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18705 85TH PL W.PDF111111111111 8063 18705 85TH PL W 1-'7 C. 1 B913 CITY OF EDMONDS BARBARA FAHEY 121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 FAX (425) 771-0221 MAYOR. COMMUNITY SERVICES DEPARTMENT Public Works - Planning/ Building - Parks and Recreation Engineering * Wastewater Treatment Plant September 14, 1998 Janris Construction 18705 85" PI W Edmonds, WA 98026 Re: Address Correction Mr. Thompson, ".,-FT R.F' This letter is to inform you that when we assigned addresses for your two lots off 840'Ave West, we did so incorrectly. We assigned 18310 & 18320 84 1h Ave West when in fact these numbers need to be odd. The corrected address house numbers are 18311 (#980516) & 18321 (#980517) 84"Ave W. I will inform all interested City Divisions and write a letter to the Postmaster. I am very sorry for this inconvenience. If you have any questions, please call me at 771-0220. Thank you, Lara Knaak Permit Coordinator cc: Building Official 0 Incorporated August 11, 1890 0 Sister Cities International — Hekinan, Japan AM) LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 97-/- 25 F- 10, 395' L-Li �,D LIJ 05 RECEIVE[) U? c:) MAY i I iggs Qj 5, Lr) MMff COMIR Qj 0i A io3ar L) 24' /oe- DCCK 10, 16' SEWER s7uB WALKWAY z 390' o 0 5-, lo/ ;z s- DRIVEWAY �CITY 25 385' PArft-?bitx-= too u-_a 85th PL W SC . ALE 20 APPROVED BY PLANNING LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 97/ 25/ 10, 395' c �,D 26,51 6 4 cu 5' :z CD Lr) cu 16 0, �4 S I(, Wr LC- CD 24' Gill -2.6 14 . 1 DCCK 0-7 b u) 10, 16, c- 190", 101.< SEWER --- STUB WALKWAY 390' 10. rK DRIVEWAY RECEIVED 13D,< 157 Z 25 MAY I I 19's fir. . / PEW COUNTER APPROUE AS NOTED Ati'�-b 46 —/1 IJ -w- & - - a--- 6 r&& fr ACCEPTABLE TIGHTLINE MATERIAL "X% P L W so WATER SERVICE INSPECTIONS REOUIRED. CALL 771-0235 385' 17-(' AWX dPL7A 4WO IDArof- PT-z ZX- C3 CA-M" Z05 %NJ SCALE 20 CITY .- COPY -z� PROJECT REVIEW CHECKLIST -7 PROJECT NAME:... 7 PLAN CHECK #:-9, PROJECT ADDRESS: Ae -70S- RECEIPT DATE: PLAN. TER COMMENTS SetbacksNariance/Setback Adjustment Conditional Use Permit .. . ........ . . . . . . . . . . . . . . . . . . . . . . . . . . ------------ AD13 Requirements Other Zoning Requirements 4 Underground Wiring Required .... . ----- - - -------- M. -M ................... Lot Slope 15% X: . .. .. ........ SEPA Environmental Checklist/Hydraulics Permit 7 1 Tree Cutting Plan ..... ..... Plat/Subdivision Requirements Legal Description Verification A Quit Claim/Street Dedications Easements - Public/Private --------- . . .... Engineering Storm Drain Review Fee Engineering 2.2 Inspection Fee Drainage Plan (On -Site) IS, - Setback - Top of Bank, Stream, Water Courses .................. ....... ....... Setback - Storm Drain Line ..... ... .... Op6h Ditch - Existing ..... .... . ..... .. . . F18.1 Culvert Required Culvert Size X-M Shoulder Drainage/Shale Open Runoff Catch Basin Required .... .......... Driveway Slope & Vehicle Access X: 23. Sidewalk Required A.Jb Curb & Gutter Required ..... Curb Cut For Driveway Required A.W Street Paving Required "o . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ki Right-Of-Way Construction Permit Required -28- Street Name Sign Required AV Other Signing Required A-114 Bond Required For Public Improvements FEMA Map Check/Water Table . ..... ..... . Side Sewer Availability ....... . . . . . . . . . . :", .......... ........... . Calculate Sewer Connection Fee If No LID #7,r7 :,��i:3 , 4 . Create Street File A 5 Existing Water Main Size 36.: Water Meter Size ......................................................... ....... .. . ... 3 Service Line Size ................................. :3&- Water Meter Charge Required .. .... . . .. -75 . . . 39 Hydrant Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Hydrant Size Existing sit V-1v t Fire Line Charge Required - Sprinkler ..... .... Street Cut Miscellaneous p IUB 0 Reviewed By: FIRE PLANNING ENGINEERING PUBLIC WORKS R E C 0 R D OF C 0 N T A C T S 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT # 29 10 30 11 31 12 32 13 PAID $ RECEIPT # DATE 33 SS PERMIT # ?7CZ) DATE ISSUED(6-/S-9�' RECEIPT #/5Pf06 14 PAID $ RECEIPT # DATE 34 15 35 16 36 r 37 METER SIZE�� PAID $ 37s' DATE C,/,�-J�5RECEIPT # 1,9�;?(- 18 38 19 39 20 40 " zm� LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 9 7 25 �,D 26, 0i CD co ru 11.5' "u 4' DCc — 10, -p 16' SEWER STUB 10 WALKWAY z DRIVEWAY 25 385' 10 / / 1 395' RECEIvED MAY I 1 1995 Lo PERMIT COUMER' l6w le�v A P) el 10 -7, 5' V 5- 3 --;7 90' A2, zs— CITY 44A. 85th PL W SCALE tot, 20 APPROVED BY P!-.AN,'.N;A3 The City of Edmonds Water Service Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION REPAIRS F1 LID NO . .................. . ASMT. NO . .................. OWNER ....PAu.L - ----- TjA.ot- C ..lpsa.N ....................................... CONTRACTOR .................................................................................... PERMIT NO.9542AR7 JOB ADDRESS --- ....... 8-5-" .... PL. . .., ... ........ ... $tw ......... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... NAME OF ADDITION ....... 14Exj-eqfi,!4 ..... ln!!k .......................................................................... -.09 8 5 '" PL. W. PWW-0001-11/ 5 .11/78) 5 PS.I. P.E. 'MAC." %ol" V6 r I "Coope* Approved: DATE By,.4&...[ . . ... ........................... .... #1 NOTICE: —0—___h_ty_0 wa rr a The information 'shown on the attached map(s) was compiled for use by the City Of Edmonds) its Employees and Consultants. Th,.e City of �Edm.qnds 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 inform'ation shown on .___tRe -map(s), including, but not limited to, th*e lociation of any sewer stub shown. Such sewer stubs may or may'not exist and may or may not exist at the location shown. Neither the city of Edmo*nds nor its emp'fo-yee-s o-r offi-ce-rs shall be Via-b-Ife for the information given on this map(s), nor for any one representation provided based upon . said map(s). CITY 1 q Address of Construction: OF EDMONDS 1,9 n 0 z�- Ili SIGE SEWER, PERMIT PERMIT fl\jO - 87CO Property Legal Description (Include all easements): 'g�'4 F2 LI *i� XEz, I (Ant I F�_' RFCF.IVF-D i U N 1 5 1995 PUBLIC WORKS IJEP7 Owner and/or Contractor: 'li J Ar, 9�"3 State License No. 4\1 en C 111K I 1 .0 \25 Building Permit No. Co 7 -ff-Single Family 0 Multi -Family (No. of Units—) El Commercial El Public Invasion into City Right -of -Way: 6-No 13 Yes I RW Construction Permit No. Cross other Private Property:A. No El Yes Attach legal description and copy of recorded easement I certify that I 40re-fe—ad and shaOrcomply with all city requirements as indicated on the back of the Permit Card. (61qc Date CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION :OFFICE. LISE,� ONLY FOR INSPECTION CALL 771-OW PUBLIC WORKS DEPT. Permit'Fee: I ss u ed B y Trunk Cha rge: Date Issued: Assessment Fee: Receipt No.: Lid No.: — Partial Inspection: Date -Initial. Comments Reason Rejected: Date I nitial Final Inspection Approved: DateLLO__&_Initial� PERMITMUST BE POSTED:ON JOB SITE, White Copy: File Green Copy: Inspector Buff Copy: Applicant Revised 3190 1* The City of Edmonds Side Sewer Drawing EASEMENTNO . ...................... ...... ------------- j NEW CONSTRUCTION REPAIRS F� LID NO . .................. IASMT. NO . ................ OWNER................................................................................................ CONTRACTOR .................................................................................... PERMIT NO. �Mt JOB ADDRESS --- I 9.1� S.— 3 5� -.. -V-4 .................... LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... NAMEOF ADDITION ............................ - ............................................................ ............................ -0- PWW-0001-1 1/75 (REV.1 1178) 'k-K 11, -rb ?--r-c- 7 i 13 Approved: DATE3K70 46 ............ B .. ........................ CITY OF EDMONDS USE PERMIT ZONE < NUMBER CONSTRUCTION PERMIT APPLICATION ADDRESS z�4 OTE AIT. Z 0 0 ER IF BUSINESS !fAME NAME C L 7 LEGAL DESCRIPTION CHECK o r ",),VISION NO LIONO MAILING ADDRESS 2 - Pic PUBLIC Riff J�r`WAY PER 001CIAL STREEVAp EXISTING !:!:�UMED DEDICATION PROPOSE D TESCP Appro,ed 0 RW Permt Required 0 Street U-0 P01-1 Roo it 0 nio.Clor Required IIN Sidewalk Required 0 CITY 411 `T7- QM 0-1, 9 S. EL. —NE NUL48ER NAME I.) LINE SIZE NO IF FIXTURES Zo PRV E RED YES NO 0 S ADDRESS REMARKS U lox Let //,7/?,�- Z CITY ZF7TELEP-ONE NUMBER Z5 Z NAME L 1\1� a % S /Z j -r% U ADDRESS 2 - �6 C), 0 0 2 8 ENGINEERING MEMO DATED 11ZE EDBY &,:�- IIP ( -4 I TELEPHONE NUMBER —n � - -7 (AR FIRE MEMO DATED REVIEWED BY STATE LICENSE NUMBER EXP R T ON DATE C 10 P IS 1) = SIGN AREA ALLOWED PROPOSED SEP REVIEW COMPLETE EXEMPT E.P AD 7" 1 .-OTINE* Z LegarDeSCription of Property - include all easements A- 0?LLIF(Z&,, LA,AF X VARIANCE ?R Cu P�AN BY L) �j ZIREVIEW SETBACKS - FEET HEIGHT FRONT SIDE REApf)5 JLC��FACdL Z wZ Property REM -Ks tl T x Account P:rcel No. 000-00/4- XNEW EZ RESIDENTIAL IM PLUMBING [I ADDITION [] COMMERCIAL [91 MECHANICAL ElREMODEL F] APT. BLDG. 11 SIGN CHECKED By TYPE OF CONSTRUCTION CODEe ;T OCCU PANT GROUF� EP'F GRTOIN6 C'cs FENCE x _ Fn WOODSTOVE OL r7 DEMOLISH swim PO INSERT HOT TUBISPA GARAGE RETAINING WALL/ -1 CkhuaQa& ROCKERY RENEWAL SPECIAL INSPECTOR REOUIRED E3 YES [5,73 A &A 1,A 'OCCUPANT E—MARKS- PROGRESS INSPECTIONS PER UBC 305 Z 0 (TYP 0 �E, BUAINESS OR ACTIVITY) EXPLAIN: -r/y3ia AC -At- 1-7,71 0 M 0 Me NO ER Z NUMBER OF CRITICAL OF DWELLING AREAS STORIES UNITS Offt. NUMBER OAlf,4 KVAwR,4f-# DESCRIBE WORK TO BE DONE IATTACH PLO r o�wa- FINAL INSPECTION REQUIRED lorLIW, g/6% --= VALUATION FEE 6,moinj 3toorMs 1 PLAN CHECK FEE BUILDING 21330733 RrA-T SOURCE: GIAS GLAZING 1(0 % PLUMBING Plan Check No. 9,'�­ - ZZ MECHANICAL :76, This Permit Covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidenvolks, driveways, marquees, etc.) will require separate permission. STATESURCHARGE Permit Application: 180 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE w successors in interest, agrees to indemnify. defend and hold harmless the City of Edmonds, Washington, its officials. x. employees, and agents from any and all claims for damages of PLAN CHECK DEPOSIT whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to 01 x modify. waive or reduce any requirement of any city ordinance nor limit p rOvIsion!p any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE I hereby acknowledge that I have read this application; th:t the information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT Sta I a laws regulating construction; and in doing the work authoriz. AUTHORIZES This application is not a permit until ed 'hereby, no It on , 11 be employed in violation of the Labor ONLY THE signed by the Building Official or his/her Codeaftha��f a ington relating toWorkmen'S COMpensa- WORK NOTED Deputy: and fees are paid. and receipt is S W tion Insura a a d RC 18.27. INSPECTION acknowledged in space provided. SI p4EA OR OENTI DATE SIG ED DEPARTMENT CITY OF 'CAL S 6' NAT DATE EDMONDS MOFTUR CALL FOR ELEA DATE TTENTION INSPECTION A-, IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE If UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL - F.Ie YELLOW - Inspector CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 771-0220 U LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 10 / 25/ I�D RECEIVEZ V) MAY POW COW ER 390' 3.5. STREET F" 0 f )A� 85th PL W SCALE 20 APPRO ED BY PLANNING T*rv,40- TPI ""T- ov Y. CL LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 1 97/ 10. / �,D 15 z Li -i - 12, oj G/) ry 24' C:) I. , "o e, Dccl< --- 10, _0 16' �o SEWER 1 0 --- STUB WALKWAY DRIVEWAY A AA5S i�oi-ED AM P Rd I Nu I_r ACCEPTAki) **HTLIR� MA101AL N-12 ADS I A 25 [ I %"., %, .- . . .. - - - - - , gjER SERVICE INSPECTIONS REqUIRE9, CALL 7714235 25/ 10 / 395' CD Ln V-1 V3q c- 19 o 390' "rA,4 RIECIEIVED MAY 1 1 ipoi PEPimrr coumR 385' 1 -Z(, c:3 %AS SCALE 20 r /4>q - zr PERMIT APPLICATION REQUIREMENTS To: Applicant From: Lyle Chrisman, Engineering Ifispector Owner Plan Check No: Address:--&743 0-524A k/ Date: AFA414-f JVr After review of die subject permit application, the following requirements must be met: 1. Construction hours are: WEEKDAYS — 7:00 A.IVL-10:00 P.M.WEEKENDS/HOLIDAYS — 10:00 A.M.-6:00 P.M. 2. A separate RIGHT-O&WAY CONSTRUCTION PERMIT is required for all work on public property. (ECDC 1&60) 3. Truck haul route plan must be submitted and approved prior to permit issuance. 4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 5. NO WORK SHALL BE DONE WITHIN 15 FEET OF STREAMS OR 10 FEET FROM ANY CLOSED DRAINAGE FACILITY. BUILDER/OWNER IS RESPONSIBLE FOR IDENTIFYING CONDITIONS ON THE DRAWING. (ECDC 1&30.50G) 6. FILTER FABRIC FENCE SHALL BE INSTALLED AND. INSPECTED PRIOR TO CLEARING AND CONSTRUCTION. (ECDC 18.30) 7. INSPECTIONS ARE REQUIRED ON STORM DRAINAGE SYSTEMS, TIGHTLINES AND CATCH BASIN INSTALLATION. INSPECTIONS ARE REQUIRED PRIOR TO BACKFILLING. (ECDC 1830) 8. Repair or replace all defmfive existing curb, gutter and sidewalk adjacent to the property. If an intersection is invoWed, a handicap ramp may be required. Contractor shall meet with the City Engineering staff to determine the extent of repair prior to issuance of the permit (ECDC 1&90) 9. Driveway slope shall not exceed 14% without a waiver. Every attempt should be made to keep the slope below 14%. Waiver granted to %. (ECDC 18.80.060D) 10. Driveways must be paved fiom property line to City RIGHT-OF-WAY. A separate permit is require& (ECDC I&SO.060C) 11. INSP ONS ARE REQUIRED ON DRIVEWAYS AND SIDEWALKS PRIOR TO AND AFTER POURING. (ECDC 18.30) 12. No burning of construction refuse without a permit from the Fire Department. 13. Connection to City water system is required. There is a separate charge for the water meter. (ECDC 7-20) . 14. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (JZCDC I&1o) 16. Connectioulp the City sanitary system is required. A separate peerrait ,ipjequire LID# Fees paid: Yes— No— Charge (ECDC 18.10Y 17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 500/6 of the total assessed value of the structure. (ECDC 18.90) 18. A FINAL ENGINEERING INSPECTION IS REQUIRED PRIOR TO THE BUILDING DIVISION GRANTING OCCUPANCY OF THE BUILDING OR STRUCTURE. (ECDC 1&90) PRMTREQRDGT QTREET FILE Q1 PROJECT REVIEW CHECKLIST PROJECT NAME: — PROJECT ADDRESS:- . 1P 70,3 - a's-zVA- ",)4 �j PLAN CHECK #: -9,-,5 / RECEIPT DATE: IREVIEWFD (nitial/Date) PLAN..IWATER FIR BLDG. SEWERISTREET ENG] Setbacks/Variance/Setback Adjustment 111M.11, M I'll Conditional Use Permit .2. AD13 Requirements -3 Other Zoning Requirements Underground Wiring Required S, A Lot Slope IS% . . . . . . . . . . . . . . . . . . . SEPA EnVironmental*Checklist/Hydraulics Permit -7 Tree Cutting Plan X. 8 Plat/Subdivision Requirements - ------ 1 .... ....... MIMI 9 Legal Description Verification 1-10::, Quit Claim/Street Dedications Easements - Public/Private ..A Engineering Storm Drain Review Fee el Engineering 2.2 Inspection Fee 14 Drainage Plan (On -Site) 5 7- Setback - Top of Bank, Stream, Water Courses I MI. Setback - Storm Drain Line Open Ditch - Existing ------ s Ir . . . . . . . . . . . . . . . .............. - - - - - - - - X., Culvert Required 19:. Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required . . . . . . . . . . . . . . . . . . . . . . . . 22",". Driveway Slope & Vehicle Access 23, Sidewalk Required AJ23 Curb & Gutter Required AM ........... IZ Curb Cut For Driveway Required AW . . . . . . . ......... Street Paving Required . . . . . . . . . . . . . . . . . . . . . Right -Of -Way Construction Permit Required Street Name Sign Required AJD :45 Other Signing Required A-pe ---------- Bond Required For Public Improvements FEMA Map Check/Water Table M: Side Sewer Availability LM . . . . . . . . . ...... ... Calculate Sewer Connection Fee If No LID # 0 Create Street File Existing Water Main Size .. Water Meter Size 3/g 3 T�.., Service Line Size . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . - - ------- ..R ------ - Water Meter Charge Required - - - - - - - - - - - - - - - - - - - 25-75" 39 Hydrant Required . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...... Hydrant Size Existing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Inu t %ff.., Fire Une Charge Required - Sprinkler . . . . . Street Cut (�5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ................ -43: Miscellaneous ..... .. ... -44 Reviewed By: FIRE . PLANNING S , TRE,--T FILE ENGINEERING pliBLIC V4UN\0 - PUBLIC WORKS LOT 4 HELLEREN LANE TAX # 8389-000-004-0000 1 97/ �,D aj t (u D� 5' (-u 116 CD 24' DCcj< 10, b 16' �o SEWER W STUB W- 4- 10.1 ALK A., —DRIV—EWA—Y—� AWPP OVED AS NO D oe GAP ACCEPTABLE TIGHTLINE MATERIAL N-12 ADS - W,Z h (rp PVt SD M 3�34) W 25 25/ 10 / 395' c:) Ln V----i �4 EF I(, W-r CALC-' '� Z ri -7 fz( (42 390' MrA,4 I(* Sr RECEIVED MAY i I lqc..i PERMIT couvrim 385' lAvoa Aer- j�t,+ Aso-0 wrif- Pr= lob C3 - CA-TCIA 'RAS 11) SCALE 20 STREET FILE REQUIRED. CALL 771-0235 J . PLANNING DATA SITE ADDRESS: le "0 9 DATE: A,; ZONING: Zs —i?, PLAN CHK#: q5--7) PROJECT DESCRIPTION: d 61A) SETBACKS: Required Setbacks: I Front: ,/,6 Left Side: /0 Right Side: /<0 Rear: Actual Setbacks: Front: Left Side:— / 0 Right Side: Rear: CORNERLOT LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED LOT COVERAGE: Maximum Allowed:41zC6 g��) Actual:—Z-72-/�O/ (I&Zo) I If '.-- BUILDING HEIGHT: Maximum Allowed: Actual Height: CRITICAL AREAS #: SEPA DETERMINATIO LOT AREA: OTHER: Plan Review By: WEMMM CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION OWNE AME NAME OF tsutoNESS ^J I INU UL�... L - q I II, Z - . (I, P C, I 71_1�7 `1 — Y ZIP TELEPPONE �NUMBER ADDRESS — ----------- L) ___TTELEPHONE NUMBER a: CITY NAME it a AL ADDRESS 0 L) 1p' TEL NUMBER— TATE LICENSE NUMBER EXPIRAT ON DATE (Z li C 0 j Ck Lega scription of P'M9es4s_,irt8uq aji sements MCI -- USE PERMIT BER ', -c- ADDRESS Z& — , JOB /,,? , �r TE APT 4 EE—GAL DESCRIPTION CHECK SUBDIV151UN NO LID NO g- I-or OFFICIAL STREE �PAp PUBLIC RI�G_ AY PER r TESCP Ap roved 0 W P qu" 0 e R Permit R d R UIRED . EXISTING DEDICATION Street Use Permit eq Required Inspection PROPOSED Sidewalk Required METEI I [ZEE L71NE SIZE NO. OF FIXTURES W PRV E IRED < 7-0 YES NOO cc REMARKS ui I Lu C) Property Tax Account rwA, no o - rl,, A - n n 00 Parcel No. rVI M L^ PLUMBING LjCtj NEW RESIDENTIAL 0 ADDITION COMMERCIAL MECHANICAL EIREMODEL APT.BLDG. SIGN REPAIR CYOS FENCE I_ _ x _F1) DEMOLISH El woODSTOVE INSERT SWIM POOL HOT TUE/SPA GARAGE RETAINING WALL/ RENEWAL C ROCKERY I il;F 3USINESS (5FI ACTIVITY) EXPLAIN 1 5 CRITICAL Ou NUM:ESER NUMBER OF i DWELLING Oil AREAS a OF INUMBER �ST 03 STORIES UNITS 0 . C ):)NE (ATTACH PLO RLAN) DES RI;8E WORK TO BE DONE (ATTACH "'ot w—G—MEMO DATED EWED SIGN AREA SEPA REVIEW ADB 0. I ALLOWED PROPOSED C MPLET EMPT ), , i VSHORqLINE 0 1 E P VARIANCE 9R CU AN I REVIEW By DATE _T1 < _Z. C SETBACKS'— FEET HEIGHT LOT C ERA 2 2 FRON__��SIDE T REA 2 a By ITY SPECIAL INSPiCTOR A REOUIRED C3 YES &A Av REMARKS PROGRESS INSPECTIONS PER UBC 305 � . — . —A -4 , 7-�.x 1 , , jil 111?4 4�56 ,z LI-S 109te 00,11 xvrvnl /w( r e,4j z- � FINAL INSPECTION REOUIRED " EE GROUF PLAN CHECK FEE BUILDING 53 733 % HrA'T SOURCE: PLUMBING &AS MECHANICAL Plan Check No. i� 1,11, ii�� / / ... . . ..... 5- .�: 111111 work to b a done on pi I Vale property ONLY. GRADINGIFILL This Permit covers Any construction on the public domain (curbs, sidewplks, STATE SURCHARGE ------- driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days STORM DRAINAGE FEE Permit Limit: 1 Year - Provided Work is Started Within 180 Days . her heirs, assigns and ENG. INSPECTION FEE �;` C) .'Applicant, on behalf of his or spouse, successors in interest, agrees to indemnify, defend and hold Washington, its officials, harmless the City of Edmonds, employees, and agents from any and all claims for damages of Sing directly or Indirectly from the issuance whatever nature. ari! deemed to PLAN CHECK DEPOSIT shall not be of this permit. Issuance of this permit modify, waive or reduce any requirement of any city ordinanc a nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision. I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly I agree to comply with city and THIS PERMIT This application is not a permit until authorized agent of the owner. and In doing the work authoriz- AUTHORIZES signed by the Building Official or his/her state laws regulating construction; be employed in violation of the Labor ONLY THE WORK NOTED Deputy; and fees are paid. and receipt is ed thereby, no gA )reo`n��Jll I �Va4hington relating to Workmen's Compensa- acknowledged in s pace provided. Code of t e S e tion lnsur�a. -a d RC\Af 18.2 IGNATURE. t" V� INSPECTION DEPARTMENT CITY OF OF lCiAL S SI NATURE DATE EDMONDS 617 CALL FOR e DATI: ELEA a'. )_ � _'�NTION ATT INSPECTION OA\ -_ )R OCCUPY A BUILDING OR STRUCTURE IT IS UNLAWFUL TO USE C HAS BEEN MADE AND APPROVAL OR 771-022 0 6RIGINAL — File YELLOW — inspector UNTIL A FINAL INSPECTION A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. USC PINK — Owr�er GOLD — Assessor CHAPTER 3.