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S-- E -E R- F ER I T
C I T Y of EDM ON DS S I D E
NO. DOM
For Inspectio'n'Call 771-3202 ST REET FLE PERMIT
Address of Construction: 77
Property Legal Description (Include all easements): 4C-4c Z_L__7� -
C
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Owner and/or Builder:
Contractor & License No: 9U53 4-lisoi Vnerd
0 S&T60
Single Family Residence
Multi -Family (No. of Units
Commercial
(No. of fixture Units
6 � / S��
E�E�
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.)
Cro,ss other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
READ THE ITEMS LISTED ON THE BACK
with the items listed on the back.
Permit Fee: 3 0 - 6-6
Trunk Charge: X,5 , Cl�-O
Assessment Fee: 16 �Z
Partial Inspection:
RECEIVED
NOV 3 0 1989
PUBLIC WORKS
issued By:
Date Issued: Zc�2
Receipt No.:
Comments
Final Inspection Approved: w
Date InitiaT_
Rejected:
Reason
PERMIT MOST BE POSTED ON JOB SITE
Date
b
57a—te Initial
—ffa--te Initial
Wh.ite Copy - File Green Copy -'Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO. -.— ..................................... -
NEW CONSTRUCTION REPAIRS r-1 LID NO . .................. . ASMT. NO - ------------------
4OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ----------------------------------------------------------- - ----------------------- PERMIT NO.
JOB ADDRESS A.q..1 --- --- ?.� - --------- V,� --- ------ LEGAL DESCRIPTION: LOT NO . ....... 10 ------ ------------------- BLOCK NO - ------------------------------------
PWW-0001-11175 (REV.11/78)
------------------------ -------------------------------------------------------------------- --------------------------------------
NAME OF ADDITION ----------------- CIA.S. -S ----- ...................
EEE��
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Approved:
DATE............................................ --------------------------------------
db C!-rn::r.T FN 1: 0
CITY OF EDMONDS
CONSTRUCT16N PERMIT APPLICATION
USE PERMIT
IONEPRfol NUMBER
JOB
ADDRESS
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OWNER NAMf�NAME OF BUSINESS
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LEGAL 5-E-S`CRIPTIO'N CHECK
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SUBDIVISION NO
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LID NO
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MAILING ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREt'T MAP.
EXISTING REQUIRED DEDICATION
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APPROVED BY
CITY
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TELEPHONE NUMBER
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NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED,
ADDIR S
BY
SEE ENGINEERING MEMO DATED
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TELEPHONE NUMBER
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NAME
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ADDRESS
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METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
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CITY
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TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
V/
ADB NO.
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Legal Description of Property - include all easements
(show below or attach two copies)
SHORELINE #
1-ciT' I o,,� rpr-
VARIANCE OR CU
PLANNING REVIEW BY
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SETBACKS — FEET
FRON`rw'(4'�� SIDE REAA-e
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LOT COVERAGE
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REMARKS
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NEW RESIDENTIAL PLUMBItjG
ADDIALTER COMMERCIAL MECHANICAL
REPAIR APT.BLDG. SIGN
F-] EXCAVATE FENCE
DEMOLISH OR FILL FT)
CARPORT swim
REMODEL 0 GARAGE El POOL
CHECKED BY
11,
TYPE OF CONSTRUCTION —
1 — A/
C70DE
HEIGHT
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SPECIAL INSPECTOR
REQUIRED
n YES NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WOOD STOVE/ F--j RETAINING WALL/
INSERT ROCKERY RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (AT-TACH PLOT PLAN)
)o5W1U
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewelks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATIESURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Worl� 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
DATE:
MEMO TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS: z m�- / 4�
OWNER: tl'alakl
After review of the subject building permit application, we have the
following comments:
1) Construction hours are: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to 6:00pm
2) A Right -of -Way construction permit is required for any work on
City property.
3) Connection to City water system required.
4) Connection to City sanitary sewer- sys-tem required; obtain separate
permit.
5) Water and -sewer lines to -be separated by 10 foot minimum.'
6) Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7) Driveway slope not to exceed 14%.
8) Back water valve -required if downstairs plumbi.ng is below
elevation of upstream manhole.
9) Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10) No burning of construction refuse without approval from Fire Dept.
11) Street to be kept clean of debris, dirt, mud, and construction
materials.- Contractor responsible for dust control.
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.'
7v�
SEP 1 19-39
PERMIT COUNTER
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JOB NO. 84-036
SHEET 2 OF 2 SHEETS
CITY OF EDMONDS -
n//NEW
ADDITION
RETIREMENT
STRET r,'17, ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPTO, v
* * PURCHASE ORDER NO,
PURCHASE ORDER DATE
COST
PROJECT NUMBER Wils [;�2-
PROJECT COMPLETION DATE
COST
B.A. R.S. ACCOUNT NO. Gc*
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
OVDEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
0 G.L. ENTR
REFERENCE
DATE
G_iu-v
VERIFIED BY
PROCESSED
BATCH NO.-
ky-P) - INITIA
DEPARTMENT FILE
-7v -7-, -, ;,,7i l'-I'VY !- 7 , , � -, 11
rd-,
STREET FILE