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16924 73RD PL W.PDFIIIIIIIIIIII5812 16924 73 R D P L W CITY OF EDMONDS ET/NEW ❑ ADDITION ❑ RETIREMENT ASSET INFORMATION SHEET S ET FILE ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION f � a ��/�e� / _ �� DEPT. NO. j� (-�� * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST *PROJECT NUMBER Zfj4z;;� D e?l PROJECT COMPLETION DATE �� a COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE a�-S INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 0---DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT 40 G.L. ENTRY REFERENCE DATE b P INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO. _ CITY of E'DMO'NDS 00 _o a� Ln a� For Inspection Call 771-3202 SIDE SEWER P. E A ALIT PERMIT 'NO. � 076 6 �. Address of Construction: Property legal Description ( Include all, easements) : Lp-\-_7�CoL.S Owner and/or Builder: Contractor & License No: Single Family Residence Multi -Family (No. of Units ) LYNNWOOD LFNE 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 REG61Via OCT 0 5 1988 I certify that I have read and 11 comply Date with the items listed on the back. PUBLIC WORKS Permit Fee: Issued By: J26 Trunk,Charge: �S. Cc bat& Issued: /p-- ev—F? Assessment Fee: Receipt No.: 91 IL/D 7 Partial Inspection: +F Comments Date Initial.. " y Final Inspection Approved: Date Initial Rejected: Reason Date Initial ** 'PERMIT MUST BE POSTED ON JOB SITE ** Wh.ite Copy - File Green Copy -:Inspector Buff Copy - Applicant The City Of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ I► NEW CONSTRUCTION Q� REPAIRS ❑ LID NO_ ------------------_ASMT. NO. _______------.---- cb i OWNER------------------------------------------------------------------------------------------------ CONTRACTOR D--- -Ei� 1'1 t:...--- W1 i` .----,1" M! - PERMIT NO. . JOB ADDRESS �`y._ a 4-__._7_ 3" .._______ °P�'Y`C'__.. LEGAL DESCRIPTION: LOT NO.----�--------------------------- BLOCK NO. _.-_____--_-------------- 4c 1 „, ..1 of ►mot ; ,;r i X I- C..O w c eq , Q O 4 15 z° r�l . V�. --------------------------------------------------------------------------------------------------------------------------------- NAMt- OF ADDITION --- ........ ••-•-•------------- kYNNW00D LtNE 60 kk l 10 t'OP K f� Approved: PWW-0001-11/75 (REV.11178) DATE C_0 S^- BY Man= REVIEW CIiDC. ffST t JECT NAME: J F 1)PY9,,A/ //O/Mef PR37}3CT ADDRESS: '>PLICATION RECEIPT DATE: G 2 �- �' R E C E I V E D Reviewed by: (initial/date) CON4mTS PIANNING WTR/SWR I STREET EN c) BUILDING ` /�/%'i t_ ;//// / / FIRE NGLE FAMILY/MULTIPLE/CO g4ERCIAL - (Circle One)/ If TBACKS CIMCKED - Planning 7777777777///// // /%////JJ///// VAR.T.ANCE/SETBACK ADJ. VDITIONAL USE. PERMIT -- // ////// )H REWIREM NIS OMCKED ////// ///////// //////// ////////// : 77777 / J/ // J/// HM ZCNTNG REQUIREMENTS VIRONME TPAL FEATURES CESS SLOPF. 6 VEHICLE ACCESS AINAGE PLAN (On Site ---- .--7 7 7 7 7T T11-171-T17/ // / 777777// 'REEF FILE /��D Z� / / / / // rAL DFSCRIPTICN VFRIFICATTON ////// ///////// ///////// //////// / / IT CIAIM/DF1)ICATICNS ////// ///////// ///////// //////// 1C . SEMENP - PUBLIC/PRIVATE rA e7 ///////// ///////// //////// 11 OMATE SEWER CONNECTION IF'NO LID# ////// ///////// ///////// //////// 12 7/7 / F1 / TR/ ///// 'tT/S17RDTVISTCN RE"-JTRFMOTI'S ////// ///////// //////// 13 --- - TfF177 TTF1777777T 1R-OF-WAY CONSTRUCTION PERMIT RFJ_lD ////// ///////// ///////// 14 r // /////// 4D REM FOR PUBLIC IMPF%oVEMEMPS ////// ///////// ///////// //////// 15 ILS CONDITIONS 6 GROUND /f T` — PER FIEiD CIIE]CFED ////// ///////// ///////// ////// 16 / / //// / REEF PAVING RE)Q(ITRED ////// ///////// ///////// JVj 17 / /// / — •2B AND GU`PPER REQUTRED ////// ///////// ///////// 1 18 7T/7T• 7T1T )EWALK REMIRED ////// ///////// ///////// 19 TTTTTRT 777777777 TITF/7777- 18 CUT FOR DRIVEWAY RED ////// ///////// ///////// ////////// 20 / f-T/%Tf 711111111 TIT1777777- 1EEP NAME SI(N REM ///////// ///////// ////////// 21 7777/7 / 777TI77T 7TI71777T/7777TIT17 JER ST(N NG RDQD ////// ///////// ///////// ////////// 22 / 77777T )E: SEWER AVAILABILITY ////// ///////// ///////// //////// 23 - I.SPING DYER MATH SIZE / // / ///// 24 /// // // // / �� //// //// // Jim METER SIZE ////// ///////// r //////// ////////// 25 3 �� RVICE LINE SIZE //// ////// //////// //// 26 DRANT REQUIRED ///////// ///////// //////// 1177111111 ////////// 27 / DRANT SIZE EXISTING ////// ///////// //////// ////////// 28 TTFITWTTMII - // '3SS CONNOCTION INSPECTION REW ////// ///////// //////// ////////// 29 TITF17 TTF1 ��.- TER METER CHARGE RDQD ////// ///////// , //////// ////////// 30 FIRE LINE CHARGE READ - SPRINKLER //////// - ///////I ////////// 31 BEET CUT ////// ///////// ////////// 32 M DITCIi EXISTING ////// ///////// ///////// 33 RDQD ////// ///////// ///////// 34 TITIW LVERT RDQD ////// ///////// ///////// 35 /TIT17 TTfTTTI TT 7 // SIZE ////// ///////// ///////// 36 // / MI BASIN REQD ////// ///////// ///////// 37 INDICATED ON SITE PLAN ////// ///////// ///////// 38 OULDER DRAINAGE MAINTAIN / ///// // /// / — SHALE OPEN RUNOFF ////// ///////// ///////// 39 777777777 // SC: ///////// ///////// 40 m VORKS :VIEWED BY: 6n PLANNING MGR. ENGINEERING MGR. PUB RKS MG11. CITY OF EDMONDS USE PERMIT zONE NUMBER r CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) JOB ADDRESS 6, fl-1ZV 1 w MAILINGADDRESS ,,(\�� \ i__�� LEGAL DESCRIPTION CHECK SUBDIVISION NO. Aa_ LID NO. ^? I✓k d J^0'�-O (ram 33 � TESCP CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY , -�� EXISTING — PROPOSED AT IRED DEDICATION _ NAME I- 1� D ADDRESS ` �� V 4 RIGHT OF WAY COKNST+RUCTION PERMIT REQUIRED, . STREET USE PERMIT REQUIRED, - �\ v ��1�� + V •� CITY SEE ENGINEERING MEMO DATED REVIEW TELEPHONE NUMBER N ADDRESS E: k� FAX CITY �_ -I NN-W STATE LICENSE NUMBER `-,)U—LY Legal Description of (show below or attac ,:5yG -�L?V> TEL NUMBER _> S�%—�yz —.A-_4>N INk� r - include all easements Lvl NEW LJ RESIDENTIAL LJ PLUMBING ADD/ALTER COMMERCIAL MECHANICAL REPAIR L� RETAINING WALL n� LJ SIGN ElDEMOLISH REMODEL ORCFILLTE PRE-MOVE COMPLIANCE SINSP. ❑ 1. FENCE FT) POOL WOOD NSERTSTOVE/ APT. BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) METER SIZE IBUILDING SUPPLY SIZE REMARKS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE I EXEMPT E UNITS ADB NO. VARIANCE OR Cu IPLANNING REVIE BY GATE YARDS HEIG H LOT COVERAGE FRONT D SIDE F� REAR 25 CHECKED BY TYPE OF CONSTRUCTION CODE SPECIAL INSPECTOR JAREA=GR�O±UP REQUIRED YES - REMARKS PROGRESS INSPECTIONS PER UBC 305 Tt(6fM11 L. .1V S4L PF/z Ic?,?6 (Ni9 Fiv VALUATION PLAN CHECK FEE n 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 P whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT I 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 HEIGHT 2S / OCCUPANT LOAD ri Ervz Led mation given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL orized agent of the owner. I agree to comply with city and THIS PERMIT laws regulating construction; and in doing the work authoriz- AUTHORIZES This application is not a permit until ereby, no person will be employed in violation of the Labor ONLY THE signed by the Building Official or his of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is nsurance. INSPEcrIoNacknowledged in space provided. TURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT C1 � ` �i,^ CITY OF OFFICIAL'S SIGNATURE DATE 612 2-__ D d EDMONDS �^ RELEASED BY: DATE ATTENTION 77..E -3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS B F EEN MADE AND APPROVAL OR ,;, • .: ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102.87 2 Z 5 a MEMO TO: Building Division FROM: Engineering Division / SUBJECT: 1� % � � /y After review of the subject building permit application, we have the following comments: 1) Connection to City water 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 14A. 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 containing 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 weekdays and 10:00 a.,-.,. to 6:00 p.m. on weekends and holidays. 9) No burning of construction refuse wit-hn-ut-apprnval by Pi -re Dept. JUIV �► u 19a8 la�'�@�1T COl1��rR 0 00, 4"