18303 76TH AVE W.PDF6248
18303 76TH AVE W
CITY OF EDMONDS
I . -1 SET
ASSETSII'Mml L
la"N E W
1:1 ADDITION
1:1 RETIREMENT
ASSET NO. 15
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
T. N- .
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE
COST o
B.A.R.S. ACCOUNT NO. 411--aaa
ESTIMATED LIFE C;lz�
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
Ef/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
4DG.L. ENTR
REFERENCE DATE
ell Y
VERIFIED BY
PROCESSED
BATCH NO.-
ttnp INITI
DEPARTMENT FILE
The City of E f,�o -.� Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS F� LID NO . .................. . ASMT. NO - ------------------
OWNER -----
- - --------------------------------------------------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
JOB ADDRESS -2)
----------------------- ---------------------------------------------------- LEGAL DESCRIPTION: LOT NO. -- ...... Z ------------------------ BLOCK NO - ------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
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PWW-0001-11/75 (REV.11/78)
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Approved:
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CITY of EDIVIORDS S I D E SEWER -PERNIT
s
STRER FILE -' �: " �' -"" 1 - f'-,
For Inspection Call 771-3202 PERMIT NO'.. '07925
Address of Construction: XM �f — 716 M 141 Z-0-/,wel
Property Legal Description (Include all easements): o7
Owner and/or Builder: .0&7—
Contractor & License No:
SingTe Family Residence
Mul ti-Family
Commercial
V/11�
(No. of Uni,,ts
(No. of fixture Units
EE��E
Invasion into City Right -of -Way: No L,-� Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.*)
Cross other Private Pr operty: No Al"� Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE I.TEMS LISTED ON THE BACK
REM VIED
140V 7 1988
I'ceiftify that I have read and shall * comply Dat/e
with the items listed on the back. PUBLIC WORKS
Permit Fee: 30. 0 0 Issued By: �—TZ-6
Trunk Charge: bate Issued: Z/- -7- <?6?
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date Initial
Rejected:
Reason
** PERMIT MUST BE POSTED ON JOB SITE
Date Initial
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
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RF-CEIVED
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PERMIT COUNTER
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MEMO TO: Building Division
FROM: Engineering Division
SUBJECT: If5aa �76 /-# 1-7pe t_l,�
After review of the subject building permit application, we have the
following comments:
1) Connection to City water 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 141%.
5) Back water valve required if downstairs plumbing is below
elevation of upst-ream manhole.
6) Water and sewer -lines to be separated by 10 foot minimum..
7) Builder/owner responsible for containing all -tempora.ry runoff and
.erosion on site and may not. impact neig�boring properties in any
way.
8) Construction hours from 7:00 a.m. to 10:00 p.m. on wdekdays and
10:00 a.im. to 6:00 p.m. on weekends and holidays.
9) No burning of. construction refuse 'wit-hout. -n=rhual by Eire Dept.
----------
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CITY OF EDM�LMDS
-SE NWERMIT
ZONE NUMBER
CONSTRUCTION PERFffR@§F%1= I
1W
013
LA DDRESS 7h le
w
Z
0 �
NAME (OR NAME OF BUS.
es
LEGAL DESCRIPTION CHE7K
Z .
—SUBDIVISION NO. LID
_ej:�
NO.
MAILING ADDRESS
`?17—M Ave. St)
TESCP
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED
BY
CITY
TELEPHONENUMBER
1 1*774
EXISTING_
PROPOSED,4,MZ4TfOUIRED DEDICATION
0
ow
x
0
'4
NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED Uj
Uj
STREET USE PERMIT / RED UIRED C /7 Z
ADDRESS
7
Z
SEE ENGINEE�)/;�� Y U,
CITY,�
MoKIL 7e-o
TELEPHONE NUMBER
7 7,1 --�7,
REMARKS
A
NAME
4;7,ve A go
ADDRESS
2
Z
8
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
W
CITY TELEPHONE NUMBER
REMARKS
STATE LICENSE NUMBER
TE J V-f 4 7
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
Z
2
Legai.Description of Property - include all easements
(show below or attach four copies)
SHORELINE#
J r x7t -
a.
LU
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
FRONT SIDE REAR
IGHT
LOT COVERAGE
Z
Z
REMARKS
I CL
Z
10
NEW IYI RESIDENTIAL' L PLUMBING
EADDIALTER 0 COMMERCIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH OR FILL F7 I x _FT)
E:] PRE -MOVE INSPJ swim
REMODEL COMPLIANCE INSP. POOL
CHECKED BY
1PROGRESS
TYPE OF CONSTRUCTION
I
CODE
I -
SPECIAL INSPECTOR -17RZ—
REQUIRED
1:1 YES C3 NO
JOCCUPANC
GROUP
WOOD STOVE/
INSERT APT.BLDG RENEWAL
REMARKS
INSPECTIONS PER UBC 305
NUMBER OF STO NUMBEROF
DWELLING
UNITS
NATURE bF WORK TO BE DONE (ATTACH PLOT PLAN)
ff.,- n1 de,-,ec <--- 7;.-) A-, I/
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewelks,
STATESURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
E . NERGY CODE
"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. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT,
modify,.walve or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
TOTAL AMOUNT DUE
I hereby acknowledge that I have read this application; that the
Information given ls� 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-
ed thereby, no p6on will be employed In violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of Washington relating tQ Workmen's Compensa-
WORK NOTED
tion.insurgrIce.,
I NSPECTION
DEPARTMENT
SIGNA RE (OWNER OR AGENT)
ATE S NED
CITY OF
EDMONDS
�,-';-',ATTENTION .771-3202
-A I L WFUL TO USE OR� OCCUPY A BUILDING 08 STRUCTURE
I FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
IFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
3.1
VALUATION
OCCUPANT
LOAD
FEE
_100.00 lqoqq
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
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