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7510 OLYMPIC
VIEW DR
•
ADDRESS:
TAX ACCOUNT/PARCEL NUMB
BUILDING PERMIT (NEW STRUCTURE): `Ulu7
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
1510 ob
1►1•
0
i�-
DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED: c) — /)o — 1
SIDE SEWER PERMIT(S) #:��D''1
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
.,Tuun. ' 0 hu, ) / ci -
LID #:
BLOCK:
LATEMP\DSTs\Forms\Street File Checklist.doc
CITY of EDMOODS STREET ICE SEWER PE-,,fl.M,1.T
For Inspection Call 771-3202 PERMIT NO. 07969
6 9
Address of Construction: OL.4/e- Pl,� w '1� e .
Property Legal Description (Include all easements): fib% 7—
Owner and/or Builder: 6� oKe CG 4=-- ?' i ✓3.3 / /-- S
Contractor & License No: 4,9 da. 4,45/��%C
Single Family Residence _ LYNNWOOD LINE
Multi -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 required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
f'(r-1,a, vc,J
MAR 8 1989 3 �-,9
I certify that I have read and shall comply Date
with the items listed -on the back. PUBLIC WORKS
Permit Fee: `30.d0
•Issued By:
-7'
Trunk Charge: 2,s : oy
Date Issued:
Assessment Fee: 12e4lp &12--
Receipt No.:
Colml r-
Partial Inspection:
Comments
Date In
Final Inspection Approved:
—� 64
Date
Initial00
Rejected:
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Reason
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Date Initial
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** PERMIT MUST BE POSTED
ON JOB SITE
**
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White Copy - File Green Copy
-'Inspector
Buff Copy - Applicant
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OF EDMONDS RECEIVED Permit No. 7/-.'23 /
'COMM'UNITY SERVICES DEPARTMENT 24 Z'
RIGHT-OF-WAY CONSTRUCTION PERMIT JUL 2 4.1991 Issu date 7''
Q 111w
jA. • Owner: KPL2 ` 1 e� , Kran B. • Con�'�i tractor: � - eVe-n: �-. �e
Name
/�f03 %L~� / t t> Na2egyo3
Mailing AddrSs 2G M ng Add
City State Zip City State Zip
/GfFsT�G l zs P -7 Z_ (11 9 7 %
State License (Number Telephone Number
C. • Address or Vicinity of Construction: 17 f/ U
Type of Work to be Done: ZyiU r%o1 cn,2e, lei "�'t r Est � A ��� tiQ /7-/
D. 0 Work in Connection With: 'Sub or Plat Single Family ❑ City Projects
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❑ Commercial ❑ Multifamily ❑ Utility
'E. 0 Pavement Cut: ❑ Y KN F. • Size of Cut:'
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by.his signature to this applicati6n, agrees to hold the City of Edmonds
harmless from any` injuries; damages, Or claims of anykfind or description whatsoever,' forseen or unforseen, that.may
be made against the City of Edmonds, or any of itsciapartments or employees including or not limited to the defense
of any legal proceedings including defense costs, co u sts, a)d-attor fey` te7by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MAjTERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCErOF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
1 processed fors issuance to the applicant.
1 ' • A 24 hour notice is required for inspection; Ple e 1lgineering: 771-3202
• Work is to be inspected during progress and completion.
• Restoration to. be in accordance with City Code.
• Street to be kept clean at all times.
1 • Traffic Control to be in accordance with City regulations.
1 • All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
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I understand the above and that this permit must be available at the job site for inspection purposes at all times.
- ?/- :� f
Signature: Date:
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY: G�
Time Authorized: Void after 90 days.
Special Conditions: PPi►' a Ilac l q�/GlGd�r1G)
PERMIT FEE.
3 o -''
Restoration Fee:
Receipt No.: /
Fund III Fee:
Street Cut Dimensions: _ $
RELEASED BY: Date 1,91
INSPECTED BY �h Date
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng Div March 1984
FIELD INSPECTION NOTE `...' , `'J (Fund 111 - Route copy to Street,,Dept.)
• ,
Comments:\
Diagram:
CONTRACTOR CALLED FOR INSPECTION ❑ YES ❑ NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY:. Date:
> ng. Viv. Jul
SECTION
SHORT PLAT MAP
TOWNSHIP 27/V
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NOTES
1) THIS DOES NOT REPRESENT A FTELD SURVEY.
PARCELS ARE REVEALED BY LECAL DESCRIPTION
AND III ACCORDANCE III.1•II THE S1101C17 I'LA'1•.
CERTIFICATE.
2) THE INFORkIATION Oil TIIIS PLAN TS FOR PIANNINC
PURPOSES ONLY AND IN PIMPARED III ACCORDANCE
141TIl S. C. C. 18. /IG. 030.• (A)
J� NO ACCESS SNAL L 5,f yERic7/TIED
D/RECTL y TO OL�'MP/C Ii/EI�YO�/�E.
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RE!/�•' RE✓ :LO7L(ES
�-6_?I_90
WESTERN SURVEYORS, INC.
13000 Highway 99.South, Everett,WA 98204
Phones: 742-5500 or 355-2776
WSIPLI4
JOB NO. 90- 07,9 -A
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SECTION 8
SHORT PLAT MAP
TOWNSHIP 27/V RANGE
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• , SCALE: /''=/O'
NOTE: rl r v Resame v1Ewr-s �) /.t/3TALL E'.Y7-.eU0E0 CURd Alw
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C/TY Gr EOMONOS STA.VUA,PQf
. WESTERN SURVEYORS, INC.
13000 IIighway 99 South, Everett,WA 98204
Phones: 742-5500 or 355-2776
WSIPLI4 JOB NO. 90- 076 -A '212