17908 74TH AVE W.PDFIIIIIIIIIIII
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17908 74TH AVE W
STREET FILE
DATE: �; 1 -7 / -7P
rA
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT: FENCE PERMIT APPLICATION
After reviewing the subject- Fence Permit Application, we have
the following comments to make:
(1) After a plan review and on -site inspection in reference
to the safety of adjjoin�ing properties as well as the
C>
public right-of-waZ, the Engineering Division has
approved this application.
2) The application must be approved by the City Planner in
accordance with Section (2) of City Code 12.14.04U—.
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PUBLIC WORKS DEPAR20 CHECKLIST
BUMDING PERM REVIEW
-7S
(address) (11-te)
Street Right-of-Wa� Exist'*
Z
Access Easements Exist*
ing— NJ(Ok)P�:
N -Ar
p4
-Utility Easement Exist
-L-L—j�EQD
REQD
7
Lot Per Subdivision Plat X Assessor
Site Plan Checked for -Accuracy.
K 10, P L-hri�j SVOW TTT;:0
Z
U ndergr*ound 14iring Reqd.
Check Accuracy of Legal Description
.Z
A
Review by
Date�
f4sting Water Main Size
Water in Required
u2
in Req '-red
Service M uired
ce Lj-ne ujred-
Hydrant Size Exist
nt Size is t
P4
Hydrant Reqd Per Fire Code
nt qd er Fire Code
Size
Detector Check 1,k-�ter Reqd.
Cross Connection IT tim
J�tioi
Fire Dep Comments
,1�4�Water
Meter Charge Reqd.
Review by,
Date
Septic Tank Design Approved
Date
Septic Tank Permit Reqd.
Permit No.
San Sewer Availability.
Pro�jj,�.,
Drawin
Ma
File No.
>San
Side Sewer ilab ili ty
j
Sanita� ec 3-on Fee Reqd.
7 Sewer C t*
�3:,
3_
Review by
Date
OpenDitch Exist'
Reqd'.
Culvert Reqd.
Size
P4
Catch Bas* qd.
dicate an Site Plan
dicate on
S loul
houl Zinage maintain collection
Ofj
on swale op Off
Op
Ole reqd.
Indicate an Site
Soil Conditions and Ground Water Field Checked
Review by.
Date
Revised: 1vl0-1977
Page 2
0
Street Paving Reqd.
Curb tter Reqd.
Sidewar.1kReqd.
Curb.Cut for Drivew�qyRe�qqd
Right -of- Con truction Pennit'R6qd.
,Way s
Bond Reqd. for Public Izprave-nents
Street Name.Sign Reqd..
M
Other Signing Reqd.
(rig,Pre Pernmt Site Inspection made on:�
z
0 SEWER
BY:
WATER
S=T'
ENGINEERING
Special Requirements listed in memo to. Conumity Development Department,
Building Division
> BY Date
o All item filled in on Buil ding Pern-d-t Application
P� BY Date 7
Drawings Stanip6d and Notations Made.
P4
BY Date
Approved by Public Works Department
Revised;�- lv 10-1977
CITY OF EDMONDS FOR INSPECTION CA#
-VPUBLIC WORKS DEPfWMENT Permit 06 @80
7,75-2525 Ext.� 220 Issue Date
.SI,DE SEWER PERMIT
PERMIT MUST BE POSTED ON J7171177r
l.. Address of Construction (4.TH VC W 990 U
2. Property Legal Description (include all, easements)
3. Single Family Residence A,,,o�Multi-Family No. of Units
Commercial
4. Owner q,��d-/- Rq-j= , e r r,.,-*, JA a c_v
_ 9:�� j;d ;,- Wovga�-J
5. Contractor & License No. POVL.4p�p C— 'C
6. Invasion into City Right -of -Way No (If Yes Right-of-
way Construction Permit Required - Call Dial Dig (342-5344) before
excavation). q,�3 �
E-4 7. Cross other private property: Yes No k,/O�Easement required -
attach legal description and county easement number.
READ THE FOL.LOWTNG AND SIGN:
P4
a4
4 a. Property owners must obtain a permit to install side sewers on
>4 their property. A licensed side sewer contractor must be employed to
construct side.sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
E-1 installation for one year.
41 - . - a- --
�4 C. Commercial establishment requi t:i CE 1H-L1
P4
side sewer line.
th n ra s
0 d. Side sewers may not be install r210 30
W H RS
to any structure.
0
e. Side sewer lines must be laid M I g AEFDRE
0
0 and maximum grade of 100% (45 YOU DIG
E-1 f. No turn in side s8wer greater a ben s 0 a(lowe
between cleanout. All 90 turns must a� 5 /8
bend) and wye with removable cap *
g. No down spouts, footing drains fle ted-
to side sewer system. RDINATING COUNCit
. h. Pea gravel is required for bedding when installing sewer lines
through other than granular soil.
i. Cleanouts.are required at 30"-60" from each plumbing exit line
and at minimum intetvals of 100' along sewer 'line run.
j. trenches within City right-of-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failure
due to poor compaction of fill.
k. Side sewermust be left uncovered until inspected and approved
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: ("I hon
..-.I,,cert1i- y that-,JI,haV-e read
and'sfiall comply with the above
Call 6imcrl �Vqa 9MI-71- Q tRCA6(-,;Vr!�ArP-
PERMIT FEE: 'D I S AP P ROVE D BY Date:
0 ) .
ow By: Date:
"I CONNECTION FEE: IV APPROVED By:AE�-Date:
P4 :D 71,5 177-
0 U
44 PERMIT MUST BE POSTED ON JOB SA
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASEMENT NO - ---------------------------------------------
NEW CONSTRUCTION REPAIRS M LID NO - ------------------ ASMT. NO - ------------------
OWNER --- G-t-n-Sev.- ------------------------------- CONTRACTOR --- P(3LV'-k.e-r F-Yco,\,j j p v_t ......... -.33.7
---------------------------- ................ ........... A ...... PERMIT NO. -(� -------- - --
JOB ADDRESS .......... (T90-8 --------------- 7470 --- Ave,
........... W-: LEGAL DESCRIPTION: LOT NO. - -------- --------------------------- BLOCK NO - ------------------------------------
--r P <,-7
NAMEOF ADDITION ----------------------------------------------- ..........................................
Approved:
c- E�
V. 6
Q�
7� S
.............
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DATE B --- bO7f.A,(; .... �UO.640.K
11/75
1—'iL G C-T I c, CJ
17
DATE_/
CITY OF EDMIONDS'
CC,'!,P,'..AIIIT RECORD
C om, p 3. al' n t v.o i c e d hy
A d --� I, -=:; z; :
Pro.,�ercy owncr: Yes 1,10
7
A&h,ess of prop...r-L.v
o r, c, F, I e d 7 9 7,�Z
Namr� of ),.-!r;er:
A�idrass:
Dcsc;ription of comp., l.a i n t
Phonf�:
R-s
ult of investigation:
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INSPECT'[ON RECbRD
CITY OF EDMONDS, PUBLIC �qORKS DEPAM.ILNT
PROJEICT:
DATE:.
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I/ 781v
INSPECTION RECORD
CITY OF EDMONDS, PUBLIC WORKS DEPARTMENT
DATE /-7 PROJECT: ci c'
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BY:
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UILDING DEPARTMENT
Applicant I
ill
USE PERMIT
ZONE NUMBER
PERMIT APPLICATION
Inside Heavy
-ine
JOB
ADDRESS
rl VO
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NAME (OR NAME OF BUSINESS)
LEGAL LOT
LOT AREA
SUBDIVISION NO.
W
MAILING ADDRESS
El YES 0 NO
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3:
/ �, -/,z2
STREET R/W
0
EXISTING STREET R/W
FT. DEFICIENCY THIS PROPERTY
CITY TELEPHONE NUMBER
1.1
COMP. PLAN ST. R/W
FT. FT.
1
NAME
REMARKS
W
U
W
ADDRESS
W
7_c�
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CITY —77
ONE NUMBER
STREET AND/OR UTILITY WORK
R/W PERMIT REQUIRED
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REO'D. 11 YES
ONO
El YES ONO
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UNDERGROUND
N A ME
C- 0—
WIRING REO'D.
0 YES 0 NO
L^j 4.11
TYPECONNECTION
OYES
. BY
ED
0
ADDRESS
F
U
SANITARY SEWER
IVER11
ONO
4
SEPTIC SYSTEM
El YE S
PERMIT NUMBER
tr
CITY
TELEPHONE NUMBER
l`_
APPV'D BY CITY ENG.
1
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ONO
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U
STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
METER SIZE
BUILDING SUPPLY SIZE
Legal Description of Property (Show Below or Attach Four Copies)
W
REMARKS
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0
F-
SIGN AREA
ENV, REVIEW
ADB NO.
(L
ALLOWED
PROPOSED
COMPLETE
EXEMPT
U
W
REMARKS
W
VARIANCE OR CU
P LANNING REVIEW BY
DATE
YARDS
COVERAGE
ILOT
NEW
Z RESIDENTIAL
GAS
LINE
FRONT SIDE REAR
FIRE ZONE
TYPE OF CONSTRUCTION7E
HEIGHT
NON-RESIDENTIAL
El SIGN
. .
I
ElADD
0 RETAINING
DEMOLISH
SPECIAL INSPECTOR
OCCUPANCY
OCCUPANT
WALL
-1 ALTER EXCAVATE F7/JFENCE
r 1��4 (A:± —0 X
OR FILL _j2Ft)
REQUIRED
El 'YES
GROUP
LOAD
PLAN CHECKED By
THIS SITE IS LOCATED IN THE CITY
PRE -MOVE . swim
OF EDMONDS. LOCAL SALES TAX
REPAIR
INSP. El POOL
SHOULD BE CODED 31.04.
REMARKS
NUMBER OF STOR7FSi7r4UM8ER
OF
r
DWELLING
z
U U NITS
W
NATUR�CF W( ?RK TO BWONE
I-
W
VALUATION
FEE
PROPOSED USE
PLAN CHECK
I -
2
NO.
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FL—OT PLAN (INDICATE BUILDING SETBACKS,
I
IL
(t
ABUTTING STREETS)
BUILDING
0
U
j
In
W
PLUMBING
W
W
0
HEAT & GAS LINE
0
FENCE
z
SIGN
RETAINING WALL
0
U
SWIMMING POOL
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the in-
formation given is Correct; and that I arn the owner, or tile duly author-
ized agent of the owner. I agree to couiply xvith city and state laws regu-
ATTENTION
APPLICATION APPROVAL
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
THIS PERMIT
This application is not a permil,",L".
relating to Workmen's Compensation Insurance.
AUTHORIZES
until signed by the Building Official or
NOTE: Permit Limit 0;1C YC13f (Except DEMOLITIONS and FILL
ONLY THE
his Deputy; and fees are paid, andV-'
PERNMITS without conditional use permit, which shall be completed in 90
WORK NOTED
receipt is acknowledged in space pro--�--
days; MOVE'D-IN BUILDINGS shall be completed in six months.).
vided.
SIGNATUR47�,YNE�R
DATE SIGNED
INSPECTION
0 EPARTMENT
DIRECTOR'S SIGNATURE
IENT)
CITY OF
"C'
7Zr
EDMONDS
DATE
NOTE: Applicani.Subject to Plan Check Fee
775-2525
This Permit covers work to b a done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
ORIGINAL File YELLOW Inspector
marquees, etc.) will require separate permission.
GOLD - Assessor PINK Owner
PERMIT
LDING DEPARTMENT %Appopslicant I ill ZONE NUMBER
r7l I Ili
Inside Heavy me
PERMIT APPLI(LA11UN JOB
ADDRESS
NAME JOR NAME OF BUSINESS) /�
"'no J 0
A
OBDRESS
11,we,o LEGAL LOT SUBDIVISION NO.
Ir �:�/ 0 YES 11 NO
W MAILING ADDRESS
z
7:.'J STREET R/W
EX ST
3.1 EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
0 CITY TELEPH 0 NE NUMBERt
I
COMP, PLAN ST. R/W FT. FT.
S
K
NA r EMARKS
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ILI
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a:
0 ADDRE
u
CITT
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3escription of Property
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In
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0
W
0
R
CHECKED BY
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TELEPHONE NUMBER STREET AND/OR UTILITY WORK R/W PERMIT REQUIRED
REQ'D. 0 YES ONO 1:1 YES 0 NO
UNDERGROUND
WIRING REQ'D.
C- 0— L-i YES LJ NO
13
z
W
W
z
ILI
TYPE CONNECTION EI YES
VERII ED By
SANITARY SEWER Cl NO
I
TELEPHONE NUMBER
SEPTIC SYSTEM El YES
PERMIT NUMBER
APPV'D BY CITY ENG.
Cl NO
CITY LICENSE NUMBER
REMARKS
Below or Attach Four Copies)
METER SIZE
UILDING SUPPLY SIZE
REMARKS
SIGN
REVIEW
ADB NO.
JAREA
ALLOWED PROPOSED
COMPENV.
LETE I EXEMPT
REMARKS
VARIANCE OR CU PLANNING REVIEW BY DATE
YARDS
LOT COVERAGE
E
N w
RE SIDENTIAL
GAS
LINE
FRONT SIDE REAR
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
ENON-RESIDENTIAL
SIGN
I
ICODE
El
F
ADD
ALTER
DEMOLISH
EXCAVATE
OR FILL
RETAINING
WALL
F�71 FENCE
1�-Nj (At±—o X_1FT)
SPECIAL INSPECT 0 R
REQUIRED
0 YES El NO
AREA
OCCUPANCY
GROUP
OCCUPAI
LOAD
PLAN CHECKED BY
THIS SITE IS LOCATED IN THE CITY
El
REPAIR
PRE -MOVE
INSP
swim
M POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
REMARKS
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATUR�fF W
/�RK TO BE
/,fONE
ABUTTING STREETS)
iI hereby acknowledge that I have read this application; that the in-
formation given is correct; and that I am the owner, or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no person
wYll be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Limit One Year(Except DEMOLITIONS and FILL
PERMITS without conditional use permit, which shall be completed in 90
days; NIOVED-IN BUILDINGS shall be completed in six months.)
=SIGNAT
NE R AGENT) DATE SIGNED
1180im
NOTE: Applicant.Subject to Plan Check Fee
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.
VALUATION I FEE
PLAN CHECK
NO.
IBUILOtNG
PLUMBING
HEAT & GAS LINE
FENCE
SIGN
RETAINING WALL
SWIMMING POOL I
AL AMOUNT DUE
ATTENTION APPLICATION APPROVAL
THIS PERMIT This application is not a permit
AUTHORIZES until signed by the Building Official or
ONLY THE his Deputy; and fees are paid, and
WORK NOTED receipt is acknowledged in space pro -
INSPECTION vided.
DEPARTMENT DIRECTOR'S SIGNATURE
CITY OF
MONDS DATE
775-2525
ORIGINAL - File YELLOW - Inspector
GOLD - Assessor PINK - Owner
UREET FILE
CITY OF EDMOND$
BLDG. DER
CONDITIONAL PERMI'
N
WORK.
DDRESS. 1'79^
7 `7
1-�&)Og -7ZI-4 (AJ,
j- -7-ly-1-7 Zo. -11,41
W ER-
A
VED DA
N - a eeve
BLDG. OFFICIAL:
KEEP THESE STAMPEO
PLANS ON JOSSITE FOR
�—LL INSPECTIONS
PERMIT NO. SIIEET,,
820304 OF
Jut 198
62
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