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16916 73RD PL W.PDF11111111111111 15004 16916 73RD PL W CITY of EDMONDS SS S I D E S,,EJ v�, For a EET 1 7 - 02 7 V05— PERMIT Ivy Address of Construction: o n %3 ��-• \ � -- Property Legal Description (Include all easements): _oc\ (o Q Owner and/or Builder: Contractor & License No: Single Family Residence Multi - Family Commercial (No. of Units ) (No. of fixture Units ) LYNNWOOD�LlNfl 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 I certify that I have read and shall comply Date with the items listed on the back. Permit Fee: Issued By: Trunk Charge: 00 D. 191i Assessment Fee: Receipt No.: Partial Inspection: Comments Date Initial Final Inspection Approved: tL_kp_& '7 Date Initial 00 Rejected: Reason Date Initial ** PERMIT MUST BE POSTED ON JOB SITE > ** a� Of Wh.ite Copy = File Green Copy -"Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO- --------------•-----•----------------------- NEW CONSTRUCTION X' REPAIRS ❑ LID NO - ------------------ -ASMT. NO. -- --------.------- ' OWNER -Q9k9�r)"fY3 --------- N\ ............................... CONTRACTOR 7�)►^^4--------•---•------...--------------•----••----••------•-•----------- PERMIT NO. 019 .5 JOB ADDRESS U.A. ` ` -------- ..J �-- ••- \A •-•-----• LEGAL DESCRIPTION: LOT NO. ------ `r---------------------------- BLOCK NO. ----....------ -------•------------- __�e.wc� Ma�vJ —�� tier—_��AME OF ADDITION .--------p� ..... I V -L N..�o W u�. w its bewo A' Oo C .3. EEEOD LINE AA\ 41p, (D— m.o c 7-b `'� -•-0 .•••....... Bye-?5�Gl.r....a�`"`'' --`�---•---- CITY OF EDMONDS - 8770U,211 ME ASSET INFORMATION SHEET WNEW ❑ ADDITION ❑ RETIREMENT ASSET NO. ADDITION TO ASSET NO. _ DESCRIPTION SERIAL NO. LOCATION � � / / � � / � DEPY. NO. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST *PROJECT NUMBER PROJECT COMPLETION DATE COST�i��� B.A.R.S. ACCOUNT NO. 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 LP DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT is G.L. E REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. b P INITIA DEPARTMENT FILE BSI l��I=�t��4�SaN�I, � � .._ LWrlHk QV-M -Z vvii:� 1 11111 HIM, $4 -LF43 Pqg:�w LHo)rv"<lf �. IL) -.Ja Ll AOV A 3 133H1S F;� 5 7_Revby: lew� r7I'R/SWR f_riitial/daze) STP= a�YMG > / %/ //f77TI// ' PAMILY/MULTIPLEi -'1HBOM �uiing / // /!/ / / / //// Ill f /l/I !l OMITIONAL USE PERMIT //!/// ///////// !/////// ////////// 2 �,,��;, / // ///// r/////T/ ////////// !)FY REQUIREMENTS CHECKED ////// ///////// //r///// //I/Il///! a 1711117T 171117111111111 ^n;4MP'ZONING REQUIPD03 I'S /////f ////////I /!////// /// /////! 4 iauvTAr. FrATUREs7-ffl , `iS SLOPE & VEHICIR AOCEES:1 / //II///// ///f///// !////1// 6 ,4wAGE PLAN (on site) -Lf✓' � flf//l //!1//!J/ ///////// ///////l l 7 RILE _.__. ////// /////l/// /I1////// ////l//i 8, :�iAD'i(aESCRIPTIM VE'MFICATI , _.� '� r, -. xi',CTAIM/DF.DrCA7`IONS � _ ///r// /// ///// ////////r //1////! 10 j' !6tlNP - PUBLIC/PRIVATE lz J ///// ///////JI //// 11 `— %ITT 7///// 4 L,,CLTLATE SEWER COMECTRA _IF NO LID-9- ////// //////./// ///rIf/// 12 ---- ------ �i/SUBDrVISICN RE?QUrREidEIfPS� 114W ////// ///////// /// ///./ 13 :63i`r--Ar-WAY CONSTRUCTILIN PERMIT REOD Lei /////% ///////// //7/�/7^/,-/,/,/7I 14 .M Rk)QD FUR PUBLIC IMPR4M1E M r �� Z5 . ^ !',POMITIONS & GFOOUND %TT% 4TR 2VIELD CHEL D 11//l/ l/l/I/!// ////l//// //I// 16 1*2? 'PAVIW2 RHXIRi " ////// ///////// //////f// 1"7 , 77/77T 77i7 / 17Tr7T 1 T177771 T'AM GUrrER RlUJIRED ////// ///////// ////!//// ////////// 18 _— 77T/777777?l77TT I r plc REQUIFO) ////// /////f/!/ /////1/// 19 17 /IT 1 777.T "— CQr FOR DRIVEWAY REM ////// /////f/// ✓///I/!// ////////// 26 �" MW. ;+j . 7�TT1 TTiTT7T _ TTTIT`7Ti7 ijEr NAME SIGN nDQD 21 777171Y�/�/�/ � _ 7 1 Tri[OR S,,rCNM READ 22 r rrTr TTT rf77TIT1 .?3E sFWR AVAIiAHILITY" " //1/// ///////// ///////// !//// // 23 x�.._ Trr rrrrrr /�7. a"rIA)G WATER MAIN' SIZE////// 24 // /// /7T777/77 /� A�2 METER SIZE ': :t�• -- ////// ///////// I/l////1 ////////// 25 =f _-•-.- 777T77 71ITT JIC?;'LINE SIZE `' ///l// ///////// //f//1// ///////I// 26 _ ''�'RANT'REYIClIRE73 '•.: � � ///////// ///////// 11117177 //////// ////////// 27 _ A.� _ TITTIT 7TTTT �� 1 / �77 7 SIZE EXISTING //////// /f/f!/r/Jl 28 _ M a 1NNECTIITTIJ ON msPEC'rnn ///1// //////!// " /////!//// /////!!/// 25 '.:, CHARQ. +�As�� x„+'aa '.jw,yA� � ////// ///////// s i ''� ////// ///// 4tig!LINE CHAR 'RF�D�- .,sPR1T CLEIt /77/77777 //1/1///� � /1//JJ11 JI 130 31 32 14 p �r �t "1� K �,^ '"` /1/Jf/ i///!1/// !rr/ r// 33 .'PCBxr.rztvG,.. .. .T A r.�V--—• ; -"7n'�t V• �,,:: b s ``r"wn"''( ` M ,_ WITI / / T r... 34 ,7.77 �!/, f�117IN 777, IT 3.5 REOD - 37 .. '.� 38 I')ON SITE.'. '7,::.."y li//ll /lIlll.11J 1/il/f/li �' - 144 ofs _. INF RING FCAR. . t,- Y{ �rWhc:�S 1 3�• 1?'(' PUBLV WORKS MGR. "�, b'�,i�t�;i�;�..;w'�"�i'l�ri: "`'t�:� 44t,r.'��?:M>w+;'3�N"•;�:Gtrt�i CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) Z�b)J M & MAILING ADDRESS ©• CITY TELEPHONE NUMBER 3Co_? Z ) jP 4 CITY TELEPHONE NUMBER } NAME � • v w� � �� v u v CITY TELEPHONE NUMBER STATE LICENSE NUMBER Legal Description of Property • Include all easements (show below or attach four copies) S L ! USE PERMIT ZONE ;� �� NUMBER JOB ADDRESS _EGAL DESCRIPTION CHECK SUBDIVISION N0. LI! PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING REQUIRED DEDICATION PROPOSED — IN4- � RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED O STREET USE PERMIT REQUIRED CI SEE ENGINEERING MEMO DATED REMARKS i METER SIZE BUILDING SUPPLY SIZE REMARKS r UNITS SIGN AREA ' ENV. REVIEW ADS NO. ALLOWED PROPOSED COMPLi_TE EXEMPT SHORELINE B VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT LOT COVERAGE FRONT SIDE REAR Li NEW Li RESIDENTIAL PLUMBING ADOIALTER COMMERCIAL MECHANICAL C� REPAIR C� RETAINING WALL SIGN EXCAVATE CHECKED BY TYPE OF CONSTRUCTION ICODE LJ DEMOLISH U OR FILL FE(x_FT) REMODEL PRE -MOVE INP.1SPECIAL COMPLIANCESNSP. SPOOL REQUIRED INSPECTOR (� WOOD ❑ NO INSERT APT. BLDG RENEWAL REMARKS i NUMBER OF STORIES NUMBER OF DWELLING 9 I UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) PLAN CHECK FEE BUILDING c (0 D '" �, � C. Z —14 G-7 ,S PLUMBING 4 MECHANICAL r This Permit covers work to be done on private property ONLY. GRADINGIFILL g' Any construction on the public domain (curbs, sidewalks, STATE SURCHARGE yy77 driveways, marquees, etc.) will require Separate permission. Permit Application:180 Days S' t Permit Limit:1 Year- Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and "l successors in interest, agrees to indemnify, defend and hold ---- — W harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages of t= whatever nature, arising directly or Indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT ° rriodify,,walve 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 1 have read this application; that the , Information given Is correct; and that 1 am the owner, or the duly ATTENTION 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 ed thereby, no person will be employed In violation of the Labor ONLY THE ry Code of the State of Washington relating to Workmen's Compensa- WORK NOTED j tl n Insur nC INSPECTION I'?` SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT `' la CITY OF EDMONDS ATTENTION 771.3202 ),jr, If UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE U"L A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A'';' EATIFICATE OF f,OUPANCY ,HAS BEEN GRANTED. UBC CHI h, R 3- OCCUPANCY GROUP VALUATION 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 ORIGINAL — File YELLOW — Inspector PINK -- Owner GOLD -- Assessor z a z w 4 C7 z z z 5 a So NI ; • � - � � n�Z .l�W�ti7--� � � •':�, I � Dili• �E,{:,�I i �'}'I;ii'ii�+�' �, i l ::{, ��G 2� f-i-�'•��t� �•vt��-�.'� Ili`!' `„�iit'Sli,j:i�,�: ;� _ :" fjCD-1L'? X---, pal -a-MAID