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16912 73RD PL W.PDFIIIIIIIIIIII 5810 16912 73RD PL W CITY OF EDMONDS jg"NEW ❑ ADDITION ❑ RETIREMENT ASSET INFORMATION SHEET STREET FILE ASSET NO. /y`3 DITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION 9�� 7c3 �� l� • DEPT..NO. !s "PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECT NUMBER "a7, t PROJECT COMPLETION DATE COST B.A.R.S.ACCOUNT NO. -Y��-DDD� O/t -3 . 00.10, �, 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 ODEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ G.L. ENTRY INITIAL by REFERENCE VERIFIED BY PROCESSED BATCH NO. DATE DEPARTMENT FILE �4, ' N ' "76 - 00 WHI 8,��t��€� , oC - cc -:Loj E> 1��Mor)t�.VIM �i�se . I pEzr (0-0 �°T �IJ _ �69�a ��PiP� w__ STREET FILE qc CITY of EDMONDS For Inspection Call 771-3202 Address of Construction: RECEIVED SIDE SEWER PERMIT PERMIT NO. 07478 ��tl - TFILE I (0 Q t Z PUBLICg1. 7;�-\ \�j ,,z�S ; LXNNWQOD LINE Property Legal 'Description (Include all easements): Lbw S G__ Owner and/or Builder; \ Contractor & License No: Single Family. Residence Multi -Family W. (No. of Units ) Commercial (No. of fixture Units ) Invasion into City Right -of -Way: No x 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 x Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ,THE ITEMS LISTED ON THE -BACK Z-4 A� co I certify that I have read and shall comply ..Date with the items listed on the back. Permit Fee: 36-00 Issued By: Trunk Charge: ,Date Issued: # 6 1Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: .5 /5-89VIIIMSP 8�3 -RoN NoLL.AND Date Initial Rejected: a White Copy - File Reason ** PERMIT MUST BE POSTED ON JOB SITE ** Green Copy - Inspector Date Initial f. ,Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO - ............................................ NEW CONSTRUCTION IS( REPAIRS R LID NO ................... . ASMT. NO . .................. OWNER ----- ---------------------------------- ---------- CONTRACTOR --------------------------------- -------------- ................................... PERMIT NO. 74.7.8 ... ------ JOB ADDRESS -16112 ------------ -- - ---- W!_ ---------------- LEGAL DESCRIPTION: LOT NO. ------ 5 --------------------------- BLOCK NO. [(-ypjp4W,00D..L4r74E,] NAME OF ADDITION ..... tle-isy. ................... luj!jp- Wwc I pvc� Ii rig— .— qll uxFlo - 4' dl der 10 m 72� VL W. 1p/va PWW-0001 -11/75 (REV. 11/78) -73 a,., " le b 6 ,&, Approved: DATE ... !k.7-11 ------ ---------------- By ...... PROJECT REVav CHE=IST x ! ' ` b . PRC�7ECT NAME: 'S�F ,044/1W 4rrrts rRaiEcr MrriESS APPLICATION RECEIPT DATE: 006 Reviewed by ,initial date }R _w4 C 44E NTS PIANNTNG WTR/SWR STftEEr ' ENGNFQIG t , FIRE BUILDING,: / / / g FANILLY/MULTIPLE/00[�A4�CIAL - (Circle One)''///%///A i SETBACKS C3iDCKED -Planning, VARIANCE/SETBACK ADJ./14 CONDITIONAL USE PERMITTR77177/! /'///f!+ 3 ADB RDQUIREMFN'I5 ,- 777 77777-111 — OTHER ZONING REQUIRE[�l'!5 .'t //%////!/ / ///!// ENVIRONIIMENPAL FEATURES �— �SSr ///!///!/ ////////l !!///!!! 'ACCESS-SIAPF. &; VEHICLE ACCESS . DRAINAGE PLAN (On Site) 1 $TREE•!' FILE / , r 7777 i� LEGAL DESCRIPTION VFi2IFICATIIXV .. l / �. t QUIT CLAIM/DEDICATICNS� w ,a . ix ♦ --rYU'4 _'t �ii ,., !!/�//'!!! EASEMENP PUBLIC/PRIVATE' I i '. �, 12 i u CA�ATE SEWER CONNECTION. IF'NO tID# Y ! S r 7771777 13 PLAT/SUBDMSICN_REQUIREMEi4lS� { x 14��r„� RIGHT-0E-WAY CONSTRUCTION', PERMIT'RBQD 15 BMD READ FOR, PUBLIC IMPROVEMENZS % ,N SOILS CONTI DIONS &' GRDUND,y , '..; ///// //// j �, WATER ilim ;Cl� STREET PAVING'•REQUIRID !..'� ?' v CURB AND. GCTI'TER REQUIRED 77 SIDEWALK' REQUIRED. $; CURB CUT FOR DRIVEWAY READ it t rSIGN+ READ " STREET z, %�ti • /////////f 22 y� SIGNING ,. REM . 1a 23. SIDE SEWER AVA24 ILABILITY a. r EXISTING WATER MAIN• SIZEi' " 1- WATE�2' MFTE12 SIZE V.-,' ' SERVICE LINE SIZE HYDRANT REQUIRED ; /r .1711177 ////i/i as HYDRANT SIZE EXISTING „' r CROSS CONNECTION INSPECTION REQD t ?. / /// /r l 1' %%rr! 30 WATER METER CHARGE READ ' .3 FIRE LINE CHARGE REXZD r; SPRIMER ////////// - STREET CUT " ///////// 33{ri OPEN DITCH EXISTING /. / / s w 34 . READ • ' .. . n#. 04 CULVERT RDQD SIZE i �. , ►F tt, 37.' CATCH BASIN 138 INDICATED SITE PLAN ' 777117! SHOULDER DRAINAGE MAINTAIN :; // //.///////.///////// 3913 SHALE OPEN RUNOFF / / 77 / +} O �.. , �'� q'' '"`f'{� '+ '�'�' t�'� -� , i,: ab..o�ta'' . ��. ',y�.w'.s•b!__ -`. # „y^ 3 REVIEWED BY: ��"r: }•»:, PUB C WORKS. MGR �, r ° �� PLANNING MGR. ,� ENGINEERING MGR..e51� i t �;}e "�� cc N W USE CITY OF EDMONDS ZONE CONSTRUCTION PERMIT APPLICATION Jos PERMIT NUMBER NAME (OR NAME OF BUSINESS) ADDRESS D/ MAILING ADDRESS 208' TELEPHONE NUMBER 3G 7 Sq ;- ( NAME ADDRESS 1 —4 . W . TELEPHONE NUMBER $-V -22Qg NAME .EGAL.EGAL D� HECK SUBDIVISION No. LID O. PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSES RIGHT OF //WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED ADDRESS METER SIZE BUILDING SUPPLY SIZE FIXTURI CITY TELEPHONE NUMBER Tq wu©O'O U3Q .3ro /� Z REMARKS STATE LICENSE NUMBER l../ V L P HM SIGN AREA ENV. REVIEW Legal Description of Property • Include all easements ALLOWED I PROPOSED COMPLETE I EXEMPT (show below or attach four copies) Na� ` LJ, S�VARIANCE OR CUOR CU 2 L1 E ` (, r YARDS V�J FRONT SIDE LJ NEW I ' RESIDENTIAL LJ PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN OEMOUSH EXCAVATE OR FILL FENCE I x _FT) CHECKED BY T' IR ❑ PRE -MOVE INSPJ REMODEL COMPLIANCE INSP. ❑ SWIM POOL RENEWAL SPECIAL INSPECTOR REQUIRED 0 YES U NO WOOSER STOVE ❑ APT. BLDG MARKS NUMBER OF STORIES NUMBER OF I DWELLING t UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 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, STATE SURCHARGE driveways, marquees, etc.) will require Separate permission. 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 i 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 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 authorized agent of the owner. 1 agree to comply with city and state laws regulating construction; and in doing the work authoriz= ad thereby, no person will be employed in violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of the State of Washington relating to Workmen's Compensa• WORK NOTED ti n InSUr nce.. INSPECTION DEPARTMENT SIGNATURE (OWNER OR AGENT) DATE SIGNED �7 CITY OF EDMONDS ATTENTION 7713202 REAR UNITS ADS NO. REVIEW BY DATE HEIGHT I LOT COVERAGE GROUP VALUATION FEE HEIGHT OCCUPANT LOAD 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 0 Z ii W W Z a Z uw W i 3 0 z Z Z 5 a IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102.78 — -1 X EDES IV WALKJ�$6�Y -UR 59�IA�r �r/ ot- L PC A 7- Oe D� �Nj IIr :t� % f � .. V vwl 4t- 7 t ES f,G IV A RC EoYEA/� - QU GIN ER. 7 7E: 0 ER, So DI O RE A N,G as VV14 L S t ER U/ IT 4L 19 ol l / / / s -11B. 7.' 'K Q7' / CB� /a / / I / / �A C I l / \ LLN. AS CIS# SARIO ZID le Ael S71e. if 50 - 4V, 7 f", I c 15 9�.. r ic gi� OAZ 16 3 3, UIN - 7 ,-,6 4' Ie zdc.,4s "40w/v S041D, ZlCAr1Nl- z10 9 _40 -300 CBS13/ 10C. AS SAVWAI Ij JoilD. zonrmr z1D V__61,4�; T FE• .4 �ERIESQ_VER A—tAQN G 4 RET L _', � E A--��ARA-n ... 3"WG 2 to' ?5 * DRA�� I MIL '76 It - -------------- N CO -1 e I CC, I 5 It"s 1"fiEvf 14T to A>P v L- Z10* Afne + PROTECT REVIEW CHECKLIST +PRQ7ECIx NAME /F D/1{�l`77GY1�-S PROJECT.'ADDRESS '%D; `�3►td .rPL V✓es ,F; ` �,'� `�,� x t. 4 , • �. �L, - ! , r r .� r-, -: ,I _ ,i 'r'_� '{APPLICATION'RECEIPT DATE , ,t 4I 6' �6 F �, l?�• tt'{ h.,t4 , �, gyp: ,.i, x ° v-,. .1f.. ., "•ai, "` .Reviewed^ by. '(initial date).;Y 'PLANNING `f-WI'R/SWR''' STREET'tr 4ENGNRNG ` 7 ; € �r�, h + _FIRE' BUILDING- / //// /// /,.//! 7 :" r'.- �41 *,..;iq K7'"-ti•t l'',„t>r'_. ..isttr .,,; .. ':� ,S. o .�i{yj.a' 4'� SINGLE FAMILY/MULTIPLE/CC)NIAL ,'(Circle Chie);� r SETBACKS CCU Planning, //T177T17T 777775, VARIANCE/SETBACK'ADJ. I CONDITIONAL''USE PERMIT I� `' �+'! .: I 7 '. %////✓/// ////L%'// %%///'///// V. YSTq ADB JCHIDCECED //Wux %/////%/// °3 m i k OTHER ZONING REQUIRFr'lErl'Ps ;x4.} �rY.4.xF ENVIRONMENTAL FEATURES t,, r ti;,,.iu ACCESS SLOPE. & VEHICLE ACCESS '! E f +h.. ///////// %//////// //////// s. ,� 1 6�I�t c` L. DRAINAGE PLAN (On Site) STREET FILE LEGAL DESCRIPTION VERIFICATION 12(/L EASEMENT - PUBLIC/PRIVATE CALO"TE SEWER CONNECTION IF NO LID PLAT/SUBDIVISION REQUIREMENIxSj�dk RIGHT-OF-WAY CONSTRUCTION PERMIT REQ / �r y BOND READ FOR PUBLIC IMPROVEMENTS ////// ///////// ///////// //////// { s4z ", SOILS CONDITIONS & GROUND / WATER FIELD CHECKED ,.• : ,. ////// ///////// ///////// //// // `.'ri` 16tin�•< STREET PAVING REQUIRED , , 1 �. ////// ///////// ///////// 7,4:. 17'. / // ;ice, CURB AND GUTTER REQUIRED / t %lr ff' ' SIDEWALK REQUIRID f :t:'. a • .. ' ////// /////%/// /%/////// r,'� jf CURB CUT' FOR DRIVEWAY REQD 11, % ' r t. �... M ////// ///////// ////✓//// ////////// 20 STREET NAME SIGN READ ! .{c"4 y . { " •�"h X 5 ///////// ///////// tg ////////// 21 P ., .•ri:" l�t OTHERSIGNING_,REQD.•' � ''.i � ////// /////'//// ///////// ////////// 22 SIDE SEWER AVAILABILITY ":. i ,;f.77777TRm f77777777 7777777777F; EXISTING WATER MAIN SIZE 3 x s L y :. r •:, ! / /// /, ./// j r . '" 77777777 WATER METER SIZE26 SERVICE LINE SIZE' _ HYDRANT REQUIRED t .;,•.; ,., i _ �' ///////// ///////// //////// ////////// 27',%#+r,' ?; :.,1: HYDRANT SIZE.EXISTING _ tr:`:. '{' ////// '/////////';} //�////% ///// 28";z; ty�� .. r{},I '1• ri.{ }�, :L , riL'r I .y p"ftpp44 / rx i h CR06S CONNECTION" INSPECTION"RDQD:r'7 :. „fit,' :::;, ////// //%////// .a ////////: ///////L// 29.ta: P (j�, //. ////// p / /// . / //////////p {k rrz3;Y, 30 �� T •'._WATER METER 'CHARGE RDQD .:3 ir' r � k ////// ///////// /////'/// rFIRE LINEt7CHAk REED �SPRINKLtA,- "' i �- , .i 1 h xt{ y �; ✓�t i t *�1T 1' //////I,/////////- �i _'- � 7� � ,. ///////��/ `�.�np 7� 6£ STREET CUT OPEN DITCH :EXISTING M f 44 j, 7 t J-.e 33 v a s 344i�. '' `r; ;7=• ` 4r ; ' !' CULVERT RECZD > �: +'� (s"✓s .' �' ;, t f'' ///'/// '%///%//// /////////. b 3'gg5 - } M{- • ;SIZE ; 36��j�b , ', 4h III/.///// ` C� 37t� CATCH BASIN RDQD :'!. ;'' "X� :+ 1 to11VIII. ' r INDICATED ON SITE PLANT-.'.?'.?� ,�,.r"T, %///// %///////% ///////// is ' ,rn �'1 7t'F 38;t,�t, . SHOULDER DRAINAGE. MAINTAIN jy r., ly r,[" { '. t _ • 8r SHAD OPEN RUNOFF ? `r .:. _' . ,;: s }. • //////. '/////////+ //%/%/ '///7777 '. , t . , : L •.. 39a '; t�k 7 ITV y ,7 MISC: & 3 /////////, ///////// {h, 40 r. REVIEWED BY: PLANNING MGR. ENGINEERING MGR. P IC WORKS MGR. 1 t J . . , i ,: x+. , �CgF�?* kta.>� , t t � p• Pqi - _ _'•� ...�::. , _ .. ..._...L.. r... + .�,:ems: �__...r...........?� u...... u_..� ce.�1rr;is.7.tj.Pc.ttc.st.�:ix+x�...S�.rt� S,� � I CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) ZMAILING Al O ©. \-�Qi Y-,i —1 Or-1 ADDRESS N AJJ CITY TELEPHONE NUMBER yfo 2z8 NAME hex P0--Zz�-t ADDRESS CITY TELEPHONE NUMBER L-(N r-ywc)&P utJjNr -36?-iS4.2i STATE LICENSE NUMBER --.2-31 -- Q Legal Description of Property - Include all easements (show below or attach four copies) Ld\ 1AaS f-y&F_ , Ll .8 —\ . -2-?V4 2 y,�-Z7 vA.Nc. KNEW RESIDENTIAL PLUMBING ADWALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN DEMOUSH ORCFILLTE a (( FENCE x-FT) REMODEL PJ COMPLIANCESINSP. wim SPOOL WO10 SERT ] APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING 'UNITS NATURE OF WORK TO BE DDOONNE' (ATTACH PLOT PLAN) USE /RD \-PERMIT ZONE /`� NUMBER ADDRESS ODD �/ Riv / /��-G / a� LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. Zor 9 PAD 3 -�a PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING - REQUIRED DEDICATION RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ❑ STREET USE PERMIT REQUIRED ❑ SEE ENGINEERING MEMO DATED 1 METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS ac W REMARKS Q 13: SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT I SHORELINE N . VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT LOT COVERAGE ? Z FRONT SIDE REAR Z REMARKS a ,^,HECKED BY TYPE OF CONSTRUCTION CODE % HEIGHT y / / / I y �✓ /i/ SPECIAL INSPECTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 0 YES O NO i m4L _v'r-su l- AE4 mfo -�Oqk Cook o ,Ito PLAN CHECK FEE BUILDING PLUMBING 3 ��—"J6_Z 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 ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to Indemnify, defend and hold Lvu)J harmless the City of Edmonds, Washington, its officials, Q employees, and agents from any and all claims for damages of < whatever nature, arising directly or Indirectly from the issuance x of this permit. Issuance of. this permit shall not be deemed to omodify,. waive or reduce any requirement of any city ordinance x nor limit in any way the City's ability to enforce any ordinance provision." PLAN CHECK DEPOSIT TOTAL AMOUNT DUE 1 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 authorlZ- ad thereby, no person will be employed In violation of the Labor THIS PERMIT AUTHORIZES ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tion InAufspncP.. SIGNATURE (OWNER OR AGENT) DATE SIGNEDg, INSPECTION DEPARTMENT / CITY OF EDMONDS ATTENTION 7713202 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•78 VALUATION I FEE 2/03 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 a C17 5VIA707 '0/7q• G17 Slvlydp7 'O/70S /vmCW ' Sa -J07 NMOHS Sb' 'J07 • Oil - •- • i is \ -,{, WSJ J'�/+J�d' ri•7fS l �96'�'/dd�G . CL' � a � G/7 9�V/,YJO 7 'p/ (dd17 .7Ad..9 6 Mods sa -X77 \ 1�� \ •o \ Qom" `o Z 1b'.L' zl • s/ � . 9 / • _ of/go / - -' ..�:�w�3» •" •S";��.:.-�_ ,- ,`�. ,.• tic • - �:• � ,�ol/. p.. ` / / \ :�--j�•1y�Y`i idAl) JA ° �-.. :M; I x Yd'. L'9 -'��J07 i ��' � � / � Di �� .6601 7 N IMIN p ` // / � y„� • '� ems- t� 'a?��3 � 77 M c`/ 7Pm 7 ONEAl 00 AJJ Ay 10* __CaN 2�0- 0,48. p0 -j#A u LL4 ;it,"A (lot -f0PO k�;Nku Aw -I 3,�Ixl 1�j tD m 0 0 1� VI bN �LT i (IC Fklla L.J.