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18817 80TH AVE W
CITY OF EDMONDS ASSET INFORMATION SHEET
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ADDITION
RETIREMENT
ASSET NO.
ADDITION TO ASSET NO. -
DESCRIPTION
SERIAL NO.
LOCATION
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PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DAT
COST
B.A.R.S. ACCOUNT NO. 6,-),
40 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
12/'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
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VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILE
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REVIEWED BY:
PLANNING MGR.
ENGINEERING MGR. PuBLzC WPKS MGR-
CITY OF EDMONMe,0 ZONE
n _RTAIJ TION PERMIT APPLICATION
JOB
NAME JOR NAME OF BUSINESS) ADDRESS
40 7HIo�r
46 /f Or667-
eCN &j Et?� M 6,j,0 EtQ 144L C_ LEGAL DESCRIPTION CHECK[ SUBD VISION NO. LID NO
-7
MAILING ADDRESS /0 7
11 - �,j
CITY djjELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
0
c, T I �f C(- �30 EXISTING — REQUIRED DEDICATION
NAME PROPOSED 6,49
P,4 C- RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
ADDRESS STREET USE PERMIT REQUIRED 0
-S-7-11 SEE ENGINEERING MEMO DATED
3ITY TELEPHONE NUMBER s,
ro 0 'N3 - S-E3q REMAPKS
"—N C1
NAME
ADDRESS
I N — METER SIZE BUILDING SUPPLY SIZE URE UNITS
CITY TELEPHONE NUMBER 7
e> _- -., P 4, Ar REMARKS
STATE LICENSE NUMBER
raff
PERMIT
NUMBER
SIGN AREA
ENV. REVIEW
ADS NO.
Legal Description of Property - Include all easements
ALLOWED PROPOSED
COMPLETE EXEMPT
(show below or attach four copies)
SHORELINE 0
Is cvn-
jwe�
I
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
HEIGHT
LOT COVERAGE
FRONT SIDE
REAR
REMARKS
NEW RESIDENTIAL
PLUMBING
ADDIALTER COMMERCIAL
MECHANICAL
REPAIR RETAINING WALL
SIGN
EXCAVATE
FENCE
ClIE77TYPE OF CONSTRUCTION CODE
HEIGHT
DEMOLISH OR FILL
( x —FT)
Y-W
Rem
zs-
PRE-MOVE INSPJ
REMODEL
SWIM
SPECIAL INSPECTOR AREA
OCCUPANCY OCCUPANT
COMPLIANCE INSP.
POOL
REQUIRED
GROUP
LOAD
WOOD STOVE 1
0 YES 0 NO
INSERT APT. 13LDG
RENEWAL
REMARKS
NUMBER OF STORIES NUMBEROF
W
a DWELLING
[UNITS
ca
2--
0
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
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, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATESURCHARGE
Permit Application: 180 Days
ENERGY CODE
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns an*
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,. waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
Ih - ereby 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
THIS PERMIT
state laws regulating construction; and In doing the work authoriz-
AUTHORIZES
ed thereby, no person will be employed In violation of the Labor
ONLY THE
Code of the State of Washington relating to Workmen's Compensa.
WORK NOTED
t19r�Insujrpnc@,.,
I NSPECTION
3IGNATURE (OWNER OR AGENT)
DATE IGNED
DEPARTMENT
CITY OF
--m
Z
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
cc
U)
RELEASED BY:
DATE
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78
July 24, 1986
mEM TO: Building Division
FROM: Engineering Division
SUBJECT: 771'
After review of the subject building permit application, we have the
following canTients:
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 pluThing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff and
erosion on site and may not inpact neighboring properties in any
way.
4
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TRENCH CROSS—SECTION
21A_t�LDARD DRAINAGE PLAN
IN17ILTRATION SYSTEM
PAGE I OF 2
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DESIGN DATA
Trench Perc LF per Imperm Trench
NOTES
Call Engineering. oivi Sion (771-3202)
for preb4ckfill and final inspections.
2- Responsibility for operation and
maintenance Ole drainage systems on
pri vate property is the responsibility
Of.the property Owner(s). Preventive
maintenance consists of preventing
Soil and other materials from entering
trench dur�fng construction as well as
after Cons ruction. Catch basins should
be Cleaned of floatinq material and
Sediment at regular intervals (at least
Nice Per year).
INJ -3,-4
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SITE PLAN, SCALE:
NOTE: DO NOT USE INFILTRATION S�STEM
ON SLOPES OVER 15 PERCENT (15
FOOT RISE PER 100 FE p 1 -7
.ONT,�,L
-7 C-1
I
0
ryl
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 2 OF 2