT SHALL NOT BE FROM THE ISSUANCE OF TIftS PERMIT. ISSUANCE OF DEEMED TO MODI WA REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due ANY ORDINANCE PROVISION.* NOR LIMIT IN ANY LITY TO ENFORCE %ABI '�Fee gorcifn Receipt III R 5?u I HEREBY ACKNOWLEDGEYHNT ILVE READ THIS APPLICATION; THAT THE INFORMATION ATION APPROVAL APPLIC 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 CONSTRU CALL This-applicallion Is not a peirritit unfit signed by the Tjot�!ND IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLO D Bu ding Official or hi0er Deputy: and Fees are 0'�Id, and L LATIN TO R INSPE receipt Is acknovirlodged In space provideV IN V VION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATIN FO CT WOF ENS COMPENSAn3q06U1I6NCE AND RCW 18.27. SIGNAT�E E 10tLS SIG E(OWNE E DA SIFINED (425)7 6!, mo__� l�mmi-3 jo 771-0220 ELEASED BY DATIE ION '7En 1333� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTU4 UNTIL A. FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A C TIFI- ORIGINAL - FILE YELLOW - INSPECTOR PINK - OWNER GOLD - ASSESSOR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 GREEN - ACCOUNTING 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES M z 0 M M C M C M C z H 0 _rI M I I �Ll I M M 0 0 Fn C co K CO) M 0 z X z W z 0 M