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20050909.pdfDATE RECEIVE2D1, CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION ME/NAME OF BUSIN "'M 'i C"', :7 MAILING ADDRESS -j 7 CITY ZIP TELEPHONE Fo/er-N 0 rltiz_ 4F9�40 z 6 12 o 6 y � g � -c,- 5, j NAME 111111111 4Z Mt I ILI] T1 1 *11:1 TELEPHONE ZIP I TELEPHONE EXPIRATION DATE PROPERTY TAX ACCOUNT PARCEL NO. 00yqR,.10()000,q00 F1 NEW RESIDENTIAL ADDITION COMMERCIAL MIXED USE REMODEL MULTIFAMILY REPAIR GRADING CYDS DEMOLISH TANK DGARAGE RETAINING WALL El CARPORT ROCKERY (TYPE OF U SE, BUSIN:ESU ACTIVI X) LAIN _,�VTE IfAth NUMBER N MBER OF DWELLING STORIE UNITS DESCRIBE WOVTO BE DONE I CBL# WIT NUMBER JOB ADDRESS PLAT NAME/SUBDIVISION NO. PERMIT EXPIRES LOT NO LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved U RW Permit Required 0 Street Use Permit Required 13 EXISTING PROPOSED Inspection Requirod 13 Sidewalk Required 13 REQUIRED DEDICAT ION FT Unaerg(ound 13 Wiring required 13 METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES 0 NOO z REMARKS ul LU OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROLIDRAINAGE z ENGINEERING REAMEbtff" BE Al""CEPTED DATE FIRE REVIEWED BY DATE VARIANCE OR CU SHORELINE RAD&I I INSPECTION REO'D 13 YES 0 NO SEPA COMPLETID I IXEIAPT CHECKED BY CA# WAIVER 13 STUDY 0 ZONE 1 SIGN AREA ALLOWED I PROPOSED 1 1 HEIGHT ALLOWED I PROPOSED LOT COVERAGE I REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.) PLUMBING / MECH ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR COMPLIANCE OR z z CHANGE OF USE z . I PARKING LOTAREA PLANNING REVIEWED BY DATE 5 SIGN REQ*D PROVIDED FENCE X FT.) REMARKS OTHER FIRE SPRINKLER FIRE ALARM II I TYPE UCT 0 COQE�� I OCCUPANT I GROUP 2z SPECIAL INSPECTION CONSULTANT OCrUF REQUIRED 13 LOAD REIvItify Pe D L velli '11._v R a GEIJTk6� Wd�f 149 4 jq)lhi n k iA .A� Al OU61 T-.1-11194K I n /9 I � SA 803.2 BY: 4e z VALUATION $ Description FEE Description FEE Plan Check State Surcharge HEAT SOURCE LOTSLOPE% VESTED DATE Building Permit City Surcharge 26: _-L PLAN CHECK NO: Plumbing Base Fee Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC Grading DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. Engr. Review PERMIT APPLICATION: SEE ECDC 19.00.005(A)(5) PERMIT LIMIT: SEE ECDC i9.00.005(A)(6) Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Plan Chk. Deposit 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 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscapelnsp. Total Amt. Due NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.* 'R Recording Fee Receipt # THE INFO MATQN I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION APPLICATION APPROVAL GIVEN IS CORRLCT, AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF This application is not a permit until signed by the THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- L P OY TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and 0 L Tj To IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO j FOR INSPECTION ��elpl is acknowledged in space provided, WORKMEN'S COMPENSATION INSURANCE AND RCW 18:27. OFFI 11; N G ATUR DATE SIGNAT RAG ED ,NED DATE SIGN (425) 0 V 771-0220 REteASUb 6- DATE ATTENTION EXT. 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTI- ORIGINAL -FILE YELLOW -INSPECTOR FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 f IBC110 / IRC110. PINK -OWNER GOLD - ASSESSOR 10104 PRESS HARD - YOU ARE MAKING 4 COPIES 0 z z 0 i 0 M -11 -n M. M 0 0 0 M M Z 0 -n n.� MM 06) 0 r, 0 M C W 9 0) M 0 Z z W z 0 M RECORD OF INSPECTIONS INSPECTOR DATE APPROVED SETBACKS ..................... FOUNDATION: Footing ........ ............. Wall.......................... z Pier/Porch ................. 0 ITI Retaining Wall ......... SI.ab Insulation .......... 0 PLUMBING: M C M Underground ............. 0 0 C Rough -in ..... ........... M Commercial Final ...... ITI z z HEATING: Gas Test .................... lo-i2 -(�G . 0 -n -Gas Piping ................. 4�0= Equipment ................. M M Commercial Final ....... 0 0 r 0 ITI EXTERIOR SHEATHING C 0) C1) NAILING .......................... ITI 0 z r FRAMING ........................ FIRST FLOOR FRAMING... INSULATION ................... 3: z Floor Insulation ..... x Wall Insulation ........... z Ceillng Insulation ....... 0 ITI SHEETROCK NAILING ... SPECIAL INSPECTION ... MISCELLANEOUS .......... FINAL APPROVAL FOR OCCUPANCY .................. gram.