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17814 73RD AVE W
TREET FiLE
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DATE: - 42 7—
MEMO TO: Building Division
Community Development Department
FROM; Engineering Division
Public Works Department
SUBJECT:
After review of the subject building permit application, we have
the following comments:
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CITY OF EDMONDS
PUBLIC WORKS DEPARTMENT C�_7, n= 3
RIGHT - OF - WAY CONSTRUCTION PERPO L
A. eAddress or vicinity of Construction
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Owner: 6111-lat
Name
Mailing Address
City, S ta te, Zip Code
I
9 Contractor:0 I's do,44_11a� 11" 1
r-ermit No. 9'0 13
Issue Date /A? 0
• Permit Issued To:
• Type of Work to be Done:
• W/rk in Connection With -
El Sub or Plat 'VSingle Family
0 Comml. / Ind. El Apt. Condo
• Pavement Cut: El Yes ��N 0
i,4ame
.2 a Z,2 6 A/ 4) P/0 - 1�
Mailing Addrqs &te License Number
led4NXI� zt�l 76,1Z 7 7 �/ 6,5-3 7
City, State, Zip Code Telephone Number
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the.contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to- be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand th at this permit must be available at the job site for inspection purposes at all times.
Signature
or
te /- Z 9 -90
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By:
Time Authorized: Vold after 70 —days
Special Conditions:
Ammedments:
,-Ae .00
Permit Fee:
Security Deposit: f2��
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
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CITY OF EDMONDS 1W 7�_D �. I r,-
PUBLIC WORKS DEPARTMENT I �_D) - - ET ML��,J
RIGHT - OF - WAY CONSTRUCTION PERMIT
Permit No. 79-�?Rd
Issue Date // /a / I ? ?
A. eAddress or vicinity of Construction 9 Permit Issued To: -SNo P U.Z,�? �tL
141
41 Owner: 4E�JCk'SC21V COAl-'r-77 9 Type of Work to be Done: 7122�_Alif,4- /A/
Name
0. q,?!!g 417
e Work in Connection With:
Mailing Address El Sub or Plat X Single Family
El Comml. / Ind. 0 Apt. Condo.
City, State, Zip Code 0 Pavement Cut: 0 Yes El No
9 Contractor: -
Name
- 2wlp
Mailing Address State License Number
City, State, Zip Code Telephone 1�um_ ber
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
B. APPLICANT TO READ AND SIGN
INDEMITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless
from any injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made
against the City of Edmonds, or any of it's departments or employees, including or not limited to the defense of any legal
proceedings including defense, costs, court costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and materials for a period of one year
following the final inspection and acceptance of the restoration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until the final street patch is completed, at
which time a debit or credit will be processed for issuance to the applicant.
Work is to be inspected. Restoration to be in accordance with City Code. Traffic Control to be in accordance with Traffic
Section of City Code. Street to be kept clean at all times. A 24 - hour notice is required for inspection by Engineering. Call
775-2525, extension 220.
I understand that this permit mus
I
Signature:
Owner �or ee
ava
at the job site for inspection purposes at all times.
Z&rzgi� Date
THIS PERMIT MUST BE POSTED AT THE JOB SIT FOR INSPECTION PURPOSES
CALL DIAL - DIG PRIOR TO BEGINNING WORK
C. Issued By<:Z�
Time Authorized: Void after -36 —days
Special Conditions:
Ammendments:
IX, 0
Permit Fee: /-.5,
Security Deposit:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions
X
* * NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE * *
Eng. Div. December 1978
USE
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BUILDING -DIVISION-- Fill N U E
PERMIT APPLICATIOU Inside Heavy Lines JOB
NAMIE 10 R NAME OF BUSINESSr4W ADDRESS
G ES SUBDIVISION SHORT SUB NO.
"0"1
W G ADORES
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
Of,
TgLEPI�ONE NUMBER
EXISTING
20 1979
f�::- t yt,
PROPOSED
NAM
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DEFICIENCY OF RIGHT OF WAY <��ir, ot Public Works
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ADCIRESS
PUBLIC IMPROVEMENTS REQUIRED C71
DRAINAGE IMPROVEMENTS REQUIRED 0
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DRAINAGE PLAN REQUIRED
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CITY
TELEPHONE NUMBER
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UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER tall
M
IL
NAME
<�_511T
SEPTIC TANK PERMIT REQ'D 1:1 NO.
0
ELEVATION OF PROPERTY CORNERS
ADDRESS
I-
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& FOOTINGS REQ'D
CITY
TELEPHONE NUMBER
M
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SEE ENGINEERING MEMO OA1____=
0
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
CHECKED 13Y
.5Le-V rnz,,_ /c -le;�
Legal Desc'ri* tion Of Preperty (S�aw Be vv or Attach Fou Copie
Mt__FLH b14L
BUILDING SUPPLY SIZE
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AIGN ARE�
ENV.1 REVI EW
ADB NO.
CL
ALLOWED PROPOSED
COMPLETE EXEMPT
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SHORELINE
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PFMARKI
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VARIANCE OR CU
IPLANNING REVIEW BY
JDATE
YARDS
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RESIDENI
NEW 'IAL
GAS
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FRONT
FIRE ZONE
NON-RESIDENTIAL
S:NE
GN
ADD
SPECIAL INSPECTOR
RETAINING
DEMOLISH
El EIWALL
REQUIRED
�N
F
EXCAVATE
ALTER El OR FILL
FENCE
E] I— X—Fr)
YES NO
PLAN CHECKED BY
0
_J PRE -MOVE
REPAIR F INSP.
swim
POOL
EMARKS
z NUMBER OF STORI ES
NUMBER OF
0
DWELLING
UNITS,
NATURE OF WORK 170 BE DON4
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21
PLAN CHECK FEE
0
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LOT COVERAGE
SIDE REARI
OF CONSTRUCTION CODE HEIGHT
74 -�16
J�__ I / (i , --,
AREA OCCUPANCY OCCUPA
I GROUP :I,) LOAD
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
PLOT PLAN
<
BUILDING
PLUMBING
MECHANICAL
FENCE
SIGN
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold harmless
the City of Edmonds, Washington, its officials, employees, and
agents from any and all claims for damages of whatever nature,
arising directly or indirectly from the issuance of this permit. Issu-
ance of this permit shall not be deemed to modify, waive or reduce
any requiroment of any city ordinance nor limit in any way tile
i':ii.v'� ahi!ity to i*ii1'or,,;, -mv ordinance provis-ion."
RETAINING WALL
SWIMMING POOL
1. � — /. 1" ,
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4 �_�
7
VALUATION
FEE
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Street Right -of -Way Existing_ —I;EQD <��
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Access Easements Exist'
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Utility Easement Existing t D
Lot Per Subdivision Plat 6- Assessor
Site Plan Checked for Ac
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Underground Wiring Reqd.
4
Check Accuracy of Legal Description 4S
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Review by -a -2 -
Existing Water Main Size C11)
Water Main Required
Service Line Required
Hydrant Size Existing
r4
Hydrant Reqd Per Fire Code Size
Detector Check 1,16-ter Reqd. IN
Cross Connection Inspection
Fire Department Comments
:3:
Water 1-hter a -large Reqd.
Review by. te
Septic Tank Design Approved Date_
Septic Tank Permit Reqd. 161 Permit No.
Sanitary Sewer Availability ---Jr%A &maad: Proi I In zna
Drawing No. File No.
Side Sewer Availability J-L J-
Sanitary Sewer Connection Fee Reqd. Y\J a
�3:
Review by Date -1 o--)
14
Open Ditch Existing__e&V Reqd.
Culvert Reqd. e,- Size
C4
Catch Basin Reqd. Indicate on Site Plan.
'Nazze=
Shoulder drainage maintain collection an swale open runoff Z-ffixy- J-1-, �-
V
Manhole reqd. Indicate on Site Plan
Soil Conditions and Ground Water Field Checked rZ__ .-
Review by Date
Revised: lvlO-1977
Pag6.2
Street Paving Reqd.
Curb and Cutter Reqd.'
Sidewalk Reqd.
1b6
Curb Cut' for Driveway )Reqd.
P4 Right- of -Way, Cons tructioh Permit Reqd. Ye-,r-
Bond Reqd. for Public Improvements -
Street Nanp Sign Reqd.
Other Signing Reqd.
Pre Permit Site Inspection made on
0
14 BY: SEWER
WATER
Pq
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F4 STREET
ENGINEERING
Special'Requirements listed in mem to Com=ity Development Deparunent,
Building Division.'
BY - Date
c) All item filled in an Building Permit Application
P� BY Date
P" Drawii*s*-Starrped,and Notations Made
P4 BY Date
Approved by Pyblic Works DeparMuit
Revised: 1v 10-1977
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JPLOT PLAN
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