20050299.pdfDATE RECEIVED
PERMIT EXPIRES ZO 0
PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT APPLICATION JOB SUITEIAPT#
ADDRESS
OWNER NAME/NAME OF BUSINESS 220115 99 Pl W
Luella Murphy PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
UM MAILING ADDRESS I
i LID FEE S
z
R. 22015 99 Pl W PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved 13
0 RW Permil Required [3
Sueet Use Permit Required 13
CITY ZIP TELEPHONE EXISTING -PROPOSED Inspection Required E3
Sidewalk Required 13
Ednionds 98020 1425-778-3657 REQUIRED DEDICATION FT Underground E3
Woring required E3
NAME METER SIZE LINE SIZE _�O..2ELLYjUU5_ __ 12RV I D
or 1, vel connecto"S t-cq"jVU1 NO C1 9
0:
to W
I= ADDRESS REMtd', LU
'!=!njj
L) WN �kt&LAUtWNgli%P—I*WIAP#AT&AINAGE
x 0
Ix th A. z
< - through unheated spaces. rivie 86' W
CITY ZIP TELEPHONE
I
NAME CBLN
FAst Water Heater
I -at ENGINEERING REVIEWE5US PIPE 'EST M I IS I DATFE
0: ADDRESS 5D INSP OR
R OBSERVED BY CITY ECT
U
12601 132 Ave NE
FIRE REVIEWED BY AFFILIA91 15 S"Att 11 YAE
z CITY Z113 TELEPHONE
0
Kirkland 980 1425-814-3124 BE ACCEPTED SEPA
STATE LICENSE NUMBER EXPIRATION DATE CHECKED BY VARIANCE OR CU SHORELINE OR ADB,1 I INSPECTION
REO D COMPL
FASTWHCO52DF 2-16-07 r),21 DYES 'M Nol
CA# ZONE HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO.
WAIVER 13 P auvisft LLOWED PROPOSED
W 00602100200200 ikl�ibRVj. YE (P
_j STUDY C3 W; 00
LOT COVERAGE SETBACKS (FT.)
NEW FK1 RESIDENTIAL PLUMBI NG ir MECH ALLOWED PROPOSED' FRCjTJT�I���Tjroffr L/RSIDE REAR
�ITION ED COMMERCIAL COMPLIANCE OR z
z
MIXED USE El CHANGE OF USE z
PARKING LOT AR!TLANNING REVIEWED BY DATE
REMODEL MULTIFAMILY SIGN REQ'O I PROVIDED IL
REPAIR GRADING FENCE — I - --- I
CYDS x FT.) RENNRKS
nhfAl*n 'Fle gait frain
OTHER 'ettical Per
DEMOLISH TANK
GARAGE RETAINING WALL FIRE SPRINKLER Rtntp 1,0ior & Industries
z CARPORT ROCKERY FIRE ALARM
P: (TYPE OF USE, BUSINESS OR AC EXPVAIN'
r
JIJITY)
(jMtTYPE QE CONSTRUCTION 617 OCCUPANT
Ck' GROUP
U)
NUMBER NUMBER OF
OF DWELLING SPECIAL INSPECTION CONSULTANT OCCUPANT
0 STORIES UNITS REQUIRED 13YES LOAD
DESCRIBE WORK TO BE DONE I I .
REmove/replace gas water heater REMARKS
In.addition to the required
in garage 40,000 btu's GEOTECH REPORT
BY: pressure/relief valvep an approved
STRUCTURAL DESIG 4 Is e&—expansion tank shall be
BY: . A 1 6 a
ove
VALUATION (Iln all TWAILVOIL 1111'aaAmas
No Ntw _P_1 'n 1 013
$
Description FEE Description FEE
VESTED DATE Plan Check State Surcharge
Building Permit City Surcharge
HEAT SOURCE LOTSLOPE%
PLAN CHECK NO: Plumbing Base Fee 00
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
ii- BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC
DONMAIN (CURBS. SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Gra . ding
SEPARATE PERMISSION. Engr. Review
PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5)
W
PERMIT LIMIT: SEE ECDC 19-00.005(A)(6) Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
Fire Review Plan Chk. Deposit
U) *APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS
or
_j 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 #
Ir
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
NY CITY ORDINANCE Landscapelnsp. Total Amt. Due 495, Cj�)
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A
0 NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE P ROVISION.6
Recording Fee Ipt 4
LReceipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION PPLICATION APPROVAL
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF A
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not 1 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 Foes are paid, and
receipt is acknowledged in space provided
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION I
WORKMEN'S COMPENS = RANCE AND RCW 18:27. OFFFOkLS SIGNATU ATE
SIGNATURE (OWNER OUGE DATE SIGNED (425) \1% -
.\,z
771-0220 RELEASED j ATE
ATTENTION EXT. 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
LAAC OCCki "Ar%r- Akim A000MIA1 nP a rr-PTI.
A HNAL 111GUiv"" I I... ..'i. UNMINAL - t,]Lt YtLLUVV - INtillLUTOF
FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 IBC110 /.IRC110. PINK -OWNER GOLD ASSESSOR
10/04 PRESS HARD - YOU ARE MAKING 4 COPIES
z
0
4
0
M
-n
Cn
M
C
M 0
0
-40
0 C
M
M Z
C _z
3:
0 n
n
M M
0 r_j)
0 M
C (j)
M C)
Z
3:
>
z
W
z
0
0
M