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20051019.pdfDATE CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS MAILING ADDRESS sr3z /* CI ZIP TELEPHONE NAME TELEPHONE FPERMIT EXPIRES PERMI NUMBER CQ00Si_ JOB ADDRESS 4,�,/�721 PLAT NAMEISUBDIVISION NO LOT, NO PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING —_ PROPOSED REQUIRED DEDICATION FT METER SIZE REMARKS OWNER/CONTRACTORRlAp7c�i'PW',4,Rf&Sf'P NW'haol SUITE/APTP LID NO LID FEE S TESCPApproved RW Permit Required 13 Street Use Pernisi Required Q inspociiian Required 13 Sidewalk Required CI Unclurg(ciund E3 �ifinq required 13 j?)1V REQUIRED NOM 111 z Fff 9 4TNAGE z F3 'A Irr BL# N VME C C70 �/C/ / DATE ENGINEERING REVIEWED BY ADDRESS C_/6 0 ze6:�) OIX FIRE REVIEWED Y W ZIP TELEPHONE LL or & Industries --- VARIANCE OPU7 IN 1$ePA -ADB#TE31 YES 13 NO MPLIT6D I E)1E1IPT t"OREL STATE LICENSE NUMBER EXPIRATION DATE CH REOD CO C1 9166 CA# ZONE SIGN AREA E3 Nor HEIGHT I-JI PROPERTY TA)�ACCOUNT PARCEL NO. I ALLOWED PROPOSED ALLOWED PROPOSED WAIVER El I STUDY 13 RESIDENTIAL �UMBIN LOT COVERAGE REQUIRED SETBACKS (FT.) REAR PROPOSED SETBACKS (FT.), FRONT L/RSIDE REAR NEW ALLOWED PROPOSED FRONT SIDE I ADDITION COMMERCIAL COMPLIANCE OR I z E - z USE CHANGE OF USE ri MIXED PARKING LOTAREA PLANNING REVIEWED BY DATE REMODEL 1:1 MULTIFAMILY Lj SIGN REO'D PROVIDED FENCE REPAIR 0 GRADING CYDS 1:1 ( x FT.) REMARKS OTHER DEMOLISH 11 TANK 1:1 GARAGE RETAINING WALL FIRE SPRINKLER CARPORT 1:1 ROCKERY 13 FIREALARM (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAft TYP Coq T C F OCCUPANT I GROUP NUMBER NUMBER OF IS L OCCUPANT OF TDWELLING SPECIAL INSPEET16N CONSULTANT LOAD U6 STORIES UNITS f"ll REQUIRED YES DESCRIBE WORK TO BE DONE REMARKS GEOTECH REPORT BY: STRUCTURAL DESIGN BY: VALUATION $ V Description _44 Plan Check 1­IEATSOURCE LOTSLOPE% VESTED DATE Building Permit —PLA9 CHECK NO: Plumbing Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED, THIS PERMIT COVERS WORK TO :E BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBIC DONMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading Engr. Review SEPARATE PERMISSION. PERMIT APPLICATION: SEE ECDC 119.00.005(A)(5) Lu PERMIT LIMIT.SEE ECDC 19.00.005(A)(6) Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION 'APPLICANT, ON BEHALF 0 . F HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESSORS Fire Review Lu IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF _j 2 EDM DS, WASHINGTON, ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY Fire Inspection x a FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF A NY CITY ORDINANCE Landscapelnsp. 0 x j NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION 0 �^DDCCT AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF FEE Description State Surcharge City Surcharge Base Fee ulv=" I i - CALL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC TION; AND IN DOING THE WORK AUTHORIZED THEREBY. 140 PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABQH CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION WORKMEN'S COMPENSOInRNK NCE AND RCW 18:27. SIPNAT$0 (OWNER 0 AGE T):' PATE SIGNED (425) 771-0220 LD z 03 FEE Plan Chk. Deposit Receipt # Total Amt. Due , _f2 1 Receipt # i5q APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his/her Deputy: and Fees are paid. and receipt is acknowledged in space provided. DAT FICIALS SIGN] jj�ZE 65 DATE AfTtNTION 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- FICATE OF OCCUPANCY HAS BEEN GRANTED. UBC109 / IBC110 I IRC110. 10104 PRESS HARD - YOU ARE MAKING 4 COPIES ORIGINAL - FILE YELLOW SPECTOR PINK -OWNER GOLD - ASSESSOR z 0 ­11 0 M =i:fi M C M 0 0 0. C: M M Z IC) —4 C CD 0 -T! n M M 0— co 0 r- .0 M C C() K 0) M 0 Z z --I X 55 z 0 1 0 M PLUMBING: Underground ............. 0) 0 Rough ........... ....... -in fn C Commercial Final ...... M -4 0 HEATING: C M M Gas Test .................... z 10-1 C Z > -Gas Piping ................. Equipment ................. ca 0 -n Commercial Final ....... EXTERIOR SHEATHING x M M NAILING .......................... 0 FRAMING ........................ 0 M C Cn FIRST FLOOR FRAMING ... co Q 0 INSULATION * ................... Zr Floor Insulation .......... -4 Wall Insulation ........... z Ceiling Insulation ....... 3: SHEETROCK NAILING ... z SPECIAL INSPECTION M MISCELLANEOUS .......... FINAL APPROVAL_FqW ................