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16906 73RD PL W.PDFIIIIIIIIIIII5808 16906 73RD PL W CITY OF EDMONDS hi T F ASSET INFORMATION SHEET L!Q NEW ❑ ADDITION 1- RETIREMENT 14 ASSET NO. 6� d / ADDITION TO ASSET NO. DESCRIPTION /��� SERIAL NO. LOCATION Ala �O l J� DE ; . . "" PURCHASE ORDER NO. PURCHASE ORDER DATE COST " PROJECT NUMBER PROJECT COMPLETION DATED COST ��. "� B.A.R.S. ACCOUNT NO.l ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST "SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY ET'DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE b P INITIAL DATE A'._ .� VERIFIED BY PROCESSED BATCH NO. DEPARTMENT FILE CITY of EDMONDS�j For Inspection Call 771-325 U-Rr'EET r� � Address of Construction: I G SIDE SEWER PERMIT NO. PEAM.)T O7903 Property Descri tion (Incude.all..easements P y Legal 9 P easements): I � d-s •� �AVI_G_"i ` g400l 2— Owner and/or Builder: Contractor & License No: Single Family Residence ✓ pOD- L`i NNW . y Multi -Family (No. of Units ) Commercial. (No. of fixture Units ) Invasion into City Right -of -Way: No ✓ Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEMS LISTED ON THE.BACK z//2 7h I certify that I have read and shall comply A r R 2 d 1989 Date with the items listed on the back. PUB►_10 WORKS Permit Fee: 30— Trunk Charge: Assessment Fee: Issued By: 10— I Date Issued: 4/27192 Receipt No.: %(,%331 Z Partial Inspection: Comments Date Initial Final Inspection Approved:; L Date Initial Rejected: Reason Date Initial ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy - File Green Copy - Inspector Buff Copy - Applicant I f The City of Edmonds Side Sewer Drawing EASEMENT NO- --------------------------------------- NEW CONSTRUCTION [� REPAIRS ❑ LID NO - ------------------ -ASMT. NO. ------------------ OWNER------------------------------------------------------------------------------------------------ CONTRACTOR �oL t NA1---.-.VAOVf5---------......-------- PERMIT NO. JOB ADDRESS .110— 1--o.�-—...IS -. A .......... LEGAL DESCRIPTION: LOT NO.---------z------------------------ BLOCK NO..----------------------------------- C3 J 't= ~O C. �L f) N ` G UJ m-150CDA gi�tw* a 4 all BillO a N 0r N! O c8 = t� N'ca A C O 7 . 2 j PWW-0001-11/75 (REV.11178) 1 1 1 \0 ------------------------------------------------- — ... tc—t--------- 1sr7,--------------------------------------------------------- 0 NAME OF ADDITION ----------------------------------------. t ..A- %+ 1- %V 1P.u.C.a4o z' oP. AV Approved: A� DATE .5- �.1---1- �. ----------- BY l� �/- • r CJ� �\ PP(a7ECT REVIEW CIIECiQ.IST C} ? wECT N�DNPROJECT ADDRGSS • ?PLICATION RECEIPT DATE: /'� ��Q°D 1 IML-- rf or rm'i �.� i I emu.- Reviewed by: (initial date COi+R44LTTTS PLANNING WTR/SWR STREET ENC3mG� c FIRE BUILDING CNGLE FAMILY/MULTIPLE/OQMMERCYAL - (Circle one) .TBACK.S 00CRED - Planning TIT117777 1 77TI j 71111T VARIANCE/SFTRACK ADJ. ///////// //////// /////// LK 111177 )NDITIONAL USE PERMIT ////// ///////// //////// ////////// 2 )B REQUIREMfNM CHE= - (HER ZONING REQUIREMENTS ////// ///////// //////// ////////// 4 777777777 1VIRONM NI'AL FEATURES ////// ///////// //////// / 5 X3 SS SWPF S VEHICLE ACCESS ///////// ///////;/7/ ///// 6 / ;.A.INAGE PLAN (On Site)„ /////////////////////7 / // /TUMT FILE /// // //////// //////////// 8 -//7777777 / // X,AL DESCRIPTION VFRIFICATION ® / ///////// ///////// //////// 9 %%%77 %%%%j%% / / - ITT CIAIM/DP T.CATICNS 10 77.77T7777TF777777 SEMENf - PUBLIC/PRIVATE ///////// ///////// //////// 11 7CUTATE SEWER COMJDCTION IF NO LID$ ////// ///////// ///////// //////// 12 777777 AT/SUBDIVISICN REQUIRE(�Ol'I'S ////// ///////// //// /// 13 GITP-OF-WAY CONSTRUCTION PERMIT REQD 14_ //� / / / // ND READ PnR P(JBI.IC IMPROVEMENTS ///// ///////// ///////// //////// 15 IIS C(.M. TTIONS 6 GROUND %%-% TFR FIEIn Q1E]CfCED 16 7T/T/7 IT171/ IT T77717T REFP PAVING REQUIRED ////// ///////// ///////// 17 117'171// / %% RB AND GUMTR REQUIRED ////// ///////// ///////// ////////// 18 T%TTT 111117111 DEWALX REQUIRED ////// ///////// ///////// 19 /// / ///// RA CUT FOR DRIVE -MAY RDQD ////// ///////// ////////// 20 _///////// REEF NAME SIGN RDQD ////////% ///////// ////////// 21 BIER SIGNING RDQD ////// ///////// ///////// ////////// 22 DE SEWER AVAILABILITY ////// ///////// /////////J //////// 23 (/, 11111117777111111 ISTING WATER MAIN SIZE /� 24 " ///// 777 / / TM METER SIZE ////// ///.LI //////// ////////// 25 7/ iNICL LINE SIZIs ////// ///////// / //////// ////////// 26 111 7"777% DRANT REQUIRED ///////// ////// /./ //////// ////////// 27 %%%%%% / %'� / / DRANP SIZE EXISTING ////// ///////// i //////// ////////// 28 ASS CONNECTION INSPECTION READ ////// ///////// 29 TER METER CHARGE RED / ////// FI I -TIT ///////// ! i/ //////// ////// ////////// 30 �� FIRE LINE CIW2GE READ - SPRINKLER ///////// v //////// ////////// 31 REST CUT ////// ///////// /r ////////// 32 %T — FN DITCH EXISTING ////// ///////// ///////// 33 77T/7-77F777777 READ ////// ///////// ///////// 1 34 / // 35. SIZE 36 .TCH BASIN RDQD ,: /✓//// ///%/////777 INDICATED CN SITE PLAN ,. .. ////// ////%/I%/ %/UW/'/. ,OULDER DRAINAGE MAINTAIN • $ a y% sEEALE OPEN RUNOFF � R :i��i � :zi/lr r%�� 39 SC: H l ►� e ro/i� rrr rrrr � 9 iTCt.1Ef1 [fV _ -~ -_ PLANNING MGR. E;VO � •s WORKS USE 14WPERMIT CITY OF EDMONDS ZONE NUMBER CONSTRUCTION PERMIT APPLICATION joB �Y NAME (OR NAME OF BUSINESS) ADDRESS %'. Ob % / O L_?\ r�\ `yam', w (,1 rn�� LEGAL DESCRIPT/IOvN ECK SUBDIVISION A LID NO. MAILING ADDRESS ^/`l^/ CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. N N1 Y v J b $ 9 2 EXISTING R UIRED DEDICATION PROPOSE _qj NAME _ �i (5 �(0 RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED I w ADDRESS STREET USE PERMIT REQUIRED C: Lri o �I SEE ENGINEERING MEMO DATED a CITY TELEPHONE NUMBER C . _ e\m--V lam. `� 1 !J. —G�/`-2 C3 g v� REMARKS NAME Q ¢ ADD-D-RREESS \.J O� METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS CITY TELEPHONE NUMBER J ^ O L-1 ► iN u/n no 3 6 7<-6 2 REMARKS STATE LICENSE NUMBER © -Lim-[4 - N GL Legal Description of Property - include all easements (show below or attach four copies) Z O a _ SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE i EXEMPT VARIANCE OR CU REVIEW BY r YARDS FRONT SIDE REAR REMARKS I L►!J NEW L1G RESIDENTIAL PLUMBING ADDIALTER 0 COMMERCIAL MECHANICAL El , REPAIR RETAINING WALL LJ SIGN El EXCAVATE 1:1OR FENCE El CHECKED BY TYPE OF CONSTRUCTION DEMOLISH FILL ( x FT) j><W REMODEL ❑ PRE -MOVE INSP.1 Fj SWIM SPECIAL INSPECTOR AREA OCC 0 z cc 3 ADB NO. IORELINE q DATE HEIGHT I LOT COVERAGE COMPLIANCE INSP. POOL REQUIRED GROUP WOOD NSEROVEI APT.BLDG RENEWAL REMARKS f NO PROGRESS INSPECTIONS PER UBC 305 NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) N E "1-j G A PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL 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 ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold harmless 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. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinance 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 information given is correct; and that I am the owner, or the duly ATTENTION 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 ed thereby, no person will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion Insurance. INSPECTION >IGNATURE (OWNER AGENT) DATE SI NED DEPARTMENT CITY OF EDMONDS ATTENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-87 VALUATION )E HEIGHT �Y OCCUPANT 3 LOAD O z ID J_ 7 FEE II M_ APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor .1 , • �Lgn •��� 275 2��� '7:(� �49 i I I 2?v I � i 0J,zi-1)(r 27e' .. r MEMO TO: Building Division FROM: Engineering Division SUBJECT: After review of the subject building permit application, we have the following comments: 1) Connection to Citywater system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work.on City property. 4) Driveway slope not to exceed 141*9. 5) Back water valve required if downstairs plumbing is below. elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for rontainina all -temporary runoff and erosion on site and may not impact neighboring properties in any way. 8) Construction hours from-7:00 a.m..'to 10:00 p.m. on wde:kdays and 10:00 a.n. to 6:00 p.m. on weekends and holidays. 9 ) No burning of construction refuse w; ttin ut-n=mrni.a t hY F4 re Dept.