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17517 71 ST AVE W
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C IT Y o I EDMONDS
For Inspection Call 771-3202
I VEQ S I D E
MAR 41986
PUBI
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Builder: �A)00 & 6
Contractor & License No: /_Jz__S 6�1
Single Family Residende ><'
MUl ti7Family . . (No. of Units
b)
SEWER PERMIT.
PERMIT NO. 07602
[L�_MN �NWO 0 �DL I �NE
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Cal 1 One -Cal 1 -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
,I certify that I have read and shall comply
with the items listed on the back.
caPermit Fee: 1_�6 Issued By:
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments
Final Inspection Approved:
__,� - -19/1 q4.
Date �1
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE.**
-3 - ?, i - 56
Date
Ua—te Initial
Date 'Initial
White Copy - File Green Copy - Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing
EASEMENT NO - -----------------------------------
--------- -
NEW CONSTRUCTION REPAIRS LID NO. -1-64 ----- - ASMT. NO - ------------------
OWNER --\4-Q0-QC,.RJ&,F.T -------- Rot-"E�s -------------------------- CONTRACTOR LuTz ---------- ------------------- PERMIT NO. !7A�Z
JOB ADDRESS ----------- 7Y
JUNNWOOD
LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. - . ..... jjNE
------------------------------------------------------------------------------ I ------------------------------------------------------------------- ---------------
C/I
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I6f?c!:.Wvr-
21'
It4c. 6. P
1-5*00
V,c.6.WVE
PWW-M 1-11/75 (REV. 11/78)
11)
Vert
wap
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NAME OF ADDITION .. ------------------- ------------ ------
7 1 5T
17517
4!'c-*-WVC
/;V,
- 6"t-4. WVc 3,Dp.
C.O. CAP ro SURFA�cc
WOPP P440'R-r W ;,�
Approved:
DATESa ---- 3,]Ysk�... 9�- -------------------
CITY OF EDMONDS
j9NEW
E ADDITIO�
1:1 RETIREMENT
ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
t, Er- E T F-
DESCRIPTION
v
SERIAL NO.
LOCATION
-2
DEPT. NO
6-��v
*PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
cj
ESTIMATED LIFE
INITIATED BY
DATE
*PROJECT NUMBER 7
PROJECT COMPLETION DATE 42JL54�
COST —2 57
APPROVED'BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ODEPRECIATE -
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
INITIAL
W'p)
REFERENCE
DATE
C:!��
VERIFIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
UREET FILE Am 4747
USE ERMIT
ZONE WPNUMBER
CITY 0- FnM - _DS R5_18
CONSTRUCTION PERMIT APPLICATION jos
NAME (OR NAME OF BUSINESS)
FS 1--7-�17 71,5rAve
nc.
Ave-
r TELEPHONE NUMBER
_j
E
T) & f 4 Cc k) _j (j L-TA N T_-�
ADDRESS
qQ�
EITY ITELEPHONE I NUMBER
-7
NAME
I
Woobc,
.EGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO..
1-,5:,7- / I _5,-Zr-S�
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATIONO
PROPOSED :%Q
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 0 4' ,
SEE ENGINEERING MEMO DATED A�r�
7ADDRESS
&
Al,
METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
FTELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
SIGN AREA
ENV. REVIEW
Legal Description of Property - Include all easements
ALLOWED PROPOSED COMPLETE EXEMPT
(show below or attach four copies)
,4o7L
VARIANCE OR CU
PLANNING RE E
IAI W o 4-.4ed. g '7-�)-7 k q r
YARDS HEIa LOT -CC
FRONT S D� r 5; I:�
Z
REMARKS
Q-'N Ew El EJ
RESIDENTIAL PLUMBING
11 EJ
ADOIALTER COMMERCIAL MECHANICAL
REPAIR RETAINING WALL SIGN
E] EXCAVATE FENCE
E] F� 't
CHECKED BY TYPE OF CONSTRUCTION CODE
I I
DEMOLISH OR FILL x _FT)
2---A/ / � &�_
[:] PRE,MOVE INSPJ swim
El
SPECIAL INSPECTOR
OCCUPANCY
REMODEL COMPLIANCE INSP. POOL
REQUIRED
0 YES 0 NO
JAREA
GROUP& -
WOOD STOVE/ [__j
INSERT APT. BLDG E] RENEWAL
REMARKS
ieH
7W.S411-, 7).Ck IYL'�6
NUMBER OF STORIES NUMBEROF
DWtLLINU
A"14171751,16ck I UNIlb
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
f
cv
VALUATION A- 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, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days ,
Permit Limit: I Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
GRADING/FILL
successors In interest, agrees to Indemnify, defend and hold
'Uni
harmless the City of Edmonds, Washington, its officials,
i
employees, and agents from any and all claims for damages of
(r
<
whatever nature, arising directly or Indirectly from the issuance
of this permit. Issuance of. this permit shall not be deemed to
PLAN CHECK DEPOSIT
modify waive or reduce any requirement of any city ordinance
0
x
nor limit In any . way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowl;dge that I have read this application; that the
Information given Is correct; and that I am the owner, or the duly
ATTENTION
authorized agent of the.owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED.
tI2n,Insur?inc9,,
I NSPECTION
SIGNATURE �OWNER 9R AGENT) DATE SIGNED
DEPARTMENT
4le
CITY OF
EDMONDS
144/Ulk
T ENTION 771-3202
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL
OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
102-78
rj
ADS NO.
E
HEIGHT
1;��
OCCUPANT
LOAD
Mo
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
W
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5
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Z
DATE:
ME140 TO: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT: 17-5-1- 7 71-s7- ,,� ,`t/
After revievi of the subject Building Permit appl ication, vie have the Following
comments
I Connection to City viater 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 N',
5. Back -water valve required i f downstairs. Plumbing is below elev ation of
upstream manhole.
6. Water- and sewer lines to be separated by 10 Foot minimum.
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SYSTEM CROSS-SECTION
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TRENCH CROSS-SECTION
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STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location- 17 7 -- 7/ `ST,_4_i/6
plan by
phone
date
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year
CITY OF E13MONDS
frw jj .5
;114/% v -ft 14
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OL
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TRENCH SECTION_
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c T.
140 C*?, EQUAL ON t,04-
TOP 01� G4ZAVEL
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6" RERF, Rvc is? C>o/,,
//nF///�-//7-=V77-!
RY14" 1!12"WA51-4EC�l
'lNF'/LTRA7-l0N TRENCH DETAIL
N-T5.
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WRAP SUPAC a NIR ON TOP
AND 807-TOM OF- TEE ANr,>
SECURE WITH 5TAINLESS
STEEL BAND
7- �l --A4-8"RVC -rEE
;D
C-6.
NOTE: C"RAINAGE SY57-EM 7-0 BE MAINTAINEP
BY H0MEOK/NEFZS. CATCH 5A51N SHALL- SE
CLEANE(�) OUT PEIRIOO)ICALLY.