18703 92ND AVE W.PDF1111111111 1�1
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18703 92ND AVE W
Side Sewer Drawing
The City of Edmonds goo EASEMENT NO - -------------- -----------------------------
NEW CONSTRUCTION G/ REPAIRS 0 LID NO. -A-Sl --------- ASMT. NO - ------------------
OWNER ---------- ---------- V-6-,-,Ats --- ------------------------------------- CONTRACTOR ------ �,Qt.2 - ---------- 20
— --------------
xt PERMIT NO. -0-7
JOB ADDRESS ---- 1-17q-5 ------- ��,w'r �q ----------------------- LEGAL DESCRIPTION: LOT NO - ------- -------------------------- BLOCK NO. - EDMONDS
- T--'R --- E- A --- T- M- --- E --------- KANT
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NAMEOF ADDITION -----------------------------------------------------------------------
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Approved:
DATE ... $ .. R-$ ..... 17 ................. By ---
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CITY of EDMONDS B&C-AMP
For Inspection Call 771-3202
a. 3. imn V a I
Address of Construction:
SIDE SEWER PERMIT
PERMIT NO. 07627,
CK (10
EDMONDS
ITREATMEK FLAK
Property Legal Description Include all easements):
Own
Contractor & Lic I ense No: 14-o r� Lg- L 41 q ik--
Singl:e Family Residence
Multi -Family
(No. of Units
Commercial (No. of fixture Units
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: No Yes If Yes, easement required,
attach legal description and county easement number.)
I certify that I have.read and shall comply
with the items listed on the back.
Permit Fee:
SO-0c)
Trunk Charge: Z.S-, 0
Assessment Fee:
Partial Inspection:
Issued By�
Date Issued:
Receipt No.:
Date
'Comments t� Date Initial
Final Inspection Approved: _3__2_a37 o m D
I Date Initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
Date Initial
Wh.ite Copy - File Green Copy - Inspector
Buff Copy - Applicant
NOTICE:
T\_ kin... VA n
-a- . . . . . ...
The information'shown on the attached
for use by the City of
map(s) was compiled d Consultants.
Edmonds� its Employees an
Th,,.e City of *,Edm.onds does. not. warrant the
accuracy of anything set for.th on these
rnap(�). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the info'rm-ation shown- or
_�Re -map(s)l including, but not limited to,
' c ion. of any sewer stub shown. Suc
the lo' at'
sewer stubs may or may- not e.xist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
ernpl-o-yee-s o-r office-rs -sh-a-1.1 be 1--ia-b-If-e for the
information given on this map(5), nor for
any one representation provided based
upon'said map(s),
CITY OF EDMONDS
ASSET INFORMATION SHEET
02""NEW
ADDITION
RETIREMENT
STH- EET FILE ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
f l7e�o
DEPT. NR.
&;--z V
I
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER V;7,:o a6,2
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. !VJ-1�0042 -01V- 344� '0'0
40 ESTIMATED LIFE ezg�
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 DATE
tnp INITIAL
DEPARTMENT FILE
VERIFIED BY
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INGMEPIMG MGR. �PUBLIC WORKS MGR.
C I
MEMO TO: Building Division
FROM:. Engineering Division
SUBJECT:
After review of the subject buildin' permit application, we have the.,
9
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 upstream manhole.
6) Water and sewer lines.to be separated*by 10 foot minimum.
7Y Builder/owner responsible for.containing all tempo rary runoff ' and
erosion on site and may not impact neighboring properties in'any.
:way.
8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
7J
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CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
rAME (OR NAME OF BUSINESS)
ME
McNurle
NAME
ADDRESS
711M 11:ft]
CITY I TELEPHONE NUMBER
STATE LICENSE NUMBER
HO-ME-LH-*1-81QK
Legal Description of Property - Include all easements
(show below or attach four copies)
Lot 3. Edmonds SeaView Tracts
DNEW
El RESIDENTIAL
PLUMBING
E] ADDIALTER
COMMERCIAL
MECHANICAL
0 REPAIR
RETAINING WALL
SIGN
0 DEMOLISH
EXCAVATE
OR FILL
FENCE
x _F7)
PRE -MOVE INSPJ
swim
E]
REMODEL
COMPLIANCE INSP.
POOL
FWOOD STOVE/
-I INSERT APT. BLDG
F1 RENEWAL
i NUMBER OF STORIES NUMBER OF
DWELLING
Two 1UNITS nn P
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
ZONERNUMBER
JOB
ADDRESS 18703 - 92nd Ave.' W.''.
LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO.
S-13-86
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING UIRED DEDICATION -
PROPOSED
Z
cc
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 W
W
STREET USE PERMIT REQUIRED 0 Z
Z
SEE ENGINEERING MEMO DATED W
REMARKS
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
Uj
REMARKS
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED
PROPOSED
COMPLETE . EXEMPT
SHORELINE#
VARIANCE OR CU
PLANNING REVIEW BY
L_�� - I
YARDS
OT COVERAGE
Z
FRON;�� SIDE�o
RfAR
Z
L
REMARKS
TYPE OF CONSTRUCTION CODE HEIGHT
HECKED BY
SPECIAL INSPECTOR AREA OCCUPANC
ROUP OCCUPANT
REQUIRED G LOAD
0 YES 0 NO
REMARKS.
71VA M 4, It 14 L A69
ReP6&_e,_S _a�,O&nOA�g &`P- Ug,� 2P,5-
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, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
ENERGY 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
PLAN CHECK DEPOSIT
whatever nature, arising directly or indirectly from the Issuance
o 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."
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
ATTENTJON
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
THIS PERMIT
AUTHORIZES
ONLY THE
Code of the State of h n on re ating to Workmen's Compensa-
WORK NOTED
tlQn lutrance..
INSPECTION
DEPARTMENT
S1 E (0 NER R DATE SIGNED
/ I'll
CITY OF
I
1,94
EDMONDS
A17ENTION
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.
VALUATION I FEE
-100.0c I f?_5-q
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
1
771-3202 1. RELEASE
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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