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20030982.pdf11 DATE RECEIVED a- g- PERMIT EXPIRUZ USE PERMIT CITY OF EDMONDS ZONE NqMBER 4&� CONSTRUCTION PERMIT APPLICATION ATION JOB SUITE/APT# ADDRESS OWNER "EINAME OF �USINES& ��?. A&D PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS OR LID FEE $ TESUP APproved PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Use Permit flfq�d ZIP TELEPHONE Street EXISTING PROPOSED Inspoctlo" Required Sidewalk Required REQUIRED DEDICATION- FT UndarWmM Wiring required [3 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 13 NO C3 z ADDRESS REMARKS OWNEWCONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE CITY tIZIP TELEPHONE FIRE MARSHAL NAME CB��' MUST BE tjhttit 11T FOR Et /Co Co. C_ REMOVAL, E)R ENGINEERING RqRqttV!ft, ADDRESS W V. P ka_x FIRE REVIEWED BY DATE ku CITY TELEPHONE Zip ME Ian -,�V 7 -z:F7 ef VARIANCE OR CU SHORELINE OR ADBN INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE CK D BY REO'D POSTED 1$ co C 91 to 01195 13YEs 13NO .21 SEPA REVIEW SIGN AREA HEIGHT ROPERTY TAX ACCg PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED Z)o V-5. , , I 107 EXP NEW ESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (Fr.). PROPOSED SETBACKS (Fr.) FRONT LIRSIDE REAR ALLOWED PROPOSED FRONT SIDE REAR COMPLIANCE OR TION ADDI COMMERCIAL CHANGE OF USE REMODEL muLnFAmiLy SIGN PARKING LOT AREA PLANNING REVIEWED 13Y DATE RECID I PROVIDED 4 REPAIR GRADING FENCE CYDS I X_ FT) REMARKS OTHER 0 DEMOLISH 5TANK E] GARAGE RE TMNINGWALIL 0 FIRE SPRINKLER 0 FIRE ALARM CARPO FIT ROCKERY (rVE OF USE, BUSINESS OR ACTIVITY) &Yh"N: RE CHECKEDBY TYPE -CONST CTION OCCUPA _9L 42�L GROUP -1 �U/i 2 re3 M NUMBER NUMBER OF CRITICAL OF DWELLING AREAS - SPECIAL INSPECTION OCCUPANT STORIES UNITS NUMBER JAREA_ REQUIRED [3 LOAD YE DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECT12N REO'D 0 M-1 f�elnwt VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE % Building Permit City Surcharge HECK NO: VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORDES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DOME ON PRIVATE PROPEM ONLI ANY CONSTRUCTION ON THE PUBUC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMITAPPILICATION: ISODAYS PERMIT LIMIT: I YEAR - PROVIDED WORK 15 STARTED WITHIN 160 DAYS Engr. Inspection GEE 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 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # z 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. DUB NOR LIMIT IN ANY WAY THE CITYS 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 CRY 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 EMPLI)YED Building Official or hi3ther Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowiodged In space provided. WORKIJIEN'�,�PPENSAT '91� IRVI RANCE AND RCW 18.27. OFFICIALS SIGNATURE DATE I JOWN 0 G DATE S,rED I 1A 030% 01 w - �Y-1 OA: A� 21 771 -02.20 R"D BY, f UATh ATTENTION M 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 - �ELON - INSP&TOMK 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 q 0 m =i OM c MO 0 80 c -4 ic MM MZ -4 -z 0 -n ,n m m ous 0 0 Fn C 0) c co) M 0 z z z 9 0 m Inv --,rj--INSPECTED OUTSTANDING ISSUES. I GRANT FINAL PROJECT APPROVAL ocaprvl.doc.l:temp.bldg:fOMIS6/98 RECORD OF INSPECTIONS INSPECTOR DATE APPRdVED SETBACKS ..................... FOUNDATION - Footing ............ Plot/Porch ................ Retaining Wall . . . .......... Slab Insulation ...... PLUMBING: %moor W %no mw qw 0, .4, I �.WECEIVED S-zi a,;R PERM IT EXPIRES &rig USE PERMIT CITY OF EDMONDS ZONE NQMBER 4&"o JOB SUITE/APT# CONSTRUCTION PERMIT APPLICATION ADDRESS OWN7ME/NAME,7USINESR %D 91)Pb_1WSff PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. MAILING ADDRESS f LID FEE $ 7ES"Ap;= PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP W ho St" Use ParmN Wd ZIP TELEPHONE EXISTING — PROPOSED— Inspecuon Required CITY Sidswah Requked REQUIRED DEDICATION— FT UndvrWowid C, YEE- 15�0kl t/..Ozalll WkMg reqWred 13 NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED az 'A 1 yEs[3 No C3 I 11 ADDRESS REMARKS A/ OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROLJDRAINAGE CITY [zip TELEPHONE F! MARSHA it � MUSTI-BE PRESENI EOR NAME CB TANK FILL. BEMOVAL, OR CAP F eo. ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED BY DATE CITY Zip TELEPHONE 5'�vw'14 / 6n VARIANCE OR Cu SHORELINEORADB# I INSPECTION BOND STATE LICENSE NUMBER EXPIRATION DATE REO'D r POSTED 13YEs 13NO $ aj� 651 C / 6 S499q SEPA REVIEW SIGN AREA HEIGHT PROPIRTY TAX ACCQUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED V /00 6-W 4? elyj&2Z5 FLY EXP , , I NEW PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) - ALLOWED PROPOSED FRONT SIDE REAR FRONT LIFISIDE REAR g�ESIDENTIAL ON COMMERCIAL COMPLIANCE OR ADDITI 0 CHANGE OF USE I REMODEL MULTIFAMILY PARKING LOT AREA I PLANNING REVIEWED BY DATE SIGN REQ`13 I PROVIDED 0 REPAIR T] GRADING Ei FENCE X CYOS ( _M REMARKS A^& 0 DEMOLISH VTANK OTHER E I co U oGARAGE RETAININGWALL FIRE SPRINKLER V4 1W SUN 0 0510`00"' - 0 CARPORT ROCKERY FIRE ALARM RE OF USE. BUSINE 0 CTIVITY) VJWN: CHECKED BY TYPE OF CONST99CTION OCCUPANT / 114 IC .. 10�� 4 4 N GROUP L NUMBER NUMBER OF RITICAL 11 :J�Uli C Vj OF D NELLING AREAS SPECIAL INSPECTION AREA OCCUPANT 'A �3-13 LOAD 0_ STORIES UNITS UMBER REQUIRED DESCRIBE WORK TO BE DONE REMARKS PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REaD P 04a -7 roll 7' E 0"6 %/14 /f VALUAnON 7"K 14 1" 5pr ofl;cf V1 *V f 6r I's Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE GLAZING % LOT SLOPE I Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Mechanical.,.,. Tmis PEmrr AurHonma ow TH9 woPA N".. THISIOERsorrb6nFig T 0 E PrORK BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON TH Buc Grading DO"N (CURN, SIDEWALKS. DRIVMAYS, MARQUEES, ETC.) WILL REQUIRE GEPARATE PEMSSION. Engr. Review PERMIT APPLICATIOW 1$0 DAYS PERAUT UMM I YEAR - PROVIDED WORK 19 STARTED WITHIN 180 DAVS Engr. Inspection SEE ISACK 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 z Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, AMSING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT HE Landscapeinsp. Total Amt. Due 54-r DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR ILIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPR GWEN 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- 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 his/hbr DopUty: and Fees are paid, and IN VIOLATION OF THE LABOaXODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WOflWEI�UKPENSAjP<1N_9yRANCE AND RCW 10.27. OFFICIALS SIGNATURE DATE (OWN 0 G DATE SHINED lww�r/ 1A9 025) )M - 3yi 00t 771-0220 RELEASED 13Y 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