20050034.pdfDATE RECEIVED
�1 PERMIT EXPIRES G �-J
PERMIT
CITY OF EDMONDS ZONE NUMBER����
CONSTRUCTION PERMIT APPLICATION JOB SUITE/APT"
ADDRESS 102 Bell St
OWNER NAME/NAME OF BUSINESS
PLAT NAME/SUBDIVISION NO. LOT NO. LID NO.
Eric Sonett
LID FEE S
LCC MAILING ADDRESS TESCP Approved I13
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CITY Zip TELEPHONE EXISTING FrHOPQSED A
Edmonds 98020 425-771-5544, dItiion to the �eclu� doter Required Q
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NAME CBL # t
Fast Water Heater �1 i l-� ENGINEERIIEirRD1s•r'�"" pp
c ADDRESS 11'lrpC D or L vent Conni cto s YQ�'r, uiti ed
12601 132 Ave NE '•
FIRE REVI W€€D BY w
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Kirkland 98034 425-814-3124
VARIANCE OR CU SHORELINE OR ADBf/ INSPECTION BOND
STATE LICENSE NUMBER EXPIRATION DATE
W
'B REQ'D POSTED
FASTWHC052DF 2-16-04 ❑Yes ❑No s
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED PROPOSED
00434401200701 Exp
❑ NEW ® RESIDENTIAL PLUMBING/MECH LOT COVERAGE REQUIRED SETBACKS (FT.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR
COMPLIANCE OR z
ADDITION ❑ COMMERCIAL ❑ CHANGE OF USE z
PARKING LOT AREA [P��IEWED'SY DATE g
❑ REMODEL ❑ MULTIFAMILY ❑ SIGN REQ'[) PROVIDED
❑ REPAIR ❑ CYDS GRADING ❑ FENCE X F) REMARKS
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❑ DEMOLISH ❑ TANK ❑ OTHER
GARAGE RETAINING WALL FIRE ❑ ❑ FIRE ALARM LER CARPORT ❑ ROCKERY
C (TYPE OF USE, BUSINESS OR ACTIV EXP
uiCHECKED BY ITYPMSMN. C OCCUPANTk3
GROUP
NUMBER NUMBER OF CRITICAL
c OF` DWELLING AREAS SPECIAL INSPECTIO AREA OCCUPANT
$ STORIES UNITS NUMBER REQUIRED ❑ LOAD
YES
DESCRIBE WORK TO BE DONE
PROGRESS INSPECTIONS PER UBC 106/IBC109/IRC109 ANAL INSPECTION REO'D 9
garage 40,000 btu's
1 AL
tj VALUATION
Description FEE Description FEE
Plan Check State Surcharge.
HEAT SOURCE GLAZING % LOT SLOPE %
Building Permit City Surcharge J .
PLAN CHECK NO: VESTED DATE Plumbing , Base Fee
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 Gradin
M DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE g
F SEPARATE PERMISSION.
Engr. Review
LU PERMIT APPLICATION: 180 DAYS
CL PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
wy 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS 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
I FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE Landscape Insp. Total Amt. Due J
9 DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
_ NOR LIMIT IN ANY WAY THE CITY S ABILITY TO ENFORCE ANY ORDINANCE PROVISION 4 �j L
Recording Fee Receipt H
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 LAB CODE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided.
WORKMEN'S COMPENSA I SURANCE AND RCW 10.27.
OF5LGIALS IGN UR ATE
SIGNATURE (OWNER A EN DATE Si ED (425) /
` 771 =0220 RELEASED BY DTE
ATTENTION EXT 1333
ITIS UNLAWFULTO USE OR OCCUPYABUILDING OR STRUCTURE UNTILAFINAL
INSPECTION HAS BEEN MADE AND APPROVALOR A CERTIFICATE OF OCCU- ORIGINAL - FILE YELLOW -INSPECTOR
PANCY HAS BEEN GRANTED. UBC109 / IBC110 / IRC110, PINK - OWNER GOLD • ASSESSOR
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