18307 76TH AVE W.PDFIIIIIIIIIIII
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18307 76TH AVE W
CITY of E DM ON DS
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For Inspection Call 771-3202
Address of Construction:
SIDE SEWER I'lkMAT
PERMIT NO. 07977
Property Legal Description (Include all easements): �5,fi /..;?
46(11rm &?�5 i � L) C)
Owner and/or Builder: V6,,clT 74'��/n e:5
Contractor & License No: L 71 T�6_ J,�ZP
Single Family Residence
Multi -Family
Commercial
(No. of Units
(No. of fixture Units
_i�_
LYNNWOOD NE]
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: N o �11 Yes — (If Yes, easement required,
attach legal description and cou nty easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK 11 L (; L i v E D
APR '11989
I cbrtify that I have read and shall comply PUBLIC WORKS DAte/
with the items listed on the back.
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Permit Fee: &0' o o Issued By:
Trunk Charge: bate Issued:
Assessment Fee: Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved: 4-7-89
Date I n itial
Rejected: Reason —Ta—te —I—nitial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh-ite Copy - File Green Copy - Inspector Buff Copy - Applicant
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a
�The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION DK REPAIRS n LID NO . .................. ASMT. NO - ------------------
OWNER -------- �A4�-tAc a -------------------------------------------- CONTRACTOR --- SA ... M --------- CQK!��T ......... ------------------------- PERMIT NO.
JOB ADDRESS ---- LEGAL DESCRIPTION: LOT NO - ----- ::�3 ------------------------- BLOCK NO - -------------------- ---------------
a.3
--- ------------- 7-G ------------------------- -- At.
PWW-0001-1 1/75 (REV.1 1/78)
------------------------------------------------------------------------------------------------------------------------------------------------------------------
NAMEOF ADDITION --------------------------- -------------------------------------------------------------------------------------------
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Approved:
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CITY OF EDMONDS
ID/N Ew -
ADDITION
RETIREMENT
SIMEET FiLE ASSET INFORMATION SHEET
ASSET NO. 5-6�3
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DE
* * PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER �e'l
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. 6 �--// -,r 00 �2 IV- 0 0 , ��3
ESTIMATED LIFE
INITIATED BY
DATE
APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
ktnp INITIAL
DATE
VERIFIED BY
PROCESSED
BATCH NO.
DEPARTMENT FILE
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1988
PERMIT COURTER
- - - - - - - - - -
- - I.:
Building Division
FROM: Engineering Division
SUBJECT: -lf,502 Z7h4 &A)
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 14%.
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 211 temporary runoff And
erosion on site and may I not impact neighboring properties in any
way.
8) Construction hours from 7:00 a.m. to 10:00 p.,-.1. on wdekdays and
10:00 a.im. to 6:00 p.m. on weekends and holidays.
9) No burning of construction refuge 'wit-hnu-t- by Pire Dept.
A
M)
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLI
NAME (OR NAME OF BUSINESS)
MAILING ADDRESS
. f/ 7 - !�17-h A,(,&
CITY
J -Pesle�ly, 6,101r
wo ADDAESS
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cc
CITY
lnaeflTeo -
NAME
e-- 4,s
cc ADDRESS
0
CITY
Z
STATE LICENSE NUMBER
Legal Description of Property - ini
(show below or attach four cople�
Z
Ol
Fr
'Q1 1_,0-r I .
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SF
TELEPHONE NUMBER
TELEPHONE NUMBER
I easements
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F I L E NU ER
JOB
ADDRESS
.EGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO.
-3 7-- F6
TESCP
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY
EXISTING RgQUIRED DEDICATION
PROPOSE6���
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED;"�
STREET USE PERMIT REQUIRED C
SEE ENGINEERING MEMO DATED REVIEW BY
REM
,WS,/
METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS
REMARKS
SIGN AREA I COMPENV. REVIEW
ALLOWED I PROPOSED LETE i EXEMPT
VARIANCE OR CLI PLANNING REVIEW BY DATE
a - 6 -Cd �3 1
YARDS HEIGHT LOT COVERAGE
FRONT SIDE REAR I
NEW.
ADDIALTER
REPAIR
E] DEMOLISH
REMODEL
If RESIDENTIAL
1-1 COMMERCIAL
El RETAINING WALL
EXCAVATE
OR FILL
PRE -MOVE INSP.1
COMPLIANCE INSP.
Li PLUMBING
BIN
H
E] MECHANICAL
ANGCAL
I
E] SIGN
FENCE
x _FT)
swim
POOL
C
CHECKED BY
TYPE OF CONSTRUCTION
CODE
SPECIAL INSPECTOR
REQUIRED
0 YES 0 NO
OCCUPANCY
GROUP
WOOD STOVE'/
INSERT
APT.BLDG
RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBIC 305
NUMBER OF STORIES NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOTPLAN)
e_"l 7:� Op__
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidewpiks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided WorK Is Started Within 180 Days
ENERGY CODE
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25
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"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,
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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
modify,. waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision,"
PLAN CHECK DEPOSIT.
TOTAL AMOUNT DUE
I hereby acknowledge 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-
ed thereby, no p�rson will be employed In violation of the Labor
Code of the State of Washington relating to. Workmen's Compensa-
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
tioninsurancQ.,
SIGNATUD (OWNER OR AGENT) D
I NSPECTION
DEPARTMENT
CITY OF
EDMONDS
ATTENTION
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.
102-87
VALUA
-100-00
OCCUPANT
LOAD
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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