19902 88TH AVE W.PDFIIIIIIIIIIII
8440
19902 88TH AVE W
NOTICE:
N*0 war-ra -Y ... 0
ation shown on the attached
The inform
map(s) was cOmpiled for use by the CitY Of
Edmonds/ its Employees and Consultants
Th,.e City of 'Edmonds does not warrant the
t these
accuracy of anything set for. h on .
Map(s�. An . V person or entitY-requE�sting a
copy should conduct an independent
orm-ation shown, on
inquiry regarding th8 inf'
tFe -map(S)l including, but not limited to,
the lotation of any sew-er stub shown. Sucl-
sewer stubs may or may, not e.X'st and may
at the location shown.
or may not exist
Neither the City of Edmonds nor its
emp-l-o-yee-s 0-r offi-ce-rs -sh--al-I be 1--ia-b-l--e for the
information given* on this map(s), nor for
any one representation provided based
upon said. map(s),
CITY OF EDMONDS Cal] p]ftospect 6-IL107 when work Q4
CIVIC CENTER — WATER -SEWER DEPARTMENT is ready for inspection. (No lusPec- N2 35(3-N
tions Saturday, Sunday or h01IdAYs-)
SIDE SEWER PERMIT
19902 88th Avenue West ..........................................................................................
ADDRESS--------------------- - - ----
�yn ...........................................
OWNER ------------------------- M Van --- De - raa .................................... CONTRACTOR ------------- .py2q4,..Sewer & COnst
Per,nission is granted ........ februcary .. 2.7 ....... Ig....7.0, 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: line. A licensed Side sewer contractor must
L—The owners of the pro may obtain a permit to construct sewer inside property fore It has been inspected.
NOTE No. I be employed to con.trnyWe sewer in street area. Do not cover any portion of sewer be
NOTE 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. ed to original condition. Contractors shall be responsible for
4.—Trenches in street must be water settled and surface of street restor
NOTE No. failure due to improper work which may develop within one year of completion. or to do any work on the main sewer or its appur-
NOTE No. S—It is unlawful to alter or d . o any other work than Is provided for In the permit,
tenances except to insert the pipe into the wye.
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APPLICATION
for
The City of Edmonds STREET F of ra SME SEWER PEMRM
"CONSMUCMON [:] REPAIRS
EASIMENT No.... ...............
OWNER.AL� .............. VAN ... D.X:R..AA ........... . --------------- coNTRAcToR --- V-.144-d ....... PFAU= No..
ADDRESS 11-Y-9-a .... . .. ...... rh ...... iEGALDEscRnmoN:LoT No . ........ ................................... BUDCK No . ....................... ......
NAME OF ADDrriolT..-M--"- ......... O.E.., 2
t
ST A, V/
APPROVED
FEB 27 1970
Approved:
......... �t- fly ..........
DA'M ...... ........ . ..... ........ --- ..................... .........................
. CITY OF EDMONDS
CONSTRUCTION. PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
NAME
6_�
NUMBER
USE
ZONE PERMI*
NUMBER 99a7,Z2,
JOB D�_ , &3-f� A-vt . .,su"
_EGAL DESCRIPTION CHECKI SU86MS16N NO. --FL—IDNO
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 0
RW Permit Required 0
EXISTING REQUIRED DEDICATION —
Street Use Permit Req'd 0
Inspection Required 0
PROPOSED
Sidewalk Required 0
cc
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
W
YES 0 -NO 13
REMARKS
Z
cr
W
W
NGINEERING MEMO DATED
REVIEWED BY
CITY ZIP
9& / .
TEIiEPAONE NUMBER
lzbc _,&, -/,
rZ_%___.)
IRE MEMO DATED
REVIEWED BY
STATE'LICENSE NUMBER EXPIRATIO DATE
24'r, 4�� 7
�6&ZL4 ) ro /& &0
VARIANCE OR CU
ADB #
SHORELINE #
Lejal Description of P . rooerty - ificlude all easdments'
SEPA REVIEW
COMPLETE � EXEMPT
Ex
SIGN AREA
ALLOWED I PROPOSED
HEIGHT
ALLOWED IPROPOSED
LOT COVERAGE
ALLOWED I PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
PROPOSED SETBACKS (FT
FRONT UR SIDE REAR
Ta Account
P.xrcel No.
LOT AREA
PLANNING REVIEW BY
DATE
NEW SIDENTIAL PLUMBINGIMECH
COMPLIANCE OR
ADDITION COMMERCIAL E] CHANGE OF USE
APT. BLDG.
REMODEL SIGN
GRADING FENCE
El REPAIR CYDS. L_ x —FT)
DEMOLISH WOODSTOVEM D�_X_ SWIM POOL
INSERT 44L HOT TUB/SPA
1:1 -jGARAGE RETAINING WALL/
CARPORT ROCKERY RENEWAL
CHECKED BY
TYPE UFCONPTRU5TION
1
C E
177
OCCUPANT
G
SPECIAL INSPECTOR
REQUIRED 13 YES I
AREA
OCCUPANT
LOAD
REMARKS
PROGRESS INSPECTIONS PER UBC 108
(TYPE OF USE , tUSINESS OR ACTIVITY) EXPLAIN:
NUMBER
OF
STORIES
NUMBER OF
DWELLING
UNITS
CRITICA
AREAS
INUMBER
DESCRIBE WORK TO BE DONE IATTACH iOT PLAN�
De t e-w s-a-):�—/4-4-
a-0
-FINAL INSPECTION REOUIRED
'AU., rK_ A7 / f X _xx 061f
PLAN CHECK FEE
GLAZING
BUILDING
HEAT SOURCE:
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any Construction on the public domain (curbs, sidewpiks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
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
ENG. INSPECTION FEE
,n
successors in interest, agrees to indemnify, defend and hold
2
harmless the City of Edmonds, Washington, its officials,
S
employees, and agents from any and all claims for damages of
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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
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
provision."
I hereby acknowl7dge that I have read this application; that the
information -given is correct; and that I am the owner, or thje duly
ATTENTION
APPLICATION APPROVAL
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
This application is not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official or his/her
Code of the State of Washington relating to Workmen's Compensa-
WORK NOTED
Deputy; and fees are paid, and receipt is
tion Insurance aria RCW.18.27.
INSPECTION
ac owledged in space provided.
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SIGN TUFIE (OWNER OR/�GENT) DATE SIGNED
DEPARTMENT
,
CITY OF
O!FF] SIGNATUR 0
EDMONDS
�LS
;12,�lq
ATTENTION
CALL FOR "RELEASED
BY: DATY
INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
771-0220
ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109
PINK — Owner GOLD — Assessor
102-1117
PERMIT EXPIRES A141 0 0
CITY OF'EDMONDS
USE PERMIT
ZONE
85110bw
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB SUITE/APT#
ADDRESS o Ai� 0 ;V;+
OWNER NAME/NAME OF BUSINESS
61C 92
LEGAL DESCRIPTION CHECK
SUBDMSION NO.
LID NO.
cc
W MAILING AbDR9lss
z
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved 0
PIN Permit Required 0
CITY 214
ITtELEPHONE
EXISTING REQUIRED DEDICATION
Street Use Permit Req'd 0
Inspection Required 0
FrI k I'l r-) v) 1, 0,2
I 7 7V- -71)
PROPOSED
Sidewalk Required 0
NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
L)
YES 0 NO 0
cc
W
l'- ADDRESS
—
REMARKS
W
z
x
0
z
cc
0
z
CITY ZIP
TELEPHONE
W
NAME
ENGINEERING MEMO DATED REVIEWED BY
it
oc ADDRESS/ J
0
FIRE MEMO DATED REVIEWED BY
W
z CliY ZIP
TELEPHONE
0
VARIANCE OR CU
ADB#
SHORELINE #
II
� 41) All I li; .)Aj
;z
STAfrE LlCtNSE NOMBER EXPIRATION OAT8
CHEdKED BY
2 -
I
SEPA REVIEW
SIGN AREA
HEIGHT
A/ 4-1tiq 0 A4 /- ,
COMPLETE I EXEMPT
ALLOWED , PROPOSED
ALLOWED PROPOSED
z LEGAL DESCRIPTION OF PROPERTY - INCLUDE ALL EASEMENTS
2
I`_
EXP
LOT COVERAGE
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
ROPOS ED SETBACKS (FT.)
tFRONT UPSIDE REAR
a:
L)
to -
W
z
z
4 PROPERTYT X ACCOUNT PARCEL NO.
LOT AREA
PLANNING REVIEW BY DATE
W0
-i ell
NEW
RESIDENTIAL
PLUMBING / MECH
REMARKS
ADDITION
COMMERCIAL
E3 COMPLIANCE OR
CHANGE OF USE
66L
C3 APARTMENT
SIGN
REPAIR
GRADING FENCE
1:1
CHECKED BY
3TION
CODE
OCCUPANT
CYDS ( — X FT)
DEMOLISH
TANK
0 OTHER
GROUP A2. j
SPECIAL INSPECTOR
AREA/
OCCUPANT
GARAGE
CARPORT
RETAINING WALL
1:1 RENEWAL
REQUIRED [- YES
LOAD
z
0
PIOC Y
KER
P (TYPE OF USE, BUSINESS
OR ACTIVITY) EXPLAIN:
REMARKS
PROGRESS INSPECTIONS PER
UBC 108
U
W
ui NUMBER
NUMBER OF
CRITICAL
-
a
M OF
DWELLING
AREAS
0 STORIES
UNITS
NUMBER
DESCRIBE WORK TO BE DONE
C O'n vi, I-
0r`(
ir-vt V\6,tz
FINAL INSPECTION REQUIRED
IVALUATION FEE
PLAN CHECK FEE
HEAT SOURCE GLAZING % LOT SLOPE %
14 Glid S
BUILDING
PLAN CHECK NO: VESTED DATE
PLUMBING
MECHANICAL
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
GRADING/FILL
M DOMAIN (CURBS,SIDEWALKS, DRIVEWAYS, MARQUEES,ETC.) WILL REQUIRE
t SEPARATE PERMISSION.
2
cc
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT. 1 YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
STORM DRAINAGE FEES
in
00 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
w
ENG. INSPECTION FEE
IN INTEREST, AGREES TO INDEMNIFY, DEFEND AND HOLD HARMLESS THE CITY OF
M EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
4
x ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
0 FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
_j 0 DEEMED TO MODIFY, WAIVE OR REDUCEANY REQUIREMENT OF ANY CITY ORDINANCE
PLAN CHECK DEPOSIT
x NOR LIMIT IN ANYWAYTHE CITY'SABILITY TO ENFORCE ANYORDINANCE PROVISION."
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 AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
CALL
This
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
application is not a permit until signed by the
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
KO R INSPECTION Building Official or his/her Deputy: and Fees are paid. and
WORKM/q'S COMPENSATION InURANCE
"�,ND RCW 18.27.
receipt is acknowledged in space provided.
SIGN U E E T DATE S)ZD
OFFICIALS SIGNATURE DATE
AM, ( ) 1
_f'V111
0
771-0220
I
ATTENTION P
�Tr+skb By DATE
IT IS UNLAWFUL TO USaR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
ORIGINAL - FILE - YELLOW - INSPECTOR
PINK - OWNER - GOLD - ASSESSOR
5/98