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19411 86TH AVE W
NY
CITY OF EDMONDS
ASSET INFORMATION SHEET
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ADDITION ADDITION TO ASSET NO'.'_�'
RETIREMENT
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DESCRIPTION
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SERIAL NO.
LOCATION
DEPT N
"PURCHASE ORDER NO.
PURCHASE ORDER DATE
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COST
B.A.R.S. ACCOUNT NC,
ESTIMATED LIFE
If f 1. 1 1.
DJECT NUMBER -
COST
6,
INITIATED BY DATE APPROVED BY
*SLIBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST".;'
*SUBMIT ASSET INFORMATION SHEET UPON -'C'LOSE. OF PROJECT,`.
ACCOUNTING ONLY
�`��VERIFIED BY
19"DEPRECIATE
MONTHLY DEPRECIATION AMOUNT :ko6ESSED.,"
ANNUAL DEPRECIATION AMOUNT
BATCH NO.
G.L. ENTRY
DATE
REFERENCE
INITIAL
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DEPARTMENT FILE
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CITY ol EDMONDS
For Inspection Call 771-3202
Address of Construction:
APR SIDE VWER PERMIT
P08LSTREET FILE RMIT 10. 07306
EDMONDS
TM T P1
(046 FTREAETMEONT P1 Ahr
Property Legal Description (Include all easements):
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Owner and/or Builder: f4ig k-,j st-:�.zL F tis en: 1711,4
Contractor & License No: C'6w�T' Tx('
Single Family Residence
Mul ti - Fami 1 y
Commercial
(No. of Units
(No. of fixture Units
Invasion into City Right -of -Way: No k Yes (If Yes, Right -of -Way
Construction Permit required. Cal 1 One -Cal 1 -Center (1 -800-424-5555) before, any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I ce2"V�,,-��Yat I -have read and shall comply Dayte I
with tKZJ�-tems listed on the back.
Permit Fee: Issued By: ILI
Trunk Charge: Date Issued:
Assessment Fee: Receipt No.
Partial Inspection:
Comments Date. Initial
Final Inspection Approved: A-5-as
Date
Rejected:.
Reason —Ea- t _e —I n i —ti a I
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green, Copy - Inspector
Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------------ ---
NEW CONSTRUCTION X REPAIRS LID NO. 15-1 ------- ASXff. NO . ...... I ...........
OWNER ............. CONTRACTOR ... C014ST - ------------ PERMIT NO. 77,3-06--
JOB ADDRESS 1.9.4-1-A -------- .......... LEGAL DESCRIPTION: LOT NO . ......... 3- --------------------- BLOC EDMOQNC)S
K NO. I PL�NT
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TR EAT fo-E N --- =T ----------
PLANT
............................ ---------------- -------------- ------------ S ...... zja.7.8-3 ----------------------------------------
NAMEOF ADDITION ----------------------- ---------------------------------- ----------------------------------------------------------
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19 411 8G
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3.5,0P. *,WbF-
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PWW-0001 -11/75 (REVA 1/78)
35�
11
V
42'
........................................ .
7 3'DP. 4�'WVE
.7 /- V DP. C.6. CAP
Approved:
DATE ... ......... By
--------------
Side Sewer Drawin
The City of Edmonds EASEMENT NO . .............. ........................
NEW CONSTRUCTION REPAIRS F-1 LID NO. .15A ........ . ASMT. NO . ..................
OWNER....................... ........... CONTRACTOR .................................................................................... PERMIT NO . ....................
JOB ADDRESS -1940-9 ....... 194.11 .................. 8-(oT",.AlVV-.LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO - --------- EDMONE)s .......
TREATMENT PLANT
SP -8 -� E 9
-------------------------------- ------------------------ cs..-a ............ ) ................................................
NAMEOF ADDITION ------------------------------------------------------------------------------------------------------------------------
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41,
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SAD
cl-eel-l'am
1194 rs
I PLACE
44' VIM
6-C.G.Wza
C.C. Ta SUSXF^4c
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PWW-0001-lD/75 (REV.11178)
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ALL (WP14-C-PIPE
FRIVATC LINE
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Wc,a.vdljE
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(0-FEnp-les
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Approved:
DATE.................... BYJ C-- #.-- / ..................................
NOTICE:
Y.. 0 a C C.
'o...w,a r.r. a n .. .. 0
Y on the attached
The -information shown of
map(s) was compiled for use by the City
Edmonds/ its Employees and Consultants.
Th.e City of �Edrn.qnds does not ' warrant the
accuracy of anything set for,th 'on t ' hese
Map(�-). Any person or entity -requesting a
copy should conduct an independent
0 m-ation shown,on
inquiry regarding the inf r
including, but not limited to,
t h -m a p (s), -h
t h . e location of any sew-er stub shown. Suc
sewer stubs may or may- not exist and may
or may not exist at the location shown.
Neitheir the city of Edmo-nds nor its
emp-1-o-yee-s o-r offi-ce-rs -sh-a-11*1 be 1--ia-b-Ife for the
information given' on this map(s), nor for
any one- representation provided based
upon . said map(s).
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STREET FILE
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HANSELL ENTERPRISES, INC.
300 Admiral Way, Suite 210
Edmonds, WA 98020
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IEET FILE
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()()fAGE BY TYPE
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SUPPLY---stw
DISTR.---- �tw
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ST.14.81
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161.068 SW -18-4
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STREET FILE
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CITY OF EOMONOS
CIVIC C4 1.11 A - I PWO"04. WA_�.J.4 1C, **on
SIN GLE fAliILY MULTIPLE C 0.+
PROJECT NAME
ADDRESS
ACCESS SLOPE AND VEHICLE ACCESS
DRAIN.Afif PLAN
SIRE ET FILE
LEGAL DESCRIPTION VERIFICATION
QUIT CLAIMIDfPICATIONS
EASEMENT - PUBLIC/PRI.VATE
CALCULATE Sfw(R cotimECTION If NO LID I
SIRM PAYING REQUIRED
CURB AND GUTTER REQUIRED
SIDEWALK REQUIRED
IY12�(UPS CUI [OR DRIVEWAY REQUIRED
RIG"T-OF-WAY CONSTRUCTIOn PERMIT REQUIRED
BOND REQUIRED FOR PUBLIC IKPROVEMENTS
STREET mAmE Sjcjd REQUIp
OThER SIUIING REQUIRED
EN EERING & PUBLIC WORKS
ROJECT REVIEW
z
CHECK
LIST
RC IAL
I
CONTACT NA.11E TELEPHONE NUMBER
AT[
2X
(ADDITIONAL COWiENTS ON BA(
1XI'llItIC WAIIR MAIII SIZE 174 C I
WATfR ttAIN REQUIRED
SIRYICf LINE REQUIRED
11YORAUT SIZE EXISTING
HYDRANT REQUIRED PER FIRE COE
SIZE
CROSS C(WIECTION INSPECTION
WATER lIfTLA CH�A 'o
e
[,ED
REVIEW BY
DATE (AWITICULAL COPKNIS ON V
SA.NIIARY SEWER DMI)ING 11LIXOER
SIDE SEWER AVAILABILITY
FILE WIBER
SANITARY SEWER C0111ECTI011 FEE RfouIRED
OPEN DITCH IXIS7111r,
RE 0—
CULVERT REQUIRED H--j ;:T
Rb -.P( Al
CATCH BASIN REQUIR[D It Z"t 'I INDICATED 0" SITE PLAN
ShOULDIR ORLAINAGE 11AINTAIN COLLECTIOil On SHALE OPEN RUloff
WHOLE REQUIRED ti
INDICIT(l) O.N SIT[ PLAA
SOIL CONOIlk k)M T R I'l
' F1 0 _CHEC KE D�_
REVIEW BY A
PATE (ADDITIONAL COMMENTS ON LAC
USE ',__/PERMIT
CITY OF EDMONDS
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
joa
ADDRESS
I
NAME (OR NAME OF BUSINESS)
dArJefz�, ENTgRPRI Ek(s.
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
L vT-3
cc
Uj MAILNG ADDRESS
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ZK)
IJAY SL)I19
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
CITY
TELEPHONE NUMBER
t-Dm C) tjb <,
7�1
EXISTING REO . UIREP�DEDICATION-
-
PROPOSE
NAME
RIGHT OF' WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED C1
W ADDRESS
SEE ENGINEERING MEMO DATED—
SEE PIW DEPT. REVIEW CHECK LIST DATED
Cl
CITY
TELEPHONE NUMBER
I (0�77-a�
RFMAAK- // q
NAME
I
.1 ADDRESS
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< — TELEPHONE NUMBER
a: CITY
Z
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STATE LICENSE NUMBER CITY LICENSE NUMBER
Mg A) s -iL/ mT-
Legial Description of Property - include all easements
(show below or attach four copies)
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Z141
METER SIZE ]BUILDING SUPPLY SIZE IFIXTURE UNITS
REMARKS
SIGN AREA ENV. REVIEW
ALLOWED I PROPOSED I COMPLETE I EXEMPT
VARIANCE OR CU
YARDS 12 1/
1.5
FRONT
NEW
RESIDENTIAL
PLUMBING
ADD/ALTER
NON-RESIDENTIAL.
MECHANICAL
REPAIR
DEMOLISH
RETAINING WALL
EXCAVATE
OR FILL
SIGN
FENCE
J—x—FT)
CHECKED BY
IPI�ANNING REVWW BY
LOT
;VEAR
TYPE OF CONSTRUCTION
PRE -MOVE INSP.1
COMPLIANCE INSP.
swim
Lj POOL
SPECIAL INSPECTOR
REQUIRED
1-1 YES 11 NO
SIDE SEWER WATER LINE
R - EMARKS
NUM13ER OF STORIE9
f
-LevlL
NUMBEROF
Uvvk:LLIN(i
I UNI IS
D/J 81,
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
e7,j SN=� �)
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
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
successors in interest, agrees to indemnify, defend and hold
(Wn harmless the City of Edmonds, Washington, its officials,
m 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
modify,. waive or reduce any requirement of any city ordinance
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x 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
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 Wo!�qien's Compensa-
WORK NOTED
-to
tion Insurance. /9r / 11 /
INSPECTION
DEPARTMENT
TE
SIGNATURE (OWNER 09 AGENT) SIG
'YED
CITY OF
EDMONDS
771-3202
AREA OCCUPANCY
IGROUP
VALUATION I FEE
2�
W
ADB NO.
IORELINE#
7T P
::RA E
Z
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HEIGHT
OCCUPANT
LOAD
.93
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
a
Z
D
M
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 Ij
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBc JAN 141985
CHAPTER 3. PINK — Owner GOLD — Assessor
102-78 KYQA Ptl�g - E—Olds WA - 175 9494
DATE: Z,14�
MEMO TO: Building Division
Planning Department
FRO,M: Engineering Division
Pu bI i c Wo rk s Do pa r Lme n t
SUgjr 7��J� /
r_CT
After review o f the subjec t Bu i I di ng Permi t a ppI ica ti on vie have the fol I oyli ng
c of-i'm Ent s :
1. Connection -to City water system required.
2. Connection -to City sanitary sewer system required.
3. R I gh L -0 f-%ql Ypermit required for any work on City propert.y.-
4. Oriveway slope not to exceed 14".
S. Back,.-iater valve required if-doanst-airs plumbing is b elovi elevation of
upst*ream manhole.
6. Water and sewer lines to'be separated by. 10 foot minimum.
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HANSELL ENTERPRISES, INC.
300 Admiral Way, Suite 210
Edmonds, WA 98020