19623 88TH AVE W.PDFiiiiiiiiiiii
8420
19623 88TH AVE W
CITY OF EDMONDS
NEW
51/'ADDITION
1:1 RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION
DEPT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
PROJECT NUMBER
PROJECT COMPLETION DATE
COST
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
K"DEPRECIATE
VERIFIED BY
MONTHLY DEPRECIATION AMOUNT
PROCESSED
ANNUAL DEPRECIATION AMOUNT
BATCH NO.
G.L. ENTRY
REFERENCE
DATE
ktnp INITI
DEPARTMENT FILE
I
::z I
Ag,9iJdt2
121ZI VF-4-,iAY
AO�
SITE PLAN
V, 106 r- 2A r--l-e-v.
eT
b7
roposed Residence.,,51
GENERAL NOTES
STREET FILE
A
4-6�Hl CALCULAIVA
3e .05
JM4�Y,. �Zjit-P- KAY i)
PROJECT STATISTICS
co
CITY of EDMONDS
For Inspection Call 771-3202
Address of Construction:
S I D E
STREET FILE
Property Legal Description (Include 'all easements):
Owner and/or Builder:
Contractor & License N
S E W E R PERMIT
PERMIT NO. 0702
� \ U& � �\s, c) 1) /(-,
o: F
Singl:e Family Residence
Multi -Family
(No. of Units
r
S�
EAT '"W7LANT
TR MENT
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No yes (If Yes, Right -of -Way
Construction Permit required. Cal 1 One -Call -Center ()-800 -424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal de t scription and county easement number.)
PLEASE READ THE I TEMS LISTED ON THE BACK
11-518C,
I certify-that'I ha ead and shall comply Date
with the items listed on the back.
Permit Fee:
30.00.
issued By:
Trunk,Charge:
-
Date Issued:
—2-5-.00
Assessment Fee:
Receipt No.:
Partial Inspection:
Final Inspection
Comments
Approved:
;79 Date Initial
'A e
Date I
Rejected:
Reason
—5-a—te Initial
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO . ............. - ............................
4
NEW CONSTRUCTION REPAIRS F7 LID NO. .160.1 ------- ASMT. NO . ..................
OWNER ------------------------------------------------------- ---------------------------------------- CONTRACTORPUAMQ��-N-G ...... TMN%� ................... PERMIT NO. .77.492-
-rVA A - 'Ot- - - C- -
JOB ADDRESS ............. &NIF-7-N4 ......... LEGAL DESCRIPTION: LOT No. '2k---85BLOCK N
EDMONDS
----------------------- ------------------------------------------------------------------------------------------------- IT-R-E-ATME-NT-PLANT-
NAMEOF ADDITION -----------------------------------------------------------------------------------------------------------------------
v.
19GZ-�)
I'm
47.5 i
�;
50 i> R.V- DUMP
1K
le
roll DR
P-q-t-
2.- CLA� xp.V.r-.
FERNG0 cdup.
Approved:
PWW-0001 -11/75 (REVA 1/78) 88 TH W. DATE --- 19—A-G. By
NOTICE:
-:aac.c Li ,":d u Y
-N'O W"a r-r a y ... or
The information *shown on the attached
map(s) was compiled for use by the GtY Of
Edmonds,; its Employees and Consultants.
Th,e City ofEdmOnds does. not. warrant the
t these
accuracy of anything set for. h on
map(s�. An y person or entity *requesting a
copy should conduct an independent
inquiry regarding th*e inform-ation shown on
-map(s), including, but not limited to,
the lociation of any sewer stub shown. Suc
sewer stubs may or may, not e,xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its r the
empl-o-yee-s 0-r office-rs -shatl be 1-Ja-b-1--e fo
information giveh on this map(s), nor for
any one representation provided based
upon said- map(s)
CITY OF EDMONDS ASSET INFORMATION SHEET
'IT-y -E - STREET FlLE5,)v,,,
j9NEW ASSET NO.
I N2 05045
ADDITION,_____ ADDITION TO ASSET NO.
RETIREMENT
DESCRIPTION
SERIAL NO.
LOCATION DEPT. NO.
1 (9
"PURCHASE ORDER NO. -
PURCHASE ORDER DATE
COST
B.A.R.S. ACCOUNT NO.
ESTIMATED LIFE
*PROJECTNUMBER
PROJECT COMPLETION DATE
'?
COST c
INITIATED BY DATE APPROVED BY
"SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST
*SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT
ACCOUNTING ONLY
ODEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT -
G.L. ENTRY
INITIAL
kvp)
REFERENCE
DATE
VERIFIED BY
PROCESSED
BATCH NO. -
DEPARTMENT FILE
PIZ
PFDJBCT NAME: PROMCT ADDRESS: -
APPLICATION RBCEIPT DATE:
Reviewed by:,:.: (initial/date),4
'f�-BU
WrR/SWR. STRM ENGNRNG
777
7
,,;e'�',,"sn4dxk,:FAKMY/KYLTIM/CaMMERCIAL'- (Circle%?nl)
Q mvc: ewFfvm Plannincy 7TfT777TF
VARIANCE/SETRACK ADJ.
-777777111
.2
coNDrriONAL'USE PMfrT
1111117T
7/////T/77'
ADB REQUEREMMS CHECKED
3
I Y.
77777/777
MM/M."I'll,
arHER ZaCM REQUIREMENTS
......... ,
ENVIMOMMAL FEATURES
77,,�
7 7 7 7 7 7 7 7
T/7T/T/77
77T/77777
77777777,
ACCESS SM'PE VEHICLE ACCESS
qn�
6'
DRAINAGE PLAN (On Site)
STREET PILE / hf�
77777777
LMAL DESCRIPTION VFRTFICATION
ClUIT ClAn4/DEDICATICNS
f
EASDOM'�-� PUBLTC/PRIVATE da4,- Awre
77
CALCULATE �, SEWER CONNECTION IF NO LID#
kPLAT/SUBDIVISIM REQUIREMEMS
7/7777
PRIGHT-OF-WAY CONSTRUCTION PM*aT REQD
B6ND REQb PU13LIC IMPROMOM 710
FOR
A�, SOIIS CONDITIONS & GROUND
WATER FIETD CHECKED
STREET PAVING REQUIRED
CURB AND GUTTER MQUIRED
SIDEWUX REQUIRED
am CUP FOR DRIVEWAY REQD
STREET NAME SIGN REOD
OTHER.SIGNTNG REQD
SIDE SEWER AVAILABILITY
EXISTING WATER MAIN SIZE'
WATER METER SIZE
SERVICE LINE SIZE
:.--HYDRANT RBOUIRED
SIZE EXISTING'
cRoss cae=TicN INSPECTION REOD
WATER MER CHARGE REQD
�.-LINE" CHARGE REQD SPRINKLER.:
77-7-
STREET. CUT
'OPEN Dribi:masmm�'':`
cuLVERT%4�
IZEIW� —
14
CATICH
INDICATED ON SITE PLAN
SMXDElk.DRAINAGE Mhn?rAIN q
,.*.,,SHALE OPEN RUNOFF
By
L�TING MGR
0
77777
77777
77777
777TIl
7T7777
777TI-77
7TIT177
TIT1777
1111117
ST"
171
T17 T17777777
-Y
8
77
Ow
10
Jl�
12
TITTfIT
13 t
14'� 471
'46;
�'z
L6
V/
19
411
2
21'.
7777777777
22";".
7 TIVI 7 7 f-I
23
* *eW
11177=
24
/7777/77 1771711111 714
25
26
77777777 7TfTrfTR7
�r "
27
7H11111 1 R/fl/l/l �, "..
//////// M/mItt/l/N
M.
ENGINEERING MGR. PUBL
14
11111117,71
3
f.
DATE
MEMO TO: Building Division
Planning Department
FROM: Engineering Division
Publ ic Works Department
SUBJECT:
Aft6r revie-a of the subject, Building Permit application, vie have the f olloviing
corrimen ts
1. Connection to C-ity water system required.
2. Connection to City sanitary sewer system reqiiired.
3. Right'-oF-%qay permit required For any work on City property�
4. Driveway slope not to exceed 14%.
5. Back,.-jater val�ie required if downstairs -plumbing is below-elevati on-ol'
upstream manhoT—e.
6. Water and sewer lines to be separated -by 10 Foot mini m um.
BO 6/82
A socla.
ll"oCia'
0 Surveyors
Eallnee FS ni consultsnis
.Clopm,-
"e
TREIBER
41
M.,
.4
kv
13us.
23106 00rl� 9 6020
WA
f7-)
C)PAW405'
D.
r
gy_
bu
-A, -.1
z
7 -7777 7 7,
A
C)
77%
Aw.
7
_7
—7777 7 77 7,77i
7=
t
71 1
77
j�: �11 77, 7
CITY OF EDMUNDS
CONSTRUCTION PERMIT APPLICATION
USE IMIT
ZONE R NUMBER
JOB
AUUMCDO 19623- ge7l'v- I _W
NAI��")ME OF BUSINESS)
W M,
0) A b 3 1
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO.
LID NO.
AILING ADDRESS
<
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
Z40 REQUIRED DEDICATION
EXISTING 6)
PROPOSED "
CITY
",Orw
NAME 0/jAhL::1 C—,
TELEPHONE NUMBER
I �; q
7�g' _ 6 :?
W6[-LL:-R
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
ADDRESS
t
SEE ENGINEERING MEMO DATED
CITY
ffew r ka,4_
TtLEPHONE NUMBER
I 1Z. 1-11 - �-o --,.s
REMARKS
1,"0464L4� ,
NAME
!P44/ 5-3
q
ADDRESS
0
Q
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
< CITY
Z
8 STATE LICENSE NUMBER
TELEPHONE NUMBER
REMARKS
SIGN AREA ENV. REVIEW ADS NO.
all easements ALLOWED PROPOSED COMPLETE EXEMPT
SHORELINE;
TE
VARIANCE OR CU PLANNING REVIEW BY DA
YARDS t HEIGHT I LOT COVERAGE
I FRONT25 SIDE /0 REAR2_Zq I
[a NEW
RESIDENTIAL
PLUMBING
ADDIALTER
COMMERCIAL
MECHANICAL
REPAIR
RETAINING WALL
SIGN
EXCAVATE
FENCE
'(—x—FT)
]REMARKS
CHECKED BY T)
DEMOLISH
OR FILL
I
PRE -MOVE INSPJ
El :wImL
SPECIAL INSPECTOR
REMODEL
COMPLIANCE INSP.
REQUIRED
WOOD STOVE/
INSERT []
APT.BLDG
r_1 RENEWAL
0 YES 0 NO
NUMBER OF STORIES NU
DVVtLLINU
1UN115
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADING/FILL
This Permit covers work to be done on private property ONLY.
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
u)
tnu
successors In interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
i
m
cc
<
0
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
modify,.walve or reduce any requirement of any city ordinance
nor limit In any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL 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-
ed thereby, no person will be employed In violation of the Labor
THIS PERMIT
AUTHORIZES
ONLY THE
Code 9" State of Washington relating to Workmen's Compensa-
WORK NOTED
tlqn Iftsufarlce._
INSPECTION
SIGNI';TWUR N!R�R AGENT)A ADATE SIGNED
0
C-0
DEPARTMENT
CITY OF
EDMONDS
ATTENTION
771-3202
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
I CODE
OCCUPANCY
GROUP ,
VALUATION
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
RELEASED BY:
DATE
ORIGINAL — File YELLOW — Inspector
PINK — Owner GOLD — Assessor
cc
Uj
W
Z
0
Z
LU
cr
Uj
4
3:
Z
Z
0
Z
NE 1/4, NW1/4 19-27-4
152�4
N 860 58'40 E
0 sower manhole 0
0
WretO *0
cB
CD
C�
K)
25,236 sq. ft.
ca
utility pole
water valve
0 0 i
house 19619
water mmete, W
cu)
30 39 30 31: porch iz
0 C-4
W 0 N
N
C, 0
to to
z N 880 59 58'E 119.38 j
di IM ,
z 00 - K)
>
C2 25 f 89360 sq. f t. 15
0 z
0 0 0 0
0 to be 0
%- q
8 C; 0 removed 0
drWO
0 30.00 119.4
sower N See 59'5 8" E
manhole
D. R
V AS
A
7679
00 T
OD P 1 7 UP
Scale: I"=40'
June 19, 1985
SURVEYOR'S CERTIFICATE
This map correctly represents a survey
made by*me or under my direction in
conformance with the requirements of
the Survey Recording Act.