20130 81ST AVE W.PDF111111111111
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20130 81 ST AVE W
NOTICE: -
The information'shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The city of �Edm.onds does not warrant the
accuracy of anything set forth on t hese
map(�_). Any person or entity -requesting a
copy should conduct an independent
inquiry regarding the information shoWn on
'.7--tf�e rnap(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 City of Edmonds nor its
ernp-l-o-yee-s o-r office-rs -shall be Via-b-'Fe for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
.4
The City of Edmonds
F—
APPLICATION
for
SIDE SEWER PERMIT
EW CONSTRUCTION N REPAIRS
EASEMENT NO . ............................................
LID NO . .................. ASMT. NO . ...... -- ...
rlb-1 1 sum,
OWNER ... .......................... -1 LO�'
.................... ............. CONTRACTOR PERMIT NO.
.............. ............. ............................................. ------------- ..... ...... ............
JOB ADDRESS --- - ------ ....... ................................................... LEGAL DESCRIPTION: LOT NO . ..... ...... .......... BLOCK NO . ....................................
.............................. ------------------------------------------------------------------------ - ---------------------------------------------------------
.....................
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ID ''SIBE."S.
F -1 E D MAO E� W�
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t i
j"�4ct 16'ns iqjp-
521S': ;6r* 'side *s,.,',,
po Ion, �of'.Ahe' cons ruct
on
at
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q 1 �!hollday �J'hjp�,tj.qs a .
S 'A
ADDRESSILOCATION; CC&STkU, CTION.. ..........
16F -.201 .'81- t -Veiui6l.w&s.t,
...... ......... ..............................
..................... .................. ...... I * .....
.......... ........ .............
'EGAkL C
-,,bE§ Ripnom.. Lot: D S -�14 77.
ERTY'%
. . .. . ............................ ..................... ............................
............................ ............
.............
...................
. ......................
....................
...............
.............. ............................
........................ ........ .........
. . . .......................
. . .. ........
,,WNE D/Ok-BUI,LbER,`�
. * '' , ... :: ..............
.. . ........... ........ kA�N "' _L
...................
...... . ........................
exwer & corts t
..............................
. . . ..................................................
....... . ................ ........... .................
...... qY ......... 77-
................. 19! ......... for repaIr:'and/,,6r..,,'c6nnedI
rdiinee',i44 ft6nds. ordinitnee
W,City,6fkd on' �o a side -sewer, 6.1
N'
kNT16 rJS ChLAL'jb'tq�rTH& F
OLL'dWING:
44 E:iNo:. 1'-��The�iowni
PT rooflithe; Property, may bbtalh4 per
bo,�not cover any mit'�io�i�onstruct_sewer Insidb-,propirty.- line.. A HcV�sed' Side-se.wer.'Contractor, rn�sC 6,emplby�d"Itox'��j�fr
portion - rof.sewee.,Nefore it' has; been Inoebted.
rM
WO=.No worklperf6rmedl:in�cit'Y-right*-of'wfLy�.r'equi�e�,,an..'�'n�y-asion,..6f, lt/,obta(nable!li��Ij�tjh'e City �Englneer's.offlc.6
RJght-of:Way,Pe
'I�OTU�No�..43' 'ObtatAifill'it,info�'r�a:tibn,,regarding:O�din..I!e.l,l:.-16�030'�and' Reg�la�tioni-:90�ii�i�9,;si�6�-.�e' �i�hi�;.-Y�0'�'._get7pe it.
w rm
NOTE! -Nb'�.,4—,T6pyof�ildeVe%�6�%,r�us�'�ha�'e n
6,1 �A �e � , ' ' * , , " " ' �
12!11nches.Onsld�jp�o6e�ty,
..'Sharper�'�h -an' �/'81.Wllli�be;Permitted� overage,&t i3rOP6'etY line,,axi�dt*a
"Im.grade'
line: 8
NOTE;j.N'
0:,:5� renchcs-in,'str6et-,muit,be-
water �settled.andt surfa
ce.qf -street, -resto�ed� Ao original! -Contractors, shall:'-be;.responsibib��'f6if�l�iiiir'O,.A;d'�e,�t6*�'*I'r�i�r('>'p . �* r,
noltion.
Y6a?Tof,(cbmPletionI.-
�Iter':�r do, any.' 6t `_ work;' tha' *js, pro v*16d 0 -the permlt,,�or.-t d0l!'ahy -s �r4r
NO
her' _n
���orll�sozv the,,maJm ina`ii�e ceR0t6,jn
iwye.
�v.
t
a e . .. . .....
... ......... .............. . Date*,.; ..... * ....................
77
............ ........
P,ROVED.
............... .......
........................................................ .
l7_
................................................ .... ..
...................... .
.. .................. .........................................................
. ......................
. ............ ...................... ..............
. . ........
....... ... ..... ................. .............................
B6-'Sign d By�Qwner.o Firm,
f Porfo� i,.�ii��p�truciion,PRI[OR,.T'o.;R"-'
eqp Ins ed J'
est,-..,or,;
h:
...... lbereb -�t 'e, sidiallsewei��in'gtal,lii.-ti�iiiI t
(OwfierlidVic6 Y_xcertifY,)th'at cons -nic e ru Ist,4 errnit-,- -
t. ntlr��cting;,,Fii*m"*P,4fbri�link,,ConitrUctlon-)I
�wt.,s'lhst'�lli�dtin-.accor�-ancei�.with�,.'�-Ili.-k�'Nierning,'6idi*nitITC6s,:of'-thei,Cit�,.: f." s",
0 Edmond.
4,
d
........ ..............
6ih
iq"�r,�, Wai�rq
Gas' :TebBphoiiei',6;, 7?,, 0. rAr"'fi 5,
l-he-ek-A
�,Se er
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT
NEW CONSTRUCTION r-1 REPAIRS F1
OWNER -Va-u,-61 .. .. I.-e-1 ------------------------------------
JOB ADDRESS. 6-
f -� c,,,i
-------------------
EASEMENT NO - ------ --------------------------- ---------
LID NO - ------------------ ASIVIT. NO. - ------
CONTRACTOR
.................. PERMIT NO-5; ......
LEGAL DESCRIPTION: LOT NO. ---------------------------- BLOCK NO - ------------------------------------
------------------------------------------------------ ------------- ...... ----------------- --------------------------------------------------------
NAMEOF ADDITION .................................................................................
RECEIVED
10 1977
Works Dept.
Approved:
DATE ....
BY--------------------------------------------------- 1 . UT6
"j
ATE ECEIVED
Vo
i i Vq*� 4,.'PERMIT EXPIRES
CITY OF EDMONDS
USE PERMIT
ZONE/')
NUMBER q
x 00
CONSTRUCTION PERMIT APPLICATION
IOB SU E/APTO
ADDRESS is
E OF BUS
PLAT NAME/SUBDIVISION NO.
LOT NO.
LID NO.
MAILING ADDRESS
v J- rAlw- d
LID FEE $
PUBLIC RIGHT.Of WAY PER OFFICIAL STREET MAP
EXISTING, PROPOSE
REQUIRED DEDICATION. FT
TESCIP Approvea
RW Pernift Required
Sum Use Permit
irspection Required
Sidewatic Required
UndeWmid
wiring required
'CITY ZIP
w4v 6
TELEPHONE
Da �(?f-,070
NAME
�METE� SIZE
LINE S12E
NO. OF FIXTURES
PRV REQUIRED
YES. 13 NO 13
ADDRESS
REMARKS
ER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROWDRAINAGE
VIM
CITY Z _T
1;7
ELEPHONE
0
NAME
ENGINEERING REVIEWED/DATE
ADDRESS
2-5 U A004 04L
Cc
FIRE REVIEWED BY DATE
ILI
CITY zip
1020(
TELEPHONE
VARIANCE OR CU
SHORELINE OR ADB#
- . -
INSPECTION
REO'D
[3YES [3NO
BON6
POSTED
STATE LICENSE NUMBER, EXPIRATI?W DATE
7 �lebY
0/91" -1-54) /
"HECKED 8
&, I E)
SEPA REVIEW
COMPLETE EXEMPT
EXP
SIGN AREA
ALLOWED PRIPPOSED,
HEIGHT*
ALLOWED I PROPOSED
r- f -
T ACCOUNT PARCEL NO.
jrz 000
OQ
NE W CrORESIDENTIAL 0 PLUMBING MECH
0 Comm C MPLLANCE OR
)N HANGE OF USE
O�DERCIAL Cc
REMODEL APARTMENT 0 SIGN
;�A
LOT COVERAGE REQUIRED'SETBAcks (Fr.) PROPOSED SETBACKS (FT.)
ALLOWED PROPOSED FRONT SIDE REAR -FRONT L/R SIDE REAR
PARKING. LOT AREA PLANNING REVIEWED BY DATE
REOD I PROVIDED I
1AA
z
REPAIR GRADING o FENCE X Fri
Q CYDS
DEMOLISH TANK OTHER
REMARKS
z
o GARAGE RETAINING WALL
CARPORT El ROCKERY 0 RENEWAL
CrYPE OF USE, BUSINESS 07f7pLAAN:
CHECKED BY
TYPE O�T CTION
C
r??.,OCCUPANTL9
GROUP /11Z;)
NUMBER
OF
ST RIES
N MBER OF
U
DWELLING
UNITS
CRITICAL
AREAS
NUMB ER
SPECIAL. INSPECTOR
REQUIRED YES
AREA
m,
OCCUPANT
LOAD
DESCRIBE WORK to BE DONE
REMARKS
PROGRESS INSPECTIONS PER, U13C .1 08/FINAL INSPECTION RE=
CIA
U/0
VALLIAT I ION 50U
Descr Iption
FEE
bescrilption
FEE
Plan Check
HEAT SOURCE GLAZING % LOT SLOPE %
Byilding
PLAN CHECK NO: VESTED 0 1 ATE - Plumbing
Mechanical
THIS PERMIT AUTHORIMS ONLY THE WORK NOTED. THIS PERMIT coviEk WORK TO
BE DONE ON PRIVATE PROPERTY ON111 ANY CONSTRUCTION ON THE PUBLIC
33 DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading .Recording Fee
SEPARATE PERMISSION.
En
15 PERM'lT APPLICATION* . 180 DAYS gr. Review :,City Surcharge :;7
06 PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN ISO DAYS 'Engr. Inspection
SEE BACK OF PINK PERmrr FOR MORE INFORMATION State Surcharge
Mit Plan Chk Deposit
'APPLICANT ON BEHALF OF His OR HER SPOUSE, HEIRS ASSIGNS AN15,80CCES006 Trafric igation,
IN INTEREST, AGREES TO INDEMNIFY, DEFEND:AND.HOL6 HARMLESS THE CITY OF .
EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND Fire Review Race! pt #
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURt,4ASING DIRECTLY. OR INDIRECTLY
FROM*THE ISSUANCE OF THIS PERMrr. ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Fire Inspection Total Ainbunt Due
NOR LIMIT IN ANY WAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
Landscapelnsp. Receipt #
) V64
1 NEFIE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN. IS CORRE" AND THATI AM THE OWNER, OR THE DULY AVTH�ORIZED AGENT OF :"APPLICATION APP L
RbVA
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL This application Is riot a permit until signed by the
Buildl Official or Na/her Deputy: and Fees are paid, and
IN -VIOLATION OF THE -1k0DE OF THE STATE OF WASHINGTON RELATING TO FOR INSPECTION elpt.18 acknowledged In'space provided.
WORKMENS COMPEN SO�ANCE AND RCW 1817.
SIGNVURE (OWN md.11A SIGNATURE DATJ
'DATE §1 ED , . 9
.771-0220. MEASED BY DATIF I
ATTENTIrvi*" off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS.BEEN MADE AND APPROVAL OR A CERTIFI_ 771-0221 L 111A KI i, Q=k
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION ORIGINAL - F . YELLOW INIPECAR
.109 F". PINK - J9.1R - GOLD - ASSESSOR
10/01