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20115 83RD AVE W.PDF111111111111 7732 20115 83RD AVE W I C> a F—D. -2- Gi- PLOT--...,PLAN..,'- EAGLEWOOD.-- :;;,H T Om cp6x;k% I "�P A.14 . vv^ - CITY y PLANtNING Li A-JiUN - 3199-1 pERMIT COUNTER I un I rt'01108 0 * 0 tJ -cv, -P \v `77 1,- - I :s lorr— t-4 - I `�\ to fl IV —T I (Oz CS I �z Iry ILI ,Nf roe � I-ftq- ev Ci LO?- E3--!kE3 --- 1 -1 -1. -2 � ik r,4'B ON 0 U� Afta-Z u/-)15 VOV ;R--- 1�:,\W)O 1� -- \0 6 �YcmQv k\x�s C(oq> %N'tr\ �b( . G� 1 11 ao 0 �56,0 3 1297 PERMIT COUNTFI �11:� �1-6% U\t ,I I t:1 vi STANDARD DRAINAG. Vt: i LIV I luiv 3 Y.,- W ?KSHEET 94�116 - of APPROVED AS h CALC]gy: qTED plaONE: DATE: *****DESIGN DATA***** IMPERVIouseff,y Corrw DIA PIPE LG F- jr FINISHED C= R J U N 19q7 TIC PERMIT COUNTER =i LU CS LU FROM CONTROL CD DeTENTION PIPE LENGTH LOCKING LID I I' V.(TYPICAL) I —V- MINIMUM I I UPPER CATCH BASIN ORIFICE tr\,;�k 6' MIN REFARROMICfOP Or MCASUR CONC BOX OR RISER LL----TO OUTLET OUTLET CONTROL 0 MIN. M PIrICE CONTROL CATCH BASIN SYSTEM CROSS SECTION 2'XZ'X6* DEEP, 4-6' SPALLS OR EDUAL 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK 4RIPItAP OUTLEr FR13M C13NTROL Co CO r— tnc) Z M < CD 0 Z CA) a M CA) M :D ROCK UTFLOV TRENC MIEN L6NG- PIPE TO ,� L , ERF EL ERF PIPE W/ END CAPS TRENCH SHALL BE LINED WITH HIRAFI PRIOR TO PLACEMENT Of WASHED DRAIN ROCK RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM 9 1 NOTES.- 1. Call Engineering bivision (771-MO) for.a tightline, and detention system inspection . before backfilling and for final inspections- 2. Responsibility for operation and maintenance Of drainage systems on priv#te property is the " ibility of the property owner. Material accumulated in the. stomge Pipe must be flushed respo= out and removed ftom, the catch basins to allow proper operation. 'Me outlet control orifice must be kept open at all times. 6 Api.ROVED BY DATE PROJECT REVIEW CHECKLIST PROJECT NAME: PLAN CHECK #: 7 -70 u PROJECT ADDRESS: �4011,-5_ F& RECEIPT DATE: -7 7 E IE D BY: (Initial/Datte) LAN. WATER COMMENTS, FIRF RLnn- SFWFR ATRFFT PIMC_'� SetbacksNariance/Setback Adjustment . . . . . . . . . .... Conditional Use Permit ADB Requirements 3 Other Zoning Requirements Underground Wir ng Requi d - - - - - - - - - - -- - --- - --- Lot Slope 5% 6 SEPA Environmental Chdcklist/Hydraulics Permit M . . .... Tree Cutting Plan Plat/Subdivision Requirements �ea Legal Description Verification Quit Claim/Street Dedications Easements - Public/Private .......... ........... I. . . .... Engineering Storm Drain Review Fee ... .. ......... Engineering 2.2 Inspection Fee -.30 Drainage Plan (On -Site) 0 A. Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line - - - - - - - - - - .... Open Ditch - Existing Culvert Required Culvert Size Shoulder Drainage/Shale Open Runoff 21 Catch Basin Required Driveway Slope & Vehicle Access . . . . . . . . . . . . Sidewalk Required Curb & Gutter Required Curb Cut For Driveway Required V) 2&� Street Paving Required Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water Table 2. Sfde Sewer Availabilfty 4X4 Calculate Sewer Connection Fee If No CID # Create Street File 'MAW, Existing Water Main Size R R Water Meter Size Service Line Size Water Meter Charge Required Abu' -- Hydrant Required Hydrant Size Existing 41 Fire Line Charge Required - Sprinkler 42 Street Cut ...................... ..................... ........... ....... ..... . 4 . 3 IMiscellaneous Reviewed By: FIRE log au Lu PLANNING �NOM6RDtftEERroG PUBLIC WORKS R E C 0 R D OF C 0 N T A C T S 1 21 2 22 3 23 4 24 5 25 6 26 7 27 8 28 RW PERMIT # DATE ISSUED RECEIPT # 9 29 10 30 11 31 12 32 13 PAID $ RECEIPT # DATE 33 SS PERMIT DATE ISSUED d,�a:hECEIPT # (05-25' 14 PAID $ RECEIPT # DATE 34 35 16 36 1� 37 METER SIZE PAID $ DATE RECEIPT # 18 38 19 9 20 40 4 The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ NEW CONSTRUCTION OEr' REPAIRS LID NO . .................. . ASMT. NO . .................. OWNER ....... SA—G lk--e 40 .................................. CONTRACTOR .................................................................................... PERMIT NO.!� 5 ------- JOB ADDRESS ....... ................. LEGAL DESCRIPTION: LOT NO . ............. ......................... BLOCK NO . .................................... r PWW-0001-11175 (REV.11/78) 4,loVr V4%c_*pfVm PjPC ... . ..... ... . ......... ..... . . 'M A 'RAT7 n V A nr%T 'rTf- 'k T l'or --,�OPPM P,pc Approved: FlbC%nJ%l- 2-/257/97 M--B. DATE B y.. � / ...................................... CITY OF EDMONDS 8 9 1 9 oi� Address of Construction: U15 I Property Legal Description (Include all easements): 7— i5)(Pl R9�5 �O D/,4 Vic, SIDE SEWER PERMIT PERMIT N2. 80889 C; I%JSD no at 07 MU-11"t 1. rLAN 1, \NogKS DEP1 Owner and/or Contractor: State License No. Vq3-A\15 Single Family Multi -Family (No. of Units—) El Commercial El Public Buildi�g Permit No. Invasion into City Right-of-Way:19 No 13 Yes RW Construction Permit No. Cross other Private Property:V No Yes Attach legal description and copy of recorded easement I certify�hat I have read and shall comply with all city requirements as indZated on the back of the Permit Card. D�te * CALL DIAL -A —DIG (1-800-424-5555) BEFORE ANY EXCAVATION * i C t:USE ONLY. FOR INSPECTION CALI_4-71��, PUBLIC WORKS DEPT. Permit Fee: Issued By Trunk Charg Date Iss6ed: Vs.2 1 0 1 %/1 ) I It Assessment Fee- Receipt No.. (Mzo Lid No.:— I Lp I Partial Inspection: Date —Initial Comments Reason Rejected: Date —Initial Final Inspection Approved: Date 12-,10 -571nitial—av— PERMIT MUST BE POSTED ON JOB SITE White Copy: File, Green Copy: inspector Buff Copy: Applicant Revised 3'90 The City of Edmonds Side Sewer Drawing EASEMENT NO . ............................................ k NEW CONSTRUCTION 2 REPAIRS F� LID NO . .................. ASMT. NO . .................. OWNER............................... ................................................................ CONTRACTOR ........ ........................................................................... PERMIT NO. JOB ADDRESS ..... A.PJ/S- 8:&Sk AV'r— W. .............. . ........................................... ............. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . .................................... 9 ;I)Mows .Vvt�-V VAC-10 ? lu 4 PWW-0001-1 1/75 (REVA 1/78) ................................ ................................................................................................................................. NAMEOF ADDITION --- ..................................................... ------------------------------------------------------------- P. Approved: DATE ....... ................... By .... 014�r .................... ............ NOTICE: N'o ... warranty OT atuul.d�,Y- The -information'shown on the attached map(s) was compiled for use by the City of Edmonds, its Employees and Consultants. Th,e City of �Edm.onds does not . wa rra nt the accuracy of anything set forth on these map(s). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform-ation shown on -t-Fe -m a p (s) . Including, but not limited to, th-e location 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 �ity of Edmonds nor its emp'fo-yee-s o-r office-rs -sh-a-1.1 be 1-`1a-b`1--e for the information given* on this map(s), nor for ation provided based any one represent upon . said map(s). / nc. -ISC)" City of Edmonds RIGHT-OF-WAY CONSTRUCTION PERMIT I . Permit Number. Issue Date: A. Address or Vicinity of Constructio�: '20115 83 Av W (9724043) B. Type of Work (be specific): Install Service C. Contractor: — Puget Sound Energy Mailing Address: 1122 75 St SW Everett State License #: 98203 D. Building Permit # (if applicable): Conta'ct: Mariamne Kingsbury Phone: 356-7500 X7596 Liability Insurance: Bond:$ Side Sewer Permit # (if applicable): I E. F1 Commercial El Subdivision E] City Project W Utility (PUD, GTE, WNG, CABLE, WATER) (—] Multi -Family E] Single Family [] Other INSPECTOR: INSPECTOR: IRW F. Pavement or Concrete Cut 0 Ye-s E]No G. Size of Cut: x H. Charge.,$ 2 cuts APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessfrom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may he made against the City of Edmonds, or any of its depqrtments or employees, including or not limited to the defense of any legal proceedings including defense costs and allorneyfeqs by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCH IS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cuttrench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available.on �te at all times r inspectionpurposes. I fo 4 �� III III III III "I gm= , Date: 9-19-97 7� '(COn-tractor or Agent) CALL DIAL -A -DIG k'IOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY FEE: TIME AUTHORIZED: VOID AFTER DAYS DISRUPTION FEEIFUND I 11: SPECIAL CONDITIONS: RESTORATION FEE: T OTAL. FEE; RECEIPT NO.` ISSUED BY NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES Comments: ''Diagram (Fund ill - Route copy to Street Dept.) CONTRACTOR CALLED FOR INSPECTION 1:1 YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: PUGET SOUND ENERGY I Addendum To: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury New Customer Construction Puget Sound Energy # 356-7500 EXT. 7596 ,/ - \.Aj 'Z "Gas Main -STW Key:,,,,.., -W- Water -G- Gas -SS- Sewer -SD- Storin Drain ; . I 1 14 . . Ili igei Sot ind Fnergy 1'.,2 - 75111 Stred SW * rv(,rvti, wA!)H, o.,i PUGET SOUND ENERGY I Addendum To: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury New Customer Construction Puget Sound Energy # 356-7500 EXT. 7596 Key: , Gas Main -W- Water -G- Gas -SS-w"- Sewer -SD- Storm Drain '/ - %,Aj F) jqel Snt ind Fner(ly 0 11 ?2 - 75111 slre(!l S,W. 9 Nerett, WA 98203 PUGET SOUND ENERGY Addendum To: City of Edmonds Right of Way Permit Application Submitted by: Mariamne Kingsbury New Customer Construction Puget Sound Energy # 356-7500 EXT. 7596 ,/ \.AJ Key: , '2- " Gas Main -w- Water -G- Gas -SS- Sewer -SD- Storm Drain PtigelSoundEnergy 1122-7511istreel S.W. FvereII,WA9W03 1. > WP _r"W40C,��, V /12c. -,Soo C. Contractor: Mailing Address: State License #: C* of Edmonds 4y RIGHT-OF-WAY CONSTRUCTION PERMIT Permit Number- Wue Date: 26, A. Address or Vicinit . y of Construction: lm;)(9 //Iez"o '5:� 3.,f-s az� B. Type of Work (be specifi c): D. Building Permit # (if applicable): E. F1 Commercial E] Subdivision n Multi -Family E] SingleFamily INSPECTOR: Contact: Phone: Liability Insurance: Bond: $ Side Sewer Permit iff (if applicable): El City Proj E] Other INSPECTOR: Utility (PUD, GTE, WNG, CABLE, WATER) F. Pavement or Concrete Cut: 0 Yes E]No G. Size of Cut: x H. Chargq�_$ APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and attorneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MA TERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required with permit application. A 24 hour notice is required for inspection. Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. -All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements and understand the permit requirements and the pink copy of the permit will be available on site at all timesfor inspection purposes. Signature: Date: (Contractor or Agent) CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: RIGHT OF WAY FEE: 0 o TIME AUTHORIZED: VOID AITER DAYS DISRUP-11ON FEE/FUND I 11: SPECIAL CONDITIONS: RESTORATION FEE: T OTAL FEE: , 47- 0 ._ . 10 In, I I—. I'll ISSUED BY: NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 FIELD INSPECTION NOTES (Fund 111 Route copy to Street Dept.) Comments - CONTRACTOR CALLED FOR INSPECTION YES El NO Partial Work Inspection by P.W.: Work Disapproved B y: Date: FINAL APPROVAL BY: Date: 108 110 t\7 PLOT....PLAN rt, F.-A LEWOOD-110ME.S.-IoG A.Val t-4 - la cAj-c!.S-: VI fl TRt N 0 FIL LD 41, - ------ 1108( A -,v- 146-14 T �4, -r F APPR OVED y NiNG Y PLMN =Fd & 2.1 loo -7 ZES B-5EB ITUB 6m 1. 1 %-V R T- L O[CEL�', D JUN - 3 1997 -r-q- Fa 1-. 1 c> o 6� PERMiT COUNTER PLANNING DATA' NAME:. SITE ADDRESS:_Z70 I�S_ DATE: 61v-5 ZONING: PLAN CHK#: 1 -7 - / -70 PROJECT DESCRIPTION: LEO 4!�Flz CORNER LOT VO (Yes/No) SETBACKS: Required Setbacks: Front: Left Side: -7, Right Side: -7 Rear:/ S�, Actual Setbacks: Front: q��_ eft Side.-7,S —Right Side: Rear: Street map checked for additional setback required? (Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED WN) LOT COVERAGE: Maximum Allowed: Actual: BUILDING HEIGHT: Maximum Allowed: —Actual Height: Datum Point:!55md CtO-;�' OF Datum Elevation: - /00' A.D.U. CREATED?: 'r _& - SUBDIVISION: --, _S CRITICAL AREAS #: OS_ ) SEPA DETERMINATION: LOT AREA: 12 , -7/S- OTHER: &( S - IL,- M — :P/k, le Plan Review By: OffleAperiniA-plandaLdoc PROJECT REVIEW CHECKLIST PR.dJECT.... PLAN CHECK,*: "Loo, RECEIPT DATE. PROJECt"ADD*tttSS:� EVIEW 0 BY: nit"", I/Da 6) ire) PLAAAN. WAT ER Conditional Use Permit AD13 Requirements Other Zoning Requirements Underground Wiring Required Lot Sl o' SEPA EmVVdronmen&-' flo%A-Idist/Hydraulics Permit Tree Cutting Plan Plat/Subdivision Requirements 3�7 Legal Description Verification Quit Claim/Street Dedications Easements - Public/Private Engineering Storm Drain Review Fee Engineering 2.2 Inspection Fee 0 Drainage Plan (On -Site) LC Setback - Top of Bank, Stream, Water Courses Setback - Storm Drain Line 10nen Ditch - Fyi4ttinn Culvert geisnale open Runoff julred & Vehicle Access Sidewalk Required Curb & Gutter Required Curb Cut For Driveway Required Street Paving RegLuired Right -Of -Way Construction Oermit Required Street Name Sign Required Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water -Table �§i�desewer Availabilfty Calculate Sewer Connection -Fee If No LID # Create Street File Existing Water Main Size Water Meter Size Service Une Size Water Meter Charge Required Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler IStreet Cut IMiscellaneous vtc� C; Reviewed By: mU FIRE PLANNING k FM PUBLIC WORKS 110 'C' r�- \v RLOT.. PLAN... ir EAGLEWOO.D.-HOM S.. rn -I 'i v -ass 7, -ta la t-4 1 0 M % rn fl N rNOL' 7CIT LA F4-;;-;,. ail s bs -.I--. _.= 1.7 097 F. coul NTER, loz 11 Soo i—n or. lz Imp r=3 & � 0 q ......... - . Lij 40 " - I I 02 LU 60 CY)i 1 l7s, 1::�. I I Z-V 7.m v 1 co Tl-rM Lo2. -�+�Vtt N%4o*\k6 Fa L-. I o 6c, PLOT PLAN.- GLEWOOD 2. Gil 4 l<:gH -r uj 6ml colco cm ui +— N— C� -a ui I y 2 &P W-5 110 ",::, -:;, t77 c=::l OMES t-4- Lo 6j JUN 3 113197� PERMIT COUNTE'�l I oz CB 90 r> t::P4 V F—= mmomimm 7-rM T- L c Tftq- Pl- - I Ytrtt� 420LUk-4K bT4 NV". - E3:1-li EB 06 ON 114 L". ,* 96 0 �'�IFNIIVIQV . 10 \'Ids 7-=-F FR 1— 1 C> bkC(A%SON'kGN kk&\ Now's VA. qr JUN - 3 1997 pFRMIT COUNTFR STANDARD DRAINAGE DETENTION SYSTEM 7� WORKSHEET T OWNER ADDRESS �Lq 010 APPROVED AS NOTED t�'- 2-4f 19-1 CALC BY. PHONE: DATE: - *****DESIGN DATA***** IMPERVIOUS AREA PIPE DIA �5 00 �A- LZE U12 FINISHED 1997 ER C=0 FROM CONTROL CB PIPE LG ORIFICE ��Orr' DE-TENTION PIPE LENGTH 1. LOCKING LID I V (TYPICAL) I-I.L MINIMUM I EARANCf,P %EA'SUREB FROM OF TIGHTLI E CONC BOX OR RISER TO 711. SL�OPE. ------- TO OUTLET 0 0 OUTLET CONTROL M MIN. co UPPER CATCH BASIN ORIFICE :0 03 CONTROL CATCH BASIN Co Cl) r— rn SYSTEM CROSS SECTION 2*X2'X6' DEEP, 4-6' SPALLS OR EQUAL 2'X 2'X 3' DEEP, 3/4' CRUSHED ROCK FROM CONTROL STING GRAD �Lno Cn X -0 0 -q < 00 CA) 0 M C#3 E M OUTFLOW TRENCK PERF PIPE TO BE MIN 10' LdNG. LEVEL PERF PIPE W/ END CAPS "',TRENCH SHALL BE LINED WITH MIRAFI PRIOR TO PLACEMENT OF WASHED DRAIN ROCK RIPJUP OUTLErV I FILE RUNOFF SPREADER. TRENCH FOOTING DRAINS SHALL NOT BE CONNECTED TO DETENTION SYSTEM NOTES: 1. Call Engineering Division (771-0220) for a tightline and detention system inspectioa before backfilling and for final inspections. 2, Responsibility for operation and maintenance of drainage systems on privge property is the ' responsibility of the property owner. Material accumulated in the storage pipe must be flushed out and removed from the catch basins to allow proper operation. The outlet control orifice "PROVED BY DATE M CITY OF EDMONDS ZONE A9<- CONSTRUCTION PERMIT APPLICATION JOB OWNER NAkiE/VME,OF BUSINESS ADDRESS % I -a (9 //, 14-) ELEPHONE NUME WM -n- FITY ZIP ITELEP ONE NUMBER NAME NUMBER TE LICENSE NUMBER RPIRATIQN DATE �(,Lk �\IN Os T P �M -I n.—infi— nf Prrtw - i—I-4. .11 Property Tax Account Parcel No. NEW RESIDENTIAL PLU Me -7 1:1 El COMPLIANCE OR E] ADDITION COMMERCIAL CHANGE OF USE APT.BLD6. REMODEL SIGN E] El MIR2 FENCE REPAIR CYDS. I x _FT) DEMOLISH WOODSTOVE 0 INSERT SWIM POOL HOT TUB/SPA GARAGE CARPORT r7 RETAINING WALL/ RENEWAL ROCKERY (TYPE OF us ESS OR ACTIVITY) EXPLAIN: NUMBER OF NUMBER OF DWELLING CRITICAL JAREAS q4-.2sl STORIES UNITS NUMBER/ DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) rom<xf U t r 4 <Ime7z,�- Yrtim I I y PERMIT 9 7�6 14"1 NUMBER PUBLIC RIGH6TOFAY PER OFFICIAL STREET MAP. TESCP Approved 0 EXISTING �EQUIRED DEDICATION RW Permit Required 0 Street Use Permit Req*d E3 PROPOSED C20 Inspection Required �m I Sidewalk Required -8 _Y�TER IZE �14- I _,iII`jE SIZ� 3/4-1 I NO. OF FIXTURES PRV20,UIRED YES NO 0 e-Q V11'ack �— 96— QVI)VA, L-(---. t1L0^1e 01 V y .1 i 6� ENGINEERING MEMO DATED e - ; /-(- 9-1 i VAT!�C�Pt CLI -4ft . ADB _q!IOREUNE # SEPA REVIEW COMPLETE I EXEMPT EXP 41--- SIGI� AREA ALLOWED I PROPOSED �a HEIGHT ALLOWED PROPOSED _Z -- / I Itz;. 1 125 XOT COVERAGE ALLOWED � PROPOSED REQUIRE-D SETBACKS (FT.) FRON R R SED SETBACKS (FI FRONT UR 41DE REAP -L LOT AREA,,- -73 Tr�w By BY I TYPE SPECIAL INSPECTOR R _T`OCCUPANT REOUIRED LOAD REMARKS 2 PROGRESS INSPECTIONS PER LIBC 108 FINAL INSPECTION AEOUIRED VALUATION FEE PLAN CHECK FEE BUILDING 7- HEA U E: GLAZING % 24 PLUMBING plan Check No. 7 - 17 0 MECHANICAL This Permit covers work to be done on private property ONLY. n GRADINGIFILL 44 Any Construction on the public domain (curbs, sidewpiks, STATE SURCHARGE driveways, marquees, etc.) will require separate permissi on. I Permit Application: 180 Days I Permit Limit: I Year Provided Work Is Started Within 180 Days STORM DRAINAGE FEE 3(2. -- "Applicant, on behalf of his or her spouse, heirs, assigns and ENG. INSPECTION FEE 0 w successors in interest, agrees to indemnify, defend and hold ow harmless the City of Edmonds, 'Washington, its officials, x. employees, and agents from any and all claims forAamages of < whatever nature, arising directly or Indirectly from the Issuance x of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT qj41 704 0 �jmodify, waive or reduce any requirement of any city ordinance TOTAL AMOUNT DUE -1&5. 0 nor limit In any way the City's ability to enforce any ordinance 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 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 acknowledged in space provided. SIPJIATURE (0 NER OR AGENT) 0 DEPARTMENT A0, [DiATE—SIGNE 6/3/1 CITY OF OFFICIsg��"NAT)ft DATE �A_ L EDMONDS &1117- NTION AT ENT CALL FOF I �N REI�E#6413 BY: D T INSPECTIC IT IS UNLAWFUL TO USE OR OCCUPY A 86 ILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 �ELLOW Ti, RIGINAL - File Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK - Owner GOLD - Assessor