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1114 8TH AVE S.PDF11111111IIII lill8667 1114 8TH AVE S ADDRESS: I (I 4 13 V- A U e TAX ACCOUNT/PARCEL NUMBER: W(OI q 4 ®) n BUILDING PERMIT (NEW STRUCTURE): I `I �1 059 9 COVENANTS (RECORDED) CRITICAL AREAS.: jq ' ��"/(� DETERMINATION: ❑ Conditional Waiver ❑ Study Required XWaiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED PERMITS (OTHER): 6 ��1�' V`i�J� (-�� ✓LG2.J , I a S" ��0� 5 YY�e� J I "'I��� ��1 �� 7XZZ-cO ( o"Q-rZ-0118 ( Mech� PLANNING DATA CHECKLIST DATED: Z�C 010 I l _ 4 - a a , c)(- 61()(P SCALED PLOT PLAN DATED: I Is) ` ` tP , I l zi 3 /�2� R` SEWER LID FEE $: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: < d C� 1 LIP), I — o� I — �3 SIDE SEWER PERMIT(S) GEOTECH REPORT DA STREET USE / ENCROACHMENT PERMIT #: FOR: WATER METER TAP CARD DATED: 2 —77 OTHER - azs N)Ak),) , (n- `t5-la) (w LATEMP\DSTs\Forms\Street File Checklist.doc Lu J W am W G ca W J Ix o oK- �< 0 C--) Z W o- IMPERVIOUS SURFACES: (FROM 10/12/02 PERMIT FOR PREVIOUS ADDITON) Fl EXISTING NEW: BUILDING ROOF OUTLINE 244ci 15 DRIVEWAY 450 -0- STORAGE SHED 120 -0- TOTAL. WITHOU_T_.DEGK:___ 30.1 G -n- u.� In k5=+q6' 14' ouj o 0 w =-ao.c� 111 ! G 1 C �V I s. 56�C� 41__016 53 CV PL 124.-74' 16 TOTAL Zone R-5' 2462 450 Setbacks Re in 120 Front 0 Sides N15 Rear w 16 Other 40' �- B=+102' I p FF= I 'F i / ✓Cl51 ADDITION AT MAIN FLOOR ONLY .� E- a' \ E 15T. YARD STORAGE 120 5F •°p��.�g�' oA ' SCALE: 20' Qos� I�11 �wnPetdous• 0 5 10 15 20 2oo'L 40D 4-15 583f SITE PLAN ryII A=+102' W 211-O° LEGAL: LOT I, BLK 10, YOST'S FIRST ADDITION TO EDMONDS, A5 PER PLAT THEREOF RECORDED IN VOL. 8 OF PLATS, PAGE 6 REGORDS OF 5NOHOM15H COUNTY, WA51jI68iRAME TK§ UATPPJM HEIGHT LIMIT GALGULATION: 102+IO2+q6+q6=3q6/4=qq.O- A*,AACE R 1!1 : qq+25'=124.0' MAX BUILDING HE16HT ACrVAL 12-0.6' SD FIN. FLOOR @ MAIN LEVEL = 105.0' REFERENGE: TOP OF MANHOLE = 100.0' N-12 F810 HANCOR RON $ LANAY GARD RE51DENGE 1114 8TH AVENUE SOUTH, EDMONDS 1^IA g8O2O 3/20/06 T. G. WAT5ON, ARGHITEGT T$"( 00 G 19 y 01000 i 00 S r'A P-21L-4 ACC-4 C+4LCJ-zt.f} Iit�.(S 5EE Stf EE71-- .2 GIN EP f iL. NPTC� PLAt*1 Corner No Flag N o d ( Actual -ko v1.5 i 24 HR �OTIGE REQ. FOR II SPEGTION q S NOTED INF�RINC --- MH � 8 0 +100 RECEIVED AUK I 1 DEVELOPMENT SERVICES CTR. CITY OF EDMONDS iol 7,141 o4le S. GleO t�L A%Lo WXE, RECEIVEE) —lRj2moh4c)5- wA- gtow APPROVED AS NOTED' NOV 1 3 2002 ..kj . 6, B Ny']NEERI -0EF0-' .- Ow,-4 -:Ae - - 'WiAd i - PERMIT COUNTER -vj\ -eu ass =:L. Date: <<Ili 101, SEWER INSPECTIONS RE01). 60 L& CALL 425-771-0220 EXT. 1326 LF Ll - -12D .... .. OWNER/CONTRACTOR IS RESPONSIBLE FOR EROSION CONTROL AND DAMAGE .000 1 I I L- A N --E)NINNVId AS Q3 I RX190 4 �K 15r 10 61- 7OSrc-�- *E44-9 '51 I VSWWALY.l ....... . . .. . ... el -s .4, wal 1,1054ZE FXr AL14r IG40 pri .,m REE? FILE 9to:�'- ;+--- *113. r, l� • �� T�'� � ., �' Y�......, �� f� _..� r-.--_ ,. � n r i ) l f� � 1 y ; n LJ wIDrrI - 10 q " - OVER.AII LEmGTj- - (3'-C)"- TOTAL.. a 0 J_ PROPERTY ,LNE' r DECY O y � � � PRAPOS Ep q,� �j lo'xIZ'XIO� ucTMTy S WED 13 PROPFRTY , -o APPROVED BY PLANNING /2y. NE 13' 4 q �pC� YOSTS 1'49bp TiON Tb E-bMONDc oN GAn- owNA-k 775-1%2& P LAT' 4 P B UOCk..10 D- CO `, - C.oOTACT solo-N 1/p, L.oTofLOT I ZONE KS -to FCCouP-r .o lojjq-()jD-ooj.-000j LOT - '1, 4 81 ScALC STAET FILE RECEIVED. - Critical Areas Checklist- JUL - 1 1993 Site Information _ PERMIT COUNTER Project Name: crmit Number: Site Location: LL Y ZZ�`ntle-- SD . Property Tax Account Number_ — —ov Approximate Site Size (acres or square feet): 1120 Have you filled out a Critical Areas Checldist for a project on this site before? Alo General Site Conditions L Has the site been cleared or logged? Date of most recent action: Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? 3. Describe the general sitc 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) Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10 feet of horizontal distance.) Stoop: grades of greater than 30% present on site_ Comments lY r //77 FAA,,- -111-2 C P Rev 3127/92 • City Of Edmon& Critical Areas Checklist The Critical Areas ChoddiA contained on this foam is to be filled out by any person Prang a Development Permit Application for the City of Edmonds prior to his/her submittal ofa. development permit to the City. The purpose of the Cheddist is to enable Oty staff to d etcr mine whether any potential Critical Areas are or may be present on the =bjCct property. The information needed to complete the Cheddist 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 outthe checldist, sign and date it, and submit it to the City_ The City will review the eheddist; make a precursory site visit, and maim a determination of the subsequent steps necessary to complete a development permit application - With a signed copy of this form, the applicant should also submit a vicinity map of the parcel widt enough dctail that City staff can find and identify the subject parccl(s)_ In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checldist to assist staff in completing their preliminary assessment of the site_ I have completed the attached Critical Area Checidist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below) - Owner/ Applicant Applicant Representative -- Name Name Title Title Stre4Adress Street Address 9 e, ZIP Phone City, State, ZIP Phone &7t, N_ 9 Signs ure Date Signature Date STREtT R&D Lil PLANNING DATA 11 STREET FILE Name: P-oIn A I -an ay (I a rot Date: 09. OI • y00 fa Site Address: (1 g'j1t Aye,, y Plan Check #: BLD-2006- O 943 s�x p a/n d' ` . t�lnevl (�'�� `l=' lap-d Ymbin Project Description: -t',o v�mv, - Reduced Site Plan Provided: ES NO) Zoning: FL Gj -- (p Map Page: 113 Tcorner Lot: (YES / NO)Flag Lot: (YES NO Critical Areas Determination #: GPA' 10,015 .1 9 D El Study Required ® Waiver SEPA Determination: �,�•Q�tYtp� ® Exempt ❑ Needed (Requires: 1 Fee, 2 Environmental Checklist, and 3 APO List with notarized form). Re wired Setbacks Stet: 20 / Side: 50 Side: r 1 Rear: 15, Actual Setbacks Street: / Side: 2 Side: e: It •Cot Rear: 2b ® Detached Structures: ey. 17,0 * okl4d FjLD 9u - OL}S49) ❑ Rockeries: ElFences/Trellises: NOV1e ShoWv► ovi SItr- Pik' ❑ Bay Windows/Projecting Modulation: EN Stairs/ eck p,�c • d�G4�- - 1M�e�✓ coetW4G" Parking Required: ifj Parking Provided: >\I(G C� +> Lot Area: -Via , / ++$ 9 Lot Coverage: 3``' q9 8 '/' = 3 gal. 0x• InCN6L%I34L ?ac.dleWy- 3�-D Lot Coverage Calculations: ex, ga. age :5z.s ex. �,v►e,d i ►w 2 b ZI 1P ccvioms ad4: 29w nevv add fco+pr0+1 1,3 9Y662i29 Height Datum Point: TOP Of m aeA VIV� Datum Elevation: j (j0 . O U Maximum Height: 25 1 1-4-) Actual Height: 2 (• S 1-2-0 • S ADU Created: (YES / @O Subdivision: loth Legal Nonconforming Land Use Determination Issued: (YES / O) Other A-= toy 39l0 - + = 99 AVCA- , *(, (a rCt d-2. d= l 2 h M A1, qA *Vdt+ !r'1 • ,�� Plan Review By: ge;w • 0 PLANNING DATA NAME• DATE:a- SITE ADDRESS: 11 1 4 a "^_` A PLAN CHK#: O,'-4 - i4 g ram ---- PROJECT DESCRIPTION:_&ol,.,k ; -A-: REDUCED SITE PLAN PROVIDED?: / No MAP PAGE: 15?� CORNER LOT: Yes FLAG LOT: Yes / ZONING: tom— (v CRITICAL AREAS DETERMINATION M. Q H - ei o, Study Required: Waiver ❑ Conditional Waiver SEPA DETERMINATION: ❑ Fee ❑ Checklist ❑ APO list w/ notarized form ❑ (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger) .13 Exempt SETBACKS: Required Setbacks: Street: -a Left Side: 5/ Right Side: S ' Rear: 1 Actual Setbacks: , 1 Street: Z Left Side: 1 l Right Side: (.0 2 Rear - Street map checked for additional setback required? Yes / No / N ❑ DETACHED STRUCTURES: ❑ ROCKERIES: ❑ FENCES/TRELLISES: ❑ BAY WINDOWS / PROJECTING MODULATION: ❑ STAIRS / DECKS: PARKING: Required: ') Actual: - LOT AREA: %.aicuianons: 1 1ST1,./(e)_FYY I_ IriUL-1 -t 5'.iEll Xo C �2ra GL''7 —}�� � r,-1p1-- �, �O i To ra L o BUILDING HEIGHT: �c c��� Datum Point: Datum ' Elevati on rb Maximum Allowed: Actual Heigh A.D.U. CREATED?: Yes SUBDIVISIONT . LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: ffe€I&P OTHER: Plan Review By:i-, iCD jg 10. P--. G q cv AU ito 4-- NewBPPlanningDataForm.DOC PLANNING DATA NAME: J hard SITE ADDRESS: 1114 - 91- ,qvc_ S. DATE: . 7l2�5-/ n ZONING: P-S " 6 PLAN CHK#: 96 -/5 4- PROJECT DESCRIPTION: (O' k 12- ' X ( 0, kmbA sAr (� ' CORNER LOT 06 (Yes/No) SETBACKS: 'SU Rid Setbacks: Front:4 i00' Left Side: S-' Right Side: --45' Rear: It - lG ' 19'A Setbacks: Front: ?w Left Side: 5' Right Side: 5' Rear: 16-' Street map checked for additional setback required? nl (Yes/No) tecs 6aoAJ LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: (321-W 4UXZZ)4- 60NIL) Igo 4 Maximum Allowed: 3s% Actual: ^7 489 m 748� BUILDING HEIGHT: , , f.cur�--a "l'uy. Maximum Allowed: 4W- l5' Actual Height: I I ''/z ` Datum Point: Nye Datum Elevation: n�cn SUBDIVISI CRITICAL AREAS 93 - l SEPA DETERMINATION: Mvi- !Leftww�A LOT AREA: -7 4 $% OTHER: Plan Review By: 3 IJ� .. ..71-.� �Y: J1�. ..eJ^:�r..l. St• ..,.�lJi ..vWv �._.... ..� r " � w ���.s v .r.'vY •:^l: �..✓ .N� T— (l' ♦..r:.'.� Yl..:.nl�hl.n ..-..:y. 4..`A!.!`t.'. Z:T` _. J Ci of Edmonds PERMIT NO: 9704 SIDE SEWER PERMIT PERMIT EXPIRES f Address of Construction: �%, �LID # Property Tax Account Parcel No. `4 o t ®©0c b6 Attach copies. of all access and utility Owner and/or Contractor: Contractor License # — sr- .. Single Family Multi -Family (No. of Units ❑ Commercial (No. of Units ) ❑' Public I by -►alto) Building Permit #: 6-Oo;L — 0 1 sey Invasion into City *Right -of Way: ❑ Yes CgNo' MW Construction Permit # Cross other "Private Property: ❑ ,Yes &2rTTo "Attach legal description and copy of recorded easement. Owner or contractor signature and pknowledgement statemer{t: / By signing for this permit I certify that I have read the City s p blie-handout entitled �ide $ewer Specifications, and shall comply with all City requirements outlined therein. y. Dat V CALL DIAL -A -DIG (1-800-42 ,5555) BEFORE ANY EXCAVATION .R ff FOR INSPECTION CALL 425-171-0220 extension;yl&qb 24 HOUR NOTICE REQUIRED FOR ALL INSPECTION REQUESTS, FOR OFFICE USE ONLY' a� Permit Fee $ �-"�'�"d Repair Fee $ 30 I` ued B TJQ� gl $gyp _6D .'� Date Issue .. Assessment Fee $ City Permit Surcharge Fee $5.00 Receipt No: c`/ (c-�"�`--� Total Fees Paid $� NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN -INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED: Job Site Ready YES NO Date: Initial: Partial Inspection: Date: Initial: Partial Inspection: Date: Initial: FINAL INSPECTION APPROVED: Date: /1011M I-19 . Initial: Q -As-built to Street File: t- PERMIT MUST BE POSTED ON JOB SITE t . White Copy: File. Green Copy: Inspector Buff Copy: Applicant L;temp;bl dg;forms;sspermitj lg4/00 FIR STREET 00 �o �A 1' c.❑, e 1,5' DEE 1114 W 10• Q Q LD XISTING � A m � CITY OF EDMONDS SIDE SEWER AS. BUILT dADDRESS r1 • • � 1114 - 8TH Avenue South HOMEOWNER CONTRACTOR Ron Gard DATE DRAWN PERMIT 1-21-2003 BY K, Haney NO, 9704 SCALE NTS r-� U � T• 0 TOPS Q 33502 V. ... __ . {—Ya-ui..{i-1�. K., . y - - - e.:a;,_ #t c'&r' •_f ` .. �' 'w 7' �: •rF��r�} ,� • ,{ 1. >` '. , - :` {. -- i-.� t P ;C.'e. ,.ems: `i� ti-!z..f....1'.•i=�y_C-ra -�. i'.�T1 - CITY OF EDMONDS- SIDE SEWER PERMIT i f•: -., WATER -SEWER DEPARTMENT ;= . s;• �. c��- PERMIT . t^ •• 1. .. - - (Call 775-2523 for side sewer inspections BEFORE covering any portion of the construction.` Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION .............. �. ..T-d--..:.... :1._.._..._.._..........p -=•--.......:'..:......_-•-----....__...__............__._._....---..___._._.._._.._. PROPERTYLEGAL DESCRIPTION ............. .... _......................... -_...--_- ......; _ -„ -. ................. �r ..-..._...... ._. _ ..... .............. , LL �.CONiT,BA c ORl 1'NAB�' ski +�I)I1 iESS;,•c v - y�1 t = ..... _.,.-.,..._^...__.., - ... ^�_ a _ .................................................. ...L.' . . ......................_ ._......_.._.........._................_-•-•••--_--_ _.....__.__.OWER PAI�DR E----------- ----;- ._.. r- P,-L, ; ssion is granted ......... ...... ._...._..__. � __--, 19 _. ;for repair and/or connection of a side sewer to the city sanitary sewer r systems in accordance with City. of Edmonds ordiAnces. - ADNTION I8 CALLED TO THE FOLLOWING: g NOTE No. 1—The owners of the. property may obtain a permi to consly�E sewer inside property line. A licensed Side Sewer Contractor must be employed to construct a -;, side sewer'in street area. Do not cover any portio� ofsewe-f• before it has been inspected. - e. r -'i= �• NOTE No. 2—A11 work,perforined in city right-of-way requires g&HrInvasien of�Right-of-Way Permit obtainable from the City Engineer's office. NOTE No.. 3-Obtain. full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No..'4—Top of side sewer must have. at least 30 inches coverage atproperty line and 12 inches inside property line; minimum grade of 2%. IV� bends in grade t +� - ^ sharper than. will be permitted. NOTE No: ,f�Trenches in street must- be water settled and surface of street restored to original condition. Contractors shall be responsible for failure idue to improper work which may develop -within one year of completion, NOTE No. �It is unlawful to -alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- - sert the pipe into the. wye. "DISAPPROVED ❑ : Date._,_ ...................•__......_-•---- By--•----••••--- Date ..... ...._._ By.__......- Date__....._• - 'BY ................ • APPROVED Y. �pate..._�•-� =----•••••----•--- BY - . _....... ..................................................... ---. --- Remarks BOTH Permit Copies ST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — - hereby certify that the side sewer installation constructed under this permit (Owner of Contracting Firm Performing Construction) w talled in accordance with all governing ordinances of the City of Edmonds. _ • ...... Dated this ................ ........... day of................................................................. 19......... :a Check BEFORE you dig for: Water ❑, Gas ❑, Telephone ❑, Power ❑, Sewer ❑, Other ❑ V .i jrs�4 P{Yi Gr#a wF�R+'AyteN{. �sFu1vh���? /�'auoitVi «F'hs*3fU�f9 �eF��t�Zd'�4f.rl.¢y. rutywf9us4W`�v�i o@c+�8t ri+a,%yd yn .wtiv�'/+* ;44 a Z O w E- U W O w IT;T' OF.EDMONDS�° "`{" /4 o� t> RECEIVE ® Permit No. COMMUNITY SERVICES DEPARTMENT RIGHT-OF-WAY CONSTRUCTION PERMIT J u ` 2 Issue Date Ron Gard ENGINEERING Contractor: Olds Olympic, Inc . A. •Owner: Name N 1114 8th Ave. S. 0m0. Box 180 Mailing Address "i Mailing Address Edmonds, WA 98020 Lynnwood, WA 98046 City State Zip City State Zip OLDSO 317BO (206)778-3124 State License Number Telephone Number C. • Address or Vicinity of Construction: 1114 8th Ave.-S., Edmonds, WA Type of Work to be Done: _Asphalt Paving D. • Work in Connection With: 0 Sub or Plat EX Single Family ❑ City Projects ❑ Commercial ❑ Multifamily ❑ Utility E. • Pavement Cut: ❑ Y 13 N `'F. • Size of Cut: X APPLICANT, TO READ AND SIGN INDEMNITY: ,Applicant'understands and by his signature to this application, agrees to hold the City of Edmonds harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen or unforseen, 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, court 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 FINAL INSPECTION 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.. 7 i • A 24 hour notice is required for inspection; Please call Engineering: 771-3202 • Work is to be inspected during progress and at completion:" • Restoration to be in accordance with City Code. • Street to be kept clean at all times. • Traffic Control to be in accordance with City regulations. • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;' NO EXCEPTIONS. I understand the -above and that this permit must be available at the job site for inspection purposes at all times. Date: 7- / /' Owner or Contractor Permit Must be Posted at the Job Site For Inspection Purposes Call DIAL -A -DIG Prior to Beginning Work APPROVED BY: _&5�i Time Authorized: Void after -JCS days. Special Conditions: PERMIT FEE: Restoration Fee: Receipt No.: Fund III Fee: \Street Cut Dimensions: RELEASED BY��,Date 7_1)3l INSPECTED BY NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE x = $ Date �� Eng. Div. March 1989 FIELD INSPECTION NOTES (Fund 111 -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 1985 IF -main M. City; of Ear, cr��� i RIGHT-OF-WAY C4NSTRU EET FILE j PERMIT Permit Number. Issue Date: A. Address or ViciniV of Construction: 1114 8 Ay S ( 9518571 ) 18 90.19 B. Type of Work (be specific): Ins tail Service C. Contractor: Washington Natural Gas Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): E. ❑ Commercial ❑ Subdivision I ❑ ❑ Multi -Family ❑ Single Family ❑ r INSPECTOR: Contact: Franle� Swan Phpne: . 447-3284 t Liability Insurance: Bon / Side Sewer Permit # (if applicable): 40 t : ] Utility (PUD, GTE,, WNG, CABLE, WATER) INSPECTOR: 1kA"A-t" F. Pavement or Concrete Cut : ® Yes ONO G. Size of Cut: x H. Gharge $ - --- - ( 1,cuu. APPLICANT TO READ AND S INDEMNITY: Applicant understands and by his signature to this application, agrees, to1hoFhe�GtiofEdmonds harmles !om injrieaYieages, or claims of any kind or -description whatsoever, foreseen or unforeseen, that may be ma ainst t City of Edmonds, r any%% its J�jxFtments or employees, including or not limited to the defense ofany legalproeeedings including �osA and attorney fees by re�ri 2j%� ting, )ds permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTdRATION-FEEq WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANFi�TO,TH? APP, ICANT.. Construction drawing 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 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 al s for inspection purposes' Signature: Date: 6-2-45 ( ontractor or en CALL DIALA-DIG PRIOR TO BEGINNING WORK POR CITY -USE ONLY APPROVED BY: t Ak 4C A TIME AUTHORIZED: VOID AFTER HUG 10 DAYS SPECIAL CONDITIONS: 1 1, D• W a T£ttM A pJ ,lit-T W1=ST Of (SAS M AIIQ ONyi� • RIGHT OF WAY DEPOSIT DISRUPTION- FEE/FUND .111: RESTORATION FEE: PERMIT FEE:! • 00 TOTAL, FEE: . COMMENTS: RECEIPT, FEE: _ , DATE: ISSUED BYi. Q t,r —. et NO: WORK SHALL BEGIN PRIOR TO PERMIT I SUANCE Eng. Div. 1994 a 0 FIELD INSPECTION NOTES Comments Diaaram (Fund 111 - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: 01: Washington Natural Gas A W<lum KJJni f rv,gjV Crn iJ �U N Addendum to: City of Edmonds Right of Way. Permit Application Submitted by: Mariamne-Kingsbury Engineering Aide Washington Natural Gas 1356-7500 X7596 8 A v S �Sog 95l 8 S-+-i C-vT Key: Watermain depth ►.t, o p (Nm c -W- Water-G- Gas -SS- Sewer Z„ "e Water hydrant gas main p Water valve Washington Natural Gas Company 1122 7$th'Strc6t S.W.. Everett. Washington 98203.'(2i1fi)"3$$-iiil 4 ity df Edmoss RIGHT-OF-WAY CONSTRUCTION' PERMIT Permit Number. Issue Date: an - A. Address or Vicinity of Construction: 1114 8th Ave South o B. Type of Work, (be specific): Replace' CATV service including road bore C. Contractor: rhambers—/ AIIY4�%,�Nor Contact;, Tom 'Anderson Mailing Address: 1 90 W DaVtnn Phone: 774-5146 State License #: SUPE12CC1DIQA Liability Insurance: Bond: D. Building Permit # (if applicable):, Side Sewer Permit # (if applicable): E. Fl. Commercial E] Subdivision '.,b.,,CityTroject J0 Utility (PUD, GTE', WN„QABLE ATER) ❑ Multi -Family. EJ Single Family n "'Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: X@Yes 0No G. Size of Cut: 2 1 x 41 H. Chargq� $ (2)' APPLICANT TO READ AND SIGN INDEMNITY- Applicant understands amthy.-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, tha.t.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 proc�6dings including d defense costs analto 'Of I rneyfees by reason granting this Permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- 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 thie City. Engineer. All street cut trench work shall be patched�yith asphalt or City aroved material prior to the endofthe working.day; NO EXCEPTIONS. V pp . . I have read the above statem v qs.-T�d understand the permit requirements and the pink copy of th e permit will be available. on s at all iim 4spqctton purp s. Signature: Date: —f— m-nTrajtovor Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: A'V RIGHT OF WAY FEE: Val- 00 TIME AUTHORIZED: VOID AFTER �11 17,0 DAYS DISRUPTION FEE/FUND I 11: SPECIAL CONDITIONS: j t RESTORATION FEE: T OTAL FEE: 00 RECEIPT NO.: ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 EOP w S Row Z , PVL UTILITY POLE tZ'X4` WINDow T 8' `AVE S . w w WINDO EOP � F—Z'� 3 SET N� W 7v PI "Z!, Pm W ' RB�.E�. wM Row STREET FILE October 13, 1978 / � r MEMO TO: Jack Mitchell; Supt;'�(.� [Dater/Sewer Division` . �J- FROM: Fred F. Herzberg City Engineer SUBJECT: CLAIM FOR DAMAGES - RON GARD The enclosed correspondence explains the problem. The cause was that.the drawings definitely indicate some- thing at the point we told him to connect to. After this claim arose, we now_ surmise that the draftsman placed the mark there as an indication of 100 feet from the termination of the line. We suggest Mr. Gard be sent the amount of his claim. We have checked this out with the City Attorney who concurs in this. approach. .r FFH:gl Enclosure �„� • • :.. LIVED i U 1978. Works DECEIVED October 10, 1978 OCT 1.1. 1978_ c!,. e1 r�lAft �'lorks MEMO TO: Leif R. Larson, Director Public Works Department FROM: Charles G. Dibble . Mayor's Administrative Asst. SUBJECT: CLAIM FOR DAMAGES The City Clerk sent you a copy of the Ron Gard Claim For Damages for alleged excessive sewer connection charges. It will be on the Council Agenda for October 17. You may wish to attach a memo explaining our position. CGD/jg cc Irene Varney Moran NOTICE Claim MUST be presented to he City Council and filed I with the Cler within 120 d from the date of Accident or Accrual of Darmices. TO THE CITY COUNCIL OF THE CITY OF EMOUDS: -13T 1978 PLEASE TAKE NOTICE, THAT (if married, Give husb-3-nd's rr7*,", �C)ND13 name WHO NOVI RESIDES AT (State present actual address by street, number and city) ------ ------- "IY AND WHO FOR SIX mofrif[S PRIOR TO DATE OF ACCIDZUT HAS R&IDED AT -.CEiVEL) Giveresidencestreet, number and city) 0 1978 Dir. Of Psi,.,. CLAIMS DA!LAGF-S OF AND FROM THE CITY OF MIONDS IN THE SUM OF 5 arising out of the following circumstances: Describe Clain, Giving DATE and UVE: injury or darr.age occurred, PLACE 114 and full particulars. - Accurately locate and 4 describe defects c.aus- 61 " 'Y ing injury or damaFe and all acts of ncgli-//J — / /�/� %/ / /J� gen:e.claimcd. r Accurately describe injuries or dmage If State items of damace claimed. It,'nizc all I�Z 11*�'421 expenses and losses. L T.) (Claim must be sworn to by claimant') I Gndt, r' of laig, I t SuWCRIBED AND SWORN before me.thi S ay of_ Notary Public I Ir ' t:-'-rind for the, ;state of Washington, residing at APPLICATION r The City of Edmonds EASENNIENT NO . ......... ................................... SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS I.ID NO . ................. ASMT. NO. . ......... 0 WN E R ...... ................ ................ ............. CONTRACTOR ....... PER,%41T NO. JOB ADDRESS ... ................ ............. LEGAL DESCRIPTION: LOT NO. . .......... BLOCK NO. --------- --- 1<:--> ............ NAME OF ADDITION ..... <:Z.\- ----------- 1-7 J C:gi7� 41 Yvk-.-- 41'1 r%c, -4— 44,-- Approved: ------------------- DATE . .......... BY. 09 - I c b Oi - 0� +, r6 ' j I 1 WTT!, LIST BUILDING. PIll;IT J'Tl. fl„ Street Rial"t-OE-1. T) c :ay Existing Rj T) Access Miscinents Existin II Utility 1,15cinclit Existing REM Lot Per Subdiv;sion5—%- Plat` Assessor T'OT) I II Sitc, Film (l!Cc!:cd for Accuracy— P7 P.n(Icr-round '.ccid. c;l Lp-.04.1 Lll�.r-lrlibrlt. Ogn tc: Kov by !j Fxistini, f,'ater '.lain vA/ CT_ m-t— Water re i " f.\,C-r hre Cam,.!c ze A.)O Povi C,.: Sentic Tzml: .'-Proved Datc scr-tic T:1111. Pen"it Pecluired m i t "0. SaiijAnn- Availald its'_---- .1r01 c "o. Side Scv.:cr AvaAnbilit- 'To L Saiiitmy Sc,,-cr Co;mccnjon Fcc, llcauirccl 1)itCj.l Rcoi, j. Clil,vcyt T)CO.11ire"I Size 0 II Catch DZIsill "(_.�mircd 11)(1i cate on "il:c Plan cip(2-fl fun 1,111,101C req I I 1-c lliclicalle or. Site )"Iml Soil C olieti tiolls F, Gromid 1.,'atcr Ficld 01cc"Ic Rite t 9L Z_ Street Navin,, l;cciuircd airb wid C;ittcr 1'coui-rcd• Sidewalk Pcrniircct +AA A4ter j Curti Ciit for )12'it�ey l,cq d i IP:io lit-of-P,ay Construction Pcii-d t• Rcmdred Ae, _ Bond Pcrui rcd for Public Improvcrients -- �� -- - _— -- �•itr.cet ?dai-ic Sian lter,iiired IOtticr Signing Rcqul rccl— �____----- ---_ — - I I' Pyc Pciriit Site Inspection rack on i Street I II Special Poqu].-mMents listed In ia.,mo to Bui 1C':inp Pep, ,!)-tMcnt Date II A � l J. wi::_� i l l.cd in en tii mod; n�, Permit Apl)lica ,-ion Patc C; �i; ) , ,t 71•iln�'_, if,;ai'i�)CCl and iOtat1011S lt:C -- - -- By Dato I s=. , Approved by PLibli.c l orl:s Pc"partincnt BU19DING DEPARTMENT Applicant Fill use PER ZONE NUMBER LPERMIT APPLICATION Inside Heavy Lines . JOB ADDRESS - - (/ `� i NAME (OR NAME OF BUSINESS) 6..."r14 LEGAL LOT LOT AREA SUBDIVISION NO. W MAILING ADDRESS iWYE3 -.❑NO � ALDE& ST - STREET R/W EXISTING STREET R/W CQO FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. R/W FT. O FT. CITY ELEPHONE NUMBER NAME REMARKS Z W u W t ADDRESS CHECKED Y W Z = t7 U E Q CITY TELEPHONE NUMBER OR UTILITY WORK R STREET AND / /W PERMIT REQUIRED REQ'O. ❑ YES ❑ NO ❑ YES ❑ NO Z W NAME y� Q UNDERGROUND ' WIRING REQ'D. 9 YES ❑ NO I01`/l C 0 I.. U Q E F Z 0 ADDRESS TYPE CONNECTION EYES JVERIFIJD SANITARY SEWER ❑ NO BY CITY TELEPHONE NUMBER SEPTIC SYSTEM ❑ YES PtRMIT APPV'D BY CITY ENG. IRNO NUMBER U STATE LICENSE NUMBER CITY LICENSE NUMBER REMARKS Legal Description Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE 0 0. ^of >— ) L —L K-� i-/ It W F Q 20 sr /ems 1D; 7_,. A)3 REMARKS SIGN AREA ENV. REVIEW ADB NO. U H W 0 J Q l' o��s r- (f(G/J ALLOWED PROPOSED COMPLETE EXEMPT '= REMARKS JNv� f f D VARIANCE OR CU PLANNING REVIEW BY DATE t 60. / YARDS / 5/ /5-/ REAR FRONT SIDENEW LOT COVERAGE ❑GAS ESIDENTIAL LINE ❑ SIGN no ADD ❑ DEMOLISH ❑ RETAINING WALL ❑ ALTER ❑ EXCAVATE ❑ FENCE X-� OR FILL PRE -MOVE swim REPAIR 1:1 INSP. ❑ POOL FIRE ZONE TYPEOF CONSTRUCTION CODON-RESIDENTIAL SPECIAL INSPECTOR AREA REQUIRED ❑ YES ❑ NO, OCCUPANCY GROUP OCCUPANT WAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. REMARKS I.UMBER Z W NUMBER OF STORIES NOF DWELLING UNITS f I- NATURE OF WORK TO BE DONE 1 d o PLAN CHECK VALUATION FEE a W 0 m 0 1 I- a J J W > W 0 PROPOSED USE r Q/r PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) �j �J �/� BUILDING PLUMBING HEAT & GAS LINE FENCE } I„ SIGN I \ Z D ^� f RETAINING WALL O u SWIMMING POOL DATE RECEIVED � o / FPERMITEXPIRESUSE CITY OF EDMONDS PERMIT ZONE -4J NUMBER CONSTRUCTION PERMIT APPLICATION JOB ADDRESS V S SUnVAPT# 4 OWNER NAMEMAME OF BUSINESS .` `' -'�1 ' -m ^ 30 PLAT NAME/SUBDMSION NO. LOT NO. LID NO. 15 MAILING ADDRESS S LID FEE $ TESCP Approved —1 aAQ6 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Permtl Reputred Read CITY ZIP TELEPHONE EXISTING PROPOSED Street Use Peaes inspectiOnFWq'dmd ( d ` �1 J �� REQUIRED DEDICATION / FT �dwalkRoWkW WI 13 NAME METER SIZE LINE SIZE OF FA(UES PRV REQUIRED ` O ry t, S b /� J -� '� � 4. Y"sS�=rio_� Z �Gu C = cc-T ADDRESS REMARKS OWNER/CONTRACTOR RESPONSIBLE FOR ER SIGN CONTROL/DRAINAGE Z tAVL tiE CITY ZIP TELEPHONE 6 crvevr,4d.00( 4 -_ �d s NAME CBL # n +EERIIJp ST L N - i ENCI REVIFT,VIIED BY DAT cc ADDRESS '.._. n.. Z. FIRE. REVIEWED BY _ DATEus CITY ZIp TELEPHONE cc IEL f LICENSE LICSE NUMBER � CHE KED BY VARIANCE OR CU SHORELINE OR ADS# +,�� 4 `x � INSPECTION E 'D 'd AO N BO D POSTED S SEPA REVIEW- SIGN AREA + yy, HEIGHT PROPERTY TAX ACCOUNt PARCEL • COMPLETE EXEMPT ALLOWED PROPOSED -,'.AkLOW,D PROPOSE; 6 1 � q i 0 Q �� �v'� J, 1 EXP r 1Q Or ❑ NEW RESIDENTIA bf UMBIN MECH LOT COVERAGE ALLOWED REQUIRED SETBACKS (FT.):; FRONT. SIDE- REAR ;,PROPOSED. SETBACKS (FT.) FRONT S,1D REAR .PROPOSE ' ADDITION COMMERCIAL ❑ CHANGE OF USE CE OR ` �'.' ` �'@+1 I ' i REMODEL ❑ MULTIFAMILY. ❑ SIGN PARKING REQ'PRO ED LOT AREA . P NING REVIEW ED•BY DA g ` FENCE'aD' ❑ REPAIR ❑ GRADI CYDS ❑ ( X . FT) REMARKS ❑ DEMOLISH ❑ TANK ❑OTHER* GARAGE RETAINING WALL FIRE SPRINKLER ❑ ❑ ❑ FIRE ALARM CARPORT ROCKERY (TYPE OF USE, BUSINESS OR ACTH UUN: cj r F CHECKED BY,; TYPE OF CO N i C XN OCCUPANT GROUP u) NUMBER NUMBEROF CRITICAL „' 'lull r m OF STORIES DWELLING -a,?, . L , ' i, UNITB''.i<';,::._-. ;�; ; AREAS t NUMBER, SPECIAL INSPECTION JAEA 1._ .: ,.❑ .YES.', .. REQUIREDt?• "' 0 �' OCCUPANT LOAD I� DESCRIBE WORK TO BE DONE' 'T .sr REMARKS PROGRESS INSPECTIONS PER UBC 108 FINAL INSPECTION REO'D 9 1 ti ►3 %S"h-J S /r. 11r .. LIM r -VALUATION"-./ ~ -} ,$ r. �y Of 1471 4' DescH lion P FEE DescdPt Ion FEE r Plan Check h Vy State Surcharge HEAT SOURCE ar ` Ri Anun q, M `...rM 11 �� O LOPE % , Building. ermd ' City Surcharge -� Pay-p; VESTED DA70 4 IF i ^Plumb ?�.. — Mechanical THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO t BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC Grading 7 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE SEPARATE PERMISSION. � Engr. Review PERMIT APPLICATION: 180 DAYS d PERMIT LIMIT: 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS Engr. Inspection SEE BACK OF PINK PERMIT FOR MORE INFORMATION '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 2 EDMONDS. WASHINGTON. ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Inspection Receipt # ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY 9 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE DEEMED TO MODIFY, WANE OR EDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Landscape Insp. Total Amt. Due ty� = NOR LIMIT W ANY WAY THE CR1P8 ABILITY TO ENFORCE ANY ORDINANCE PROVISION.' Recording Fee Receipt # E ACKNOWLEDGE ON COR CT; AND THAT I AM OWNER, OR P EAPPLICATION; GIVEN ISETHE YTAUTHORIZED AGENTHAT THE OF APPLICATION APPROVAL THE OWNER. 1 AGREE TO COMPLY WITH CITY AND FUR LAWS REGULATING CONSTRUC- CALL This application Is not a permit until signed by the TION; AND IN DOING ORIZED TH NO PERSON WILL BE EMPLOYED Building OBidal or his/her Deputy: and Fees are paid, and IN VIOLATION LABOR COD OF THE OF WASHINGTON RELATING TO FOR INSPECTION receipt is acknowledged in space provided. WORKME 'S CO NSATI CE AN .27. 0 F IAL_S SIGNATURE DATE LS N E (O DATE SIGNED (425) 9 1/ C\ A,_ I +6 2 771 -0220 RE ED BY DATE ATTENTION Off 1333 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 YELLOIV-INSPE R PINK -OWNER • GOLD -ASSESSOR 04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN -ACCOUNTING CITY OF EDMONDS USE PERMIT ""E fl� ,.. /_ NUMBER : ro04 CONSTRUCTION PERMIT APPLICATION.. �! JOB ��1 �T�f p�' s I E/APT# ADDRESS / / qP )! \icy ME OF B SINESS OWNE h1E NA01 LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID N+++Ow���[[[///lll w Z 3 O MAILING ADDRES g7 • PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION TESCP Approved ❑ RW Permit Required ❑ Street Use Permit Req'tl ❑ CIT ZIP L K\ P& � f�� TELEPHONE NUMBER f/.,r� (i/�„��/ PROPOSED Inspection Required ❑ Sidewalk Required ❑ w NAME U W cc METER SIZE LINE SIZE .NO. OF FIXTURES PRV REQUIRED YES ❑ NO ❑ Q 3 c7 ADDRESS REMARKSLU ? Z CITY, ZIP TELEPHONE NUMBER O NAME ADDRESS ENGINEERING MEMO DATED REVIEWED BY ¢ 0 U U Q CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED BY W ¢ u' Z 0 U 1 STATE LICENSE NUMBER EXPIRATION DATE SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT .., ... Legal Description ofProperty - include all easements SHOREL_ I�.N�EI Z O / EXP LY/ o. cc VARIANCE OR CU PLANNING REVIEW BY DATE SETBACKS — FEET HEIGHT LOT COVERAGE Z 0 J FRONT SIDE J ' REAR �j if S �% _ Property Tax Account 1_ f REMARKS r 0. ... Parcel No. (� (,/ �cool �r ,tcAyL a (ftd5 NEW RESIDENTIAL PLUMBINGIMECH ,,,LLL��� ❑ COMPLIANCE OR WIN N COMMERCIAL CHANGE OF USE REMODEL � APT. BLDG. � SIGN :. CHECKED BY TYPE OF CONSTRUCTION CODE 4i � / OCCUPANT' GRO�1P. REPAIR GRADING ❑ FENCE CYOS. (_x_FT) 0 DEMOLISH ❑ INSERT WOODSTOVE SWIM POOL HOT TUB SPA GARAGE RETAINING WALV ❑ RENEWAL CARPORT ROCKERY SPECIAL REQRED INSPECTOR ❑ YES 5AAREtA— OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 108 O Z (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: ¢ 0 0 to O m NUMBER OF NUMBER OF DWELLING UNITS CRITICAL AREAS NUMBER 2 Lt �/ DESCRIBE WORK TO E DONE TTACH SOT PLAN) Ru Q FINAL INSPECTION REOUIRED C VALUATION FEE c PLAN CHECK FEE BUILDING HeXT SOURCE- GLAZING O/O /jr/ PLUMBING Plan Check No. 15� � MECHANICAL This Permit covers ,work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application:180 Days Permit Limit: 1 Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and y successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, m a = employees, and agents from any and 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 PLAN CHECK DEPOSIT '2 ° modify, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; that the information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION, APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ed thereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Code of the State of Washington relatin Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is ti mFn rance and RCW 18. . INSPECTION acknowledged in space provided. IGNATU IOWNER OR 'GENT) DATE SIGNED DEPARTMENT CITY OF OFFICIA S� IGN E OATE s f/ EDMONDS �) CALL FOR RELE/kSE BY/ 1 IDA E A/tTENTION INSPECTION ` -i IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE 0220 UNTIL A FINAL INSPECTION HAS BEEN MADE. AND APPROVAL OR 771 ORIGINAL — File YELLOW L Ins actor A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK — Owner GOLD — Assessor (fe 7 7 10247 / /_�