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20040611.pdfI DATE RECEIVED 7 -7 [PERMIT EXPIRES IL—LIC-2 CITY OF EDMONDS USE PERMIT ZONE NUMBER ell! CONSTRUCTION PERMIT APPLICATION 'JOB SUITEIAPT# ADDRESS 'I kl� OWNER NAMEINAME OF BUSINESS L , I (- � � - /I �)�, / ,, - I., PLAT NAME/SUBDIVISION NO. WINE LOT NO. I LID NO. LID FEE S UM MAILING ADDRESS PUBLIC zllr.14T ni RTRFFL.UAP� . TESCF Approved ..... --- juald 0 0 z EXISTIN 31lp—dst"tianoltoDthe. requir-ed street Use Pe md Roq'd 11 inspection He wred CITY ZIP TEI EPHONE Slde*alk Hart und W REQUIR: P NAME METER slittel exp9gsio taffkFAMIN b� PRV R --QUIRED inqh I hot 13 NO 13 z RE wnterla&x Lu Lu I= ADDRESS REMAR OWNEIRTI-INCTo6QaPONSIBLE FOR EROSION CONTROL/DRAINAG E z z 5 cc z CITY ZIP TELEPHONE NAME CBL 4 ENGINEERjM=I1!WE[5 97 M Obtain Electrical Permit fma ADDRESS 0 & 1ndustriFs7=ATE FIRE RE VNt&te.Ltib(jr CITY, t:� T� LEPHONE 0 iz VARIANCE OR CU SHORELINE OR ADIII I I INSPECTION REO'D BOND POSTED STATE LICENSE NUMBER EXPIRATION DATE 14 /y- c' -/ 7 /) I/ I OYES ONO Is SEI N.V.WtEW� ------- COMPLE EXE1,f PC 41,10WAfler' AECffi, I "ffflRt4)rf;Lj4y"j — H I; re 0 SED Rj 0 PROPERTY TAX ACCOUNT PARCEL No. /-/, 6) W A i(_ P )_ -, ) - EXP IS aSSing NEW ESIDENTIAL PLUMBING MECH LOT ;OfERAGE ALLOWEI W11111:91tit) 1 FT -) 1%%W(WWW P�MS]EftaCIK�, (Fr.) 0 R SIDE EAR COMPLIANCE OR ADDITION COMMERCIAL CHANGE OF USE z E z REMODEL MULTIFAMILY SIGN PARKING REO'D I PROVIDED LOT AREA ' PLANNING REVIEWED BY DATE 5 CL ______j GRADING FENCE REPAIR CYDS ( x FT) REMARKS DEMOLISH TANK OTHER ElGARAGE Ei RETAINING WALL FIRE SPRINKLER FIRE GAS PIPE TEs-r musT oE z CARPORT ROCKERY ALARM L "�xr save% %vil"it"reln (TYPE OFUSE, 13USINESS OR ACTIVITY) EXPLAIN: V CHECKED BY W "0 5 'IT IT M_ s, HS ilarp NUM13ER OF STORIES Z, NUFAbER OF DWELLING UNITS CRITICAL AREAS NUMBER tO a SPECIAL INSPECTION JA��EA_ OCCUPANT BE ACCEPTED LOAD 0 REQUIRED [I YE DESCRIBE WORK TO BE DONE REMARKS z PROGRESS INSPECTIONS PER UBC 108/ ISC109/ IRC109 FINAL INSPECTION REQ'D 9 M IJ ? 7' VALUATION $ y IN Description FEE Description FEE (ak"17 a, Plan Check State Surcharge GLAZING % HEAT SOURCE LOT SLOPE % Building Permit City Surcharge PLAN CHECK NO: VESTED DATE Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO I= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review Uj PERMIT APPLICATION: 180DAYS CL PERMIT LIMIT: 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 2 EDMONDS, WASHINGTON, ITS OFFICIALS. EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # cc ALL CLAIMS FOR DAMAGES OF WHArEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF IHIS PERMIT SHALL NOT BE DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due 0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.0 7 ml 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 CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED Building Official or his/her Deputy: and Fees are paid, and IN VIOLATION OF THE LABOBCODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKMEN'S COMPENSATV19 IN RANCE AND RCW 18.27. " f - - OFFICI LS Sl �ATU E DATE SIGNATURE (OWNER 0 G IT), ATE SIGNED I ;t� f (425) UEN 7 771-0220 RELEASED BY DATE ATTENTION EXT 1333 ----- --- IT IS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW - INSPECTOR PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110. PINK - OWNER GOLD - ASSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES z 0 1 0 M 3: 0 rn C M 0 0 10 0 C: --i K :E M rn Z o -n n MM 0 _Cn 0 r- 0 M C: Cn F, (D M 0 Z 3: z Cn z 0 i 0 M 7� RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch .................. Retaining Wall ........... Slab Insulation ..... PLUMBING; Underground Rough -In ................... bbmmercial Final ...... HEATING: Gas Test .................... Gas. Piping ................. Equipment ................. Commercial Final ....... EitERf6iA*'SH EAiH ING NAILING. .......................... FRAMING........................ FIRST FLOOR FRAMING ... INSULATION .: ................. Floor Insulation ....... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. z 0 1 0 ITI RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ...................... Wall.......................... Pier/Porch .................. Retaining Wall ........... Slab Insulation ..... PLUMBING; Underground Rough -In ................... bbmmercial Final ...... HEATING: Gas Test .................... Gas. Piping ................. Equipment ................. Commercial Final ....... EitERf6iA*'SH EAiH ING NAILING. .......................... FRAMING........................ FIRST FLOOR FRAMING ... INSULATION .: ................. Floor Insulation ....... Wall Insulation ........... Ceiling Insulation ....... SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. z 0 1 0 ITI