19129 84TH AVE W.PDF111111111111
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19129 84TH AVE W
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ADDRESS: 111(2? ?Vtk Aw W.
TAX ACCOUNTIPARCEL NUMBER: on4,� 601e) Z006)
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: [-� Conditional Waiver 0 Study Required [] Waiver
DISCRETIONARY PERMIT
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS (OTHER): (emmv
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #: /0 2
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: —
SIDE SEWER PERMIT(S) #: '3145
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA'
OTHER:
LATEMP\DSTs\Fonns\Street File Checklist.doc
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The City of Edn FU
..........
........... (/-? 1 e-
ADDRESS .... yr ... ------ - "'
/9/29
�7i
APPLICATION
for
810DE SEW= PFMAM
NEW CONSTRUCTION [] REPAIRS 0
e-17 /
Llli)-v) - (--t k)C
FIASEMENT No.
1.
CONTRACTOR ....... ........................................................ pF —7
,Mrn No.
...... LEGAL DESCRIPTION: LOT No . ......... /0 Br()CIC,?qo . ...... .....................................
- - - - - - - - - - - - - - - - - - - - * . . . . . . .
NAME OF ADDITION ..... .......................
,kV,V,Vt0V'EV
Approved:
DATE Ja ...... BY -
- 7-AO
NOTICE:
.... .... ... -Of a-cc-uracy-----_..
No warranty
The information'shown on the attached
map(s) was compiled for use by the City of
Edmon*ds, its Employees and Consultants.
The City of �Edm.onds does not ' warrant the
accuracy of anything set for.th on these
map(s). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shown on
tFe -map(s)/ including, but not limited to,
th . e loc'ation 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
e m pl- o-y e e-s o -r o f-fi C e,r s h. a I. I b e I. i a. b.11--e f o r -,I h e
information given on this rnap(s), nor for
any one representation provided based
upon said map(s).
r. . _'P
CITY OF EDMONDS
Call PRospect 6-1107 when work
CIVIC CENTER — WATER -SEWER DEPARTMENT Is ready for inspection. (No Inspee-
tions Saturday, Sunday or holidays.) N? 3145
SIDE SEWER PERMIT
19 /'Rj
ADDRESS............ 1910 ....... 8.4.# ... Avg-, ---- W_est� ....................................................... . ......................................................................
OWNER ................ V ...... E ...... M.cCh_orc.h_uk .................................... CONTRACTOR .... ..................................................
.. ....... ....... .. .... --------
Permission is granted ...... October --- 22 .. ......... 1 19 ... 6-8, for ........................ days to REPAIR or CONNECT a side sewer
,with City Sewers in accordance with application on file and governing ordinances.
ATTENTION IS CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must
be employed to construct side sewer in street area. Do riot cover any portion of sewer before it has been inspected.
No. 2—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit.
NOTE; No. 3—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 sharper:than % will be permitted.
NOTE No. 4—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for
failure due to improper work which may develop within one year of completion.
NOTE; No. 5--It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or Its appur-
tenances except to insert the pipe into the wye.
6 ' E D -'41
1P
14C. I F310
CITY',OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
Expiration Date: 04/15/2014
Parcel No: 00481600401000
PAOPERTYO
MOHAMMED & KANEEZ FATIMA SHAHID MOHAMMED & KANEEZ FATIMA SHAHID N/A
IR129 84TH AVE W 19129 84TH AVE W
EDMONDS, WA 98026 EDMONDS; WA 98026,
(425) 774-8581 (425) 774-8581
LICENSE #: EXP:
J6B DESCRIPTION
DEMO OF EXISTING DECK ROOFING AND SUPPORTS
VALUATION: $0.00
PERMIT TYPE: Residential
PERMIT GROUP: 23 - Demolition
GRADING: N CYDS: 0
TYPE OF CONSTRUCTION:
RETAINING WALL ROCKERY: N
OCCUPANT GROUP:
OCCUPANT LOAD:
FENCE: N ( 0 X 0 FT.)
CODE: 12
OTHER: N ---OTHER DESC:
ZONE:
NUMBER OF STORIES: 0
�VESTED DATE:
NUMBER OF DWELLING UNITS: 0
LOT #:
EXISTING AREA
BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
PROPOSED AREA
1 BASEMENT: 0 1 ST FLOOR: 0 2ND FLOOR: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
13RD FLOOR: 0 GARAGE: 0 DECK: 0 OTHER: 0
FRONTSETBACK SIDE SETBACK REAR SETBACK
REQUIRED: PROPOSED: IREQUIRED: PROPOSED: --7REQUIRED: PROPOSED:
HEIGHT ALLOWED:O PROPOSED:O IREQUIRED: PROPOSED:
SETBACK NOTES:
I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUCTION AND IN DOING THE WORK AUTHORIZED RE Y, NO
PERSON WILL BE EMPLOYED IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO W&MEN-BS
COMPENSATION INSURANCE AND RCW 18:27.
THIS APLICATION IS NOTA PERMIT UNTIL SIGNED BY THE BUILDING OFFICIAL OR HIS/HER DEPUTY AND ALL FEES ARE PAID.
;I'LA /0- 1,6- -'/2
Date
ATTENTION I
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. UBC1091 IBC1 10/ IRCI 10.
ONLINE. APPLICANT ASSESSOR k OTHER ',A 44
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