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1258 8TH AVE S.PDF111111111111 8697 1258 8TH AVE S PROJECT REVIEW CHECKLISP rrFIVED lAl 2 2 I PROJECT NAME: cH EERING PROJECT ADDRESS: RECEIPT DATE:--,,/--:�-�— REVIEW D BY: (I hitial/Da e) PLAN. WATER ISTREEE COMMENTS FIRE BLDG... SEWER - NO] Setbacks/Variance/Setback Adjustment . . . . . . . . . Conditional Use Permit M.M. ADB Requirements 3 Other Zoning Requirements Underground Wiring Required . . . . . . . . . . . . . . . . . . . . . . . Lot Slope 15 % 6 SEPA Environmental Checklist/Hydraulics Permit Tree Cutting Plan >hf Plat/Subdivision Requirements 11 M ME WIN Legal Description Verification .......... Quit Claim/Street Dedications .............. . . . . . . . . . . . ... A p Easements - Public/Private S-I - - - - - - - - - - - Engineering Storm Drain Review Fee 10 Engineerin2 Ins Fee 9 30 MARFAM Drainage Plan (On -Site) Setback - To of Bank. Stream, Water Courses rt Setback - Storm Drain Line A T': Open Ditch - Existing Culvert Required lCulvert Size . . . . . . . 20 Shoulder Drainage/Shale Open Runoff Catch Basin Required - . . . . . . . . . . . . . . - - - - - - - - - 22' Driveway Slope & Vehicle Access cr- . . . . . . . . . 23 Sidewalk Required Curb & Gutter Required 1-24 ....... . . . . . . . . . . . . . . . . . . . . . p 25: Curb Cut For Driveway Required t4o 26 Street Paving Required "c) -Ah ::-27- Right-Of-Way Construction Permit Required ..28 Street Name Sign Required po ........... 29 Other Signing Required 30 and Required For Public Improvements po ......... .31 FEMA Map Check Water Table ........ -'32 Side Sewer Availability t J:6 - OV"V .:33 lCalculate Sewer Connection Fee If No LID #et) Create Street File Ic I-tf-.5 MAW, .:.:34 ::,35 Existing Water Main Size OL4. ::'36 Water Meter Size ..... . . . . . Service Line Size MST. M::38 Water Meter Charge Required------- ------- SIX ... 41. Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler Street Cut - - - - - - - - - ,Miscellaneous Reviewed By: FIRE PLANNING ENGINEERING PUBLIC WORKS FILE:DATAl 23/PROJCKLS.SFN nV 1, � b y 1% U Ul' t. V N 1 N 1, I J 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RN PERMIT 6 DATE ISSUED RECEIPT 9 29 10 30 11 31 12 32 13 PAID RECEIPT DATE 33 SS PERMIT Ss ' DATE-ISSU Z 14 PAID $ RECEIPT # DATE 34 15 35 16 36 17 37 METER SIZE PAID $ DATE. RECEIPt 18 38 19 39 20 40 SITE nL D,(c.)�.U�� iaxx-8+l, A.�. So "+,,\ !� 2/y� RECEIVE® C•l T'f Or E MONP � 33�U HEICWHAT c c . _ FEB 0 2 1998 -Tc x # a5a.70330q aoco j 2. HERMIT COUNTER <o+ r c;+� s t,ov-� -� cs �93•0 TTAL : lLi.3.5 M6r.N wCA tit CDpNi \\ -D __� ` --- zap /p < CD CD Ln . Z Pil t0 j D �5tii1�5�e•rr� c�� - I i I Q a 134 k —I D5� ®P- G '' } ' 0 L 0 63 co � Q5.y4 �DriVlwa� Dre: ny O v\ 7 C 1 1 �.7 ` DroA o,, e F�'�E1 �ab�jc�G� vpY�M iw,r �oo.ou -� I�cv�\PO�ro.r� y.c-osjov. C `rc�l \�rov�U'�CJ� V,+ L Nr o ti CO,\1 ,r V 1 ecl� � � �G�►� S Co. Foe O� CeA,.%ev,, .}o mew eo.6v',- "SiV%.. e-)c�S��1+.e�Sirx►-"- �5ELE'CT 6otivkeL c` %-oV-\ ;�06- ygS -�so3 HEIGHT CACC`s AL 9Li. 1.s C 93.00 1D YoTkL : 37`I.c.o -; ►1 = 43.c.5 N6r•N t z5.00 IiB.�S u CPO gs.yo � S ITE PL a Xx- 8+h �1�LOF-►otilc'�H Co,� uJa, D.5a,7o3 3014 a coo � P 00 .—T�rwToB al `,� J, T�/aYJM -po I �T ldO.ou APPROVED BY PLANNING JA,N 18 1996 PEa 5 E L E C-T Eo N oV-\ �'� UOUNTER ac6-- ygs -7s03 a, C. City . of Edmonds .RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number. Issue Date: 7 " / 15 - G% �o A. Address or Vicinity of Construction: 8 C B. Type of Work (be specific):.NC\�I \� \I�i �)Q.� �.%�t fl it y 9 p - 1 9 �UA'� AND �-►,JS� �►L..l^EL/�L � e,ll.�l. F'ALI L�T►� S Contractor: ' Sw)11%M lS \J� CCU 1J PV Q ` Contact: tj Mailing Address: 2KNUG �fn 1AU 9 - I Phone: (o�70 " Ia State License #: E DM UN O5 , U A 9t,00,tp Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ .Subdivision ❑ Ciiy Project ❑ Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family Single Family ❑ Other L: INSPECTOR: FF/Lf ;"A-%.. INSPECTOR: F. Pavement or Concrete Cut: ❑ Yes . Mo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND$IGN 7L>i INDEMNITY -Applicant understands and by his signature to this application, agrees ti o^ltjl t City of Edmonds har�lesa from injuries; damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be " � east the City of EdmondW -or bf its departments or employees, including or not limited to the defense of any legal proceedings including defense costa, and attorney fees by reason of grantueg 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 aTO THEOP_-PLI 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 eildlof th�e*orking day; NO EXCEPTIONS. r 4 wA, I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on at all times r inspect' purposes. ti / Signature: Date: l� (Contractor or nt) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY DEPOSIT JZ brl- t1nt' 2_0 TIME AUTHORIZED: VOID. AFTER V DAYS DISRUPTION FEE/FUND 111:. SPECIAL CONDITIONS: RESTORATION FEE- U� PERMIT FEE: P�.{� • Dt� f TOTAL -FEE: COMMENTS: DATE: BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments IDiagram l' CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: .l--i-� 1476 PUBLIC UTILITY DISTRICT N0.-1 OF SNOHOMISH COUNTY REV. 7/57 LOCATION _ g_ __ ` •� CA AREA _. POLE NO. _ SW- 1/4 S ET 27 R DATE W.O. N0. Z- REASON FOR WORK- CC �� ENGINEER_ OWG. N0. DRAFTER U.G. NO. _ SCALE I _ DATE WORK COMPLETED DATE PRINTED APPROVED - - FOREMAN - ENVIRONMENTAL ANALYSIS ® p "�M EXEMPT _ X(/'V( C�: s�� • -• FEESSUBSTATION FEES R E Q ' D YES p NO PARA. 18 CIRCUIT NO. 1 ^�.�-'�Gr� 2- PRIMARY OVERHEAD O.H. U.G. COND. KV PHASE ❑ RESIDENTIAL ADD CKT. FT. PH 32 ❑ COMMERCIAL REM CKT. FT. PH � LEO# NET _ CKT. FT. O.H. U.G. COND. - KV SECONDARY OVERHEAD BASIC FEE $ ADD CKT. FT. PH _ REM CKT. FT. PH NET CKT. FT. METER/CONY. POLE $ PERMITS (DATE GRANTED) PRIMARY UNDERGROUND ❑ RESIDENTIAL ❑ TREE TRIM-�-`"��`-'��-' ❑ STATE ❑ COMMERCIAL BASIC FEE $ ❑ COUNTY- LEU# CITYEDMOOOS /®$ /=$ ❑ SECONDARY UNDERGROUND EASEMENTS BASIC FEE $ SOO ,OO ❑ REQUIRED NOT REQUIRED UNDERGROUND PLAT DATE RELEASED BASIC FEE $ FOREIGN CONTACTS t FT. ® $- / = $ ❑ GTNW JPN# - STREET LIGHTING ❑ CATV JPN# FT. ®$ _ $ O JOINT TRENCH GTNW & CATV 1 WORK IN RIGHT OF WAY ❑ JOINT BORE GTNW & CATV ❑ PRIMARY ❑ � SECONADARY // IUD 'tFT.0$1,7,5=$_IOs, POLE STENCILING FROM TO MISCELLANEOUS FEES TAKE OFF POLE_ VAULT $ PRE-CONSTR. REQUIREMENTS PERMIT $Q, ❑ TREE TRIM ❑ PUD LOCATOR $ BACKHOE ❑ FLAGGING _-_ $ ONE CALL DATE _ $ # TOTAL DUE $ L INDEX POLES PLAT DATE PAID LOGS U-MAP _ RECEIPT# XFMR C-MAP NEW SVCE APPUCATIONIj LOCATION MAP PAGE 'E5A 6--7 k _ y . i ® � �T R��C� 1 lo' S ��1� - C'�OQ.� �� 23 7O .p cfl �� C1J��tiuU�S 3 QV L. P.2/2 JUN 05 ' 96 07 :19AM SOUTH COUNTY PU;.lty of FA nlolnlds RIGHT-OF-WAY CONSTRUCTION 6gd_199- PERM Parma Number. ZE�� C Issu e Detc A. Address or Vicinity of Construction: �`' J� �j t� 'V B. Type of Work� specific}:� R. N(�1 1►� 1 l lAhl �] ,{ Q'-C,i'%,b ►�3D E J��,` RLL CLCC � Ilf1L �Ati�.l1 �t; r. C. Contractor: �t'►`P-Q, u * k Contact: Mailing Addre,= X1(a1b 1AL� ' a C -1 C' Phone: I c,, State License tl: !" 1 L ' l� %� i ko Lisbility insurance: Bond: $ D. Building Ferotit # (if applicable): Side Sewer Permit N (if appllcAlo): &. Q Com=arcial ❑ Subdivision ❑ City Project ❑ Utility (PUD. GTE, WNG. CABLE. WATER) multi -Family Single Family Q Other INSPECTOR: U,vfssuj-.., INSPECTOR: F, Pavement or Concrete Cut : ❑'Yes 0, Siu of Cut: X H- Chun—$ APPLICANT TO READ AND SIGN I1VD6hrN.tTY. Applieant undcratandu and by his signature to this aanlicatipn, agress to holyt the Ofty of Edmonds ha rmlessfromWuries, damage, or el&Lw of any hind or &teription mhauosva , foreeen or unfamseen, 9!7at may be made againat the City of Fd+o,,&, or criy' of its department, or omptoyees, including or not MmIted to the defense of any legal proceedings including defuses torte, and attorney fi;m by reason of granting LlKs permu a'hi'E CONTRACTOR IS A CSPONSIRr F FOR WORICMANSMIP AND MATERIALS FOR R PERIOD OF ONE YEAR F044OWING THE FINAL [ArVECTION AND ACCEPTANCE OF THE WORK. ESThIdATED RESTORATION ,FF.',SS WILL BE HELD UNTIL TAS PINAL STREET PATCH IS COMPLETED B Y C1TYFt:7RCl;3, AT' WHICH TDW A DW17-OR CREDIT WILL BE PRO=SBD FOR ISSUANCE TO THEAPPLrC,11Y Construction drawing of proposed w6rk 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 daring progress and at completion. Restoration is to be in accordance with city Lodes_ 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 ehd of the worldng day; NO EXCEPTIONS. - Xhaua raa7d1 the above statements and understand the permit reauirentents and th-epink copy Of the permit will be available ort_sik at al ft'me far inspeeptiOrt, purPoses. _1 �c..rr -- . , --�, .. Date- Sigrzature: v-'r� - (Contractor Or Agent) CALL DIAII.-A,-DIG PRIOR TO BEGINNING 'V WORK FO;R CITY APPROVED BY: L {{ TXXX AI,TM40R=r-6:'V0116,--ZF.1 : ''! Tom- DAYS SP CONDPP Ir & Are. 04M4 COMMENTS: — -- DATE', OF-WAY1 ]DEPOSIT 7.1�&�XTP�']LON FEE/FilNA 7:Y�e- _ "AL RECEIPT FEE: W-SXM7? BY: ' -7 NO WORK SHALL BEGIN PRIOR. TO PERMIT ISSUANCE Eng, Dir. l'}94 JUN 05 '96 07;i2AM SOUTH COUNT' PUD P.1/2 Facsimile Cover Sheet To: p t nowjwa� Company: �. ; �.t, C "-�qz�kQ Phone: Pax: From: Rich Afdem, Sr. CUSTOMER ENGINEER Company: SNOHOMISH COUNTY PUD #1 21018 Hwy 99 EDMONDS WA 98026 Phone: 206-670-3208 OR 1-800-562-9142 EXTENSION 3208 Fax: 206-670-3210 Date: - �v Pages including this cover page: Comments: `�,� QS %V v-� 1� pj-,4 IN) y-r''."�/"F:.r�,rq:�.•.+�ry�+."�''�st.Y�'A�^j�!ix-s�°r$� 1°s,...�,•-4��x��•�"1t�vt.AEr�'i�p,;i?,/��k+l�bt'�4'y:"�°yc�'��`��A,�f+�',:;.�of^c'r. -DAYS W� - CITY of EDMONDS SIDE SEWER PERMIT r890 19"° PERMIT ��. Address of Construction: IN=- = Property Legal Description (Include all easements): -BADMAK i 1 1996 Wnays DEPT Owner and/or Contractor: � �►�.7'�C'e� 1AJ e sr h r-c?s�N% �c L��c_l C� -\ s-1 f �C t i oA State License No. EraLF- -11 1 01* " 1 Building Permit No. Single Family ❑ Multi -Family (No. of Units - ) ❑ Commercial ❑ Public Invasion into City Right-of-Way:YNo ❑ Yes RW Construction Permit No. Cross other Private Property: % No ❑ Yes Attach legal description and copy of recorded easement I certify tpat"T hVve read and shall comply with all city requirements as Indic ed on he back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION OFFICE USE ONLY * FOR INSPECTION CALL 771 PUBLIC WORKS DEPT. Permit Fee: Issued'By, `J�! Trunk Charge: ��-' ` Date Issued: Assessment Fee: t' Receipt No.: Z04 Lid No.: Partial Inspection: Date Initial Comments Reason Rejected: OE Date Initial s Final Inspection Approved: Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3!90 t The City of Edmonds Side % Sewer Drawing EASEMENT NO . ....................... NEW CONSTRUCTION REPAIRS ❑ LID NO - ------------------ -ASMT. NO. ............. ..-.- OWNER----------------------------------------------------------------------------------------------- CONTRACTOR------------...........-----------....--------------------------------------------.. PERMIT NO. g.7 � S JOB ADDRESS ... ------ .................. LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. .................................... -----------------•------ . •-------------- ....••....... E�o1.�0�•,��5 NAME OF ADDITION--------------------------------------------------------------------- TS "Fi afl- PLANT-------- `� ,36lC�si rCn1c`= LLI Y Imo! X �I J 55 i Approved: PWW-0001-11175 (REV.11/78) DATE ' L 4 ............. BY .................................... IE 8 g 0 _ l g ° - J„ �. City, of Edmonds RIGHT-OP=WAY OONSTRUCTION PERMIT Permit Number: Issue Date: A. Address or Vicinity of Construction: 1258 8 AV S (9616032) B. Type of Work (be specific): Install Service C. Contractor: Washinatm Natural Gas Contact: Hariamne Kingsbury Mailing Address: 1122 75 St` SW Everett Phone: 356-7500 ext 7596 98203 State License #: x Liability Insurance: Bond: $ 3 1. D. Building Permit 11(if applicable): Side Sewer Permit It (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project [jj Utility (PUD, GTE, WNG, CABLE, WATER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: F. Pavement or Concrete Cut: ® Yes ❑No G. Size of Cut:. Y 4" ..x H. Chia{rge $ Y L 5:. J•— � a R APPLICANT TO READ AND SIGN INDEMNITY: 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 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. a THE CONTRACTOR IS RESPONSIBLE FOR ;WORKMANSHIP AND MATERIALS FOR A PERIOD, OF ONE YEAR FOLLOWING THE FINAL bn INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORA�TIO%V�FEES I Y BE )1ELIlj`tJkN eTHE FINAL STREET PATCfI IS COMPLETED BY CITY FORCES, AT WHICH•TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUAly E TO T1gJ APELlICANT. `" r ; 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 si at all times for inspection purposes. Signature: Date: ontract r or Me ) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: 1 Jt 't TIME AUTHORIZED: VOID AFTER 64 _ 30 DAYS SPECIAL CONDITIONS: rat' COMMENTS: DATE: RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND Ill: RESTORATION FEE: PERMIT FEE: Z4 • C% iC) TOTAL FEE: _ RECEIPT FEE: ISSUED BY: -� L', NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments • . Diagram L (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: A M M _M AVWashngbnEne wCcnvanY ( Watermain depth 2 gas main a, 11f Addendum to: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury. Engineering Aide Washington,Natural Gas 1356-7500 X7596 J o F3 - q cP l cpo 3 2 Mey• .-W- Water -G- Gas -SS- Sever. .& Water hydrant Q .Water valve Washington Natural Gas Company 1122 75th Street S.W., Everett, Washington 98203, (206) 355-3331 .�'•:-1n`r•� ��;�. ,'CU'�i ^�1r}�1lnF�'r•wr�g�-R r L "�1,eOt ��µ�'_ �:� �T"4r�P+2 iY To ' Ckd 4 Wr 8 City of Edmonds ;d RIGHT-OF—WAY CONSTRUCTION PERMIT Permit Number. �� Issue Datee•,, A. Address or Vicinity of Construction: 18 90 19� B. Type of Work (be specific): . C. Contractor: OLAdeir, � i f Woirtqe/�L` contact: `— boel /IL/( !Mailing Address: ��- nJl/l/�lll(�, JA14 7 Phone: 7-74- —17M State License #: Liability Insurance: Bond: $ D. Building Permit 11(if applicable): Side Sewer Permit # (if applicable): _ E. ❑ Commercial ❑' Subdivision ❑ City Project Utility (PUD, GTE, WNG, CABLE, TER) ❑ Multi -Family ❑ Single Family ❑ Other INSPECTOR: INSPECTOR: Wlni'it.— F. Pavement or Concrete Cut : ❑ Yes Wo G. Size of Cut: x H. Charge $ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the tatty 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 11 employees, including or not limited to the defense of any legal proceedings including defense costs, and attorney fees by reason of granting this permit. • u 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. . 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 bve stat ents nd nd� a st the permit requirements and the pink copy of the permit will be available on sit t all ti es for s cti rpos S. Signature: Date: lnttR tractororeent) BEGINNING WORK FOR CITY USE ONLY APPROVED BY: i CaAA. TIME AUTHORIZED: VOID AFTER DAYS SPECIAL CONDITIONS: i\4b COMMENTS: RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND III: RESTORATION FEE: PERMIT FEE: TOTAL FEE: -30 ' CD C-D RECEIPT FEE: a -,DATE: ISSUED NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE , . Eng. Div. 1994 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: ,, / � � � � I /1 ,i!: ... � �i l� D n m � D v v H u W H Tm CAL C`S Zip'. s wn m 1 C V - r A£�tig�i n� STa.rY� k I I h 1 a Xx- 8+11 !� z�` CLT'1 Or ErVHOND� 33oc)�N DKOHowitc7H COWo,. aGGO j S/,c,v'i P/,--F %c ,I k t� i J u v u, L z0.r`^V � Y i - - --d -. 4: J L1 D —'rr C rT 1 0 v cu Ican r- cnc) zm N G) O \A �cv� 00�m DQ r � m � r z 85•yG 4v,�Dr;v�iwoyDre;,n5 Q Dra.��.o.ae �c'�e�'b� Sy5`1'�vv�, C�•. �� F,-1�er 50" 5,-.c — I �cv�nP O.cxr� 6-oSiov. C o+\'Trol � va% %U,\'Jv,'t ev�ce aT ��ri vki'Y�ta pT �� c - tom L.rusio%. Co"kro1\\�)-cc.) de� 1��G��sco, OJioS�a�\SlJ.��RECEIVED Foeb ��aAhs C �. � 0.��.ue�e -,e�. FEB 0 2 1996 ba si •ti ; ex s ,� e�SirXram- �5 E L E C-T GAO Ni Vi�e c.- ' O r PERMIT COUNTER ao�- `ig� -7503 STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER CALC BY: 2L J U `� h �� • (.� �� S-"7,Z� .--57 ADDRESS PHONE: �lL�� r v" A3A �2()3 DATE: *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE n DETENTION PIPE LENGTH T L� WASHED GRAVEL ~ /OUTFLOW TRENCH, MIN 10• LONG TOP AND 4`PERF PIPE TO BE LEVEL 1•WN COVER V*MNt SPACE RIM ELEV 2'MA% COVER RM ELEV COOL —' L. OUTLET I� Y aua �dv 4-0 MINI 4-PERFPIPE W/CAPS ••s-1•. SLOPE 4- O PIPE MIN. t' 2 ; ORIFICE RUNOFF SPREADER ��M� OUTLET INv ELEV I N V ELEV LF1^ER CATCH CONTROL CAR7f BASIN BASIN 'a2'=6-DEEP, 4--6-OUARRY SPALLS SYSTEM CROSS SECTION ,z.s- DEEP, 3/4- CRUSHED ROCK ® FROM CONTROL OUTLET WCM � RIPRAP OUTLET W N c�a V o �-- W W m FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems on private property is the Zl 11 16 responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. REV 2/92 6 ` S EVIEW 8Y ,� niLalJOa e _D • • 1 •X{4�,5'n`J:>J.?±.j{ ; 'fY2i+%?iw%?{:;; , . rs+} v.r:'•l:t?.y:•:' ?: 4$?.•%x:.nhY:.N ff';%•rYYy,;:��<?????S, }:{{{'lJ ^r..^;m:. %l.:'::; r%.;...v;}S'v.+.{'%::\??!�i �iJ.rv:»!'�}:�.i!•��?:'/.•;w+r+ ;, };•"h :,. •.x J+,y •'.%•v�l5n i i+:!'$' ": r.•%%.r �M do—nditional Use Per m-1-t— M?}}}}yy»,Y}}%}?Y.+^w. Requirements P {• f!{i}'•T':}'?: F"Yt.vi{r31•{v.'i �}'>'u;NL}i:{'{:Tv.,f.,h{Yi!'•,%�; ++}WiY.;C:•»}Y�'o �,C{>'r.� i}.vi+;{'T�+/?;Y: livi}:L�.iG��-0:Y$ii:YO+T,.�lNwI '%�M},Y�t�'YM>��},i,Cf�//7,/'��//./��1((//..11/� b5i• <.a '%f i.✓'+'$ii$.✓+% ':$vi}$%fJ?v!J lCi}T :'� i:'^i.�.J},�{rx•�,. 1 • • • Y:M;>4.''}''.:PTK'. V>'T.'pi {.., %�ri>' ti }4Y+YAJ$$iJ.Ji$$$$1;$::'+ �,'??T'.`f'Y�.:^,.`}}>'YYK^' .Y...Y{ir'+rih+r:•}Yf'•::;? {•{}:w A$ti}Y�i'!:v"Y:3 $'v};�';'`:••',;,}�:N�ik{s,Y ,vSidasiG}+yyrs;G5 • • • • �''`�'r+nw`.f ':n :eL^. �e2i,$ +w'�twF'i!»' i,:A rP1i;.;r ';cwr�>x$[ • h YS:'•`++>T�j.+.'rr�v'?y>'. �{}:•''rv,iy:s µyY+N:}y BER Tree Cutting Plan WHOM N'ilr: %M•.i+fi4. Yr'mrT •,v • • • ' • • 1 `Y';;`yr` ',} �" {.}v .�• Y'r ..>,'•}•. /.T '4''::$: r% ,h1}:•n''...v;v;Av .`1U,•,•J\,.1,+,'r; -SJ.:nrl� `+.n{.:ME pJiJ.owJW U�viZit %%v, hJ%'%•:X: rig?, r �- rim V }Y ;{.$j A'!i: lrr :'•.$v: iti.%, �,:�.Y'iN:• rn vM; J:,}i::2 vrTSiWxJ rrf YSr'r;3}i:rxTvvirxn �+wr�S i%' Y?i:.{4$F''::!. • • • • ��{}•:{w�'%+4i''}'YM'J.•rid$:$iviM!{,,'r�)��5.,.;+M'ryrlM�.{�.v<N�MMMM •. • �+t.�iJtd$r.}v'!:>Y.%iidv✓+SA'! a'!. 'in1� t.»vls r+is}SAC4'st{t"t.`�t'.}•}'',.r'imi:}.`= ArAi'r:.$:•Sm,Ev? $¢,: �l; jrJ,.'r�..••+.+ri. 1 • � • Y�' fJ'+�{$$,5,;{% {y'",':�J'Y4 ii$:i%J% S,:T Y':�a�3(: +G'': ,+?.{:%} �4;1�. '"$: r�;, {C; ... A M10 • • • • • : • .,,y?2'.7:}w:ti?.:'}Y{}.;^,•'J'^<sY:l'r':J:vi: �h£.•.:,,Cn�:$}{{{.$t.•:y:'f'rti'';�nf.;'f.''<1'i.:::u; $$:i${'.r.w{Yr• v{:.r .11N}.:M�'>v{".. ' i ��}C /;t• $ Setback Storma ,', sY,v,,'+."�"Un• • ::::,. Y +y.:;$ $�:? rn'2w:J^.v;Ay"^' \.;{}r,.fvi..+r•1..+.}::v?.4ir}?;<.i%:i'�~+Sv,.'•,..'��jvvr{,r+��",ry�v;}ri i:(?{J f,'i�YnY:pfrr�,i:J:' Wi�}%irr' N� iifA4i. f4>f%i:Ji ifYr$r:;Jr%C Yri}+i}$.W/��ih:'y lr�iif A:,X•. .� pen Oitch Existing r Y{.ti ,x,•w�r F Y,}i;}}}•yr,,{{ fx�,. }..y ,£J'.y :rJJiwn� �Ci!dl:� }�'✓ S- • • •ulvert p+v.'.$Y;•1vY•';v�.•{hi+�',:'ii'i.�r$ry �;vr'Yw'j% ?}'•>,Y''�r,�'A•�•fl'.'. .v r'ri.^�"`v�ilAr"iiXh:vi��ri•'�x:xkS�.>"r.J.vv%J�!'x"ri w5�>•�+iii.•.`�{��- Size }:�� {$JK•:J�, }'":v:C d, rn,:'h:4:.; vr.;?. .n fi} ��{r5 �i4J'�+.. •JafJ bS+G?: 21�N.$.:Mi}�''�>.i9::}V}.�'D•a• KM • • 1 S. +:i9:{{Li.��l �2TTJJi}Gb• Y': {� ,��-® • • • I -now, Create Street File_ Existin• Water Main Size • VV—afe—r-M-effe-r Size Service Line Sizev5R Meter Charge Requi.r.ed IWAUSEMNIM Hydrant Required Hydrant Size Existing ChargeWater Fire Line Required SprinklerStreet V {• Cut JT .tea WON Miscellaneous Reviewed By: FIRE FILE:DATA123/PROJCKLS.SFN PLANNING ENGINEERING �® 1 R�. PUBLIC WORKS PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyle Chrisman, Engineering Inspector Owner. Plan Check No- elb --i (O Address: --_1 ZSFJ Date:±L27 After review of the subject permit application. the following requirements must be met 1. Construction hours are: WEEKDAYS — 7:00 A.M.-10:00 P.M.WEEKENDS/HOLIDAYS —10:00 A.M,-6:00 P.M. 2. A separate RIGHT -OF WAY CONSTRUCTION PERMIT is required for all work on.publie property. (ECDC 18.60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 1830.030d) , 5. NO WORK SHALL BE DONE W1THIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACUMy- BUILDERI'OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1830.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 1830) INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTF.i4LS, TIGEnM1NES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLWG. (F.CDC 1830) Repair or replace all defective uistwg =dk gutter and sidewalk adjaoeat to the property. Van intersection is involved, a handicap tamp maybe required. Contractor shall meet wish the City Engineering stdrto detamiae the extern of trpair prior to issuance of the permit (ECDC 1&90) �. Driveway slope shall not exceed 14%without a warner. Every attempt should be made to keep the slope below 14Yo. Waiver granted to % (ECDC 18.SOAMD) , 10. Driveways must be paved from prop line to City RIGHT-OF-WAY. A separate permit is required. (ECDC ISA0.060C) ii 11. INSPECTIONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 1830) 12. No burning of construction refuse without a permit from the Fire Department 13. Connection to City water system is required. There Is a separate charge for the water meter. (ECDC 7.20) .4. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole.. (ECDC 7.20) IS. Water and sewer mainlines should be separated by 10 feet minimum. (ECDC 18.10) (6. Connection to the City sanitary system is required. A separate permit is required. i _ Fees pall: Yes No Charge (ECDC 18.10} 10 .7. Underground wining is required on all new construction. and for additions, afte Moos, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 1S." 8. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECKjFT FILE r � �urrxEQtt,nor HEIGHT CatiC`s A • 9y...6 98.(.o C 9 3.00 n ID sb,�5 n TOjaL : 37`1.Lo -. 4 = 93.4.55 ►.1MN t 1 5.00co OO t:31.1 Lno Zm m O >.AN +� U) O = I > N2m 00 z C) o m o > m fool b,.: LseQ��' ��-�► oh 0,4 FIoW 9y.15 i may•° • J 51TE nL K1 `- Dm\)v\act� F/o,v-\ C TY 8 E717 "ON v �� 33�p ^v vnf�@ryiov.S �req DhL 01-► 0" L 7 H CO,, WA.. �511,70 a 0001 IT m \ Lj4"T ,A-Lwe F{pOW. r�oA w�\�riV4woy DICOAV%o.9eU I V E.6e.r 4--& 90. I a Q Q�R I co "q m m m -4 D o � 7 •Fp D/aTJM j'OfN'r ` --Tre -T. Re V." CA r f'17 �r•e v,+ (e• , a$ i 0Cc, VA- rp1 ctivEr 5 rr t E c,r' Eo �.► � �,�� ; o �, APPROVED BY PLANNIM J AN 4 4 ERMl i ' ,0 W"" Erl STANDARD DRAINAGE DETENTION SYSTEM WORKSHEET OWNER G.� eat-Ve c oo1.Se�ec�l,c9,nS v,�iov\ 6—CeN,e J �' CALL BY: ADDRESS �`�! U -�37 � h �I • � (•� PHONE: r�=��,S�D r •r' 1�1 ✓-t �zo 3 DATE: I "'DESIGN * *"DESIGN DATA IMPERVIOUS AREA PIPE DIA PIPE LG ORIFICE n C9, 1 3 - DEYENTKJN PIPE LENGTH &WASHEO GRAVEL /OUTFLOW TRENCH, KY MIN LONG TOP AND 4-PERF PIPE TO BE LEVEL RIM ELEV MN COVER Z'MAX COVER V*on P%CE a" CONTROL CONTROL E• OUTLET N ae T rawN 1 rPERFPIPE WVCAPS fILSLOPE 4-0PIPE WP& t• c i = E • _ ' OPWIM RUNOFF SPREADER OUTLET MV ELEV NV ELEV Lift'R CATCH CONTROL CATt'JI BASIN SASW a7a6DEEP, 4--G-QUARRY SPALLS SYSTEM CROSS SECTION =Zk3- DEEP. 3/4-CRUSHED ROCK FROM CONTROL OUTLET RIPRAP OUTLET f A 18 1996 PER411T C®U�IT FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspection APPROVED BY before backfilling and for final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner. Material accumulated in the storage pipe must be flushed DATE out and removed from the catch basins to allow proper operation. The outlet control orifice must be kept open at all times. REV 2/92 6 ` I 2 'XI R HEIGHT CA,,Le5 1 bo6o ID 88.75 TOTAL 374-C-0 -- Li = 'q 3. e- 5 M A5.00 118. (.T 0 SITE PLA-,NJ 12XX-84+i ctrl,ov- EV"OND:) -aKORc,-4c-.)H Co., "5A.. 7a,< 15a,703soq 2 c c o I .. _4 - -Q T 59k. O\ 60 A�.,r 0 #A p 0 1 1J,r- J, )00.00 APPROVED BY PLANNING a°� ��: _� :_ : , ; ,_ ? CITY OF EDMONDS ZONE PERMIT NUMBER 6/� NUMBER 0t40 CONSTRUCTION PERMIT APPLICATION JOB 1 SUITE:APT11 ADDRESS 1✓: OWNER NAME NAME OF USINESS / C LEGAL DESCRIPTION CHECK SuaDIVISION NO LID N A)MAILING �` `q �, �' AGOBQS$ %% .7 PUBLIC RIGHT OF WAY OFFICIAL STREET MAP. TESCP Approved ❑ O T ^ V� ` �'� CITY ZIP ...�� .� T LEPHONE NUMBER ��-zo RW EXISTING REQUIRED DEDICATION Street Permit Required tUSI` Use Permit Req'd ` Inspection PROPOSED Required Sidewalk Required NAME J T SIZE LIT SIZE t NO. OF FIXTURES PRVCRREEQUIRED ¢ ADDR ADDRESS O / YE NO 7'� C� F L ram; / �O REMARKS w ti7 CITY ZIP PH TELEPHONE NUMBER U, �r. (�jla;( w 2 �, � etc n h N �l� 5 W NAME Iti . n��, 4fp �n ADDRESS 74 h � ¢ p ENGINEERING MEMO DATED �( _REVIEWED BY _ CITY ZIP I / TELEPHO E NUMBERJ C i �� FIRE MEMO DATED REVIEWED BY cc ` STATE LICENSE NUMBER EXPIRATION DATE ,. SIGN AREA SEPA REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements SHORELINE M O EXP a VARIANCE OR CU T. PLANNING REVIEW BY DATE y .�.1 J n/, S o SETBACKS — FEET HEIGHT LOT COVERAGE � Z FRONT Z SIDE REAR I s 7 ' /�• a W Property Tax ount/i 2 Vl REMARKS a Parcel et No. L NEW RESIDENTIAL PLUMBING ' / El ADDITION COMMERCIAL MECHANICAL APT. BLDG. REMODEL SIGN CHECKED BY TYPE OF CONSTRUCTION CODE L f/ OCCUPANT GROUP `. aG I FENCE REPAIR YOS. L_x_FT) DEMOLISH WOODSTOVE SWIM POOL INSERT HOT TUB/SPA SPECIAL INSPECTOR REQUIRED AREA OCCUPANT LOAD YES �j 7 �� GARAGE RETAINING WALL/ CARPORT RENEWAL R MARKS t^ ROCKERY ,Q� Z (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECT OdSY� pa der 305 0 �,��E. m I NUMBER NUMBER OF CRITICAL 0 `41tolt6 OFAREAS 7 /i�./C INUMBER9J m STORIES ` UUNITSDWELLING PLAN) !^ v DESCRIBE WORK TO BE DONE (ATTACH PLOT t --�� ►� �� L hc FINAL INSPECTION REQUIRED 3% VALUATION FEE PLAN CHECK FEE BUILDING mzm HEAT SOURCE: �CLS GLAZING o r PLUMBING Plan Check No. MECHANICAL 76 GRADINGIFILL This Permit covers work to bedone on private property ONLY. 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 ENO. INSPECTION FEE "Applicant, on behalf of his or her spouse, heirs, assigns and y successors in Interest, agrees to indemnify, defend and hold u, harmless the City of Edmonds, Washington, Its officials, f employees, and agents from any and all claims for damages of i whatever nature, arising directly or indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT �Y a modify, waive or reduce any requirement of any city ordinance qq�Q i Inor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE IWrp provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the pwner, or. the duly authorized agent of the owner. I agree to'comply-With city and THIS PERMIT This application is not a permit until state laws regulating construction; and in doing the work authoriz- AUTHORIZES 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 relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. SIGN RE IOWNER OR A DATE SIGNED DEPARTMENT CITY OF OFFICIA IG /T RE TE .�L•F� EDMONDS L RELEASED Dv' TE • �- 4 CALL FOR ATTE iON INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE �� .r 420 OAwAAA UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED, USCT7 -1 nUAneo 1 Ir} r PINK — 0-,ketor GOLt) —Assessor R , C fie••' V E D MAR ` 8 CITY OF EDMONDS USE ZONE PERM S S_ NU BIER !9 i SING CONSTRUCTION PERMIT APPLICATION JOB r, SUITE -APT ADDRESS , %•(.� �. C} u OWNER NAME NAME OF PUSINESS L.�a�-e-, y� w C c",� '2 ",, LEGAL DESCRIPTION CHECK SL$ IVIS10N NO - LID Z MAILING AQO ESS TESCP Approved O O PUBLIC RIGHT OF WAY'PER OFFICIAL STREET MAP. CITY ZIP _ TELEPHONE NUMBER 745, ^7' EXISTING REQUIRED DEDICATION RW Permil Requ,red Street Use Permil Req'd �.( ,� b „� PROPOSED Inspection Required NAME Sidewalk Required w �Q N , t ` _ SIZE /j/) LINE SIZE It N0. OF FIXTURES PRV REQUIRED Q w ADORES I YEA NO e I �O RE RK W U, r C: CITY ZIP TELEPHONE NUMBER U, r•r . U� l�l z ; NAME ¢O U ADDRESS _ a n L �� ENGINEERING MEMO DATED �� /— I �(REVIEWED BY 2 CITY ZIP / TELEPHO E NUMBER C' 5- �/i ?� w FIRE MEMO DATED REVIEWED BY V ` C� (i STATE LICENSE NUMBER EXPIRATION DATE C� SIGN AREA SEPA REVIEW ADS NO. Legal Description Of Property - include all easemGItents R ALLOWED PROPOSED COMPLETE EXEMPT �j�1 SHORELINE M O EXP VARIANCE OR CU PLANNING REVIEW BY DATE N w o SETBACKS — FEET HEIGHT LOT COVERAGE Z w FRONT 2 [. SIDE S REAR I S 1' % _ Property „ Tax ACCOUnt 3 REMARKS J a Parcel No. d U `)O ' " NEW ////❑____ RESIDENTIAL PLUMBING El ADDITION COMMERCIAL MECHANICAL APT. BLDG. El REMODEL SIGN G I FENCE REPAIR vDS. � L_x_FT) CHECKED BY ' TYPE OF CONSTRUCTION CODE J/ OCCUPANT GROuP I DEMOLISH El WOODSTOVE SWIM POOL INSERT HOT TUB/SPA SPECIAL INSPECTOR AREA OCCUPANT ' REQUIRED YES �j� z �9 3� LOAD j� GARAGE a RETAINING WALL/ a CARPORT RENEWAL R MARKS (^ ROCKERY l / Z (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECT OV ER d{r 30S 0 �U S�m6, anti,) e��G E * m W NUMBER NUMBER OF CRITICAL 1414it!e OF 7. 1 DWELLING /tip AREAS INUMBER m STORIES UNITS PLAN) DESCRIBE WORK TO BE DONE (ATTACH PLOT 4. S ►� a. L►kE FINAL INSPECTION REQUIRED >„3� VALUATION FEE JoL PLAN CHECK FEE BUILDING A7 HEAT SOURCE: GLAZING % / CS �S e PLUMBING Plan Check No. MECHANICAL -717 GRADING/FILL I This Permit covers work to be done On private property ONLY. 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 "Applicant, on behalf of his Or her spouse, heirs, assigns and ENO. INSPErCTIONFEE v, successors in interest, agrees to indemnify, defend and hold W harmless the City of Edmonds, Washington, Its officials, s employees, and agents from any and all claims for damages of iwhatever nature, arising directly or Indirectly from the Issuance .•- of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance i nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information 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 construction; and In doing the work authoriz• THIS PERMIT 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 relating to Workmen's Compensa• WORK NOTED Deputy; and fees are paid, and receipt is Lion Insurance and RCW 18.27. INSPECTION acknowledged in space provided. IOWNER OR A DATE SIGNED DEPARTMENT FGNRE OF CITY OF CITY OFFIC;A IG ,TRE TE E iZ ATTE IO•N CALL FOR INSPECTION RELEASED BY: .+�""��" � 9� IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE w UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 77 1 O 1 ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC �u.nTro o A A� r 10 1 PINK — tw:^•pr GOLD — Assessor