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990604.pdf,� C/- � 7�'(,GvksJ s ufiu/ efI 9 �� , ERMIT EXPIRESPERMIT CITY OF EDMONDS NUMBER 9..90604 CONSTRUCTION PERMIT APPLICATION NAMEINAME OF BUSINESS'1/^� aoR nooncssI J� Z1.7 SUITE 'A /y1%� 0 v, (( 1 OWNER ^^.11 1l�:n ��Ui W��T'ALv IADA-DRESS LLEE�GYALDESCRIPTIONCHECK SDIVISION NO. LIDNONOp w MAILING ' r` �� a Jl`� ice' lam- N r �/� o I S S O S r j-- LJ PUBLIC RIGHT OF WAY PER OFFICIAL STREETMAP ' u�een No -6). CITY ZIP TELEPHONE IJ0v,w�,Q 4Z5 -77,t ^ Z&3 !N-1 EXISTING REQUIRED PROPOSED DEDICATION �� .° "Z /V'p - //. �� qp d L � t. vdenl /,' ��'l <+J METER SIZE LINE SIZE NO, OF FIXTURES PRV REQUIRED YESND O ADORESB/ },rf /J� /' ow k 17�c!xoo REMARKS E/✓b/A/ 2i✓ iN5 eTG-�oo�S K27,T ' J /' /NL' CITY ZIP TELEPHONE (6101 ZbG- i3--000 O EeosXo �� © BY NAME i�R 6 Lu ',,jo-qfa ENGINEERING MEMO DATED S1399 REVIEWED ¢ ADDRESS '� W � 1Mk✓LG1n)AL W S!�•X-+ �DyR•✓D 9�v C�/11NST/5 E�/K4'cu'�� ZIP TELEPHONE WD O CH OF e- i CITY O Sit I o (n 20 (o 437-Iq`f L - VARIANCE OR GU A.B. SNOREUNEp L LICENSE N"U'M'BER •�"PIR 10 PATE D �}15CJ(EQBY P STATE `ILA yv C C t( C /U _. !!VV))ir\) /J1., SERA REVIEW COMPLETE EXEMPT SIGN AREA ALLOWED PROPOSED HEIGHT ALLOWED PROPOSED O LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASE ENTS B EXP `�' _ ' I - LOT COVERAGE ALLOWED PROPOSED REOU,FRONTD SDEACREAG) PFRONTSE UPSIDE REAM '^ W PROPERT X ACC UNTPARCELNO. ry-7 GJ+ LOT AREA PLANNING REVIEW BY DA E J f ❑ NEW RESIDENTIAL ❑ PLUMBING/MECH REMARKS ❑ ADDITION ❑ COMMERCIAL I ANCE OR ❑ CHANGE OF USE $EE /1'ICMO /JRdEt7 �O-Lrf-R9 ❑ REMODEL ❑ APARTMENT ❑ SIGN REPAIR GRADING FENCE ❑ CVDS ❑ ( FTI CHECKEDBY TYPE OF CONSTRUCTIOIJ E OCCUPAN GROUP OTHE,jI ET &V.4� ❑ DEMOLISH ❑ TANK j� I1f A INSPECTOR AREA OOADCCUPANT z ❑ GARAGE CARPORT ❑ RETAFoCINING WALL ❑ RENEWAL SPECIAL REQUIRED YES F (TYPEOFUSE, BUSINESS ORACTIVITY) EXPLAIN: REMARKS PROGRESS INSPECTIONS PER UBC 108 w NUMBER NUMBER OF ?CRITICAL, �S P�^TN('� /:�,k b TIFljB %s m �f DWELLING `AREAS ' I GI •/'/[.G�/E'1/]s o STORIES ,] UNITS :�:NUMEER A/C ✓MC b jr ou w E#LgZ DESCRIBE WORK TO BE DONE s�k b 1 fig Co✓s��cuc�� . I A' W A LC - 5 S j Lo ti+ FINAL INSPECTION REQUIRED VALUATION FEE PLAN CHECK FEE O HEA SOURCE GLAZING °I° LOT SLOPE "= BUILDING • P,eMe1H9• VESTED DATE PLAN CHECK N _ L ImInj Z 3' MECHANICAL THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC - DOMAIN DRIVEWAYS, MARQUEES.ETC) WILL REQUIRE GRADINGIFILL (CURBS,SIDEWALKS. SEPARATE PERMISSION. STATE SURCHARGE STORM DRAINAGE FEE0 , 50 2 PERMITAPPLICATION: OATS S PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS V' 'APPLICANT. ON BEHALF OF HIS OR HER SPOUSE. HEIRS. ASSIGNS AND SUCCESORS ENG. INSPECTION FEE IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF AND AGENTS FROM ANY ANU RaF !� ��� Ae EDMONDS, WASHINGTON. ITS OFFICIALS, EMPLOYEES, ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISINGDIRECTLYORINDIRECTLY PERMIT SHALL NOT BE J O FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF NT0 ANV REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT 0 DEE MED TO MODIFY, WAIVE OR P[DUCE NOR LIMIT IN ANYWAY THE CITY'S AGILITY TO ENFORCE ANY ORDINANCE PROVISION.' !• TOTAL AMOUNT DUE •�� APPLICATION APPROVALmP I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: TlIAl INFORMATION AGENT OF GIVEN IS GOPREGT. ANp THAT I AM THE OWNER. OR THE DULY AUIH,...!ED CITY AND STATE LAWS REGULAI INC, CONSTRUC CALL T THE OWNER. I AGREE TO COMPLY WITH NO PERSON INL RELATING BE TO THE WORK OOFZTFDIE FOR INSPECTION Builtlinp UII�esll oe h�sthpr OcpuI, �antl Foos xIo po�tl. Antl %icknnwlctlpetl in s 11. PlawaPtl INOVIOLATION OF THE LABOR CODEG STATE OF W SHINGTOTHEREBY, Ioaapl is WORKMEN'SCOMPENSATION INSURANCE AND RCW I0.27, (425) DEPICT LS; SIGNATURE DATE DATE SIGNED SIGNATUR WNEPO A 1 f ' _6� 7 771-0220 (Al R EEASE DATEIt IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL (' `� A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI / oRPGNNn'-�Y/HER GOLDV ASS-111ol, CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ' PF