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18416 79TH PL W
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
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NAME
ADDRESS
CITY ITELEPHONE NUMBER
NAME
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STATE LICENSE NUMBER
8 /6 F311-K 23)7JE
Legal Description of Property - include all easements
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NEW
RESIDENTIAL
PLUMBING
ADDIALTER
COMMERCIAL
MECHANICAL
ElREPAIR
E] APT. BLDG.
SIGN
DEMOLISH
REMODEL
[:j EXCAVATE
OR FILL
CARPORT
1:1 GARAGE
FENCE
— x —FT)
swim
E] POOL_
WOOD STOVE I
INSERT
RETAINING WALL/
ROCK ERY
RENEWAL
NUMBER OF STORIES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
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This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewqlks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"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 d eemed 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."
I hereby acknowledge that I have read this application; that the
information given is correct; and that I am the owner, or the duly
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 Person will be employed in violation of the Labor
Co-d—elay—he"§Ne of Washington relating to Workmen's Compensa-
DATE SIGNED
re ioc
USE
ZONE NuOTREET FILE
JOB -1 q+
ADDRESS 1 S— ( (P
-EGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP
EXISTING REQUIRED DEDICATION APPROVED BY
PROPOSED
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED.
STREET USE PERMIT REQUIRED'.'
SEE ENGINEERING MEMO DATED REVIEW BY
REMARKS
MET9 ?ZE BUILDING SUPPLY SIZE FIXTURE UNITS
REMARK.%
SIGN AREA ENV. REVIEW ADB NO.
ALLOWED PROPOSED COMPLETE I EXEMPT I
I I I SHORELINE #
VARIANCE OR CU PLANN
G RE
,VIEW BY DATE
" III ) 002MS �j 1. 1 M
SETBACKS — FEET HEIGHT I LOT COVERAGE
. I —Z�q�) , --1C,> Z
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FRONT 71S SIDE -7 REARISr
REMARKS (L
'HECKED BY
TYPE OF CONSTRUCTION
CODE I
HEIG -HT
SPECIAL INSPECTOR
AREA
OCCUPANCY
OCCUPANT
REQUIRED
I I
GROUP e2l—s
I
LOAD
n YES
(-I NO
0
PROGRESS INSPECTIONS PER UBC 305 Z
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a,-011WZ Y -Z;15R41-70,,VFe 4)4'
�� VALUATION I FEE
PLAN CHECK FEE I
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
STATE SURCHARGE
ENERGY CODE
IPLAN CHECK DEPOSIT I I —,�Oo-oo 1105,61
TOTAL AMOUNT DUE
ATTENTION
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
�obb, JHAPTER 3.
'A
iiia,
ATTENTION
APPLICATION APPROVAL
THIS PERMIT
This application is not a permit until
AUTHORIZES
ONLY THE
signed by the Building Official or his
WORK NOTED
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
I NSPECTION
DEPARTMENT
OFFICIAL'S SIGNATURE DATE
CITY OF
EDMONDS
771-3202
RELEASED BY: DATE
ORIGINAL — File YELLOW — Inspector L
PINK — Owner GOLD — Assessor
-71
DETENTION WORKSHEET.
STANDARD DRAINAGE PLAN
BASIN
13 "Crf=.3,01,
DETENTION PIPE LENGTH CONTROL CArC"
IV
m1w, 2' mfo( COVER
OLrrLr.T
C004T;toe
% SLOPE-0-
4'
T -ro 0JTL-ET
N P RAP OR
P,UNOFF
SPREADER-)
SYSTEM CROSS SECTION
2' 2' a (v" DE=P,' 4�- (6 " SPALLS (alL rou^L)
x, 2' x D G E P, %'-r-1Ruswr=D Foc-K
FPOM
OLrrLr=-r
CON-1-ROL
WASHED rrRAVE'
---a- L
FROM
OLMLET
CON-rROL
RIPRAP OUTLET
OU'TFLOW TRENC", MIN 10' L0NG,
TOP 4 A- PE-KF POPE -TO Ise L-r-VML-
.. FSRF P%PS WITH CAMS
RUNOFF SPREADER OUTLET
DETENTION SYSTEM
for QEMAI &VOSERT-s
locationL&r/C MOREA445-46AI
plan by WAV AIAV
phone 2Z&-7-:M1 1
date-OU09! Z7-01989
1
DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
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 resDonsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
Page 9 of 9
CITY OF EDMONDS
JUN 13 193"
PERMIT COUNTER
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ET FILE
The City of Edmonds EASEMENT NO - ------------------------------------------
NEW CONSTRUCTION W"� REPAIRS F-1 LID NO - ------------------ - ASMT. NO - -------------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------- PERMIT'NO.
JOB ADD�ESS ----------- I -'N l.'C0 ----------- --79-'Pt ........ i ------------------ I ------------ LEGAL DESCRIPTION: LOT NO - ---------- 1-6 --------------------- BLOCK NO ... ...............................
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-----------------------------------------
NAMEOF ADDITION ------ ------- --------------------------------------------------------------
N4 I (o -71 K-
I I - of. O'do'bs
4
13'
75
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4"Pvf- %Wag N
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CDAI
Approved:
PWW-0001-1 1/75 (REV.1 1/78) ..... al .................... �.By --- -------------------------
di
'CITY of EDMONDS @,TQr51r PISPIDE SEWER P E R M I T
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For Inspection Call 771-3202 PERMIT NO. 08008
Address of Construction: /0 L/ / 6. -777�4 R
Property Legal Description (Include,all easements):
Owner and/or Builder: 6 9/ka CQ^6Tt2 /"JC
Contractor & License No: 13 1 G 8 11 --v- 2-3 -7 J r=
Singl:e Family Residence
Multi-Fam.ily (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No ><- Yes (If Yes, Right -of -Way
Const . ruction Permit required. Call One -Call -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 READTHE ITEMS LISTED ON THE BACK
I tertify that I have read and shall comply Date
with the items listed on the back.
' -? 0, C6
Permit Fee:
Trunk Charge: r
Assessment Fee:
Partial Inspection:
omments
Final Inspection Approved:
�Issued By:
6te Issued: Z6 - -?o
Receipt No.: // 31L Ica
Da te Initial
Rejected:
Reason
PERMIT MUST BE POSTED ON JOB SITE
Date Initial
_95—te Initial
Wh.ite Copy - File Green Copy -'Inspector
Buff Copy - Applicant
STREET
CITY OF EDMONDS
ASSET INFORMATION SHEET
M /NE W
ADDITION
RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
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SERIAL NO.
LOCATION
DEPT. NO.
I I'S Ll I (e '29t'�\ Plckg,
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER Wj Z's 0 D (le
PROJECT COMPLETION DATE 9 - 30':�7
COST Motao
I -
B.A.R.S. ACCOUNT NO. -3 L�,S—
ESTIMATED LIFE— 9-16
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
V/DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
ktnp INITIAL
- DATE
(I �J� I I
PERIFIED BY
PROCESSED
BATCH NO.
DEPARTMENT FILE
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PERMIT COUNTER
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