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20030994.pdf13 I A DATE RECEIVED L llh-yz� I IT EXPIRES se"a USE PERMIT CITY OF EDMONDS ZON 994-- NUMBER JOB SUITE/APT# PERMIT APPLICATION ADDRESS .19 111� I AW/// 9q OWNER NAME/NAME OF BUSINESS ,)e ^Nve PLAT NAMEISUBDIVISION NO. LID NO. " HA #A 1 4 V DQNf*L IfAe L C# MAILING ADDRESS LID FEE $ TESCP ApPrOVO4 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP AW Permit Required 96;;- Hwy q street use Permit Req" CITY ZIP,,,,,,ITELrPHONE EXISTING PROPOSED InspectRm Required Sidewalk Required 72 REQUIRED DEDICATION- FT UnderGround `17,3�- 7 72 tq Wiring required 13 NAME METER SIZE LINE SIZE 7, OF FIXTURES PRV REQUIRED YES[3 NO C3 c: ADDRESS REMARKS z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE CITY ZIP TELEPHONE NAME CBL# Ap 5 S'/fAt_S 16116. I-hN ENGINEERING REVIEWED BY DATE C AIZRESS FIRE REVIEWED BY DATE z C1 ELEPHONE U ki cc IE 0 rz CA 7t, 0 I VARIANCE OR CU SHORELINE OR ADS# INSPECTION BOND STATE XI ON DATE CHECKE9, BY REO'D POSTED "CLILWO I 113YES d"NOL 4t"003-97 PW MN Itc SEPA REVIEW SIGN AREA HEIGHT % PROPERTY TAX AC rrTT V COMPLETE EXEMPT ALLOWED PROPOSf'D ALLOWED PROPOSED COUNT PARCEL NO. 9 P'k PAU - I i Wo PUtf1W A ev , , ve ow EXP Lab "+I W* - 10. 1' M C: M - , LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) NEW 0 RESIDENTIAL PLUMBING/MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR ADDITION OMMERCIAL /Vif, 0 ;91C CHANGE OF USE PARKING LOT AREA PLANNING REVIEWED BY DATE REMODEL MULTIFAMILY SIGN REQ`D PROVIDED M I GRADING o FENCE +1 4- 1 REPAIR CYDS X FT) REMARKS z OTHER DEMOLISH TANK GARAGE RErAJNINGWALL FIRE SPRINKLER 13ROCKERY CARPORT FIRE ALARM 0 (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: R TYPE OF�WNSTRUCTIIDN co OCCUPANT GROUP Z77- I ITIM NUMB ER NUMBER OF CRITICAL. OF DWELLING AREAS SPECIALINSP CTION OCCUPANT STORIES N., ti NUMBER REQUIRED YES LOAD 0 DESCRIBE WORK TO BE DONE a AIS Ceg REMARKS rnUGRESS INSPECTIONS PER UBC 100/FINAL INSPECTION REG-0 0 VALUATION $/ Description FEE Description FEE 0) z Plan Check 1 State Surcharge HEAT SOURC= GLAZING % LOT SLOPE % Buildl I ng Permit City Surcharge 1502 1 M VESTED DATE 414 Ab)yd PLAN CHECV Plumbing LIM Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC a Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Iz- SEPARATE PERMISSION. 2 Engr. Review I PERMIT APPLICATION: 180DAYS a. PERMIT LIMM I YEAR - PROVIDED WORK IS 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 INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FO DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSRANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY WAIVE Landscapeinsp. Total Amt. Due 16— OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." -7-7 Recording Receipt N 1 :22 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLIC ATION APPROVAL GIVEN IS CORRECT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed CALL TION; AND IN DOING THE WORK AUTHORIZED THEREEY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowiedged In space provided. WORKMENS COMPENSATION INSURANCE AND RCW 18.27. DAT IALS SIGIATURE SIGNATURE (OWNP-0TIrGE­N_7')�I DATE SIGNED (425) V0111 771-0220 L ASED BY DAVTE WRATIOff— off 113 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTI A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- OR�GINAL - FILE - YELLOW - &SPEC R& CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 P NK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKI G 5 CO;fffi� GREEN - ACCOUNTING M! '0,'DATE RECEI��;/ r CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAmE/NAME OF BUSINESS C _HNIV HA111V t9VQVvd Df-ty AL CAf MAILING ADDRESS HWY 19 CITY ZIP ELEPHONE CIA 1 I �- rlw_fu )A C , - "& f)7- 'IT I-qZ57- 772- 431-q NAME ADDRESS CITY ZIP ITELEPHONE NAMEP09VI-& S*ka^FVXj) P V3 Crl'rukl ELEPHONE yg- q - '% f=: a - -6, u �7_f! JA"im --;!4 - S7034"'I 7. STATE LICENSE'NUMBER A .FXqIM0N DATE I CHECKEr .A BY �9- 1:3 NEW RESIDENTIAL 1:1 ADDITION O.C.OMMERCIAL 1:1 REMODEL 0 MULTIFAMILY REPAIR GRADING CYDS [3 DEMOLISH TANK oGARAGE RETAININGWALL CARPORT ROCKERY UWE OF USE, BUSINE88 OR ACTIVITY) EXPLAIN: L /V rh L_. .NUMBER OF NUMBER OF DWELLING STORI UNITS DESCRIBE WORK TO BE DONE PLLIMBING/MECH COMPLIANCE OR CHANGE OF USE SIGN ciFENCE X ( — FT) rl OTHER FIRE SPRINKLER FIRE ALARM 1'1%�.'j PERMITEXPIRES .9 1 1 - �5 %.. YL USE<p PERMIT ZON NUMBER JOB SUITE/APT# ADDRESS PLAT NAME/SUBDIVISION NO. Loe LID NO. LID FEE $ TFSW APPfOvdd PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW POnrAt Required Street Use Peffnit ROO EXISTING - PROPOSED Inspection Raquired Sldsws* Required REQUIRED DEDICATION- FT UnddrgmM wiring required 13 METER SIZE LINE SIZE OF FIXTURES PRV REQUIRED 1 7. YES C1 NO E3 z REMARKS I OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE I I REVIEWED BY I DATE FIRE REVIEWED BY DATE W cc MA—RIANCE OR CU SHORELINEORADB# I INSPECTION BOND AVPW REO'D 113YES &NO POSTED I $ SEPA REVIEW SIGN AREA HEIGHT COMPLETE EXEMPT ALLOWED PRO10JR0, ALLOWED PROPOSED , Itto bit - I , A "=� , EXP LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT LIRSIDE REAR i I NI., tic, IV6, 2 PARKING I LOT AREA PLANNING REVIEWED BY DATE I 916 I REO'D I PROVIDED IL- .— .- - CHECKED BY TYPE OF QPNSTRUCTION CODE OCCUPANT GROUP CRITICAL C/7 AREAS SPECIAL INSPECTION JAREA OCCUPANT NUMBER Alt", REQUIRED [:] YES LOAD ,/Cd'IREMARKS PROGRESS INSPECIIIII1141*010MIS/ Inu 21 L REG-0 000 All Description FEE Description FEE Plan Check Md State Surcharge HEAT SOURCE GLAZING % LOT SLOPE Building Permit City Surcharge PLAN CHECr VESTED DATE Plumbing Mechanical THIS PERMIT AUTHORMS ONLY DIE WORK NOTED. THIS PERMIT COVERS WORK TO b BE DOME ON PRr4ATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 2 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. 9 Engr. Review PERMIT APPLICATION16 180 DAYS ERMIT LIMM I VIM - PROVIDED WORK Is s=TD WITIN 180 DAYS E�ngr. Inspef4ion. SEE BACK OF PINK PERMIT FOR K0 TION -AppucAffr, ON BEHALF OF HIS 08 HER SPOUSE, H6FA9_. ASSIGNS AND SUCCESO TO INDEMNIFY, DEFEND AND . MOLD HAnml.Eas THE Fire Review Plan Chk. Deposit IN INTEREST, AGREES 'CITY'83F. EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM 'ANY AND Rre 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 Landscape Insp. Total Amt Due 116 TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE f ADEEMED NOR LIMIT IN ANY WAY THE CRYS ABILITY TO ENrORCE 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 OWNEW I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL Tills applicafic n Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOWCODE OF THE STATE OF WASHINGTON RELATING TO Building Otkial or his/her Deputy: and roes are paid, and FOR INSPECTION receipt 15 acknowledged in space provided. WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. ------- r.. AALS SIGNATURE DATE FF S S SIGNATURE (OWN GENT) DATE SIGNED 11 G lAor.1 "mw%ri - �/ /Z -03 771-0220 RLASED BY DATE/ ArWTIOW— off 1! �3 " �( IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL _�� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- C_ n i ow - 6PEaR CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - OWNER - GOLD - ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5CO P�� 13REEN - ACCOUNTING ----------- --------- ­_­.... ........ M C M 40 0 C :0 x IT! M z 0 n M M a 7W C CA r, 0 ma z 0 4 0 11711 4