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1043 8TH AVE S.PDF111111111111 8665 1043 8TH AVE S � .-�a 1�,�Cx„'., �"s�m�ix�..:���o.r`,s �' .. ��Yr=.a,., ...,�u�.rm..a,z�,..mtn ...._..r.s..:t.:d>t.... ,�..+. e��' i.ra��e...+fr.P' ., sw.<.� �:u... xatu:��i'��N�a! .s5<��`�,N ;� '•r x►��aY- .,fig. „til'"'t-�-.: �; ,:e@ w � J�. 9r.' �..�}�.,. 3�,�'TAC �,'�".�r ti' 1 .sri �;�� "`a,�ri`i:�S"� v'�h.,ir �,'`•.»,�,._�%s..t�t^f.� �+i�^-Xv�".'�+"'k'"�fr�o'Y'�'`%�'.�`7� °�'7'�^'�jQ°'"'�„rrv'`'Fic��C�`� =�` ILE T CITY OF E 89p.19 q, Address of Construction: 10 L`- Aye S Property Legal Description (Include all easements): a SIDE SEWER PERMIT PERMIT \I® S 3 5 4 Owner and/or Contractor: State License No. Building Permit No. Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public Invasion into City Right -of -Way: ❑ No N-4.es RW Construction Permit No. Cross other Private Property No ❑ Yes Attach legal description and copy of recorded easement I certifyth*4 have read and shall comply with all city requirements as indicatO'd on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT. Permit Fee: �.�CJ� Issued By Trunk Charge: E0"I01916' Date Issued: Assessment Fee: Receipt No.: S/77S Lid No.:y Partial Inspection: Comments Reason Rejected: Final Inspection Approved: Date' A-� Initial_t� Date Initial Date -Initial - RECEIVE I u 14Qt "" PERMIT MUST 6E PUS 1 tU UN JU13 SI 1 t "" PU8L1C WunKS DEBT. White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3190 The City of Edmonds Side Sewer Drawing EASEMENT NO - -------------------------------------------- NEW CONSTRUCTION ❑ REPAIRS 0' LID NO- ------------------ -ASMT. NO. ----..------------ t OWNER-----------------------•--•---------•--------'-------...------•---------------------------------- CONTRACTOR...----•-------•--...----••----------------••--••---•------------------------------- PERMIT NO. D3-5+-- JOB ADDRESS .,-. �i-- ✓- v---- ►A"L `{v ---••-'----••------ LEGAL DESCRIPTION: LOT NO- -------------------------------------- BLOCK NO. ----------------------------------- IT \*1 A . ram. SO --�-;gl.=. co V�� PWW-0001-11/75 (REV.11/78) NAMEOF ADDITION---------------------------------------------------------------------- r s l $ —+— ;z _r S ��o 1 'of 9 I j� 2� z (L TR ED;v90NCS EATN}ENT PLANT JrTO-e- 0,10 . i ; i I 01i• Approved: CC� DATE ..� ( 6 By-------- 4 \ r e� rr •S� t CITY OF EDMONDS 8g0.�q Address of Construction: /0 ,Z SIDE SEWER PERMIT 0- y PERMIT 89C6 EDMONDS TREATMENT PLANT Property Legal Description (Include all easements): JAN 0 7 1998. PURL Owner and/or Contractor: Yldn State License No. Building Permit 9 Single Family ❑ Multi -Family (No. of Units ) ❑ Commercial ❑ Public 0 97n-7 Fa . Invasion into City Right -of -Way: No ❑ Yes RW Construction Permit No. Cross other Private Property -A I`� No El Yes Attach legal description and copy of recorded easement I certify that I have read and shall comply with all city requirements as indicated on the back of the Permit Card. �v,& /11�;� Date ' * CALL DIAL;A-DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL TT"- M PUBLIC WORKS DEPT. /� nn 77/-Oa Permit Fee: ( (/ go Issued By Trunk Charge:: r Date Issued: Assessment Fete,: Receipt No.: Lid No.: % / Partial Inspection: Date -Initial - Comments Reason Rejected: Date -Initial - Final Inspection Approved: .DatelnitialA ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Bull Copy: Applicant Revised 3'90 The City of Edmonds Side Sewer Drawing EASEMENTNO . ............................................ NEW CONSTRUCTION [0'/ REPAIRS ❑ LID NO ................... ASMT. NO................... OWNER.......................U.....--•---......••---................................................. CONTRACTOR..............................----.......................---........---.....----.... PERMIT NO. .O.L-040. JOB ADDRESS ......� / ...... -- -.AVM.... ,..................... LEGAL DESCRIPTION: LOT NO. ...................................... BLOCK NO. .................................... g"l EDPfONDS G NAME OF ADDITION ..-.. !f?:T_;kkN:T--{?LAR!T ---------- I <-- N n 9 PWW-0001-11175 (REV.11178) ,?h i/ Approved: DATE B �`- •--••• . •-•-•---.. Y .. ...._.. :.,..FROM.: DESIGN CONSULANTS PHONE NO. : 2063489783 Sf=-P- 09 1997 07:46AM P3. Copv APPROVED AS NOTED C 9 - 9-� 11 nil( 0 0 /Zzz 2777777 0 0 p A Z 70.0 15" A L L� E* "'r ; okf. */ SEP �mw o ..FROM DESIGN CONSULANTS PHONE.NO. : 2063469783 � � � Sep. 09 97 07:46RM P2 � HTI.INE MATERIAL � . . CEP TP►SLEN.12 TIG ADVC RECEIVED AC ._°...: S g,M t) O 4 SEP - 9 1997 So a 3 � p ENGINEERING 8 /EVE, S, c"ITY'_ COPY . - -- �. .. g b.0AL too,/ a APPROVED AS NOTED �► 9l2 9/ 9 -? 7,tM x 0 MIX rn if �y cn n1: o Y" �" i � n z tit �! 51747E iv G� a.1 � c..., c z 0 MOUND o m ya-?p v7 c u � co lkL q' o. O L_1- E Y P=HECKLIST PROJECT NAME: m PROJECT ADDRESS:--) nua 17) PLAN CHECK.#:qL '*-1 T . ? RECEIPT DATE:1z't EVIEW D BY: (Initial* ate) PLAN. WATER COMMENTS FIRE BLDG. SEWER STREET ENG-.. Setbacks/Variance/Setback Adjustment Conditional Use Permit 3 ADB Requirements Other Zoning Requirements Underground Wiring Requ red ---4 .7 5 Lot Slope 15% ......... ....... -------- - - - - - - - - - - W. SEPA Environmental Checklist/Hydraulics Permit H k�i Tree Cutting Plan 71 Plat/Subdivision Requirements 8 Legal Description Verification 9 Quit Claim/Street Dedications ;fa10 Easements - Public/Private Engineering Storm Drain Review Fee 12 ------------- %13 - Engineering 2.2 Inspection Fee .14... Drainage Plan (on -Site) . . . . . . . . 4...... 4 A 6' Setback - To of Bank, Stream, Water Courses Setback - Storm Drain Line 17 Open Ditch - Existing Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required Driveway Slope & Vehicle Access .... .. ..... Sidewalk Required Curb & Gutter Required 2 . Curb Cut For Driveway Required Street Paving Required Effill Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Reguired Bond Required For Public 11TIprovements -3 .1 FEMA -Map Check/Water Table Side Sewee A—vii-lability al. awn 32 Calculate Sewer Connection Fee If No LID # -34:... Create Street File Existing Water Main Size Water Meter Size Service Line Size 38. Water Meter Charge Required SRO Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler - ...... Street Cut . . . . . . . . . . . . . . . . . . . . . . . 42 43 IMiscellaneous Reviewed By: FIRE PLANNING ENGINEERING P LJACI C WORKS- AUG 2 PUBLIC WORKS DEPT RECORD OF.CONTACTS 1 1 21 2 22 3 23 4 24 5 25 6 26 7 27 ' 8 28 RW PERMIT # '' DATE ISSUED RECEIPT 9 29 10 30 11 31 �.�. 12 32 13 PAID RECEIPT # DATE 33 G�jQ SS PERMIT # DATE ISSUED �(RECEIPT # /O ! 14 PAID $ RECEIPT # DATE 34 15 Y 35 16 36 17 37 METER SIZE"' PAID•$ DATE RECEIPT 18 38 19 39 20 40 The City of Edmonds Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION 0 REPAIRS ❑ LID NO . .................. . ASMT. NO . ................. OWNEF, - .............. .............................................................................. CONTRACTOR .................................................................................... PERMIT NO. .................... JOB ADDRESS I.O.YJ ....... fA ..... ....... ................ LEGAL DESCRIPTION: LOT.NO . ...................................... BLOCK NO. .......................... .................................................... .......... -.1 ....................................................................... I .................. NAMEOF ADDITION ..: ........................................................ I ........................... I ................................ STH NE SCKATti Approved: 3' DATE ...... 7. Z 2!0Z 10 ......... By-sco ... PWW-0001-1 1/75 (REV. 11178) City of Edmonds Plan Review Corrections Plan Check #: 98-13 Date: February 9, 1998 Project Name/Address: Durasoff deck 1043 — 8`h Ave. S. Contact Person/Address: Reviewer: Gordy Hyde, Development Services En ig neer ( 'Department: Engineering Your construction permit application is deficient in the areas listed below. In order for me to review a complete application for Engineering please submit three copies of the following revisions/corrections/additions to the permit coordinator: 1) Provide calculations and storm water detention and release for all impervious surface added to site since 1977. If detention was provided for residence constructed under building permit 970783, provide as -built information. If you have any questions, please feel free to call me at (425) 771-0220 extension 325. DATE FAXED (Attach fax transmittal) PAGE OF City of Edmonds Plan Review Corrections Plan Check #: 99-13 ' Date: J.an� 21. 1999 Project Name/Address: Durasoff Deck/1043 Wh Ave S. Contact Person/Address: Douglas Durasoff/same as above Reviewer: Kate Galloway Department: Planning The Planning Division cannot complete its review of the permit application due to the following items that are missing or need revision: 1. A site plan illustrating all property lines, the existing home and the proposed deck. 2. An elevation drawing that illustrates the maximum height of the proposed deck and its relation to the existing residence. Two copies of any sheets requiring changes are to be directed to Lara Knaak, Permit Coordinator. These items are only for Planning Division review. You may also be receiving correspondence from the other departments. If you have any questions, feel free to contact me at (425) 771-0220. DATE FAXED (Attach fax transmittal) PAGE OF X 4.FjT , tbST n r• -1 r' 1 i LOT LI 4E STAKES MWST FOUNMiION INSPEC ON X 10 P. T. J015T @ 16" O.C. I --4x4 P.T. Pos�ps-L� PPROVAL OF THIS FOUNDATION DESIG 13 CONDITIONAL EXISTING SITE CONDITIONS. SPECTit F ETAINING WALLS MUST BE DESIGNED ONSTRUCTETOTHE LATERA O RESSURE OFT E RETIAINED MATERIA o� PROVISIONS MUST BE MADE FOR THE WATi_ROAROUND BUIF SURFACE LDINGS aX6 P.T. JOIST @ 16-O.G. PI NTR 6- SLL . C L.L. DR. '1$OX 9x4 P. r, Asrs HousE 4x4 P.T. Pos-r i CITY COP F-RAMING PLAN ®�= I:a"MIN. F`►'6. PA -9 1 x 4 Pr P6ST M,�►. all r>iv,w rvan#44 (TYPICAL) s ScA7,r� L-WCZ v/0 ° ) ect-,r,i rJg�s MVd�17—r�C— AA-c > bv�l Rim rXArl % u% Stair Section Gripable handrail (see attached examples) Intermediate ralis spaced so that a 4" sphere shall not pass through tiw4.. •.i 9" min. Rise -run -rail opening spaced so that a 6" sphere shall not pass through ATTACHMENT B Handrail Examples 11W 11l4 Tp 2- MIN. 114.TOz' M�' 1�j� o MIN �t3W MAX. O :e? 'I Post-Beam "' NOTE. OTHER SHAPES MAY BE ACCEPTABLE IF THEY PROVIDE AN EQUIVALENT GRIPPING SURFACE SEE THIRD PARAGRAPH OF SECTION 1006.9. NOT ACCEPTABLE Typical Construction Connectors Joist Hanger Post -Pier Connectors ATTACHMENT D H O I/ Lag Bolts (typ) Section/Elevation View sF 4" 16 to Joist Hanger Positive Connection requi ed at,; ll (see attached details) posts and beams (see arched,' details) .;: �n Ledger with lag bolts t (provide bolt sizelspacing - a " All wood exposed?tc weather shall be pressure treafe�or naturally resistant to decay Minimum design)d"ads;60 p.s.f. Provide size, spacing, wood species and grade for all framing members Including joists, beams, posts, ledgers, decking and guardrails Post -to -concrete pier connection required (see attached details) III III III Ill III A Footings shall be laced on firm undisturbed, bearing soil (2000 p.s.f. min.) ATTACHMENT C I CITY OF EDMONDS BU,I.LDING DEPARTMENT WORK I ADDRESS 0WNER _ k ?ROVED DATE: ° '--,G..OFFICIAL :. R PER 07 NUUli( ER �0)L5 HIM!] % JAN 15 1999 CST 6 - 6 ZONE SETBACKS: i FRONT SIDE REAR OTHER HEIGHT MAXIMUM HEIGHT - 25 FEET. MEASURED FROM AVERAGE ELEVATION OF UNDISTURBED SOIL AT CORNERS OF EXTENDED BUILDING RECTANGLE. SUBJECT TO FIELD CHECK BY BUILDING DEPARTMENT. • • .,,D BY PLAN IN 97 UBC CITY copy -HEIGHT CA-LCS 102,(?o ID 00 44-c 102-776-HEA1J 27-7 7 1T tjA x 0 z G) 00 51 T E,.--.p L A.. KI LOT 7, IALK ZA, YOST'5 I'krAvV;4 -foEVMNV5 EXCIWP7-Ti4v N. 3o' r"sas-of c-tryc>s= wamowaaj I v MERMIT mi Im" yl m 751 joy (try7�' ysonqyfu gswi jw 91) -r6+s -4"Was "Ir 71/ CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: t 0 43 2. Property Tax Account Number: 0 `{ 0f1t) j �jdQ 3. Approximate Site Size (acres or square feet): '�Q X ! 10 c 4. Is this site currently developed? yes; no. If yes; how is site developed? 571y4 12=vc�u�, 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. _ Rolling: slopes on site generally less than 15 % (a vertical rise of 10-feet over a horizontal distance of 66-feet). .(44t�-a;i6,,- , Hilly: slopes present on site of more than 15% and less than 30% (a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water:) ; Approx. Depth: 7. Site contains areas of seasonal standing water: i,, i ; Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water 9. Site contains a creek or an area where water flows across the grounds surf are /yam gT , year-round? Flows are seasonal? (What time of year? —Up). 10. Site is primarily: forested ; meadow ;shrubs ; mixed urban landscaped (lawn,shrubs etc) Z 11. Obvious wetland is present on site: /110, 6Site designated on the Environmentally Sensitive.,Areas Map? DETERMINATION ^ca chkdoc; Rev02/11/97 1"tHMI i (;UUN i i' 4 PLANNING DATA NAMOAlla=-Z 4 4 SITE ADDRESS:AS 5- DATE: ZONING: _ s:— PLAN CHK#:=l PROJECT DESCRIPTION: CORNER LOT (Yes/No) FLAG LOT VC) (Yes/No) SETBACKS: Required Setbacks: G Front: Left Side: S Right Side:_Rear:� J dJ& Actual Setb c s: FrontLeft Side:Right Side:'! ide ' Rea, :36 Street map checked for additional setback required? (Y s/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (YIN) LOT COVERAGE: Maximum Allowed: 96- Actual: N BUILDING HEIGHT: Maximum Allowed: Actual Height: Datum Point:_ Datum Elevation: 90 A.D.U. CREATED?: SUBDIVISION: CRITICAL AREAS #: q7./5Z SEPA DETERMINATION: LOT AREA: FROM : DESIGN CONSULANTS PHONE NO. : 20634897e3 Sep. 09 1997 07:46AM P2 d c P 0 ACCEPTABLE TIGHTLINE MATERIAL N-12 ADS RECEIVED Sch 40 PVC SDR 35 (ASTM D3034) SEP - 1997 ENGINEERING BEET FILE goo X r lbI 0 APPROVED AS NOTEL) 912919--7 -NMI A C* ti Fmo rolipC I 00 CA C"D O 0, -ftz Cm 0 L. tA r C Z: w) k&Lv-q,// , c- 43 00- j CV ,j zz� tA.I 1 C lAr' AS j '(N Z � k 0 J �. ;oe 8 �� N N \ nI N tv ' J1 1 1Ile_j N j j I 1 Lj -� i f 1 f f S I I - I M • All trusses shall contain manufacturer's stamp. • Provide truss specs on site for Building Inspector at framing CA FILE NO. Critical Areas Checklist -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: t0 43 ?' - S • Number: 2. Property Tax Account Nur: V? 'f — �GY2. -- ;'_ 0 % 000 � - 3. Approximate Site Size (acres or square feet): �?Q X / ECG Laa&2n 4. Is this site currently developed? Zyes; no. If yes; how is site developed? 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15 % (a vertical rise of 10-feet over a horizontal distance of 66-feet). (44tta;r/6 Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance qqjp an 33-feet). Other (please describe): 6.Site contains areas of year-round standing water: 11pprox. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are /? , year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow ; shrubs ; mixed BUILD! 9 urban landscaped (lawn,shrubs etc) ,/" AUG 21 1997 11. Obvious wetland is present on site: 6: Site designated-on.the.Enaironmen. a, ly; Sensitive;Areas Map? DETERMINATION � 'ttiMl; GOUNf= ^a_chkdx Rev 02/11/97 FROM : DESIGN CONSULANTS PHONE NO. : 2063489783 Sep. 09 1997 07:46AM P3. gppRo� , Fo FILE 449*0,� RSC��V �D T 0 g 199� SEP " • ems``^-'� � . , ti __..._._..__._....... o e.. 1 Pi !S'' ALL- E'r `•'l V � ,wr r R( 0 o � zed p a�b CA m m4 0m x] a � ' a T T ry� � e• _ _ _ _ _ `R r.I#^i �"� RI' P4 � ��'1 �Yr •'l ` ; t .'� rl i =., 1� �ti..''�:`..J-=�.. . City . of . Edmonds ; RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number- Issue Date A. Address or Vicinity of Construction:/Q 41. y'L S' , /n 0 B. Type of Work (be specific): �;a/p c. lg9 C. Contractor: �,�-1, -5�1 o I Contact: pl,� Mailing Address: Phone: State License #: Liability Insurance: Bond:. $ D. Building Permit # (if applicable): ! 2n P Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE; WNG, CABLE, WATER) ❑ . Multi -Family t,-FLI Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut`: ❑ Yes []No G. Size of Cut: x APPLICANT TO READ AND SIGN H. Charge $ INDEMNITY: Applicant understands and by his signature to this application, to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City. of Edmonds',, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorney fees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A.PERIOD OF ONE YEAR FOLLOWING THE FINA.LINSPEC-. TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Two sets of construction drawings of proposed .work required with permit application: `. A 24 hour notice is required for inspection. Please call the'Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance. with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read. the above statements and understand the permit requirements and the pink copy of the permit will, be . available on site at all times for inspection purposes. Date: / CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: 7 ,,0� , RIGHT OF WAY FE*34::::) TIME AUTHORIZED: VOID AFTERDAYS DISRUPTION FEE/FUND I 1 L• SPECIAL CONDITIONS: RESTORATION FEE: T OTAL FEE:P-;;'d NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE. Eng. Div 1997 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments I CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: fnc.18°1v CITY of EDMO1VDS BARBARA FAHEY MAYOR 121 5TH AVENUE NORTH • EDMONDS, WA 98020 • (425) 771-0220 • FAX (425) 771-0221 COMMUNITY SERVICES DEPARTMENT Public Works • Planning/Building • Parks and Recreation • Engineering • Wastewater Treatment Plant Mr. Douglas Durqsoff 24103 — 74'h Ave. W. Edmonds, WA 98020 March 19, 1998 Subject: Sidewalk construction on 81h Ave. S. required by permit no. 970783 Mt. Durqsoff: The. City of Edmonds requires, as part of the building permit and construction process, that sidewalks be constructed on 8" Ave. S. to mitigate impacts of your project. The applicant proposes that these improvements not be made at this time because this street is primarily unimproved and has offered to make a payment in lieu of the improvements. The City of Edmonds will use these funds for a future sidewalk improvement project. The project would encompass design, surveying, and installation of street improvements. The payment will be credited toward the entire project cost. It should be understood that the selection and timing of the project would be dependent upon City of Edmonds criteria. The applicant has submitted an estimate of $647.50 for construction of 350 square feet of sidewalk across his frontage and is based upon reasonable costs related to construction and City standards. The applicant's payment will be held in special account 112.507, General Sidewalk Improvement fund until such time as disbursement is made to pay for actual improvements. The City must receive the applicant's payment before final project approval is given. Sincerely, James C. Walker, PE City Engineer Concurrence: Name: Applicant Signature U Name: (f-v2po.✓ r• �/JPe5 For City of Edmonds Signature Date: s l sidewalk.DOC • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan RECEIVED MAR 17 1998 LW P.O. Box 12734 �`, N !N E E R I N G Mill Creek, WA 98082-0734 PETERSON Ph. (425) 745-2724 CUSTOM HOMES Fax (425) 379-2661 Mr. & Mrs. Doug Durosoff 24103 74th Ave. W. Edmonds, Wa. 98026 ESTIMATE Supply labor and material for 350 Sq. Ft. of sidewalk at $1.85 a foot. Total -- $647.50 plus tax. Dave Peterson Jr. f�9 DP:ep rn 5 ITE PL A M EIGHT LC� REv�saa ♦o%isft� � �• Li� LOT 7, FJL1t r2, Ya7•h 11YAflpd to ssVMm#7DS a �Eixcpvrriwg A s GlrY vO M Qevt�s F- sr►a�►o►•*rs�+ aa.,r. 4 F o TOTAL. 7►�.9{ti MEAN e ., Sao ,��,+ W.ti � o i� gr 7.3� 3ta�—_!!`�.b�.h2Srt!*!_ _ 3Ga►f.T: F~s30=Q �: c.S ,� .i .. r- C3 ! '� 1000W2 �tro�e,. . u•rvt iAAWa"r cc i Pv ?erg Q uu + _ GhA1opC 8 r Q5',- L51 a o I 4 I I 'hl CD � �j � • � Y�7, s � orb j !J1 " ;/, ,is'fl� --- 1.t'r'i A itL �a • 1 Q; �0 0 . EXPiaEs 5 - •25- �Mn1ErsV114eid suIRR. ,e 3,3+t� 31'1.• t�52' reb 49 97-ro6.-,f PLANNING DATA NAME: csurlas B na.A 1lw a soft SITE ADDRESS: 1043 DATE: 9/lP/I- ZONING: PLS - 6 PLAN CHK#: T 7 - 2-19(? PROJECT DESCRIPTION: New C,r e ?? CORNER LOT No (Yes/No) FLAG LOT /\& (Yes/No) SETBACKS: Rewired Setbacks: Front: Zo, Left Side: 5' Right Side: 5' Rear: 1 S' Actual Setbacks: Front: 3o, Left Side:.5Ri ht Side: z5-` Rear: 5 `} Street map checked for additional setba uired? A-- Ua c� ,1x(Yes/No) LEGAL NONCONFORMING LAND USE DETERMIN li ED !v (Y/N) LOT COVERAGE: Z 1936 Maximum Allowed: 3sV, Actual: to BUILDING HEIGHT: Maximum Allowed: 7 5' Actual Height: 24' Datum Point:_ Datum Elevation: (o,;-, ' A.D.U. CREATED?: d 4, 3 �>� I, a, , ,,, - ,� 40" . SUBDIVISION: CRITICAL AREAS #: 9 7- 13 Z - w� w SEPA DETERMINATION:_ �-M(�)- LOT AREA: 90 x (20 = (Oi$ct) OTHER: Plan Review By: v c Afiles\pe rmi d^pl andnG doc CA FILE NO. 'R Critical Areas Checklist .. -------------------------------------------------------------- Site Information (soils/topography/hydrology/vegetation) 1. Site Address/Location: _ �043 R " 5- a'• s 2. Property Tax Account Number: ] 0 002 -- 00 % 000 2�- 3. Approximate Site Size (acres or square feet): 90 x 12 O (-g4LO� to, ko f 4. Is this site currently developed? yes; no. If yes; how is site developed? fie- �'•�, , �lj �' 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. _Z Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). (44t - a:lr Hilly: slopes present on site of more than 15% and less than 30% (-a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: --; Approx. Depth: 7. Site contains areas of seasonal standing water: !i ; Approx. Depth: _ What season(s) of the year? 8. Site is in the floodway floodplain of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow -shrubs ; mixed ; urban landscaped (lawn,shrubs etc) 11. Obvious wetland is present on site: wim r-� �----------,-...-------- -----For>City Staff Use.Only- -`y3-------- ---=-----:-- --:--. 1, Site is Zoned? 2, < SCS mapped soil typek,7.. 5AiGdci ws5si �i b�, la��; not v Z { `� <Lrsar 3. Wetland inventory or C.A. map indicates wetland present on. site?o 4 Critical Areas inventory or C.A. map indicates Critical Area on site?n 5 ` Site "within designated earth subsidence landslide hazard area? �o 6: Site designated on the Environmentally Sensitive Areas Map? U. DETERMINATION STUDY REQUIRED CONDITIONAL WAIVER WADER FIVE Reviewed b z� 7 1997 Tanner Date ^ca chkdoc; Rev 02/11/97 PEAMIT COUNT' City of. Edmonds "WW CRITICAL AREAS CHECKLIST The Critical Areas Checklist contained on this form is to be filled out by . any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a development permit to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property: The information needed to complete the Checklist should be easily available from 'observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City . will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g., site plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner/Applicant: Applicant Representative: N e l B'�3 ,gam eS' Name Street Address Street Address r City State Zip __77� -t Teleph Signature Date City State. Zip Telephone Signature Date (over) c:recepdWj ana\cac1.doc FILSTREET E 'City of Edmonds -OF-WAY CONSTRUCTIONRECE�WT . _ PERMITz- 890 _ 19oi C. Contractor: 1r Mailing Addres State License #: C1 O ���� Perunt Number. Issue Date: �►�G11����id�9� r^ A. Address or Vicinity of Construction: 1n B. Type of Work (be specific): p �..J —/Di9/2 / X11e y Phone: Liability Insurance: Bond: $ D. Building Permit # (if applicable): 1YJ Side Sewer Permit # (if applicable): E. J ❑ Commercial ❑ Subdivision ❑ City Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family V? Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut : ❑ Yes VNo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDkUN17T. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeen, that may be made against the City of Edmonds, or any of its departments or employ- ees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. 711E CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC77ON AND ACCEPTANCE OF THE WORK. ES77MA7ED RESTORATION FEES WILL BE HELD UN77L THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH 77ME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Department- 771-3202. Work is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all times or 'ns Ict' oses. Signature: f Date: (Contrac or or Agent) CALL DIAL —A —DIG PRIOR TO BEGINNING WORK R CITY USE ONLY ....:.. _ DATE: : :;>1SSUED BY:.: ...... .. ...... .. ............. .. NO. WORK SHALL BEGINPRIOR TO PERMIT ISSUANCE Engrg. Div. 1991 FIELD INSPECTION NOTES (Fund III - Route copy to Street Dept.) Comments: Diagram: CONTRACTOR CALLED FOR INSPECTION ❑ YES, ❑ NO Partial Work Inspection by P. W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Eng..Div. July 11 STREET FILE CITY OF EDMONDS 250 - 5TH AVE. N. • EDMONDS, WA 98020 • (206) 771-3202 COMMUNITY SERVICES: I Public Works • Planning • Parks and Recreation Engineering 890_lg March 8, 1991 Dear Resident: LARRY S. NAUGHTEN MAYOR PETER E. HAHN DIRECTOR The City of Edmonds is currently engaging in a program to improve its wastewater treatment system. One of the major parts of the program is reducing the volume of flow into our treatment plant. A major item contributing to this problem is the infiltration of stormwater runoff from roofs, drains, etc. into our sanitary sewers. A series of tests were completed by an independent engineering firm. They pumped smoke into sewer lines and recorded where it was escaping, thereby locating the stormwater infiltration sources. Your property has been identified as having a roof drain connected to the sewer and the City requires, per the community Development Code, Chapter 18.10, Section 18.10.030, that this problem be corrected. Please contact me at 771-3202, extension 281, to provide you with further information and to answer your questions. Your assistance in disconnecting this source is requested as soon as possible. Sincerely, JAMES C. WALKER, P.E. Hydraulics Engineer RH/JCW/sdt STORMWTR.RUN/TXTWWFAC • Incorporated August 11, 1890 • Sister Cities International — Hekinan, Japan B. Obstructions. No person shall deposit any garbage, rubbish, dead animals or any substance or thing having a tendancy to � obstruct the flow of any sewer in any manhole, lamphold, flush tank or sewer opening. C. Connections and Smoke Testing. No person shall connect, permit the connection, or allow to be maintained any connection, any downspout drain, storm drain or drainage of any kind or description whatsoever other than sanitary sewerage connections as authorized by the City of Edmonds into the sanitary sewerage system of the City of Edmonds. The Public Works Director is authorized to conduct smoke testing of the City sewer system to detect illegal connections to the City sewerage system. 18.10.030 UNLAWFUL CONNECTIONS A. Notice. If any land or structure contains an unauthorized connection to the sewerage system as prohibited by this chapter, the same shall constitute a misdemeanor subject to the penalties provided in this code. In addition, and not by way of limitation, the Public Works Director may send notice to correct such violation to the owner of the premises addressed to the street address of the premises. Where the 18.10.040 records of the Water/Sewer Department show a different address for the owner, a copy of the notice shall be mailed to that street address. B. Charge. If the condition has not been corrected within the period specified by the Public Works Director, not less than 60 days from the date of mailing of the notice, there shall be added to the utility bill prescribed by the Edmonds City Code for that premises, an additional charge of one dollar for each month of violation after the expiration of the specified period. The additional charge shall continue and be collected until such time as the owner of the premises corrects the condition. 18.10.040 DEFECTIVE PRIVATE DRAIN PIPES A. Notice. If any private drain pipe connected with the trunk and lateral sewer becomes obstructed, broken or out of order, the Public Works Director may notify in writing the owner, agent or occupant of such premises, and order the repair of the pipe within a specified period. B. Correction. If the pipe is not corrected within the specified period, the failure to correct shall be a misdemeanor subject to penalty as provided in this code. In ® addition, but not by way of limitation, the Public Works Director may cause the drain pipe to be removed, recon- structed, replaced or altered, as he deems best, at the expense of the owner, agent or occupant of such premises. The cost of correction shall be a lien upon the premises. The assessment shall be collected and the lien enforced by legal action. l _ STIED I 4- t 8 TH So . TREET FILE /P 4-3 A'a C 4* 4/ �F P 7-- Lod 19X, -e- F- �19d�3� ( �l 2 ; pl ►6' 7415 179 f-h p I IB 9go131 6�� I P7 6 gGa31D ( IfIto �3 w*4 1627$1 �� (//(o . 1 tea!/ I FS $a9 199.141 &,J Z390(o 79f-h "/1(v I I cbN LAw /6oC:8 -7C)Ffl 30 2117 sT.V ( ( s v3n Z 16 IGdt''Q0'r' /7 70%6of,� Caca�✓ T�s A� f aq-3 8-1:4— AM .5 (`�►�'ays I 5 Qc���c..�. DEP-T 101311(0/,zv 1e I MA�� lv3/ /Z l/YYA,r1io/ i Soryt� ,to 3CPj 6 z 7Z 7 G i1 I SC�ia;ti✓�4l� I %L:tes oopi ' 702b7 61Zo iQ Nq/� /4629 7711,,h1 /7-r ' Awl /7 'goao L S its I �6 o f 2 2c�H WES� GK't`E j I TVES ? Opt '09090 8`fo 390 ��q_o3_62 8 NN, DISb '21 124iT , 7 72 9 2 3 Sly✓ GG�',�iYa�r✓ •yOfc i g�'C E F� Iv N STrLEfT' b�0 V p � 7Z W /rce — --- /0 3 • 76 w - 4040 `✓ -le tip✓✓ sZ Z' %7 A S`✓ 10 �'�,�-Wear. _ WAL i 7121 iAlbo - ►Qd I � I� I N67 l69 A s �►woao IZ 110 61 vrcL✓ po- J V cH 20 77ZLJY I StAA4,6kmdr, 70 4 v- W S 9 ?to _ TV £5 8 WED "am C% A/40 i°ih 6f/E�4m ZXX5 /D.-Z// NOTICE TO PERMITTEE AND/OR OWNER ❑ ARTIAL APPROVAL Y4IOLATION ❑ CORRECTIONS REQUIRED PERMIT NUMBER ,oNF JOB ADDRESS f.,t- NO PERMIT - STOP WORK - REMOVE CONSTRUCTION OR OBTAIN PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS. CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS ❑ AND PERMIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH APPROVED PLANS AND PERMIT OR REMOVE IT. ❑ STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR. ❑CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN BE APPROVED. ❑ WORK DESCRIBED BELOW HAS BEEN INSPECTED AND IS APPROVED. CONTACT INSPECTOR AND ❑ RECALL FOR INSPECTION. ARRANGE FOR APPOINTMENT. THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED WITHIN �F,a- DAYS OR PENALTIES IMPOSED BY LAW MAY BE APPLIED. FOR INSPECTIONS CALL: 771-3202. 1.CJ BUILDING DIV. SPECTOR El PUBLIC WORKS CITY OF ❑ FIRE DEPT. EDMONDS STREET FILE ' � rl� ]RECEIVED �1985 Al ;bye , D as -57 RECE1vE® JUL 0 81985 COMMUNITY SERVICES DIR, REr 0 / Cy��'��a MUNITY SERVICES DID' COM I i p M cVVLI - L N ao 0-" , �-y12e�Q Cp e)��j Na4,1'o ri CITY OF EDMONDS 250 5th AVE. N. • EDMONDS, WASHINGTON 98020 • (206) 771-3202 BUILDING DIVISION October 24th, 1985 Mrs. Meda A. Stewart 1043 Eighth Avenue South Edmonds, Washington 98020 RE: Complaint at 1033 8th Avenue South Please find enclosed a complaint form. In order to process your complaint the City requires you complete the form and return to the Planning Department. If you have any questions please call Duane Bowman.at 771-3202. x; i P, 319 942 1 AL RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— j NOT FOR INTERNATIONAL MAIL (See Reverse) SENT TO Mrs. Meda A. Stewart STREET AND NO. 1043 South 8th Ave. P.O., STATE AND ZIP CODE Edmonds, WA; 98020 POSTAGE S 'Z,Z CERTIFIED FEE 15 ¢ SPECIAL DELIVERY ¢ c RESTRICTED DELIVERY ¢ W W W SHOW TO WHOM AND ¢ DATE DELIVERED f 1. sue," SHOW TO WHOM, DATE, c j to AND ADDRESS OF O ¢ g a DELIVERY l W o W SHOW TO WHOM AND DATE E s DELIVERED WITH RESTRICTED ¢ o ¢ DELIVERY SHOW TO WHOM, DATE AND cc ADDRESS OF DELIVERY RESTRICTED DELIVERY WITH ¢ TOTAL POSTAGE AND FEES $ Ir 0 POSTMARK OR DATE s f00 D''��= A w a ean nine L. Graf Permit Coordinator D STATES POSTAL SERVICE OFFICIAL BUSINESS LARRY S. NAUGHTEN MAYOR PENALTY PRIVATE USE TO AVOIDID PAYMENT '• OF POSTAGE, LIM name, address, and ZIP Code in the space below. u. �® 6 Complete items 1, 2, and 3 on the reverse. Attach to front of article if space permits, otherwise affix to back of article. Endorse article"Retum Receipt Requested" adjacent to number. RETURN TO CITY OF EDMONDS, Building Div. (Name of Sender) 250 5th Avenue North (Street or P.O. Banc) Edmonds, WA 98020 (City, State, and ZIP Code) r APPLICATION �c�� r'KE for The City of Edmonds C ,I1 lU SIDE SEWER PERMIT EASEMENT No........................................... NEW CONSTRUCTION ❑ REPAIRS ❑ 107-06000 OWNER......... M....-W-....Stewart.................................................................. CONTRACTOR.-------••--•-----•-•--•------.................----.........--------............................. PERMIT No....................... p ADDRESS ......104a-- 8tb_-Ave-, S.------------ ------------------------------------------ v 0 LEGAL DESCRIPTION: LOT No . .............................................. BLOCK No............................................. NAME OF ADDITION.............................................................. DYE TESTED ON SEWER JULY, 1972 Approved: DATE................................................ BY-----..........-----•--•----•---•------............................... • City of Edmo STREEI FI CitX Engineer's Office COMPLAINT REPORT Report No. Referred to for Action Time Date Received By Time Date /YY Made By 7'{ . -U..� Address / 0 Tel.�i�- How Received: Letter Nature of Complaint: Describe Action Completed: Telephone In Person Time Date 7iZ. (o Completed By I IC Location Sketch: C� CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNER NAME/NAME OF BUSINESS cc LA- A Q w MAILING ADDRESS 3 „�; 1 CITY ZIP TELEPHONE �."-.., ,:R`�'k..� s�•i"1•-8/ f3 id' P� .... ii NAME U Fw- ADDRESS U ¢ Q CITY ZIP TELEPHONE NAME CITY STATE LICENSE NUMBER T- f ZIP TEL PHONE P I .n EXPIRATION DATE PERTY- INCLUDE ALL PERMIT EXPIRES, USE PERMIT ZONE k',5 NUMBER, 01g JOB SUITE/APT# ADDRESS j/ J ]' LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved ❑ Rw Permit Required ❑ EXISTING REQUIRED DEDICATION Street Use Permit Req'd ❑ Inspection Required ❑ PROPOSED Sidewalk Required ❑ METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ K ww REMARKS z r: - r ^'" z . -... ... �.. - . w REVIEWED BY REVIEWED BY w SIGN AREA HEIGHT LLOWEDPROPOSED ALLOWED PROPOSED 1 EOUIR D SETBACKS (FT.) PROPOSED SETBACKS (FT.) o•- PROPOSED FRONT SIDE REAR FRONT UR SIDE REAR a PROPERTY TAX CCOUNT PARCEL NO.� ,'" z w L& AREA ,i PLA ING R IEW BY DATE � J a ENGINEERING MEMO DATED FIRE MEMO DATED VARIA CE OR Cy BY t a SEP/L REVIEW COMPLETE I EXEMP A a EXP LOT COVERAGE R ALLOWED "7 NEW RESIDENTIAL ❑ PLUMBING / MECH REMARKSP ❑ ADDITION ❑ COMMERCIAL ANCE OR ❑ 1 CHANGE OF USE ❑ REMODEL ❑ APARTMENT ❑ SIGN V ❑ REPAIR ❑ GRADING FENCE ❑ CHECKED BY TYPE OF C NST UCTION COD�E'} OCCUPANT CYDS ( X FT) ❑ DEMOLISH ❑ TANK OTHER d:.=d�"`'k GROUP 1, SPECIAL INSPECTOR AREAr OCCUPANT GARAGE F „> 'k, ❑ CARPORT WALL ❑ ❑ . RENEWAL REQUIRED ❑YES '- ^•• LOAD Qz ROCKERY '`" Fa (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: A REMARKS U PROGRESS INSPECTIONS PER UBC 108 w NUMBER NUMBER OF CRITICAL m OF DWELLING AREAS / ^ O STORIES UNITS NUMBER 6 3 DESCRIBE WORK TO BE DONE FINAL INSPECTION REQUIRED • I VALUATION FEE ___T_ PLAN CHECK FEE HEAT SOURCE GLAZING % LOT SLOPE % { BUILDING d PLAN CHECK NO: VESTED DATE PLUMBING - - MECHANICAL F THIS PERMIT AUTHORIZES ONLY THEWORKNOTED. THIS PERMIT COVERS WORK TO BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC D DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE GRADING/FILL SEPARATE PERMISSION. cc STATE SURCHARGE "' w PERMIT APPLICATION: 180 DAYS a STORM DRAINAGE FEES .. PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS E in "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 G EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND = ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY o FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT RE p DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE PLAN CHECK DEPOSIT = NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANYORDINANCE PROVISION." TOTAL AMOUNT DUE C 3/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- CALL TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED This application is not a permit until signed by the IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or his/her Deputy: and Fees are paid, and FOR INSPECTION WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27. receipt is acknowledged In space provided. SIGNATURE ( iNNEF1 R AGENT) DATE SI NED ,' P 425 OFFIC.IA IGN r} 'DATE r ; I r '�;:� i 771-0220 • r' F F ELE ED BY DA7(E ATTENTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI- CATE OF OCCUPANCY HAS BEEN GRANTED, UBC SECTION 109 ORIGINAL .FILE • ,YELLOW • INSpECTOR PINK - OWNER • G©LD=AS9E5SQR a z 0 M m