17118 72ND AVE W.PDFiiiiiiiiiiii
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17118 72ND AVE W
CITY OF EDMONDS
is 0- NEW
El ADDITION
1:1 RETIREMENT
STMET F11.1 ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
DJ a ter 3-pc v'c P--, L4�A -Q- SERIAL NO.
LOCATION 22 o2i�. Aw-Awz DEPT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECT NUMBER
PROJECT COMPLETION DATE
COST 1 o o
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE rg
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
tnp INITIAL
wt7
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE t
DATE:
MEMO TO: Permit Coordiniato Building Division
FROM: Dan Smith, E�ginee�ring Inspector
ADDRESS:
OWNER: /,o/- a - 66.6-weroA/
After review of the subject building permit application, we have the
f ollowing comments:
1) Construction hours'a-re: WEEKDAYS 7:00am to 10:00pm
WEEKENDS/HOLIDAYS 10:00am to' 6:00pm
2) A Right-of-Way'construc ion permit is required for any work on
City property.,
Connection to City water system required.
Connection to City',s'anitary sewer system required; obtain separate
permit.
Water and,sewer line'�-to be separated by 10 foot min I imum.
61) -Driveway must be aVed-a I -minimum of 20 feet back frdm.City
p
right-of-way; separate permit required.
Driveway slope'n,ot',to exceed 14%.
!below
Back water valve"required if downstairs plumbing is.
elevation of upstream' manhole.
Builder/Owner responsiblIe for containing all temporary runoff and
erosion control on'site.1 Construction may not impact neighboring
properties in any,way.,
1,0) No burning of construction refuse without approval from Fire Dept..
�ofil)'Street to be kept clean debris, dirt, mud, and construction
'ble for dust control.'
materials. Contractor responsi
i2) Inspection required on'drainage system, catch basin:instal-lation,
driveways, aind sidewalks. A final engineering inspection.is
required prior t6 ihe building division granting occupancy..
V/ W, A/) rl, 6.1
INC.
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CITY of EDIVION DS S I D E- S E W E R P E,-_&*� T
For Inspection Call 771-3202 STREET FLE 'PERMIT NO. DOM
Address of Construction: kie- �Q)
Property Legal Description (Include all easements): o 0 7
Owner and/or Builder: -T)Z/ 121�r Ce)AI 2, //A4
Contractor & License No: 7z / P t 6- Cz
Single Family Residence FLYNNWOOD =LINE
Mul ti-Family (No. of Units
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 requ.ired,
attach legal description and county easement number.)
PLE READ T M5,1-�STED ON THE BACK
7g, 1 N
aA A h
1 certify-tKat-l-liave'-read and S'hal I comply Date'
with the items listed on the back.
J;,PgJ 1111 ,
Permit Fee: :�3 D - a c) Issued By:
Trunk Charge: - �Date Issued: &F
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
,
Final Inspection Approved: 4
Date Inifial
Rejected:
Reason [Ta—te _Fni —tial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh-ite Copy - File . Green Copy -'Inspector Buff Copy -.Applicant
0
The City of Edmonds
Side Sewer Drawing
NEW CONSTRUCTION Hl
OWNEP- ------------------------------------------------------------------- I --------------------- * ------
JOB ADDRESS A7.1-1-8 ........ '12itmo ---------------------------------------
—7 S-
EASEMENTNO . ...............................................
REPAIRS F� LID NO - ------------------ ASMT. NO..-8-1.54--
cot%ST -
14�-J;�n.... PERMIT NO - --------------------
CONTRACTOR .... -u--r.z - -----
LEGAL DESCRIPTION- LOT NO . ........................................ BLOCK NO - ------------------------------------
.......................... .................................................................................................. .
NAMEOF ADDITION -"J-05 R e. --------------------------------------------------------------------
ri j 18 7 Z t4o
T� , 1. 5'
, ---1; -0-- 1.51DR
10 4 C-0 - CRP
ra'D P. 4"Pvc. G�'c.a. C A.P
5 1 D P
Approved:
DATE.. By
PWW-0001 -11/75 (REV. 11/78)
EE��
CITY''OF EDMONDS : -
USEI P,
-11
Z07� 't'v= F LE
1i
CONSTRI.16TION' PERMIT APPLICATIO
*#F-T
JOBI 7z"r1b AIVZ:-7 Mt�7—
ADDRESS
OWNER NAME/NAME OF BUSINESS
R-1 1->LC- e CON SIR, INC,
EGAL DESCRIPTI��HEC
SUBDIVISION NO.
LID NO
MAILING ADDRESS
Z
PPD
0
TELEPHONENUMBER
PUB I LIC RIGHT OF WAY PER OFFICIA L STREET MAP,
TESCP
APPROVED BY
T TLC 1 qq I S,5-
7 2) - 1:� 11-S9
I; IRED DEDICATION
P OPOSED��iq;�IPU
NAME
tq (0
0
Cc
RIGHT OF WAY CONSTRUCTION
U'jj
ADDRESS
1!3-
PERMIT REOUIRED:
STRLET USE PERMIT REOUIRED
1
W
W
Z
SEE ENGINEERING MEMO DATED �EYIEW BY-
0
Z
a5 CITY
Agic
ITELEPHONE NUMBER
5 -9-13197-
REMARKS
NAME
�4
ADDRESS
V
F1*1111 LLI7-;1. 70
cr
4 1/1
METER StZE/t
BUILDINQ SU LY SIZE -777
UNITS
CITY
TELEPHONE NUMBER
0 S E-Prnc 1 �1'5 5- 17 -55
Zi STATE LICENSE NUMBER
RE
M PIR V RLVb
0 C,
I
SIGN AREA
ENV. REVIEW
ADB NO.
Legal Description of Property - include all easements �i
A
LOWED
PROPOSED
COMPLETE
"EXEMPT
(show below or attach two copies)
SHORELINE #
Z------
0- -
CL
EMT OT
VARIANCE
OR CU
DATE
fkLAN SlIZ;:00
�;z
Ify 0 C) �
SETBACKS
- FEET
I
HEIGHT
COVERAGE
HUN
SIDE REAR
1LOT
�tj
REMARKS
NEW
RESIDENTIAL PLUMBING
ElADDIALTER
1:1 COMMERCIAL
MECHANICAL
F-1 APT. BLDG.
REPAIR
SIGN
EXCAVATE FENCE
El DEMOLISH OR FILL L- x -FT)
CHECKED BY
I
W-5, )�
rYPg _QE-fONSTRVC TION CODE
I ,
HEIGHT
CARPORT
GARAGE swim
REMODEL POOL
i
SPECIAL INSPECTOR
AREA
OCCUPANC;48 OCCUPANT
RECOPIED
I
GROUP LOAD
I
WOOD STOVE/ RETAINING WALL/
INSERT RENEWAL
El YES L:,' N 0
REMARKS
ROCKERY
Z
I
PROGRESS INSPECTIONS PER UBC 305
0
(
n NUMBER OF STORIES NUMBER OF
AYWL/n ffARWY LIZ Z-
ui
DWELLING
0
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
15;:,
VALUATION
FEE
12RN��
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
I
This Permit covers work to be done on private property ONLY.
GRA
DIING/FILL
Any construction on the public domain (curbs, sidewplks,
I
I
driveway s, marquees, etc.) will require separate permission.
STA T,
I ESURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY
CODE
I
Applicant, on behalf of his or her spouse, heirs, assigns and
w
successors in interest, agrees to indemnify, defend and hold
'Uni
ha'r'mless the City of Edmonds, Washington, its officials,
2
employees, and agents from any and all claims for damages of
Cl
<
T
whatever nature, arising directly or indirectly from the issuance
of this Issuance of this be deemed to
PLAN
CHECK DEPOSIT
Lst-
0
permit. permit shall not
modify, waive or reduce any requirement of any city ordinance
1
0
7:
nor I.imit in any way the City's ability to enforce any ordinance
1
TOTAL AMOUNT DUE
provision.7
I
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
APPLICATION APPROVAL
authorized agent of the owner. I agree to comply with city, and
THIS PERMIT
i
This application is
state laws regulating construction; and in doing the work authoriz-
AUTHORIZES
not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Bbilding Official or his
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tiQr/+9su.rance_---)
INSPECTION
acknowledged in Space provided.
S D, R E
DATE SIGNED
DEPARTMENT
�AGE V-
CITY OF
OFFICIAL'S SIGNATURE DATE
EDMONDS
ATTENTION,
771-3202
RELEASED BY: DArE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING, OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
ORIGINAL File YELLOW — Ins PICtIrIj
A CERTIFICATE' OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
PINK — Owner GOLD — Assessor
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