19220 76TH AVE W.PDF111111111111
6265
19220 76TH AVE W
The City of Edmonds Side Sewer Drawing EASEMENT NO . ..........................................
NEW CONSTRUCTION PS REPAIRS F-1 LID NO - ------------------ ASMT. NO . ............
OWNER EPA-ANG ... Pt-DIER-5-0-N -------------------------- CONTRACTOR ...... .... BAcxvkoc, ................... PERMIT NO.
JOB ADDRESS - ------- LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO.
..................................................................................................................................................................
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NAMEOF ADDITION .......................................................................................................................
PWW-Ml-11175 (REV.11/78)
DATE ........... ------------
........................
CITY OF EDMONDS
RY NEW
ADDITION
RETIREMENT
SIPIEET FILE ASSET INFORMATION SHEET
ASSET NO. 67
ADDITION TO ASSET NO.
DESCRIPTION
L04 7nfit 5,4et u (a a e- /A-irf
SERIAL NO.
LOCATION uj DEPT. NO.
6
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
*PROJECT NUMBER 3
PROJECT COMPLETION DATE c.,
COST 2 c�
B.A.R.S. ACCOUNT NO. of 3
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
D DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
0 G.L. ENTRY
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO.
INITIAL
t(p)
DEPARTMENT FILE
Fr
bw
CITY OF EDMONDS
i1UBLIC WORKS DEPARONT FOR INSPECTION CALL Permit
. I - ' 40,
775-2525 Ext.121 1� Issue Date
SIDE SEWER -PERMIT tge
PEP -MIT MUST BE POSTED ON JOB.SItE
'AW /LYNNW 0
l.. Address of Construction let 7.10 7A 17 /u�_
2.
3.
Property Legal Description (include
kA
all easements) T;z,
;- '04y t. "
��, 4 ) V6
6)4 5,1, �'e) I
Single Family Residence Multi -Family No. of Units
Commercial
I!NEJ
4.
Owner and/or Builder 15R L
5.
Contractor & License No.
6.
Invasion into City Right -of -Way: No Yes
(If Yes Right-of-
way Construction Permit Required Call Dial
Dig (43'4_12_�'_5344) before
excavation).
7.
Cross other private property: Yes No
Easement required
READ
attach legal description and county easement
THE FOLLOWI�,NG AND SIGN:
number.
a. Property owners must obtain a permit to install side sewers or
their property. A licensed side sewer contractor must be employed to
construct side sewers in the public' right-of-way.
b. The side sewer contractor assumes full reponsibility for each
installation for one year *
C. Commercial establishment requires a minimum of a six inch (6")
side'sewer line.
d. Side sewers may not be installed closer than thirty inches (*3(
to any structure. 0
e. Side sewer lines must be laid at a minimum grade, of 2% (1.15
and maximum grade of 100% (450). 0
f. No turn in side sgwer greater than 45 (1/8,bend).is 0 allowed
between cleanout. All 90 turns must be constructed of a 45 (1/8
bend) and wye with removable cap.
g. No down spouts, footing drains or floor drains can be connectE
to side sewer system.
h. Pea gravel is required for bedding when installing sewer lineE
through other than granular soil.
i. Cleanouts are required at 30"-60" from each plumbing exit linE
and at minimum intervals of 100' along sewer 'line run.
j. Trenches within City right-6f-way must be restored to original
conditions. Contractors shall be responsible for right-of-way failurE
due to poor compaction of fill.
k. Side sewer must be -left uncovered until inspected and approve�
by the City.
1. Inspection during normal working hours only. Two (2) working
days notice required.
DATE: 3-a3- ?3
--e64
1 1'r .11 z 4.
/ 15-
PERMIT FEE:
CONNECTION FEE:
PERMIT
I certify that I have read
and shall comply with the above
.DISAPPROVED BY: Date:
Date:
AP P ROVE D By Date: 3 -23-83
T BE POSTED ON JOB SITE
STREET FILE
MEMO TO:' John B..Mitchell, Supt.
Water/Sewer Division.
FROM: James E..Adams, P.E.
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
19220 - 76th Avenue W.
(Street Address)
R0'Y Williams
(Legal Owner)
DATE: 4 14, 1980
Single Family Residence XX Subdivision XX Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
Parcel No. 3 (See S-29-79)
The East 146.00 feet of the South half of the
North half of the North half of the Southeast
quarter ot the Southeast quarter of Section 18,
Township 27 North, Range 4 East, 14.11.
EXCEPT the.South 95.00 feet thereof.
AND EXCEPT the East 30.00 feet thereof for road
purposes.
Situated in Snohomish County, Washington.
$5.50Z.F.F. - City of Lynnwood, 76th Avenue, Sewerage System
Z.F.F. Calculation:
69.07 Z.F.F. x ( 5.50 $ 379.88 Connection Fee
Lateral x( $ Lateral Charge
$ Equivalent Count
(when applicable)
Units(s)x(-$25.00) $- 25.00 Trunk Charge
$ 10.00 Permit
$ 414.88 TOTAL
jak
cc: Owner
DATE: May 1980
MEMO TO:' John B..Mitchellisu FILELE COPY
Water/Sewer Divi onP8- ME:
FROM: James E. Adams, P.E.
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
',192-�O - 76th Avenue W.'
treet Address)
RoX Williams
(Legal Owner)
Single Family Residence XX Subdivision XX Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
Parcel No. 3 (See S-29-79)
The East 146.00 feet of the South half of the
North half of the North half of the Southeast
quarter of the Southeast quarter of Section 18,
Township 27 North, Range 4 East, 14.11.
EXCEPT the South 95.00 feet thereof.
AND EXCEPT the East 30.00 feet thereof for road
purposes.
Situated in Snohomish County, Washington.
$5.50Z.F.F. - City of Lynnwood, 76th Avenue, Sewerage System
Z.F.F. Calculation:
69.07 ) Z.F.F. x ( 5.50 $ 379.88 Connection Fee
) Lateral x( $ Lateral Charge
$ Equivalent Count
(when applicable)
) Units(s)x( $25.00) $ 25.00 Trunk Charge
$ 10.00 Permit
$ 414.88 TOTAL
jak
cc: Owner
DATE: —May 13, 1980
tIEMO TO:- John B..Mitchell, Supt.
Water/Sewer Division
FROM: James E. Adams, P.E.
City Engineer
SUBJECT: SE14ER CONNECTION CHARGES
19220 - 76th Avenue 11.
(btreet AaOress)
Rov Williams
(Legal Owner)
Single Family Residence Subdivision XX Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
Parcel No. 3
(See S-29-79)
The East 146.00 feet of,'-t�he South half of*the
North half of the 115pth half of the Southeast
quarter of the So�Zheast quarter of Section 18,
Township 27 North, Range 4 East, 11.11.
EXCEPT the So�dth 95.00 feet thereof.
AND E.,,.CE the East 30.00 feet thereof for road
purposev
Situq.eed in Snohomish County, Washington.
$5.50Z.F.F.-Cit, / of Lynnwood, 76th Avenue, Sewerage System
/ y
Z.F.F. Calculatlon:
)/Z.F.F. x ( 5.50
$S-3-79-41
Connection Fee
Lateral x(
$
Lateral Charge
$
Equivalent Count
(when applicable)
Units(s)x( $25.00)
$
25.00
Trunk Charge
$
10.00
Permit
$
414.'8-5-
TOTAL
j aik
cc: Owner
69.,0 7 -7 9 40
DATE: 9 0
MEMO TO: John B..Mitchell, Supt.
Water/Sewer Division
FROM: James.E. Adams, P.E.
City Engineer
SUBJECT: SEWER CONNECTION CHARGES
922�0- -7(.7' Ptye, UJ -
(Street Address�
UJA �� (a VKf
(Legal OxAnjer) .?
Single Family Residence Subdivision t-/ Plat
PRD Multiple Commercial
LEGAL DESCRIPTION:
FPa,cel No�3 SEE Sl".-2-5-7ci)
The East 146.00 feet of the South half or Lhe NorLh
half of the �Iorth half -of the Southeast quarter of
the SouthCa5t quarter of Section 18, Township 27
Ho r t h , 1� a nge 4 Et-i s t , �V . �1 .
EXCLPT the South 95.00 fect thereof.
A14D EXCUIT Llic. List 30 . 00 f ce L thereof f or rodd IM 1'pUt�US .
Situated in Snohomish COUnty, Washington.
1, gso
'r%A A
Ll
4 K V0 0 OC( M
Z.F.F. Calculation: 5e�,t e I �q(o
(69,40(,S Z.F.F. x $ -379,99 Connection Fee
Lateral x( $ Lateral Charge
$ Equivalent Count
00 (when applicable)
Units(s)x( $25.00) $ Trunk Charge
$ 10.00 Permit
$ 414. . 7 S TOTAL
jak
CC: Owner
"�A
G"'7
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CITY of EDMONDS
Civic Center - Edmonds, Washington 98020 - Telephone (206) 775-2525
Office of the City Engineer
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1_-s-P_U_7*uk"C- DIVISION
LINES-
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ITREET FILE Date -,July 3. 19Z4-
Memo to: Director of Maintenance Operation
Public Works
From: City Engineer
Subject: Sewer Connection Charges
Legal Description: Lot "A" : The N 70 ft of the.E 116 ft.of the
followi ' ng described Tract, sd tract being the
S h, N -1-2 N 12-, SE A4-, SE P4 of Sec.'18, T 27 N, R 4 E,
Except the W 1017 ft,and the E 30 ft thereof.
RECEIVED,
JUL 1974
Commonly known as: 19220 76th.-.Avenue W. Owner: Roy L.'Williams.
IA20fi Id _Av6.-NW._ Sea ttle 98177
Z.F.F. Calculation:
69.1 Z.F.F. X. $5' 50
34- Lateral x ($100
1 Unit x 25
cc: Roy L. Williams
380.05
Connection Fee
$ 25.00
Lateral Charge
$ 25.00
Trunk Charge
$ 10,00
Permit
$ 440.05
TOTAL
Form 6
M
CATC44 BASIN:
^135 , ftjS-.1,0(ow.
W%UAL.
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DEC 131982,
TRENC14 L.1rNQ'rH.
............................. ............
66 'n &Wlf Ll W K LrVrL TXWNcwF IF ILT r I PC CAP
fi"TEE W/ LONG LEGS
SYSTEM CROSS—SECTION
IMENCR covr=R
3/40- WASWElD
& RAVEL
6" DIAM PERF PIPF-
TRENCH 'CROSS—SECTION
a
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0
U
STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE I OF 2
for
location- 2-7- 2-0 - M6 W-/,
plan by ,v—
phone 7 x - /j
date -
DESIGN DATA
Trench Perc LF per
Number Rate 1000 sq.ft
1 1. ;1 -3 1 -?-1
Imperm '.Trench
Area q
24 ILA I -n
NOTtS
1. Call Engineering Division (771-3202)
for )rebackfill and final inspections.
2. Resp ' pnsibility for operation and
mainitenance of drainage systems on
private property is the responsibility
of the property . owner(s). Preventive
maintenance consists of preventing
soilland other materials from entering
trench during construction as well'as
afte� construction'. Catch basi'ns should
be.cleaned of floating material and
sedim'ent at regular intervals (at least
twic pkr year').
W
7-4 q 6 .s t te
..... ..... -
CITY OF EDMONDS
J
-70
fo
44
76
SITE PLAN, SCALE:
NOTE: DO NOT USE INFILTRATION SYSTEM
ON SLOPES OVER 15 PERCENT. (15
FOOT RISE PER 100 FEET HORIZONTAL)
7
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fb
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loo
CA-
Z6/2-'-
STANDARD DRAINAGE PLAN.
INFILTRATION SYSTEM
PAGE 2 OF .2
on
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7 vf =7-7
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BUILDING IIEKIIT RE,Vw- Mul t Lp 1 e
BUILDING ADDRESS 0 C) -7 10 Conunercia.1
BLDG. DEPT. SUSPENSE DATE /--2 / 1,:,2 6 INITIAL DATE
OFFICE ADMIN. *— PUBLIC WORKS LOG IN
CITY ENGINEER (check) n-rREET FILE--
C1 Acc e*ss Slope and Vehi c e Access
Drainage Plan
Street File
[]Legal Descripti6n
Qui Claim
DEasement
r
Sevie�r. Connec
-c ';u -tion
'�E R*/' SiiiER' DIVISION
Determine'�.Meter. Size.�:,
A'
-Co*m,pie�te,� Buil din Per'mit*..Review
9
STREET'DIVISION
Complete�Building Permit',Review
[]OFFICE ADMIN.', LOG OUT.Tb BLDG-.'DEPT.
-------------------------------------------------------------------------
U-BUILDI,NG PERMIT APPLICATION (COMPLETE).
q'2 COPIES OF SITE PLAN a�o
2 COPIES OF FIRE PROTECTION PLAN
(PREVIOUSLY REVIEWED BY FIRE DEPT.)
X COPIES OF DRAINAGE PLANWITH CALCULATIONS
REQUIRED BY SUBDIVISION 0
.GREATER THAN 2,000 SQ. FT.
IMPERMEABLE SURFACE
LESS THAN 2,000 SO.. FT.
. rrj�H, K ZONING REnuIREMENTS (SETBACKS)
r
C
'0
0,P
,COPY OF ENGINEERING CHECK LIST
I I co
COPY OF PU,"-LIC 14ORKS MEMO
MULTIPLE OR- Cq��I`ERCIAL
YES �(ATTACH COPY OF
.. 11 _B APPROVAL TNCL. ALL DRA!,TINGS)
NO ff
w,
SUBDIVISION — YESdN 1E. /
DATED RECORDED /,0-
NUMBER - -2ff/Z,90�q�
NO (ATTACH -Copy �OF -REOUIRF2,uwm)
[�:�]C ECK SEWER 'DRAWING AND ATTACH COPY--2—
IS e1v
DEDICATION REQUIRED YES (OBTAIN QUIT CIAR 0
CITY CODE
NO
DOES CITY HAVE EASEMENT ON PROPERTY
ES H,,<X�TACH COPIES OF DRAWINGS)
NO
CHECK LEGAL ACCESS INGRE UTILIT ;'a
YE
YE S
YES
NO NO
HAS SEWER ASSESSMENT BEEN PAID
YES L.I.D. NO.
PLAT NO.
SUBDIVI.SION NO
E3,
-IF MULTIPLE: INCLUDE NUMBER OF UNITS'"
11 F, C,OMMER*CIAL,- INCLUDE NUMBER OF FIXTURE UNITS
113
Injs IS-to-cert ' y'th-It
t Ile 'pr
bed Oper,jes is
descri as follow '
ShOwn on
See Exhibit "B" 11ached map (Exhibit , A
f1V
have been divided under
File No . 1=2 9 the Provisions of tile Edmonds Subdiv sion Ordinan (Sec.
,,.ubj ec t
to the following conditions and i
I. Exhibit "Cl, cc 0)
2 Hold Harmless Agrecmc�nt requirements:
* TuraroundS required
3. Connecti() On all lots.
4. Unde n to City water and sanitary
rground Wiring required to Lots 2 and 3.
5. EXcavation and grading sYStems 1--eqUired by all units.
Code. to Conform
18' to Chapter 7o of
Of paVement required the Uniform Building
7. L��2 On access '-�Pad.
__t_O_acceSS 76th Avenue Wes-tb
8-t-_t6ts 2-and 3 must y _
'-,to pro �Clnlect san wz'Y of access easement.
e r t y._ I sewers tO.1
ree
n ..ate r a 1 s a 1
9. ne and. -provide ease ent - ...COTI readv
g - - -- m
Sectio r e s t- t in
-it Ions. o n a- 3_U stubbe
12.iO.050 (c trees 8" n dc
With building �p�eirji
ALL RE (2). In diamet-e-r-
TO ISSU ENTS MUST BE .4 to be-- per
AND ALL I PIMEMENTS MUST BE INSTALLED PRIOR
CE OF BUILDING PERtjITS.
,/we certify that I/we are the legal Owner(s) Of the propert described above. I
warrant that all representations are true and correct and u Y
of any misrepresentation or failure riderstand that in t /we
forth herein, the city of
and record a statement to comply with the cond t,he event
Edmonds Shali have tile rij, itions and regula ons set
the Snollomish Count to that effect in the Gran lit to declare the
f Subdivision void
Y.Auditor. tor -Grantee S Index in tile Office of
SIGNED:
DATED this
day 'of
STATE OF WASHIINCT 9
ON
COUNTY OF SNOJJOMISH ss:
appeared b ;7
On this day personaliy appeared b�efore �me�
and
_�e
and who
to Me known ------
to be the individuals described
in and who executed the within and foregoing instrument, and acknowledged that
Signed the same as..
therein mentioned. and Voluntary act and deed) for the
Given under my hand and of�i, uses and pur Oses
A UTHOR ]ZED
day 0
FOR f 9
0
RECORDING 5
S:
CITY Of-' EDMONI
D
Pu b I I
0 --Notary
1-i-v and for
By the statL, of
residing at
�Ia�hi7
ngt,
Page
r)f
6
0
11
DATE: /-,� -
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT:
After review of the subject Building Permit application, we have the following''"!
comments:
1. Connection to City water system renuirpd-
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. Backwater valve required if downstairs plumbing is below elevation of
upstream manFo-Te—.
6. Water and sewer lines to be separated by 10 foot minimum.
BD 6/82
0 0
PUBLIC WORKS EEPARM-04T CHEacusr
BUILDING PERMIT REVIEW '74 14J
(ad ess) (date)
Street Right -of -Way Existin��....JEQI�_
Z
Access Easements Existing__Wj_W-QJ�__
&.4
p�
Utility Easement Existing. —A,-)
REQD
W
Lot Per Subdivision Plat
Assessor Mp
W
Site Plan Checked for Accuracy
Z
Underground Wiring Reqd. Wes
1-4
0
Check Accuracy of Legal Deskiption_
r/- $�AZ
Z
Review by
Date
Existing Water �lain Siz
Water Main Required
Service Line Required -341
Hydrant Size Existi
P�
Hydrant Reqd Per Fire Code
Size
W
Detector Check YEter Reqd.
Cross Connection Inspection
Fire Department Comnents
:1:
Yleter Charge Reqd
Wa t er PUS
Review b Al-
Date A4441f I
Septic Tank Design Approved
Date
Septic Tank Pern-dt Reqd.
Permit No.
Sanitary Sewer Availabili
Proj.
Drawing No.
File No.
Side Sewer Availability
94
Sanitary Sewer Connection Fee Reqd.
Z3:
Review by
Date
14
Open Ditch Existing
d.
Culvert Reqd. 5
Size
V4
Catch Basin Reqd.
Indicate on Site Plan
0
Shoulder drainage maintain collection on
swale open runoff
�bnhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date
Ptevised: lvlO-1977
,7�
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
NUMBER
NAME (OR NAME OF BUSINESS)
'w_c
VAILING ADDRESS
W 7 Y TELEPHONE NUMBER
-7 7_!�-- 7 -///
L
W ADDRESS
o
a:
< CITY
TELEPHONE NUMBER
-7 —
NAME
cc ADDRESS
0 2 -3 V
cr CITY
Z
TELEPH ONE NUMBER
STATE LICENSE NUMBER
CITY LICENSE NUMBER
Legal Description of Property - include all easements
(show below or attach four copies)
-7
F] NEW L-V I -RESIDENTIAL PLUMBING
ADDIALTER NON-RESIDENTIAL MECHANICAL
ElREPAIR RETAINING WALL SIGN
EXCAVATE FENCE
E] DEMOLISH OR FILL 0 ( x _ FT)
PRE -MOVE INSPJ 171 swim
SIDE SEWER WATER LINE
NUMBER OF STORIE9 HOF
ING
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
USE
ZONE
JOB
ADDRESS
!I&
-KISUBDIVISION NO.
40�9 4q - 767
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING lPto REQUIRED DEDICATION
PROPOSED-6,,V-
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 1-1 'A.
SEE ENGINEERING MEMO DATED z Z, -.,% -�
SEE PIW DEPT. REVIEW CHECK LIST DATED
REMARKS
METER SIZE IBUILDING SUPPLY SIZE
REMARKS
SIGN AREA
ENV. REVIEW
ALLOWED
-PROPOSED
COMPLETE
EXEMPT
VARIANCE OR CU
PLANNING-54VIEW BY
YARDS
.1 41_.�'
~ FRONT
I YZISIOE
If;*, RFAR
CHECKED BY
SPECIAL INSPECTOR
REQUIRED
1:1 YES I : NO
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
OF CONS
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.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
w
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
a:
<
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
0
modify,.waive or reduce any requirement of any city ordinance
,T
nor limit in any way the City's ability to enforce any ordinance
vision.' TOTAL
provision.'
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
ATTENTION
authorized agent of the owner. I agree to comply with city and
state laws regulating construction; and in doing the work authoriz-
THIS PERMIT
ed thereby, no person will be employed in violation of the Labor
AUTHORIZES
ONLY THE
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
tion lnsurancq-_
_01ER 9�A �N`T:,-7 JDATE SIGNED
NSPECTION
DEPARTMENT
CITY OF
THIS SITE IS LOCA - TED IN THE CITY
EDMONDS
OF EDMONDS. LOCAL SALES TAX
ATTENTION SHOULD BE CODED 31.04.
775-2525
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.
102-78 '
DEC 13 1982
OCCUPANCY
GROUP
VALUATION
NO.
cc
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ul
Z
Ad
E UNITS
(IC
W
ADB NO..
SHORELINE#
DATE
LOT COVERAGE
V,
Z
Z
n
I
HEIGHT
OCCUPANT
LOAD
Z
0
_j
D
APPLICATION APPROVAL
This application is not a permit until
signed by the Building Official or his
Deputy; and fees arepald, and receipt is
acknowledged in space provided.
OFFICIAL's SIGNATURE
DA
ORIGINAL — File YELLOW — Inspector Li
PINK — Owner GOLD — Assessor