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20050946.pdfCITY ZIPI TELEPHONE ' DATE RECEIVED Coll LLP NT— VARIANCE OR CU - j ` PERMIT EXPIRESPERMIT RESIDENTIAL CITY PLUMBING I MECH rl ADDITION ❑ COMMERCIAL OF EDMONDS NUMBER ZONESIGN MIXED USE CPPSTRUCTION PERMIT APPLICATION JOB SUITEIAPTO ❑ SIGN 0 REPAIR ADDRESS 7�7P f) /�5 _ C / � / h / PENCE X_FT) OWNER [NAME OF RU'1 ESS ` / G� �•7 i+'w ❑ CARPORT ❑ ROCKENINGRY WALL R I PLAT NAMEISUBDIVISION NO LOT NO LID NO REGO rPROVIDED w MAILING ADDRESS FEE Description FEE LID FEES n Check State Surcharge O ` ��tEEOp PUBLIC fttGNT Of WAY PER OFFICIAL AVMpra STREET MAP Rw Permn aovumaa ❑ CITY ZIP TELEPHONE EXISTING PROPOSED ca O ❑O Eno — REQUIRED DEDICATION FT n NAME METER SIZE LINE S12E N0. Of FIXTURES PRV REQUIRED FSEPARATE PERMISSION. view C PERMIT APPLICATION: SEE ECDC 19.00.005iA)(51 I PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION YESD No U �w iew Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF—�EDMONRE WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANT ANO ection t ADDRESS REMARKS OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE i CITY ZIPI TELEPHONE 7V^— :D BY DATE FIRE REVIEWED BY DATE Coll LLP NT— VARIANCE OR CU - NEW RESIDENTIAL C5 PLUMBING I MECH rl ADDITION ❑ COMMERCIAL CAp ZONESIGN MIXED USE AREA CHANGE OFUSE E] REMODEL MULTIFAMILY ❑ SIGN 0 REPAIR GRADINGCY05 ❑ PENCE X_FT) I] DEMOLISH TANK El OTHER ❑ CARPORT ❑ ROCKENINGRY WALL ❑ FIREAL RMKLE0. 7V^— :D BY DATE FIRE REVIEWED BY DATE Coll LLP NT— VARIANCE OR CU - SHORELINEORAD81 I INSPECTION RED'D SEPA co MpLETED ExENPi QUIRED 1= YES LOAD O YES O NO CAp ZONESIGN _ AREA HEIGHT WAIVER 13 ALLOWED OPOEE ALLOWED 11P06ED STUDY ❑ DESIGN_ LOTCOVERAGE I REQUIRED SETBACKS(FT) PROPOSED SETBACKS (FT.) ALLOWED PROPOSED FRONT SIDE REAR FRONT URSIDE REAR PARKING I LOTAREA PLANNING REVIEWED BY DATE REGO rPROVIDED I FEE Description FEE 1 le eai4//1-- 17{N9ve-1 4,1US'f 1A Pe I �J�/�[ V L �4ck /eA�r curet4/ OfGEOTECH E OF CONSTRUCTION Coll LLP NT— NUMBER NUM`BTE•RIOF OF �% DWELLINGECIAL INSPECTION CONSULTANT OCCUPANT STORIES G•r UNITS QUIRED 1= YES LOAD DESCRIBE WORK TO BE DONE ARKS ,p r1� / /�+ I/ 1TECN REPORTUCTURAL DESIGN_ S>r i'r,1j' LUATIONescription FEE Description FEE n Check State Surcharge HEAT SOURCE LOTSLOPE% VESTEilding Permit City Surchargee'TPLAN CHECK NO: umbing 3O Base Fee saTHIS 2)0 PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERechanical - BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC E DONMA)N (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE FSEPARATE PERMISSION. view C PERMIT APPLICATION: SEE ECDC 19.00.005iA)(51 PERMIT LIMIT: SEE ECDC 19.00.005(A)(6) SEE BACK OF PINK PERMIT FOR MORE INFORMATION pection 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS iew Plan Chk. Deposit IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF—�EDMONRE WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANT ANO ection Receipt #ALLCLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY.����._.FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BENOR mt. OueDEEMED "01FI LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'e TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCELaNdgeFeep RGCI Pt:F IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION; THAT THE INFORMATIONAPPLICATION APPROVAL GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OFThis appllcauon Is n01 a penult un1A signetl by Ibo THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC•CALL BuiI01n000id.1 or hislbor p.Puly, antl Fees are paid,TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYEDSPECTION CODE OF OF WASHINGTON RELATING TOWORKMEN'SCOMPENSATIONINS receipt is ackn0wle0geB rn spaca proviCetlIN YtOLAT10N OF THE LABOR TyESTAT! RANO ANDItCW18:2T.OFFICIALS SIGNATURE DATE SIGNATOR {gWNE AGENT): DTE IGNE (425) 9� ��-z'3S' O� } n 771-0220 RELEASE 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. UBC109I IBC11O I IRC110. PINK .OWNER - GOLD - ASSESSOR 10104 PRESS HARD - YOU ARE MAKING 4 COPIES RECORD OF INSPECTIONS " INSPECTOR DATE APPROVED. ,.. SETBACKS ..................... FOUNDATION: Footing ...................... Waii...........I.............. .... Pier/Porch ................. : r. Retaining Waii............ , " Slab insulation .......... O I PLUMBING: m i Underground............. " Rough-in ................... 2 vM Final Commercial ...... - IT O O HEATING:y p O `E Y Gas Test - .. �1 :C .Gas Piping ............... C ' . ..�. Equipment .......... I A i 4 1 Commercial Final ....... �Np O -n 1 EXTERIOR SHEATHING, T D NAILING .......................... x m .' FRAMING ........................ I' v N r ITI FIRST FLOOR FRAMING... a � ,_.. INSULATION ................... . .. Z tO Floor Insulation ......... �1 W . Wail Insulation ........... Ceiling insulation ....... Z ' - SHEETROCK NAILING ... _ N _. SPECIAL INSPECTION ... Q n rn MISCELLANEOUS .......... " FINAL APPROVAL FOR S��--cz(, - OCCUPANCY ..................