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17001 73RD PL W
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---�JREET SSET
- CITY OF E DMON R MATIO N
FINANCE DEPARTMENT • EDMONDS, WASHINGTON 98020 • (206) 775-2525 SHEET
lB90 19�� ASSET NO.
BATCH DATE 3_ 4-1
ACTION: C EW ❑ ADD ❑ TRANSFER ❑ RETIRE
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CATEGORY CODE: SERIAL NO.
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LOCATION:
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ACCOUNT NO. L+ I �_� C��U � _• � Sr 00, Gn 3-
DEPRECIATION CODE: [7 Y ❑ N LIFE OF ASSET:
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NO. DATE:' 3I % COST
INITIATED BY-_ _ _ APPROVED BY
TRANSFER DATE
TRANSFER FROM
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DEPARTMENT FILE
CITY OF EDMONDS Stl_ EE11ptLSEWER PERMIT
�890 19a° PERMIT` [*,12 '8295
Address of Construction: >2n V L A c e t-43 e-a
Property Legal Description (Include all easements):
LYNNWOOD LI
Owner and/or Contractor:
State License No._TtJ
U� Z"RD Id( C 1 Building Permit No.
C7Single Family
❑ Multi -Family (No. of Units )
❑ Commercial
❑ Public
Invasion into City Right -of -Way: ❑ No ❑ Yes
RW Construction Permit No.
Cross other Private Property: ❑ No ❑ Yes
Attach legal.description and copy of recorded easement
I _certify that I have read and shall comply with all city requirements
as indicated on the back of the Permit Card.
2.-- Z, -
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE USE ONLY
* FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: Issued By J
Trunk Charge: ^°P�S Date Issued:�-
Assessment Fee: Receipt No.:
Lid No.:
Partial Inspection: Date -Initial -
Comments
Reason Rejected:
Final Inspection Approved
Dat AU?4 Initial
Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
' Revised 3l90
The City of Edmonds
Side Sewer Drawing
EASEMENT NO-------------------------------------------
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NEW CONSTRUCTION REPAIRS ❑ LID NO ................... ASMT. NO. _--.__._-__-..-— Y
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OWNER----------------------------------------------------------------------------------------------- CONTRACTOR------------------------------------------------------------------------ PERMIT NO. 8-.a q
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MEMO TO: Building Division
FROM: Engineering Division
SUBJECT:
3
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.:m. to 6:00 p.m. on weekends and holidays.
9) No burning of construction refuse wi t-hn-uIt -aPnrQyal h�, Fire Dept.
iv)
I- dip
REC.E'Jy.6
MobAPR l8 198
,{ PERMIT{COUNTER.
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USE PERMIT
ZONENUMBER
CITY OF EDMONDS'
CONSTRUCTION PERMIT APPLICATION
JOB
ADDRESS / -7DO/ ? NOJ /3�440_ �A =7—
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N OF BUSINESS)
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LEGAL DESCRIPTION CHECK
SUBDIVISION NO.
LID NO.
M ING ADDRESS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
RISTING I/ YLLL� OUIRED DEDICATION
O
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CITY 1 TELEPHONE NUMBER
t\) a �OO� �� L ��
NAME
S
RIGHT WAY CONSTRUCTION PERMIT REQUIRED ❑
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STREET USE PERMIT REQUIRED ❑
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ADDRESS
SEE ENGINEERING MEMO DATED ny�
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CITY
TELEPHONE NUMBER
REMAR D (
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ADDRESS
UMETER
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SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
F
TY `� j
TELEPHONE NUMBER
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REMARKS
3
STATE LICENSE NUMBER ,
- I_ - I N
SIGN AREA
ENV. REVIEW
ADB NO.
IIIProTTTperty
ALLOWED PROPOSED
COMPLETE EXEMPT
SHORELINE #
Legal Description of - Include all easements
(show below or attach four copies)
Z
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to
VARIANCE OR CU
PLANNING REVIEW BY
DATE
LU
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YARDS
FROM SIDE REAR
HEIGHT LOT
COVERAGE
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REMARKS
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NEW ED RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
ElREPAIR RETAINING WALL El SIGN
CHECKED BY
TYPE OF CONSTRUCTION
N
CODE
/9V.s
HEIGHT
2-5—
DEMOLISH ElEORCF� LTE ❑ FEI x-� NCE
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1-
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REMODEL -MOVEIES.1 a SWIM
COPOOL
SPECIALINSPECTOR
REQUIRED
NO
AREA
OCCUPANCY
GROUP n
OCCUPANT
LOAD
W00 VEI SERTAPT. BLDG RENEWAL
R MARKS
PROGRESS INSPECTIONS PER UBC 305
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A L l9 W� 61"EROY 4OD.E
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NUMBER OF STORIES
NUMBER OF
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DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
Fin'A� C�ccu,nrr�✓c .�vsPecTro 0
S-� c� �.�
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
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
N
successors in interest, agrees to indemnify, defend and hold
J
harmless the City of Edmonds, Washington, its officials,
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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
modify,. waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision.'
PLAN CHECK DEPOSIT
gy3
TOTAL AMOUNT DUE
i hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or the duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
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 signed by the Building Official or his
Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion, Insurance._ INSPECTION acknowledged in space provided.
SIGNATURE (OWNER O AGENT) DATE SIGNED DEPARTMENT
CITY OF OFFICIAL'S SIGNATURE DATE
EDMONDS
ATTENTION 771.3202 RELEASED BY: DATE
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
` *s Pr4jECP Pirm NT QiEQQSST
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r-, REC9_
PROTECT NANDr PROTECrr ADDRESS°t!oa%3�d �°/l�Y ..
APPLICATION RECEIPT DATES 4//r/P8� r4A-� �wY rNPR 18 1986
,: J
COMMENTS,,r
•,.,;
"PLANNING ;
Reviewed by: (initial date)
"WM/SWR : sTREET EN
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14
BUILDING'.
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SINGLE FAMICMMERC LY/MULTIPLE/OIAi,; `'(Circle One)
SETBACKS CHECKED — Planning f
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ACCESS SLOPF &•ViHICLE`13
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DRAINAGE- PLAN (On Site)
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SOILS CONDITIMIS & GROUNDS 14fmR-
WrER FIELD CHUXED. 4.` „
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INDICATED C N SITE PLAN
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R'"AL; iC i'v'tE D
JUN
MIT COUNTER
CITY OF EDMONDS
CONSTRUCTION
PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
-TUN 1. -1 —&*.-
�I.T 4-u
MAILING AUUHESS
18 0 `, NE
714
CITY
iii��-�
ZIP
8033
TELEPHONE NUMBER
z,z-1 b8
NAME
f
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ADDRESS
CITY II 411, TELEPHONE NUMBER
NAME
ADDRESS1�4,✓
'119act -7y-
CITY ZIP TELEPHONE NUMBER
GLg80-3
STATE LICENSE NUMBER
TU lk I A 1 I-S -p= . 1
Legal Description of Property - include all easements
(show below or attach two copies)
M
ll•
Tax Account Parcel No.
NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
COMMERCIAL
MECHANICAL
REPAIR
APT. BLDG.
El SIGN
DEMOLISH
EXCAVAT
OR GRADE FILL
❑ FENCE
(
REMODEL
CARPORT
ElGARAGESWIM
x._FT)
❑
POOL
a G WALL/
WOO INSERT ROCKERY
RENEWAL
'YPE'OF USE,"BUSINESS OR ACTIVITY) EXPLAIN:
NUMBER OF STORIES NUMBER OF
DWELLING
UNITSO/YC
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
2 /`r sialPl✓LG
USE PERMIT
ZONE ^ ^ D NUMBER
JOB YK
ADDRESS /,Wao/ -%&� /
0/
�� '- / SUITE/APT a
YYY//11�/
LEGAI. nF.SCRIPTtON CNECK
SUUDIVISIUN N0.
LID 14
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP
EXISTING REQ�UIRDEDICATION
APPROVED BY
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PROPOSED�) G fIM
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED O
O
_Z
STREET USE PERMIT REQUIRED O
w
Z
SEE ENGINEERING MEMO DATED/ /
\ n"W RY f
A
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METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
—1111, REMARKS a
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SIGN AREA ENV. REVIEW ADB N0,
ALLOWED I ) PROPOSED COMPLETE I EXEMPT
SHOHEL—IN Ea
VARIANCE OR CU PLANNING RE.. VIEW RV
UAIf:
SETBACKS —FEET HEIGHT LOT COVERAGE Z
FRONT SIDE REAR Z
Z
REMARKS g
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CHECKED BY TYPE OF CONSTRUCTI
'SZ /V
HEIG�
SPECIAL INSPECTOR
AREA
OCCUPANCY
REQUIRED
GROUP V
OCCUPANT
Cl YES C; NO
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LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 365
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FINAL INSPECTION REQUIRED
VALUATION
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No. /2
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain
GRADING/FILL
(curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
STATE SURCHARGE
Permit Limit: 1 Year • Provided WorK is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
u) successors in interest, agrees to indemnify, defend and hold
w harmless the City of Edmonds, Washington, its
officials,
f employees, and agents from any and all claims for damages of
iwhatever nature, arising directly or indirectly from the issuance
0 of this permit. Issuance of this permit shall not be deemed PLAN CHECK
to
o modify, waive or reduce any requirement of any city ordinance
DEPOSIT
= 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
authorized agent of the owner. I agree to comply with
ATTENTION
city and
state laws regulating construction; and In doing the work authoriz•
THIS PERMIT
ed thereby, no person will be employed in violation of the Labor
Code of the State of Washington relating to Workmen's
ONLYOf IHES
Compensa•
tion Insurance.
WORK NOTED
SIGNA (0 ER 0 NT)
PATE SIGNED
INSPECTION
DEPARTMENT
b
CITY OF
EDMONDS
ATTENTION
CALL FOR
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
INSPECTION
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-3202
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102.87
FEE
—zoo VZ4 6 9
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
5/90
TO: Permit Coordinator,.Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: L%l�G?/ %?.� �,� DATE:
OWNER4VI. PLAN CK#
After Veview of the subject building„permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS.......... 7:00 a.m. - 10:00 p.m.
(ECC 5-.30.110) WEEKENDS/HOLIDAYS..10:00 a.m. - 6:00 p,.m.
2. A separate Right -of -Way Construction Permit is required for any work on
City property. (ECDC 18.60)'
3. Connection to City water system required. Separate water meter charge
required. (ECDC 7.30)
4. Connection to City sanitary sewer system required; obtain separate permit.
LID # & Fees paid: Yes --4- No Charge $ (ECDC 18.10)
5. Water and sewer lines should be separated by 10 feet minimum. (ECDC 18.10)
6. Driveways must be paved a minimum of,20 feet back from City right-of-way;
separate permit required.. (ECDC 18.80.060C)
7. Driveway slope not to exceed 140. Waiver granted to �- -
(ECDC 18.80.060D)
8. Back water valve required if downstairs plumbing is below elevation of
_--upstream
9. Builder/Owner responsible for containing all temporary runoff and erosion
control on site. (ECDC 18.30.030D)
10. No burning of -construction refuse without permit from Fire Department.
11. Street to be -kept clean of debris, dirt, mud, and construction materials.
Contractor responsible for dust control. (ECDC 18.30)
12. Inspection required on drainage system, catch basin installation, driveways,
and sidewalks. A final engineering inspection is required prior to the
building division granting occupancy. (ECDC 18.30, 18.80)
13. Repair or replace all defective existing curb, gutter, and sidewalk. If
intersection is involved, installation of wheelchair"access may be required.
(ECDC 18.90)
14..Underground wiring required on all new construction. Also, if the proposed
addition, alteration or repairs exceeds 500 of the total assessed valuation
of the existing structure. (ECDC 18.05.010)
15