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20040224.pdf4 DATE RECEIVED ERMIT EXPIRES LP USE PERMIT CITY OF EDMONDS ZONE ez!5 NUMBER -�Uq_?�da CONSTRUCTION PERMIT APPLICATION JOB SU /An# ADDRE OWNER NAMENAME OF BUSINESS PLAT NAMEISUBDIVISION NO. LOT NO. LID NO. -1-7 3 eo ve MAILING ADD ESS LID FEE $ PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP APP(Ovsd Z-2— 2— q/ RW PerM Required CML Streal Ugo permit Req'd ZIP T9LEPHONF, EXISTING — PROPOSED Inspection Required Sidewalk Required REQUIRE FT underground -7 71 Z Ifi.2 D DEDICATION_ Wiringrequired 13 -Mc I --"% METER SIZE LINE SIZE I NO. OF FIXTURES R 11EQUIRED It�ljn LVY,, YEP IVIF NO 13 '2; UUMUS % REMARKS z z OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE .100 tlfw 61d A-(-q3+ ZIP TEL&HONE NAME L d7 a CBLiY ENGINEERING REVIEWED BY DATE ADDRESS FIRE REVIEWED By DATE lu CITY 71D TELliPi46NE cc M U."., U"Cr4tlt DWI EXPIRATION*DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADB# INSPECTION BOND REQ'D POSTED E3YES 13NO $ PROP SEPA REVIEW SIGN AREA.: HEIGHT TAX ACCO NT PARCEL NO. COMPLETE EXEMPT ALLOWED , PROPOSED ALLOWED ED PROPOS dug EXP NEW RESIDENTIAL PLUMBING I MECH LOT COVERAGE REQUIRED SETBACKS (Fr.)' :PROPOSED SETBACKS (Fr.) FR ALLOWED PROPOSED ONT SIDE REAR FRONT,. L/RSIDE REAR COMPLIANCE OR ADDITION COMMERCIAL 2 a CHANGE OF USE z PARKING LOT AREA PLANNING REVIEWEDISY DATE REMODEL muLnFAmiLy SIGN RECrD I PROVIDED CL Ei FENCE REPAIR GRADING t I CYDS X FT) REMARKS OTHER DEMOLISH TANK GARAGE RETAINING WALL F RE SPRINKLER CARPORT 1:3 ROCKERY FIRE ALARM (TYPE OF USEAWSINESS OR ACTIVTM EXPLAIN: CTION OCCUPANT. GROUP NU%8EIj N BEIR CRITICAL OF CHECKED �Y UM LL DWE No AREAS SPECIAL INSPECTION REA )N FAR OCCUPANT NUMBER LOAD REQUIRED [] YES DESCRIBE WORK TO BE DONE Fi vx;s �x 'S&Se_h1e_Vj+ REMARKS I PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REGID ne k_V e_VJ 6 e A 0,0 rn 'QE +e- y r 00 V- VALUATION Description 'TEE Description FEE Plan Check State Surcharge ILAZING % LOT SLOPE % Building Permit City Surcharge PLAN CIIECK N VESTED DATE Plumbing Base Be Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONL%t ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPILICATION: 180 DAYS CL PERMIT UMM I YEAR - PROVIDED WORK 15 STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION Engr. Inspection '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 a 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 Landscapeinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' x -.60 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION Recording Fee Receipt # 1_�� F7 7- GIVEN IS CORRECT; AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF APPLICATION APP—RO-TAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application Is not a permit until signed by the TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKIMEN'S COMPENSATION INSUFL#CE AND RCW 18.27. OFFICIALS SIGNATURE DATE N 0 C ED] To AGE DATE S GNE7D (4-25) A 4 1 5-^ 0 1 J21 7710220 11 WASE; nhT ATTENTIO19 T_ Off 133 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-tSPECTOR" CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COWES F] z m q:fi as � NIS 40 0 C: � z m z :2 40 0 _n 'En I m m Vi Fn C 0 z 0 :1 0 m RECORD OF- INSPECTIONS INSPECTOR DATE APPROVED, SETBACKS ..................... FOUNDATION. Footing...................... wall.......................... Pier/Porch ................. etaining Wall ........ Slab Insulation ........ P LUMBING: M, A; 4 ............. DATE RECEIVED PERMIT EXPIRES PERMIT CITY OF EDMONDS U" NUMBER ZME rcl— JOB CONSTRUCTION PERMIT APPLICATION ADDRESS�� 4,5� �q :�: � �,— 2 Z OWNER NAMENAME OF BUSINESS �JOseoh 115evo-lv yC,:;_ PLAT NAME/SUBDIVISION NO. LOT NO. UD NO. MAILING ADDRESS' LID FEE $ TESCP —APPIMId PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PonrAt Raquked stmm use Patmit Roo CVICTING k­1k-A—LdfGd cily ZIP - PROPOSED SldfwA Re"Irid 7 71 - Z Mts-' REQUIRED DEDICATION— FT UndwWwX4 g requked NAME 0(�'jn ­__ METER SIZE LINE SIZTTNO. OF FIXTURES PRV REQUIRED 0 YES13 No ADDRESS 00 3 REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE CIIT�4 ZIP ITILEPHONE NAM.E_._,­_­ ENGINEERING REVIEWED BY DATE ADDR 7138, -A FIRE REVIEWED BY DATE z CITY TELEPHONE IC STATE LICENSE ER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADS11 INSPECTION BOND REQ'D POSTED 0 M 0YEs ONO S SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPI ALLOWED PROPOSED ALLOWED PROPOSED EXP , , M [3 NEW lid RESIDENTIAL [3 PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE'REAR C rn a C 0 MPLIANCEOR [3� ADDITION 0 COMMERCIAL CHANGE OF USE 0 C: REMODEL MULTIFAMILY SIGN PARKING PROVI DED LOT AREA PLANNING REVIEWED BY DATE ;�_ -; M 0 GRADING [3 FENCE _qkPAIR CYDS X FT) REMARKS 10 z DEMOLISH 0 TANK OTHER .13 GARAGE RETAINING WALL FIRE SPRINKLER FIRE ALARM CO) CARPORT ROCKERY 0 (TYPE OF USEJWSINESS OR ACTIVITY) EXPLAIN: __a CHECKED BY ITY=4 CTION E27 OCCUPA;�� GRO 14 NUMBER NUMBER OF CRITICAL DWELL NG A REAS tNUMBER SPECIAL INSPE CTION REA OCCUPANT M M 0) S FL I 04� REOU IRE[ JA LOAPv 5 DESCRIBE WORK TO BE DON E REMARKS PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REaD 0 AAA S*-6,\Ir X LV I Q VALUATION $117 /V //, Description FEE Descriptiort FEE z 0 Plan Check State Surcharge 0 Hr;AT SQURCE GLAZING % LOT SLOPE % L <_� I Building Permit City Surcharge 4225� ) M — Base Fee PLAN C14ECK NO VESTED DATE 212 Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t: BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURDS, SIDEWALKS. DRIMEWAYS, MARQUEES, ETC.) WILL REQUIRE t: SEPARATE PERMISSION. Engr. Review PERMrTAPPLICATION:- IWDAYS PERMIT LIMM. I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION Fire Review Plan Chk. Deposit Ao�_ 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS IN INTEREST, AGREES TO INDEMNIFY, DEFEND A14D HOLD HARMLESS THA CITY OP . ., I EDMONDS, WASHINGTON, IT$ OFFICIALS, EMPLOYEES, AND,AGE.NT4 1`9110141ANY AND Fire,16spection Receipt # 4 -;�3 ,tisING DIRECTLY OR INDIRECTLY FOR DAMAGES OF WHATEVER NATtJRE. AP FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY crTY ORDINANCE Landsdapelinsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CHYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION. - Recording Fee Z I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION APPLICATION APPNCWAL 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 pormit until signed by the TION; ANq IN DOING THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED Building Official or Ws/har Deputy: and Fees are paid, and IN VIOIA'VION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided. WORKMIEffS COMPENSATION INSU"CE AND RCAV 18.27. OFFICIALS SIGNATURE DATE SIG E I NER AGENT) DATE SIGNED Jeamageg�_ 771-0220 - Z> I R D T ATTENTIOW EXT 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- ORIGINAL'rFILA YELLOW- PISPECTOR ,00`�4ATE OF OCCUPANCY-14AS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD-ASSE �03 PRESS HARD -YOU ARE MAKING 4 C PIVES