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20050645.pdf�~, DATEr RECEIVED CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION Ix W MAILING ADDRESS o '��'S I�?.��►, CITYZip TELEPHONE E ADDRESS U CITY ZIP ITETME_ CBL #. 3,1111 " V) L PERMIT EXPIRES USE y PERMIT �`� ZONE ,!7 J/ NUMBEFjJ?�//l�j -� � '' JOB " SUITE/APT# ADDRESS �t1 �' O Vj 1, R��q, r W%i PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. Z 4 LID FEE $ CP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pe Approved RW rmll floqulrotl Sheet Use Permit Req'd EXISTING /PROPOSED— Inspection noquirod Sidewalk Required REQUIRED DEDICATION FT Underground Wiring required METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED (I / YES ❑ NO ❑ REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAAGGEE 21y�'1i II ilrt n i koiir f I t" 1 1 toil (Oz oviiw :1�T/ ADDRESS T to a P `S q �� v!tXP IEWED BY sDDATE w ITY ZIP TELE�PHOONE1 cc 'E OR CU SHORELINE OR ADBM INSPECTION BOND STAT JLICENSE (NNUM13EFI EXPIRATION DATE CHECKE BY REO'D POSTED YES ONO g to ^ �. A REVIEW SIGN AREA HEIGHT PROPERTY TAX ACCOUNT PARCEL NO. TE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED C) %C NEW RESIDENTIAL x I PLUMBING/MECHCOVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (FT.) t p�pOSED 'FRONT SIDE REAR FRONT UR SIPE ZREAR ❑ ADDITION ❑ COMMERCIAL ❑ CHANGE OF USE COMPLIANCE OR�/p (O ' i 15 r 21 r & r S 3 Z PARKING LOT AREA PLANNING REVIEWED BY DATE ❑ REMODEL❑ MULTIFAMILY ❑ SIGN REO'D PROVIDED FENCE � �'. ❑ REPAIR GRADING CYDS ❑ ❑ DEMOLISH TANK 1:1OTHER GARAGE RETAINING WALL FIRE SPRINKLER J CARPORT ❑ ROCKERY ❑ FIRE ALARM (TYPE USE BUSINESS OR ACTIVITY) EXPLAIN: CHECKED BY TYPE OF f RUCTION CO E OCCUPA / GROUP NUMBER NUMBER OF CRITICAL G OF DWELLING AREAS SPECIAL INSPECTION AREA /�y��✓ OCCUPANT STORIES C UNITS NUMBER REQUIRED YES /%f 1 LOAD DSC IBE WORK TO.BE DONE' Q REMARKS 9 z Too �` f 0�1 9 PROGRESS INSPECTIONS PER UBC 108/IBC109/IRC109FlNALINSPECTIONREO'D 5 r� J _ i VALUATION l 1"7 1177 cfbA A'01 Description FEE Description FEE Plan Check State Surcharge LJ HEAT SOURCE G G % LOT1p PE °5 © •� � �.ij Building Permit City Surcharge PLAN CHEC %iQ' l VESTED DATE Plumbing 7P Base Fee '� C Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO iBE DONE ON PRIVATE PROPERTY ONLY. ANY. CONSTRUCTION ON THE PUBLIC Grading DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE 7 SEPARATE PERMISSION. s Engr. Review W PERMIT APPLICATION: 100 DAYS o PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 100 DAYS Engr. Inspection ) '� SEE BACK OF PINK PERMIT FOR MORE INFORMATION rr' 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk, Deposit I 2 IN 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 G, DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. EReceipt l Amt. Duel = NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION." Recording Fee # 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- 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 Foos are paid, and IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt isacknIodgedinspace provided. WORKMEN'S COMPENSATION I �URANCE AND RCW 10.27. p CI SSI NATU E DATE =TU(R OLGE DATE SIGNED •� (425) %V /nh a 12,'N LAS/ 71 0220 REL BY DAT A1=rENT4dN EXT 1333 rr ITIS UNLAWFULTO USE OR OCCUPYA BUILDING OR STRUCTURE UNTILAFINAL / INSPECTION HAS BEEN MADE AND APPROVALORACERTIFICATE OFOCCU oRicwAL-FILE YELLOW- SP TOR PANCY HAS BEEN GRANTED. USC109 / IBC110 / IRC110. PINK -OWNER GOLD - SSESSOR 09/03 PRESS HARD -YOU ARE MAKING 4 COPIES I, OI M vm mv. �0 O _ M M m Z Q . ' C Z I � � I 0 an I _ M ON r M 0) r -Z-I ru I I Z �. f —I I O n M i lEc=i(C�C}1'411 { r.; i �> :��=G�f�d aiu�_E M EFiOS!J�i MAINTAIN PLAT INSTALLED EROSION CONTROL t,I'� !� pI�Cgev Z 1 �' . / O WATER i4 SEWER ( jTia!>2S"TO�ro i" �5 3 ZS`v �fv0 36`141 �' f INSPECTIONS REQ'D. (jn ��� X52. t �r 10'. PRPE FOR m CALL, 425-771-0220 i"XT. �` p - m r. >:•'I ,LOTS 18 — 22 _ m -- 8 5 9 „( r 10' UTILIT'r (. 890 6 23 / _ a ` EASEMENT 7— — — m M ;.. 0 n s ISBL' 4 z0. GONGRETE / 1 m t STAIRS ON f Q p Z O DZ o Ij'/ ti O r 1 10 x (4, 2 3 S- F0 I; LCOVSr2uG _ I `0 0 mn l;/rrc=7?rINC�' � , / R!✓sIDENCYe � PLA�µ. 25 MA NN® 3&5 41 I (_ J �y I 0. qv i=F Lol^IE�R ® 555.4 IQ m m �ONE�f FOOTING o 51.42 0 CAr N y 5 '100 YA 2.05 fl� Z n 944 5 o z m�m N 89056'23" Z APPROVED AS NOTED 012 5 10 . 15 so ao 40 50 } �I INEERIN co z M -..LoT 20 Z o iDate,SEE GENERAL NOTES SCALE: I =�O O ACCEPTAR E TIGHTLINE MATERIAL SDR 35 Zoned -o2- 1 7 1 Corner Flab �C 12 0 Setbacks Re aired Actua! F81 Q HANCOF Front ICS Z I ' I Sides Rear �S pp Other t, ' � �� ILI � `? FOOTING DRAINS NOT -raraf e TO BE TIED INTO He— i�;,ht - _� aU JUL 1�3 2005 DETENTION SYSTEM BUILDING DEPA�ITMEN CITY OF EDMO14DS APPROVED by .i'I_ANNI C; ��� OPEC I Z O m n �I =9 m mm. D o� O r - Cl) -� om m� 0� mZ p � Cz I � I m n �I =9 m mm. D o� O r - C � m z� -i m D