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20050643.pdft DATE RECEIVED ' PERMIT EXPIRES dSE CITY OF EDMONDS41ON'AOD E NUMBER i CONSTRUCTION PERMIT APPLICSUITE/APT# DRESSWCL .IIWNER NAME/ AM OF SINE S J 1 1LAT NAME/SUBDIVISION NO. LOT NO. LID NO. LL^ Z LID FEE $ M MAILING ADDRESS 3 . �`L.,/ `� \ ` �• TESCP Approved O 11 \l 1 \yBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permit Required Street Use Permit Roq'd CITY ZIP TELEPHONEISTING _^PROPOSED Inspection Required Sidewalk Required ��;�\ ; EQUIRED DEDICATION ,— FT underground J�Widng required NAME ETER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRE YES❑ NO ❑ WzG ADDRESSMARK Z NER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE Z W CITY ZIP TE EPHONE N CBIL H V1111111.64wiLMI RAF r. { INEERINn REVIEWED DATE C ADDRESSiolk FIRE REVIEWED BY DATE w¢ CITY ZIP TELEPHONE LL q s-1 �a �z y STATE LI ENSE NUMBER EXPIRATION DATE CKED Y VARIANCE OR CU + SHORELINE OR ADBp INSPECTION BOND \% REO'D' POSTED �� • 03" 1 os ❑YES O $ SEPA REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO.COMPLETE EXEMPT ALLOWED PROPOSED A OWED PROPOSED O M C) �' l J O EXP 1. . JEW RESIDENTIAL PLUMBING / MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) �` ALLO`WED��5fiP1]SEr FRONT SIDE REAR FRONT IUR SIDE REAR Z COMPLIANCE OR �� IFS ` f t I�� r I ©+ _ ❑ADDITION COMMERCIAL 06 'G :2 I O z ❑ ❑ CHANGE OF USE z PARKING LOT AREA PLANNING REVIEWED BY DATE ❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REO'D PROVIDED FENCE o� ! 2 ❑ REPAIR GRADCYDS ❑ ( X FT) REMARKS ��- 2 .1 — D OTHER ❑ DEMOLISH ❑ TANK ❑ GARAGE RETAINING WALL FIRE SPRINKLER j CARPORT ❑ ROCKERY ❑ FIRE ALARM (TYPE OFF USE, BUSINESS OR ACTIVITY) EXPLAIN: �, CHECKED BY TYPE OF CfI�S;R ICTION CODE OCCL!PANT QQ ''ff//�J�� 7 GROU "ut NUMBER NUMBER OF CRITICAL %,j �" OF DWELLING l AREAS r SPECIAL INSP CTION A A OCCUPANT, OSTORIES UNITS l NUMBER REQUIRED YES OAD DESCRIBE WORK TO BE DONE REMARKS hh PROGRESS INSPECTIONS PER UBC 108/ IBC109/IRC109 FINAL INSPECTION REO'D 9 N � m , Amh a nM j AV llt&U iWA VALUATION UDescr tion FEEf Description FEE iON � Plan Check State Surcharge HEAT SOURCE LNG % LOT SLOPE % C s ' Building Permit ��% City Surcharge PIA CHECK N �� VESTED DATE Plumbing Base Fee J Mechanical ! THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC Grading 3 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. s Engr. Review w PERMIT APPLICATION: 180 DAYS q PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr, Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION ry" 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire ROV1eW Plan Chk, Deposit aIN 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 FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE S DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp, Total Amt. Due = NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt I/ L4? 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. 1 AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC• CALLThis 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/her Deputy: and Foes aro paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt Is ocknuwlodged in apace provided. WOR N'S COMP KATION INSURANCE AND RCW 18.27. FFI I LS SIGN T RE DATE SIGNAT =OEN � DATE SIGNED (425) 771=022 DA ATTEN _ EXT 1333 rrkITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL D INSPECTION HAS BEEN MADE AND APPROVAL ORA CERTIFICATE OF OCCU- ORIGINAL. FILE , YELLOW • INP TOR PANCY HAS BEEN GRANTED. UBC109 / 16C110/ IRC110. PINK • OWNER GOLD • ASSE SOR 09/03 PRESS HARD =YOU ARE MAKING 4 COPIES J O m cM M --I O On M _ M ID DZ r.= ,. , _ •, to to to ol 00000 of WATER & SEWER ; ,v ; '�I�,�J-- iNSFED'; iCII�S REQ'p, �,`'' .., 3 f 10 PRD Eto :CALL 425-771.022.0 FXi. i ton l /o 6.0 71 LOTS 18 E.�SENtENT v 1704 2 ,� '17�U'�" !� to ! STAIRS ON v� O m GRADE u i ,, 2 2 I O _p i I. oma, t <I 3,5/48 S.F. I ! CA I - II RESD IENCE/ II 'O Im[(� l _f P' PLAN 2�i61 G C rl 0 m 0 ' �• (. c-! I FF MAIN ® I _I. •L QI X� V it -i I I AFF LOVAER of 3�� (� v LOWEST �OOTING . I . �'K C0 NSZ�t�c,�lo+� I �i'i�� itK;r� f 349f, `� ! Q = m CNTep)\A G r G BSL n C m a� _ r = r 79.78 ' �f001 aos0 'tEMpp NGS a �N N �9 56 23 E �� j m L; i 4a. , .7 '`l LJl \ t j_..;.. .••.I �. �, ,, Y !i .« _ . O r 012 5 10 15 20 30 40 x.50 C m f MAINTAIN PLAT INSTALLED EROSION CONTROL _! z� LOT Z2 �. SEE GENERAL NOTES —1 2 1p } _ 0) APPROVED. AS NOTED Zonegz,� �-z� i Corner Flab o BY ENCIIt�EERIN etbacks Rea uired Act n. Front m Date !�?'..�5-_ Sides�,,_____� ' Rear ►n' I C7to At;C;i.►'-i t �ta4.1� I'IGHTLINE, OtherEll e�11�1'ERIAL Height r� o , .��iace SDR 35 SCH 40 r N .12 APPROVED B1' Ia1-ANNINGi F810 �IANGOR -� 7 • /v� ry JUL 1.3 00� FOOTING DRAINS NOT TO BE TIED INTO BUILDING DEPARTMEN DETENTION SYSTEM clTr or EQMOND:..