20051008.pdfDATE RECEIVED
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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MAILING ADDRESS
CITY T2ffgp NE39 .9_ (5-rAl
NAME
ADDRESS
CITY ZIP TELEPHONE
7
NAME CEIL #
_S I r " JA
ADDRESS
PERMIT EXPIRES
USE PERMIT
ZONE
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N U M B
JOB
SUITE/APT#
ADOR I ESs VX
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PLAT NAME/SUBDIVISION NO.
LOT NO.
LID N 0..
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Permit Requited
Street Use Permit Roq'd
EXISTING — PROPOSED
Inspection Required
Sidowalh Required
REQUIRED DEDICATION— FT
Underground
Wiring required
METER SIZE
LINE SIZE
URES
PRV REQUIRED
I I
YESE3 NO 0
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
BY
DATE
9
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W_
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REVIEWED BY
DATE
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CITY zip
EPHONE
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[FIRE
V7ARIANCE OR CU
SHORELINE OR ADBI
INSPECTION
;OND
POSTED
STATE LICENSE NUMBER EXPIRATION DATE
CH ED BY
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REO'D
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SEPA REVIEW
COMPLETE . EXEMPT
SIGN AREA
ALLOWED . PROPOSED
HEIGHT
I ALLOWED . PROPOSED
IROPERTY TAX ACCOUNT PARCEL NO. y
EXP
NEW
ADDITION
REMODEL
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XMULTIFAMILY
RESIDEN TIAL
COMMERCIAL
1:1
m
PLUMBING if MECH
COMPLIANCE OR
CHANGE OF USE
SIGN
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (Fr.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr.)
FRONT URSIDE REAR
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PARKING
REO'D PROVIDED
LOT AREA
PLANNING REVIEWED BY DATE
53�REPAIR
GRADING
CYDS
E:i
FENCE
( x
REMARKS
BIDEMOLISH
TANK
1:1
— —FT)
OTHER
GARAGE
CARPORT
RETAINING WALL
ROCKERY
FIRE SPRINKLER
FIRE ALARM
(TYPE OF USE, BUSINESS
R
TIVITY) EXPLAIN:
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CHECKED BY
OF C N R;4TION
CODE
1;
0 CUPANT
GROUP
L-1
NUMBER
NUTABER OF
'UNITS
CRITICAL
SPECIAL INSP C N
AR
OCCUPANT
OF
DWELLING
AREAS
STORIES
NUMBERtowow"O�
REQUIRED C] YES
LOAD
DESCRIBE WOa.K TO 13E DONE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REaD
9
M
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VALUATION
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$
Description
FEE
Description
FEE
Plan Check
State Surcharge
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit
City Surcharge 4 2
PLAN CHECK NO: VESTED DATE
Plumbing
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
t= BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
A
Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
Engr. Review
cc
1.1 PERMIT APPLICATION: 180 DAYS
a. PERMITLIMIMI YEAR -PROVIDED WORK IS STARTED WITHIN 180DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
9 IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
a 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapeinsp.
Total Amt. Due
0 NY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
3CI NOR LIMIT IN A
.
Recording Fee
Receipt #
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-
CALL
This 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 Fees are paid, and
IN VIOLATION OF THE LA13OR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt Is acknowledged in space provided.
WORKMEN'S COMPE NSAT9"SU RANCE AND RCW 18.27.
OFF S SIGNATYR DATE
SIGNATURE (Owpt� AGE� DATE SIGNED
(425)
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771-02,20
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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 CERTIFI-
ORIGINAL -FILE YELLOW- INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
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January.24,2006
S -1-R Construciton
11709 Cyrus Way 4,00
Mukilteo,WA 98275 C/,-� 01rV
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City of Edmonds
h
5t Ave N.
Edmonds,WA 98020
0 O�,
RE: Construction Improvements
C
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To Whom It May Concern:
ca,
Detaile&below are instructions of adding a seven and a half inch step'
to get within code of forty four inches max of finish floor to finish seal on
Om
th
two E-grade windows at 1123 5 Ave S. Edmonds,WA 98020 apartment
V)
1:mo
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number ine.
Sincerely
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mo
M.
Brian L Coker
(S.I.R. Construction)
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