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16423 72ND AVE W.PDF111111IIII lillIII III5605 16423 72 N D AVE W BACKFL CEM NOTE: 1" COPPER CONTINOUS FROM METER TO HOUSE PLACED IN ORIGINAL TRENCH 1" PLASTIC PIPE REMOVED BACKFLOW UNIT INSTALLED FOR FRONT YARD SPRINKLER SYSTEM ., 0 F ED&_ F INV CITY OF EDMONDS WATERLINE AS -BUILT d ADDRESS: WATERLINE � 16423 72ND AVE W NO. UNKNOWN CONTRACTOR: HOMEOWNER: SCALE: UNKNOWN UNKNOWN NTS DATE INSPECTED: INSPECTED BY: DATE DRAWN: DRAWN BY: 4/04/02 D G 9/ 12/06 1. AB I LA The City of Edmond �,. • FL side Sewer Drawing ��� "`� EASEMENT NO. NEW CONSTRUCTION REPAIRS ❑ LID NO_ __________________ ASM I'. NO. ------------------ OWNER ----- C_la.ir.--- -U-hlla- ?----------------------------- CONTRACTOR ------ c>wne—v-r'--------..--------------------------------------_-_-_ PERMIT NO. .---................ JOB ADDRESS ----- 'L /'T ve � -W -__ LEGAL DESCRIPTION: LOT NO. BLOCK NO. +cs C&I in pticted __ For . sue - ScAimr Iowa 0 ----------------------- ----------------------------------------------------------------------------------------------------------- NAME OF ADDITION -------------------------------------------------------------------------------------- '�2r�s�"ov1" -.i P. r=-_sad _S�wtt--Vf�av�e• W- lid C2' c.v ripe .) �-Watav Se�v. 1He`�"em�r. A'v e- _.... Approved.: WM-Wl-11175 REV.11/78 DATE .... - ��.......... B .- t � � � � �- � BUILDING DIVISION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) C MAILING ADDRESS 4 U-, -w-NtD L� 0 CITY F U H ADDRESS I U E CITY NAME E 0 ADDi I- U a E CITY I- Z 0 u _ A USE n P IT Applicant Fill ZONE f�GN ER Inside Heavy Lines JOB ris1: :-; .. -: ADDRESS LEGAL DESCRIPTION I SUBDIVISION LEPHONE NUMBER LEPHONE NUMBER ELEPHONE NUMBER ow Below or Attach Four Copies SHORT SUB NO. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING PROPOSED DEFICIENCY OF RIGHT OF WAY PUBLIC IMPROVEMENTS REQUIRED ❑ DRAINAGE IMPROVEMENTS REQUIRED ❑ DRAINAGE PLAN REQUIRED ❑ UNDERGROUND WIRING REQUIRED ❑ ' CONNECTION TO SANITARY SEWER ❑ SEPTIC TANK PERMIT REQ'D ❑ NO. ELEVATION OF PROPERTY CORNERS ❑ & FOOTINGS REQ'O SEE ENGINEERING MEMO DATED CHECKED BY ,/I/ METER SIZE I BUILDING SUPPLY SIZE �� ����� O��` SIGN AREA ENV. REVIEW ADO NO. 6 E ALLOWED PROPOSED COMPLETE EXEMPT U SHORELINE In W 0 J a REMARKS V W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS LOT COVERAGE FRONT SIDE REAR NEW RHSIDHNTIAL GAS LINE FIRE ZONE . TYPE OF CONSTRUCTION .CODE HEIGHT NON-RESIDENTIAL El SIGN ElRETAININGRETAINING El DEMOLISH SPECIAL INSPECTOR REQUIRED ❑ ALTER 1:1 ORCFILLTH � WALL I ENCE X_FT) El YES El No PLAN CHECKED BV REPAIR PRE-NSP.µOVE swim POOL REMARKS Z NUMBER OF STORIES NUMBER OF OWE LLING F UNITS a NATURE OF WORK TO BE DONE W 0 m 0 PLAN CHECK FEE "Applicant, on behalf of his or her spouse, heirs, assigns and W successors in interest, agrees to indemnify, defend and hold harmless J g the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance of this permit. Issu- 0 ance of this permit shall not be deemed to modify, waive or reduce env reouirement of any city ordinance nor limit in any way the BUILDING I F� 4 OCCUPANCY OCCUPANT GROUP LOAD ._J THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION I FEE PLUMBING MECHANICAL FENCE SIGN RETAINING WALL SWIMMING POOL __ DATE': 1117,110 TO: RIIII(IiTIFII Community Development Dcp,,.irLmc,,jc FROH; Eri�,ineerj.rip, Division Puhlic I,Icirl--,s DeparOmen t SUBJECT: revic,.,7 of the sl")jc'CC "i1cliTIP, PeMiL 11)Plic,--iLion, have Clio F-0110winli, COMUCIILS: I.JAU� =(',I 0 PUBLIC WORKS DEPARMM CHEacusT • BUILDING PERMIT REVIEW t 14 1-7---�2 Z —�' �►�� W I (address)-,,,((ddaate Street Right -of -Way Existing READ z Access Easements Existing REQI)r H g Utility Easement Existing /REQD W Lot Per Subdivision Plat /,,L sessor Map W Site Plan Checked for Accuracy z Underground Wiring Regd. N 0 Check Accuracy of Legal Descrj�ptlm* z Review b Date w Existing Water Main Size Water Main Required Service Line Required Y, Hydrant Size Exist' 9 Hydrant Reqd Per Fire Code Size- W Detector Check Meter Reqd. H Cross Connection Inspecti I S REQU1�E� Aai '� qgQ ""'~ � s `� Fire Department Conments d 3 Water Meter Charge Reqd. Review bye .. cc S ► - -;, k 3 Date 7 -Z -go Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability Proj. Drawing No. File No. Side Sewer Availability w Sanitary Sewer Connection Fee Reqd. 3 Review by Date w Open Ditch Existing Reqd. Z Culvert Reqd. Size x Catch Basin Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale open runoff H U' Manhole reqd. Indicate on Site Plan Soil Conditions and Ground Water Field Checked Review by Date Revised: 1v10-1977 Page 2 • H Street Paving Reqd. Curb and Gutter Reqd. w Sidewalk Reqd. w Curb Cut for Driveway Reqd. c4 Right -of -Way Construction Permit Reqd. H Bond Reqd. for Public Improvements Street Name Sign Reqd. ti Other Signing Reqd. A.. Pre Permit Site Inspection made on z a off BY: S&gEER w w WATER a En 1-4 N STREET ENGINMRING Special, Requirements listed dri memto Comaamity Development Department, Building Division BY- Date o All items filled in on Building Permit Application rx BY Date a' Drawings Stamped and Notations Made a' BY Date Approved by Public Works Department Revised: lv 10-1977 "o � mn 15 _Z 7`77 FT.75�F BUILDING DEPARTMENIW Applicant Fill PERMIT APPLICATION Inside Heavy Lines NAME (OR NAME OF BUSINESS) W MAILING ADDRESS CITY TELEPHONE NUMBER (�SF�aTT-c WA.C-1,'lgi; NAME r/'7,A13-3. ,C6 U W ADDRESS F Z U E CITY Q NAME `` Q�i j� 0W •\T_-t, E J 0 ADDRESS f. U Q E CITY r 0 U STATE LICENSE NUMBI ELEPHONE NUMBER LEPHONE NUMBER NUMBER a"(P-al Descri' . Property (Show Below or Attach Four Copl Z 6 N P «'r BF McpvowQA �E 1WAc+1 W 0 Q l7 W J USE ZONE PERMIT NUMBER -� •I � ��1;1.} JOB ADDRESS LEGAL LOT LOT.,AREA SION NO. ❑ NO 0000VARIANCE f OR COND. USE NO. l7 PROPOSED YARDS �' /FRONT HEIG FIT Z SIDE REAR 2 Z Z ALLOWABLE PROPOSED J SIGN AREA SIGN AREA a OTHER REOVIREMENTQb-� PLANNING DE1PTT.' APPROVAL DATE 1 ► \ �� W V� r r STREET R/W EXISTING STREET R/ FT. DEFICIENCY THIS PROPERTY COMP. PLAN ST. /W FT. ® FT. REMARKSDrive ay slopes not to exceed those Z indicated on Standard Dw'. No. 103 it CHECKED BY W W Z V STREET AND/OR UTILITY ElYES W WORK REQ'D NNO UNDERGROUND ❑ YES WIRING REQ'D NO TYPE CONNECTION VERIFIED BY _ SEPTIC SYSTEM ❑ YES PERMIT NUMBER W _ APPVD BY CITY ENG.'Nt --NO p;l REMARKS 0 METER SI E. SERVICE SIZE CLEARANCE C CKED F REM KS Q NEW RESIDENTIAL GAS LINE FIRE ZONE TYPE OF ❑ ❑ ❑ ADD ALTER REPAIR NON-RESIDENTIAL ❑ ❑ DEMOLISH EXCAVATE ❑ OR FILL PRE -swim NSP. a SIGN RETAINING WALL FENCE ( X_FT) POOL -0— SPECIAL INSPPECCTT9R REQUIRED ❑ YES 111 N0 PLAN CHEJJKEID BY R ARKS NUMBER OF STORIES Z NUMBER OF DWELLING UNITS F • NATURE OF WORK TO BE DONE NV=—V,) T N(, �r -)✓ I (,*" UM 0-, 01, i9 REA OCCUPANCY JOCCUPANT GROUPP LOAD JV I I: THIS SITE IS LOCATED N THE CITY w OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31,04, t7 . m PROPOSED USE VALUATION FEE Z y.�- K = t f�%N rA � PLAN CHECK No. 3, ca d PLOT PLAN(INDICATE SETBACKS, ABUTTINGSTREET)Ir BUILDING �llllllli� /v V' V N W 0 PLUMBING V V Q. T m 0 ]SWIMMING HEAT 3 GAS LINE FENCE SIGN RETAINING WALL POOL I hereby acknowledge that I have read this application; that the In. TOTAL AMOUNT DUE / J� formation given to correct; and that I am the owner, or the duly author, ized agent of the owner. I agree to comply with city and state laws regu- lating construction; and In doing the work authorised thereby, no puma ATTENTION APPLICATION APPROVAL will be employed In violation of the Labor Code of the State of Washington THIS PERMIT relating t0 Workmen's Compensation I[uureace. AUTHORIZES This application is not a permit until NOTE: Permit Limit One Year (Except DEMOLITIONS which ONLY THE signed by the Building Official or his Dep- , 11 be completed to ninety days; MOVED -IN BUII,DIN08 shall be OOID- WORK NOTED llty; and tees are paid, and receipt is ac- pleted In six months.) knowledged in space provided. SIGNATURE (OWN OR AGENT) DATE SIGNED INSPECTION DEPARTMENT (� • F-1 y �, �Q MIA CITY OF IEC O 'S AIGNATURE - I -A ..1'-l. EDMONDS 11 �M�J NOTE: Applicant Subject to Plan Check Fee DATE 775-2525 ; This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, ORIGINAL -File YELLOW - Inspector marquees, etc.) will require separate permission, PINK -Owner COLD - Accnccnr � STREET FILE S lot" -we CITY of EDMONDS --- PUBLIC WORKS DEPARTMENT Routing of Building Permit Applications Proposed Property Address of Application: 16423 - 72nd Ave. W. DEPARTMENT COMMENTS DATE H A T E R S 7' R E S T it ✓ 67elw> ef SEWER % G / N 0 T E S I BUILDING DEPARTMENT COMMENTS 50.00 B C1 2504 -21,U �.• f. BUILDING DEPARTMES Applicant Filli PERMIT APPLICATION Inside Heavy Lines USS/IN�ESJS)) NAME (OR NAM/Ev//OF B+//� V W i III\ o MAILING ADDRESS -D_a7 � E c7 CITY TELEPHONE NUMBER G_EAU-Ec NA)A 99199 NAME U ADDRESS W F I U CITY TELEPHONE NUMBER E Q NAME OwN�k 0 F U ADDRESS Q E F CITY TELEPHONE NUMBER Z O U STATE LICENSE NUMBER CITY LICENSE.NUMBER Legal Description of Property (Show Below or Attach r Copies) 7:;t_ S r-�. of \V Qry OF N t: N NEW RESIDENTIAL GAS ❑ LINE ElADD ❑ NON-RESIDENTIAL ❑ DEMOLISH EXAVA ALTER ❑ ORCFILLTE ' ❑SIGN RETAINING WALL � (ENCE X—FT) ❑ REPAIR PRE -swim ❑ NSP. POOL El NUMBER OF STORIES NUMBER OF .Z_._ DWELLING UNITS I NATURE OF WORK TO BE DONE N�vv ICJ I Lai N v Z a PLOT PLAN INDICATE BUILDING SETBACKI i ABUTTING STREETS) U UI W 0 m 0 USE PERMIT ZONE NUMBER JOB - ADDRESS 16 7,D- i/�� LEGAL LOT LOT AREA ❑ YES ❑ NO , VARIANCE OR A COND. USE NO. . PROPOSED YARDS Public WUr OWT FRONT SIDE.. REAR ALLOWABLE PROPOSED SIGN AREA SIGN AREA OTHER REQUIREMENTS PLANNING DEPT. APPROVAL DATE STREET R/W EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY COMP. PLAN'ST. R/W FT. FT. REMARKS CHECKED BY STREET AND/OR UTILITY ❑ YES WORK REQ'D ❑ NO UNDERGROUND ❑ YES WIRING REQ'D ❑ NO TYPE CONNECTION. VERIFIED BY ElYES PERMIT SEPTIC SYSTEM NUMBER APPVD BY CITY ENG. ❑ NO REMARKS METER SIZE ]SERVICE SIZE CLEARANCE CHECKED BY REMARKS FIRE ZONE TYPE OF CONSTRUCTION CODE SPECIAL INSPECTOR 'OCCUPANCY REQUIRED, JAREA JOCCUPANT GROUP LOAD ❑ YES ❑ NO PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD E CODED 31,04, REMARKS PLAN CHECK NO. BUILDING PLUMBING HEAT & GAS LINE FENCE SIGN VALUATION I . FEE RETAINING WALL SWIMMING POOL � � - .� �` `, �..i I a, G 7 7, ; , pox �o .....,_ ..... .... , .. r:.._......... ' �' � � � ==/ � .i � _� �. i i , � T. ` � �. �.. � ; �.� - t� � ;Li V J '' � a<�, � _ .. __ �' �., � y 1 �, � _��� w �� � �``1. . , _ _ � � . ,. s .. � yr,"� a;� � ; � � , �, .. � �,,� ;l :> ,, � • i S ��.: Permit Address �_ecal Description. FILE, �- al1ILD'ING PERMIT P,FVIEI,•1 - F"1GINFFRING DF.PARTOW CHECK LIST Reviewer's Intials ?` 1. Septic Tank Svstem Design Approved% 2. Sanitary Sewer Availahi1ity� Sht.� of Dwg. No. 'Project: Side Sewer Availability: �L 3. Any Sanitary Sewer Connection Fees�tl 4. Site Drainage Checked 4AKH�Av 5. Storm Sewer Availability: Sht. ''"' of Dwg. No. Project: Roadside Ditch-. 6. Grading & Final Contours 7. Sidewalks (Site Inspection shows condition of existinn vialks" as follows): 8. 9. 10. -Curbs - n Curb Cuts � Underground Wiring A.Street Lightinq L11X treet Right-of-wav &- RldqSetbacks:V�) ,Sht. f Dwg. No. of Official Street Map 12.. Existing Utility Easements .� 13. Access Easements/ • 14. Water Mains & Fire Hydrants (Indicate Size '.later Main) 15. 16. Special Requirement5�.1 sted in memo to Rldg. Dept. 17. Commercial & Apt.` Requirements form completed. 'ice 18. Drawings stamped & notations made n 19. Site Inspection made on 20. All items filled in on R1dg. Permit Appli anion 21. This Lot included in Lubdivision O� _(List any special requirements):