18829 88TH AVE W.PDF111111111111
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18829 88TH AVE W
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
FILE
Name:lk4 be,,,--
Date:
Site Address: 4� ol
Plan Check #: -:2-0013 0 �0 (a C)
Project Description:
Reduced Site Plan ProvidedL5PNO)
Zoninq:
Map Page:
Corner Lot YE /NO)
Flag Lot: (YES 4�NOD
Critical Areas Determination 19
Study Required_,<1 k14,e- 44 C 2-,,;�Ozl
Waiver re.,VleWed, CA 0&4e-.*—kv--tnXt70" Pe-rvi&%4 WS W2*-/ Ple,
SEPA Determination:
ImExempt
El Needed (for over 500 cubic yards of grading)
0 Fee El Checklist El APO List with notarized form
Required
Street:
Side: 10/
Side:
to
Rea
Actual Setback5
Street: / A16,
Side:
Side: Al-0
2-
Re5,;-� IV
/4
11 Detached S�ructures:
Rockeries:
Fences/Trellises:
Bay Windows/Projecting Modulation:
Stairs/Deck:
Height
Datum Point: vvA4,�
Datum Elevation:
Maximum Height Allowed:2
Actual Height: -7
Other
Parking Required:
Parking Pro vided: -,-2
Lot Area:
Maximum Lot Coverage: 35% Proposed: 17-7/o
Lot Coverage Calculations: 12-1 4- JQ;504 Ll (P 2--+'0 -74= ;?-q I-!:>
ADU Created: (YES
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
comments
0057
Plan Review By:
Planning Data Fonn 04-11-06.doc
I k
City of Edmonds
RIGHT -OF-% 'CONSTRUCTION
PERMIT Permit Number.
Issue Date: —ci
A, A. Address or Vjcmity�,/f Construction: 18829 88th Avenue IN West
Q5 B. Type of Work (be specific): GTE to push 189th Place SW 191 & trench 101 in
8 9 0 9 C)
R.O.W. to private property. Please see attached sketch.
GTE Northwest Incorporated
C. Contractor: -Mary Bower, Permit Coordinator Contact: Mary 206/488-1628
22118 20th Av SE, Suite 13,0
Mailing Address: Rothe]], WA 980?1 Phone: Mike Ward 206/771-9111 or mobile # 954-0774
State License #: Liability Insurance: Bond: $
D. Building Permit # (if applicable):
Side Sewer Permit # (if applicable):
E. [3 Commercial Subdivision C3 City Project RA Utility (PUD, �i� WNG, CABLE, WATER)
Multi -Family Single Family n Other
W.O. # 2100-9POOlDB � 242310
INSPECTOR: INSPECTOR:
F. Pavement or Concrete Cut: RYes []No G. Size of Cut: 2 /, x 2 H. Chargq�,$
APPLICANT TO READ ANE&IGN r.
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense ofany legalproceedings including def
,�ensq eos,�., and attorney fees by reason pfjr'aA!inj/t�spermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTI&THE FINAL STREET PATCH
IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required -by the City Engineer.
All street cut ditches shall be patched with asphalt.or-City approved material prior to the end of the working day;
NO EXCEPTIONS. e.,�
Ihave read the abovp_statemrnVTrxd understand thepermit requirements and thepink copy of thepermit will be
available on si i 0 rposes.
Signature: �ftt An giavliark John H. Stewart Date: — 9/25/95
(Cx;1t1r1�c`t*o1ro_rAgent) Oprns Supv-OSP Engrg.
CALL DIAL -A -DI PRIOR TO BEGINNING WORK
FOIC CITY'USE ONLY
APPROVED BY., RIGHT OF WAY DEPOSIT
TIME A . UTHORIZED: VOID AFTER 45 -DAYS DISRUPTION FEE/FUND III:'
SPECIAL CONDITIONS: NA RESTORATION FEE:
PERMIT FEE:
TOTAL FEE:
i�OMMENTS: RECEIPT FEE:
V
DATE:, ISSUED BY:. t57::�JA 04�4—
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram:
CONTRACTORCALLED FOR INSPECTION
Partial Work Inspection by P.W.:
Work Disapproved By:
FINAL APPROVAL BY:
(Fund 111 - Route copy to Street Dept.)
El YES
Date:
Date:
E] NO
LEGEND
-PERMIT SUBMITTED BY
GTE
PEDS 0
POLES 0
ROAD BORES
OVERHEAD LINES
I.D.UTILITY POTHOLE 17-1
UG TRENCHING --UGT—
R.O.W.
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ROAD BORES
OVERHEAD LINES
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R.O.W.
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-PERMIT SUBMITTED BY
GTE
PEDS 0
POLES 0
ROAD BORES
OVERHEAD LINES--
I.D. UTILITY POTHOLE ED
UG TRENCHING ---UGT—
R.O.W.
I------------------ ------ ----------------- ip IVA ----------------------- EOP
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STREET FILE
APPLICATION
for
The City of Ed W..d*sTRFF;T SWE SEWER I-EUMT
%wim a 14LE NEW CONSTRUCTION 0 REPAIRS
Lc- , 0,!; Go
OWNER
.......... .. . .... 5,�!..�V .........
I*.
ADDRESS . ..... T! wj,�U
EASEMENT No . ................ ...............
/.0
CONTRACTOR
r PERMIT No.
---------------------------- A6e— .
LEGAL DESCRIPTION: LOT No . ..... L 17 ......... BLOCK No. —p --------- -
NAME OF ADDITION 411— 6.412-1 ------ I yv ... I .......
UIRM"
Approved:
DATZ(�� ------
BY ---- -- -- -----
0
. ..... ..
NOTICE:
W" Y a
No--- arral
The information shown on the attached
iled for use by the City of
map(s) was comP
Edmonds/ its Employees and Consultants.
Th.e City of 'Edrn.onds does not. wa rra nt the
.accuracy of anything set forth on these
map(�-). An . y person or entity -requesting a
copy should conduct an independent
o m-ation shown on
inquiry regarding the inf r
t-Fe -map(s)/ including, but not limited to,
th . e location of any sewer stub shown. Such
sewer stubs may or may- not exist. and may
t at the location shown.
or may not exis
,-ity of Edmo-nds nor its
Neither the k-..
empto-yee-s o'r offi-ce-rs -shal] be !Jab -'Fe for t1he
information given on this map(s), nor for
any one representation provided based
upon said Map(s).
CITY OF EDMONDS - SIDE SEWER PERMIT
WATER -SEWER DEPARTMENT
PERMIT
( Call 7-76-1107 for side sewer inspections BEFORE covering any Portion Of the construction.)
Inspection will be Provided within 24 hours after request. No Sat., Sun., or holiday inspections.
ADDRESS LOCAInON O]F CONSTP
.,UCTION.
............ :
................ ............................................. ................................. 1 ...................
PP60PERTY LEGAL DESCRIPTION ............ !�� i
.....................................
.................................................. . ................................................ ...... .................
ILDER .....
...................................... ................
CONTRACTOR'S NAME & ADDRESS. L ----------------- * --------------
.............................................................. OWNER A_ND/OR BU
WC G d -re
Sci - r. Co
.............. ............ .......................................
Perruission is ------ .........
__!�?14 iia
--- ---------- ..... ......
granted ._.�j,
.................... . ............... 119 .. .... ....................
sYstaln In accordance �;iW_C_ ity _. 01 Ednionds ordinances. for repair and/or connection of a side sewer to th ............................
ATTENTION IS CALLED TO THE FOLLOWING: 0 city sanitary sewer
No. I —The owners of the property may Obtain a permit to construct sewer
side sewer in street a-rea. Do not cover any Portion Of sewer before it has been inspected. Contractor must be employed to construct
-of-way requires an Invasion Of Right -of -Way Permit obtain -able f m the City Engineer's offi
No. 2—All work Performed in city right inside property line. A licensed Side Sewer
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; Minimum grade of 2%. No bends in grade
harper than % will be Permitted. ro ce.
NOTE No. 3—Obtain full information regarding Ordinance 11-16-030 and Regulations governing side sewers when You get permit.
s
NOTE No. 5--Trenc hes in street must be water settled and surface of street restored to original condition. Contractors shall be res; sib e for f ilure due to im proper
work which may develo
NOTE No. &—It is P within one Year Of Completion.
un'arf to alter or do any other work than is provided for in the Permit, or to do any work on the main sewer or
sert the P pMto the wye.
Pon I a,
its
1xJrA:'1SVVED 0 D
-----------
--------------- By ---------------- Date
"PROVED Da ------------------- 'BY ----_---------
Remarks:
t ...... .... . ... . ..... ----- --------- --------
.............................................. . ............................. .......................................... .
. ........................... ................. . ....................... ...........................................
BOTH Pennit ............
J�e 119necl BY Owner of Firm Performing Construction ------------ ...................................
....................
PRIOR To Request For Inspection
�6Zer T�,n ...... . .... .... ..........
Was installed in accordance wmtiit Performing constructio - n hereby certify that the side sewer installation constructed under this permit
governing ordinances of the City Of Edmond,.
Dated this ---------------------------- dv f
V Ch. k
g zor: Water E3, Gas [3, Telephone E3, Power E], . e - w - er 0 0 . the, - , .1 E . 3 ..... . ....... 19 .........
b1REET FILE
Critical Areas Checklist'
Site Information
Project Name: Permit Number.
Site Location:
9) -rWA-J & c-i Property Tax Account Number. I 2-C 0 - 0001600 .)09
Approximate Site Size (acres or square feet): 5 0 0
Have you filled out a Critical Areas Checklist for a project on this site before?.
General Site Conditions
1. Has the site been cleared or logged? On Date of most recent action -
Soils / Topography Aldeyw 00d -Urbo--,
2- In the Snohomish County Soil Survey. what is the mapped soil type(s)?
3. D the general site topography. Check all that apply.
Flat less than 5 feet elevation change over entire site.
Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a
horizontal distance of 66 feet.)
W11y.- slopes present on site of more than 15% and less than 301/p a vertical rise
of 10 feet of horizontal distance.)
Steep: grades of greater than 30% present on site.
Comments
Hydrology/Vegetation,
4. Site contains areas of year-round standing water �-4 0
5. Site contains areas of seasonal standing water: AD rox. Depth:
P
6. Site is in the floodway W o floodplain--t-L
��of a water course.
7. Site contains a creek or an area where water flows across the grounds surface? 0 flows.
are year-round? Flows are seasonal?
8. Site is primarily: forested meadow ;shrubs _;rnixed -!�LAA-S-s
9. Obvious wetland is present on site:
10. Wetland inventory or map indicates wetland present on site:
11. Critical Areas inventory or map indicates any Critical Area on site: �,J 0
. ..............
d 4reas*s
4 require
RE
d
IVER:- ritica reas.stu y is --not require
t>
ter4nination NUM*ber Reyi.eWer'.,*
De
Planner'
Date
cv3127M
I
8go -I qcjqz�
City of Edmon&
Critical Areas Chec'kfist
'Me Critilml 'Veas Checklist contained on
this form is to be filled out by any person
Prq)aring a Development Permit
Application for the City ofF_dmon& prior
tO hislhcr submittal of a development pe
to the City. rmit
The se o the Checklist is to enable
city to determine whether any potential
Critical Areas am or may be present on the
subject PrIOPCdY. The information needed to
COMPICte the Checklist should be casily
available fi'0M observations of the site or
data available at City Hall (Critical Areas
inventories. maps, or soil surveys).
An applicant� or his/her representative, must
fill out the checklist, sign and date it, and
submit it to the City- ne City will revie
,w
the checklist, make a precursory site visit.
and make a determination of the subsequent
steps necessary to complete a development
Permit application.
With a signed copy of this form, the
applicant should also sub m*it a vicinity map
of the parcel with enough dcWl that City
staff can find and identify the subject
Parceks)- In addition. die applicant is
encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their preliminary assessment of the site -
I havecomfleted the attached Critical Area Checklist and attest that the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below) -
Owner / Applicant.-
lrtr4 Oci L L,,,.j i , i
f- 314-A
Name
0 W tj C-gs
Title
L O'B -Z-9 - tb Ob Tq- k'.)e ".3
Street Address
0 t40Y4 ID
City, State, Zip Phone
Y-7-11 �-' �-. 3
Signature
A�'*Date
Applicant Representative:
Name
Title
Street Address
City, State, Zip
Signature
Phone
Date
RFECEIVED
MAY 2 8 1993
PERMIT COUNTER
. 4b
City of Union&
Critical Areas Chec* klist
Ile Critical Areas Checklist contained on
this form is to be filled out by any person
preparing a Development Permit
Application for the CitY Of Edmonds prior
to his&cr submitta of a development permit
to the Pit3f� I
T11C Purpose of the Checklist is to enable
City staff to determine whether any potential
Critical Areas am or may be present on the
subject PrOPCrty. no information needed to
complete the C11061dist should be easily
flable ftom observations of the site or
avai
data available at City Hall (Critical Areas
inventories, maps, or soil surveys).
An aPplicantor his/her representative
,. must
fill out the cheeldist� sign and date it. and
--- submit -it -to -th6-Cijy.- 1he City will review
the chedidist, make a precursory site Visit.
and make a determination of the subsequent
steps ncc=sarY to complete a development
Permit application.
With a signed copy of this form, the
applicant should also submit a vicinity map
Of the parcel with enough deWl that City
staff can find and identify the subject
Parcel(s)- In addition. the applicant is
,encouraged to include any other pertinent
information or studies in conjunction with
this Checklist to assist staff in completing
their Preliminary assessment of the site.
I have completed the attached Critical Area Checklist and attest that the answers provided -are
factual, to the best of my knowledge (fill out the appropriate column below) -
Owner / Applicant:
A4 A -le. v-k" 14--j
Name
0 W a C- r, S
Title
I q'B-z-CJ- "J
Street Address
Q— 902t 11Y-5-L-L3
City. State, Zip Phone
111RIV3
Signature
6
Date
Applicant RepresentatiVez....
Name,
Title
Street Address . .1
City, State, ZIP Phone
Signature ------
Date
C',
Critical Areas Checklist
Site Information
Project ame. Permit Number.
Site Locatiori: .1 q iM- 4" T-R-A-J C- W Property Tax Account Number. -17--(,0-000,�000-0009
Approximate Site Size (acres or square feet): 0 0
Have you filled out a Critical Areas Checklist for a project on this site before?
H 0.
General Site Conditions
1. Has the site been cleared or logged? Date of most re ='t action:
Soils / Topography -UcbD,-\
2. In the Snohomish County Soil Survey, what is the mapped Soil typ,(s)9 Z-Dr� Y- 5(oee-),
3. D the general site topography-Chc6c all that apply -
Flat: less than 5 feet elevation change over -entire
R61ling: slopes on site generally less than 15% (1
horizontal distance of 66 feet-)
�Iilly.- slopes present on site of more than 15% ai
of 10 feet of horizontal distance.)
Steep: grades of gmter than 301% present on site
Comments
Hydrology/Vegetation
Ho
4. Site contains areas of year-round standing water:
5. Site contains areas of seasonal standing water- fA 0
6. Site is in the floodway W o floodplain-*L.Oof a
7- Site contains a creek or an area where water flows across I
are year-round? Flows are seasonal?
8. Site is primarily: forested. meadow
Y
9- Obvious wetland is pres'e'n't on site:
10. Wetland inventory orr�ap indicates wetland present on sil
11. Critical Areas inventory or map indicates any Critical Are
.:Use-Onl*
For,Gty
(3y-45require
''M b)r IRED'-'.' ...
J ;areas,stu
'N iTION&W-MiVE -a
R,.-pGn-tj6J rie-a's'-�*s-#Ud
y
is`, -no'
-,WAIVER.- Criti6al -ir6s'--Std, t re -6*J
Deterniin.ation Nqmber. 77.'?3 Review.er,
'Reii1/27192
STREETHLE
DATEal �q C I . T Y 0 F E D M 0 N D S NO.
LOCATION WORK ORDER DIRECTIONS
STREET FILE
COUNCILMEMBER NAUGHTEN, TO SEND THIS TO THE PLANNING BOARD SO THEY MAY HOLD HEARINGS
ON IT AND TO REQUEST THE LANDSCAPE MEMBER OF THE ADB AND A MEMBER OF THE CEMETERY
BOARD TO BE INCLUDED IN THE DISCUSSION. MOTION CARRIED. Chet Bennett, in the audience,
stated that there is a resolution setting Council policy regarding tree removal and
that he did notthink Mr. Simpson answered Councilmember Hall's question. He referred
to the three reasons given for removal of trees --safety and sight distance hazard,
diseased, or damaging other public improvements such as roadways or sidewalks, and
said that this is set forth in a Council resolution which is just as effective to set
policy as ordinances. He asked if the trees are healthy. and Mr. Simpson said they
are all healthy trees. He challenged that Mr. Simpson did not state there is a
safety problem, and Mr. Simpson again said there is potential for a safety problem
with trees growing in the roadway, especially with the cedars. Mr. Bennett did not
accept that, stating that he thought that to be "pure baloney." He called for a
point of order as there is a Council policy on this. City Attorney Wayne Tanaka
stated that there is evidence that there may be a potential safety problem and if the
Council finds it is consistent with the resolution they would have to amend the
resolution to change the policy. Councilmember Jaech agreed that the trees should
not be removed but said she would like to try to utilize the procedures that until
now have been circumvented to see if there is a problem and to receive a report. Mr.
Bennett was satisfied with that. Mayor Harrison said he sees that they are going to
present a safety hazard and if they are, then now would be the best time to remove
them as they eventually will be lost. Mr. Bennett responded that as a citizen he
thinks there should be findings and he does not think trees should be taken down as
they are too hard to grow.
CONSENT AGENDA
Items (H), (K), AND (L) were removed from the Consent Agenda. COUNCILMEMBER HALL
MOTION: MOVED, SECONDED BY COUNCILMEMBER NOROQUIST, TO APPROVE THE BALANCE OF THE CONSENT
AGENDA. MOTION CARRIED. The approved items on the Consent Agenda included the
following:
(A) Roll call.
(B) Approval of Minutes of November 22, 1983. (The November 27 meeting was
cancelled.)
(C) Acknowledgment of receipt of Claim for Damages from William D. Plommer in
the amount of $151.50.
(D) Adoption of Ordinance 2406, levying 1984 property taxes.
(E) Adoption of Ordinance 2407, amending the Official Street Map to reduce the
proposed right-of-way of Viewland Way and change the proposed cul-de-sac
turnaround (ST-1-83).
(F) Adoption of Ordinance 2408, amending speed laws.
(G) Adoption of Ordinance 2409, concerning alcoholic beverages in motor vehicles.
(I) Adoption of Ordinance 2410, amending LID 209 Bond Ordinance to extend
W.
maturity date. D
(J) Approval of final 7-lot plat at 188' 9 88th Ave. W. (Homeland Heights/P-7-83)
PROPOSED ORDINANCE PROVIDING THAT THE HEARING, CEXA'INERHEAR VARIANCES TO THE SIGN CODE
Item (H) on Consent Aqenda
Councilmember Gould referred to a letter from Warren LaFon, Chairman of the ADB,
expressing concern about the passage of this ordinance and saying the ADB feels
�strongly that aesthetic issues belong with them and not with the Hearing Examiner.
He polled the ADB and all members expressed a desire to meet with the Council to
discuss this before action is taken on the proposed ordinance. COUNCILMEMBER GOULD
MOTION: THEREFORE MOVED, SECONDED BY COUNCILMEMBER NAUGHTEN, THAT THE COUNCIL MEET WITH THE
ADB TO DISCUSS THIS BEFORE ANY ACTION IS TAKEN TO PASS THE ORDINANCE, THE DATE TO BE
WHEN THE ADB HAS AN OPENING ON THEIR AGENDA. MOTION CARRIED.
AUTHORIZATION FOR MAYOR TO SIGN CONTRACT WITH WARREN LaFON TO PROVIDE ARCHITECTURAL
SERVICES FOR MUSEUM ELEVATOR AND WADE JAMES THEATER IMPROVEMENTS AS BLOCK GRANT PROJECTS
T—It—em (K) on Cons—e-RE—A—ge—nd7a
Councilmember Nordquist noted that the memo said all current letters of interest were
reviewed. He asked if the contract was published. Planning Director Mary Lou Block
responded that there is no requirement to advertise for contracts under $15,000 and
it is only required that the letters of interest that have been solicited on an
EDMONDS CITY COUNCIL MINUTES
Page 2 - December 6, 1983
STREET FILE
USE
ZONE PERMIT
CITY OF EDMONDS NUMBER
CONSTRUCTION PERMIT AOLICATION JOB
OWNER NAME/NAME OF BUSINESS 71ADDRESS
L C
LEGAL DESCRIPTION CHECKI SUBDIVISION NO
0 LA)
n c) vt
CITY TELEPHONE
-A 9"P
I - Vvil, �1 I A. A �\, &V&
DDRESS
TELEPHONE NUMBER
NAME
51 3c -3;1. 4-
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved
0
RW Permit Required
C3
EXISTING - REQUIRED DEDICATION -
I
Street Use Permit Req'd
0
PROPOSED
Inspection Required
11
.
Sidewalk Required
11
I ADDRESS I
CITY ZIP I TELEPHONE NUMBER
STATE LICENSE NUMBER EXPIRATION DATE
n of Property - include all easements
I-V A Ir-, D D Ir " (_ 4-( F +I
_5 Property
Tax Account
Parcel No.
0
NEW
RESIDENTIAL
PLUMBING
ADDITION
COMMERCIAL
MECHANICAL
APT. BLDG.
REMODEL
SIGN
REPAIR
GRADING
CYDS.
FENCE
MAO- X _i:__FT)
0 DEMOLISH
WOODSTOVE
INSERT
SWIM POOL
HOT TUB/SPA
E]GARAGE
RETAINING WALL/
E]
CA
ROCKERY
RENEWAL
ZI
0 (TYPE 9F USE, BYSIPESS OR ACTr4TY) EXPLAIN
r-I
NUMBER OP STORIES NUMBEMOF
DWELLING r.A
UNITS
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
114 5fik LL (a 1 Li�opp rf-jijr-C pfg- PL ol' p(,A r4
10 CW 0 C S 7- cf A TES FOK ACCE 5 5) AbuT`5
I tt -I. I H � Ir L. 61 IN T 1-10 f— T-vi A r4 0 A 5 T` PLAN CHECK FEE
BUILDING
HEAT SOURCE: GLAZING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ON 7y_.
GRADINGIFILL
Any construction on the public domain (curbs, sidewolks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
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
ENO. INSPECTION FEE
u)
successors in interest, agrees to indemnify, defend and hold
26
harmless the City of Edmonds, Washington, its officials,
employees, and agents from any and all claims for damages of
Ix
<
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
0
I
nor I.imit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowledg; that I have read this application; that the
Information given is correct; and that I am the owner, or th.e 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
tion Insuranc
INSPECTION
SIGNATURE (OWNER OR AGENT) DATE SIGNED
DEPARTMENT
CITY -OF
EDMONDS
ATTENTION
CALL FOR
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
771-0220
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3.
10247
REVIEW BY
NO. OF FIXTURES
SIGN AREA SEPA REVIEW ADB NO.
ALLOWED I PROPOSED I COMPLETE IEXEMPT I
I I EXP I I
VARIANCE OR CU PLANNING REVIEW BY I DATE
SETBACKS — FEET HEIGHT LOT COVERAGE
FRONT SIDE REAR
REMARKS
stilts
CHECKED BY TYPE OF CONSTRUCTION CODE
q � I H EZG
SPECIAL INSPECTOR AREA OCCUPANCY OCCU
REQUIRED 13 YES GROUP LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 305
FINAL INSPECTION REOUIRED
VALUATION
FEE
N
APPLICATION APPROVAL
This application is not B permit until
signed by the Building Official or his/her
Deputy; and fees are paid, and receipt is
acknowledged in space provided.
OFFICIAL'S SIGN T RE ;�ATE
51, �S>
RELEASED DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
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