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20040610.pdfDATE RECEIVED Ic 4 1 [PERMIT EXPIRES IL USE DCD"I*r CITY OF EDMONDS I ZONE NU�ARER -'7 �� I '6.001L_k �11) CONSTRUCTION PERMIT APPLICATION JOB ADDRESS SUITE/APT# OWNER NAMEINAME OF BUSINESS MAILING A DDRESS CITY ZIP TELEPHONE j", NAME ADDRESS CITY ZIP I TELEPHONE NAME j.CBL ADDRESS . L ), 4 /�� -, /-k/ CITY z IP j STATE LICENSE NUMBER cis PROPERTY.TAX ACCOUNT PARCEL NO T E LEPH ONE k, EXPIRATION DATE NEW :R<ESIDENTIAL PLUMBING / MECH ADDITION COMMERCIAL COMPLIANCE OR CHANGE OF USE REMODEL MULTIFAMILY SIGN REPAIR FENCE ( x FT) GRADING CYDS DEMOLISH TANK OTHER GARAGE RETAINING WALL FIRE SPRINKLER FIRE ALARM CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTFY" EXPLAIN: NUMBER OF NUMBER OF DWELLING CRIIICAL AREAS STORIES UNITS NUMBER 73 4 Vv it I L HEAT SOURCE I GLAZING % I LOT SLOPE % PL-AN CHECK 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 PUBLIC DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. PERMIT APPLICATION: 180 DAYS PERMIT LIMIMI YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS IN INTEREST. AGREES TO 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 MODIF� WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' PLAT NAM E/S UBDIVI SION NO LOT NO. LID NO. LID FEE S RW Palind I even equired EXISTI In addi ipmptqEAh required ,t,nal use I inspection F arinit Raq'd iquired s"low,ilVc juired REQUI an a p r , in, 11114M A iring requ, METEI I tistedle:xpa4nioi tRmkF!SihQkhs4b)(?PRV 1EQUIRED insta ed on all ot water tan �S C3 J Es NO 13 REMARKar OWNEF V *Cl§MSPONSIBLE FOR EROSION CONTROUDRAINAIE =-NGINEERII RV=ff -B—Y kTE Obtain E lectrical Permit rOm FIRE REVI;Elstate Lanor tu llafto_"�DATE VARIANCE OR CU SHORELINE OR ADB# I INSPECTIO 1101 I REQ'D POSTED SEPA COMPLETE (7 1 , Ipplia LOT ( ALLOWED passing I q I PARKING LOT AREA I PLANNING REVIEWED BY REQ'D I PROVIDED I.TaZU"W� 111TIV9z 0 z Fr W z z W W a z E z 5 0. CHECKED BY I TY7WPIN ITION � Go OCCUPANT GROUP SPECIAL INSPECTION JAREA OCCUPANT REQUIRED [] YES LOAD REMARKS PROGRESS INSPECT12A��R V?g4e�ftjp N IPA gSr�MPECTION REQ'D . VALUATION Description FEE Description State Surcharge City Surcharge Base Fee a FEE Plan Chk. Deposit Receipt # Total Amt. Due Receipt # 16 -7- e-a 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 APPLICATION APPROVAL 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/tier 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. WORKMEN'S COMPENSAT)QN/RTSb�ANCE AND RCW 18.27. OFFICIALS 7SNA7T . RE ATE SIGNATURf (OWNER C(AGIENT) DATE SIGNED (425) . I �.% , C I . ./ � I / I I I _Uzzu somoRmo� ATTENTION E)ff 1333 ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ACERTIFICATE OF OCCU- PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES Plan Check Building Permit Plumbing Mechanical Grading Engr. Review Engr. Inspection Fire Review Fire Inspection Landscapelnsp. Recording Fee BY , -/ ORIGINAL -FILE YELLOW- INSPECTOR PINK -OWNER GOLD -ASSESSOR z 0 i 0 M --i -n 55 -1 0 M C M0 0 -40 0 M M Z M C/) o -n n ;d > M M 0 _Cf) 0 17, 0 M C Cn F, 0) M 0 Z r- M z Fn z 0 1 0 ITI RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall'! ............. ....... I ......... Pier/Porch ................. Retaining Wall ........... Slab Insulation .......... PLUMBING: Underground ............. Rough -In ................... Commercial Final ...... HEATING: Gas Test .................... Gas Piping ................. Equipment ................. Commercial'Final ......... EXTERIOR SHEATHING NAILING .......................... FRAMING .......... I ............. FIRST FLOOR FRAMING... INSULATION ................... Floor Insulation ......... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR C� OCCUPANCY .................. z 0 A 0 ITI