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20228 87TH AVE W.PDFIIIIIIIIIIII 8272 20228 87TH AVE W 9 NOTICE: -Y ... 0 N:o---W-a rrar The information on the attached map(s) was compiled for use by the OtY Of Edmonds., its Employees and Consultants. the Th,e City of �Edm.onds does not . warrant accuracy of anything set forth on t . hese Map(�_). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inform-ation shown on ffi-�� -map(s), including, but not limited to, th . e lociation of any sew-er stub shown. Such ex st and may sewer stubs may or may or may not exist at the location shown. Neitheir the City of Edmonds nor its H be 1--lia-b-11--e for the ernpJo-yee-s o-r offi-ce-rs sha` information given on this map(5), nor for e representation provided based any on upon said map(s). CITY OF EDMONDS - SIDE SEWER PERMIT WATER -SEWER DEPARTMENT PERMIT call 776-1107 for side sewer inspections BEFORE covering any portion of the construction.) (Inspection will be provided within 24 hours after request. No Sat., Sun., or holiday inspections. ,,,.ADDRESS LOCATIOObF CONSTRUCTION ........ ............................................................................................................................................................... PROPERTYLEGAL DESCRIPTION ------------------------------------------------------------------------------------------------------------------- * -------- * ...... .. ............................................................................................................. . I ------- ................................................................................ .................................................. ..................................................................................................................................... OWNER AND/OR BUILDER CONTRACTOR'S NAME & ADDRESS --------------------------------------------------------------------------------------- - --------------------------- * ------ - ------------------------------------------------------- Permission is granted ------------------------------------------------------------ 19 ..... .., for repair and/or connection of a side sewer to the city sanitary sewer systeffn in Bccordance with City of Edmonds ordinances. —TENTION IS CALLED TO THE FOLLOWING: 14 'A licensed Side sewer Contractor must be employed to construct .1E No. 1—The owners of the property may obtain E construct sewer inside property line. side sewer in street area. Do not cover any Po4tlifn of sewer before it has been inspected. NOTE No. 2—All ork performed in city right-of-way. -equ* "an Invasion of Right-of-WaY Permit obtainable from the City Engineer's office. w I mit. NOTE No. 3—Obtain full information regarding ordinanceN4.16-030 and Regulations governing side sewers when you get per inimum grade of 2%. No bends in grade f side sewer must have at least 30 incires NOTE No. 4—Top o . teoverage at property line and 12 inches inside property line; m sharper than % will be permitted. NOTE No. &—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one 3War of completion. work on the main sewer or its appurtenances except to in - NOTE No. 6--It is unlawful to alter or do any other work than is provided for in the permit, or to do any sert the pipe into the wye. DISAPPROVED Date__ ................. By ................ Date ------------- --- By.. Date --------------- - ------------------- BY ---------------- ---: - -_ 1x'--_ ................................. >fg:_ Date ...... ... --------- By .......... ----------------------------------------------------- APPROVED Remarks: ------------------------------------------- . ......................................... . ................................................................................................................................ ......................... . ...... ............ ... .. ............. . ..................................... ............................................................................. I ................................................................... BO it C pi of Firm Performing Construction PRIOR To Request For Inspection ............... ............ ... I hereby certify that the side sewer instaJlation constructed under this permit (0 er of cting Firm Perfrrmi struction) --w lust d in ce with ing ordinances of the City of Edmonds. Dated this._/� ----- ------------ (lay of .... ... . .. ............................ .................... IL .... .... o V N1 Check BEFORE you dig for: Water E], Gas n, Telephone n,. Power F], Sewer [], Other E] APPLICATION The City of Edmonds for SEDE SEWER PERMIT EASEMENT No . .......................................... PW dbNSTRUCTION REPAIRS 0 4c>l BC>r-> L-10 la;-bl 64ei OWNER ..c.xhbRWlN MTMP%5iMN .4 =-.&% M .. . ................................................................. ................ ................ CONTRACTOR FRU.� ...... .......... PERMIT No . ...................... ADDRESS ..... V4 ........ LEGAL DESCRIPTION: LOT No . ................ j..l ........................ BLOCK No . ............................................ NAME OF ADDITION ... l5l.a.0N ......... �4F.V:BH-rl-= .......... . ................................. 0 0 e e I /g A c/b 4 1 is ( Al Caow� STUM Q 4 10 aT IIza - I Approved: 04 DATE . ...... ...... 4" . 75. - - ----------- ----- 9 The City of Edmonds APPLICATION for SIDE SEWER PERNaT .......... NEW CONSTRUCTION &--' REPAIRS EASEMENT No . ........ ............... OV*rNER ......... IP 74--0-2�� ---------------- CONTRACTOR ........ ...................... PERMIT No..3/3.111 ADDRESS L02? ......... V ...... .............................. LEGAL DESCRIPTION: LOT No—// ----------------------------------- BLOCK No . ............................................ NAME OF ADDITION .......... RECEEIV,F0 MAR 9 1973 0 41 CITY OF EDMONDS Engineering Department ACTION REPORT Date: March 25, 1974 Sketch Yes on back 0 NO Subject: Unconnected House Routinq Initial Date J. Herb Gilbo 2. 3. 4. 5. - 6. 7. Name Dennis Twibell Person/Group initiating action Address 20228 - 87th Ave. W. Telephone No. 776-8247 ACTION Mr. Twibell reported thgt the house on Lot I- Sihnn Hpight-q Nn- 9.-- not connected to sewers. Drainage runs off of property and a lot of children playing in the area,_ - Apparent owner of Lot 3 is George Shur- 20227-- 97t-h AvP, W- - All conceried notified M Action Completed El NOTICE: -Nb--Warran. ached The information 'shown on the att 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 for.th on t - hese Map(�-). Any person or entity -requesting a copy should conduct an independent inquiry regarding the inforrn�ation shown on including, but not limited to, -t-Fe -map(s)/ -h th . e lociation of any sewer stub shown. Suc exist and may sewer stubs may or may not I or may not exist at the location sh , own Neither the City of Edmo-nds nor its e rn p- I- o-y e e*s o,r o ffi -c e -r s -s h- a-'r I b e !--,I a. b-11--e f o r t h e n on this map(s), nor for information give. e representation provided based any on upon'said map(s). 140v-*. p5s 1 0- C)b,/F OA PA-T-to I 13(p a, A OE&e- 2--75 C71, 5// LIJ I Mill ZONE SETBACKS:- FRONT- 2,cal SIDE 71/2) 7-5, U, 111 161, lz(", 151 7-2'& C:A lz Po e- T- 23 REAR OTHER HEIGHT 7 F�: i i CA mAko 2v 0401, lojoi 2-o-Zz43 <:2I-7-" AVE- Q bmoN8-'� (,,)A 9 70 Z.(, ii:- L-O-r 12-(900soFr V A F- 2- DA ZoneD N.W. 1/4, SEC. 19 T.27N., RA E.W.M. 2 E, IV 19,071j440 1141�"'ljgo /8 19416 /9-q 19 19600 255- 19502 §i ) 9 A 2 t STMI-IN-3 cREsT (I_q 4 L 3 t45L3 /9504' CZ CID 0 v Q.'QD S T:- SM 161+ 1 131G I I r . No t. a f 11 19632 ANX 6: LA 71 IDIxt 4 14424 :j 19705 1470 M706 IC) 197'a )5 0 Z :QQ 9 m Ln 1 702 'q7 1 9709 !z !z 19715 13 it C 198 ST VI w No 19714 9720 19771 CQ V- MAPLEWOOD I LL lcfl22 19801 1771.71 19727 MUD to PARK 19721- 19005 19817 1980,4 19801 0804 19730 ui u 1981Z gm 'N w Iq ao 19030 19829 1987m 19010 )gets a rl 11905 1 9 19903 19902 — 11 cc Ca 19914 19911 19910 )991, 19910 90 IA 00 ej 19906 'a CD C$ 't e tu 19915 19918 199)7 1 919 Cu ry It, _-v Cc 1"25 b.- �x 00 19919 Ce q* 4 T -, %n 00 z QC) go 00 qljt5 C'Q Co Ca ao 00 200 TM ST. s.w 200 5 T 930 tq %:,. ti N q, C::� 's Co W I N CIO a ii-a 920 26019 0. 00 * % wt 10 OD L jq 20022 91,3 :Z� 910 2002A 20025 3 21 2oo28 0/9 20031 F zO'C- F 20030 f G 903 — 902 20029 20031 201,?4 mAptxw000 SCMOO L 813 8)2 00 a CID tic WA14DICAPPCO 201011 20101 CO OD 20114 4CK 1 $01 CAS CAD E DR. w. .39 il 'q Tioaa %n in llil—w-�j v CID 0% 1 Go CID A III, M M m m C 20131 20130 Co - 202 - 5T —5 .\V 20201 20208 202,09 19 10110 20Z(4 ri 2 � I Co Co '� 2030 0 20 L. S-W, aq �11 2OZIb 2a217 - 2oZ 2*zo 2030B Z03t-6 \ d22 6 ;4 ku -z' �4 20226 zo227 120208 2ozo, 20311 -4 99 00 1 & Q04 1 — 2o3o2 2OZ31 1� 9, -31-4 CL Cr. 20301 A �%'- ob 2DY04 2,1306 I 2 2021 0 20310 307 10. 20213 20 is 4Z r315 20310 QQ ;� - 3 z 1 20301, SIERRA 20311 ST 2.0316 316 ST SW- 2C,31T 20305 QwD 10 !P2 91 - s' I - OYZ3 034, Q o3l, 510 2031, 2032Z C*A 0 CZ, cz g z 04 . m tu 00 zo - w34 lr-? 2 2 . . . . > < 204 ST, S-W 20405 PINE f.04rlA- 20319 06 4 20411 20406 70qu a! D IF kA Co ftl G 110 ol 14 20411 z 1.4 RI r:::� 20120 'n ZD 3ZI 20425 00 20-qzq ED City of Edmonds Development Services Department Planning Division Phone: 425.771.0220 Oc. 1 89C4 Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any person . preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. The purpo�e of the Checklist is to enable City - staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed * to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). Date Received: City Receipt#: Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Mailed to Applicant: A property owner, or his/her authorized representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. - In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harinless from any and all damages, including reasonable attomey's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or fficomplete information furhished by the applicant, his/her/its agents or employees. I By my signature, I certify1that the informa'i n and'exhibits h rewvjth submitted are true and correct to the best of my t knowledge and that I am authorized to file th-i a licatio;n;on be alf of the owner as listed below. �b P 6 SIGNATURE OF APPLICANVAGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and -grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this ap ication. SIGNATURE OF OWNER DATE C3 2- Owner/Applicant: -TT6��K 6VAg&Y=0 Name . '� 4ue- WesT- ,�b SIT' Street Address jc—� mjc> tu city State zip Telephone: 425-776,-((-75!�- Email address (optional): AppEcant Representative Name -U>W�ZtAj Street Address city State zip Telephone: Email Address (optional): Critical Amas Checklist.doe/3.19.2001 Critical Areas Checklist CAFileNo: Oa-9�0_1 Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 0-2 Df 7-7 rA Aur- i. 2. Property Tax Account Number: 42Z—ell 3. Approximate Site Size (acres or square feet): 10,666 bQ f�-r_ 4. Is this site currently developed? I yes; _ no. If yes; how is site developed? EV1!S-nAY,-,n, 44,f5MC- 5. Describe the general site topography. Check all that'apply. Flat: less than 5-feet elevation change over entire site. Rolhng: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal I distance of less than 33-feet). Other'(please describe): 6. Site contains areas of year-round standing water: Approx. Depth. 7. Site contains areas of seasonal s tanding water: K16 ; Approx. Depth: What season(s) of the year? PC8. Site is in the floodway floodplain of a water course. Site contains a creek or an area where water flows across the grounds surface? Flows are year7round? Flows are seasonal? (What time of year? 10. Site is primarily: forested meadow ;shrubs mixed urban landscaped (lawn,shrubs etc) k 11. Obvious wetland is present on site: Crifical Areas Checklist.doc/3.19.2001 Critical Areas Checklist CAFi]eNo: Oa-9�0_1 Site Information (soils/ topography/ hydrology/ vegetation) 1. Site Address/ Location: 9022F 7-7TtA Aur- W 7- 2. Property Tax Account Number: _-Alz6-70�� 62Z-4211 =502 3. Approximate Site Size (acres or square feet): Q666 5Q ff-r 4. Is this site currently developed? I yes; — no. If yes; how is site developed? J�YJ!S—n AJ& JSPtAC—_ 5. Describe the general site topography. Check all thAt'apply. Flat: less than 5-feet elevation change over entire site. Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet). Hilly: slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a horizontal distance of less than 33-feet). Other (please describe): 6. Site contains areas of year-round standing water: M 0 Approx. Depth: 7. Site contains areas of seasonal s tanding water: U6 ; Approx. Depth: What season(s) of the year? p08. Site is in the floodway floodplain of a water course. Site contains a 'Creek or an area where water flows across the grounds surface? Flows are year-round? Flows are seasonal? (What time of year? 10. Site is primarily: forested . meadow -shrubs mixed urban landscaped (lawnshrubs etc) k ' 11. Obvious wetland is present on site: �)40 Fot,�, 1.�_ Plan, _UM ...,,:-,;kP if, ji P .2.. Site s Zorked 3. �iapp�d' ilb-�, C. Zitical M nwent6irbr C.A. . m . agift'dic , i 5: eSlg:na !ea SU 1 enC e.Mn Sj�e.-.Mtf.a d t-6& i-th J. �' Tz�. Rm nved bir �e Only 7 ultl�W 4N%�J, -"AIN bil sfte,?, iaI4 4"r-d ? �A n c A OU Critical Areas Checklist.doc/3.19.2001 City of Edmonds Development Services Department lanning Division Phone: 425.771.0220 r� Fax: 425.771.0221 The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of the application to the City. The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are, or may be, present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical areas inventories, maps, or soil surveys). Date Received: City Receipt #:- Critical Areas File #: Critical Areas Checklist Fee: $45.00 Date Mailed to Applicant: A property owner, or his/her authorized representative, m st'f u ill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development . permit application. Please submit a vicinity map, along with the signed copy of this form to assist City staff in finding and locating the specific piece of property described on this form. In addition, the applicant shall include other pertinent information (e.g. site plan, topography map, etc.) or studies in conjunction with this Checklist to assistant staff in completing their preliminary assessment of the site. The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable attorney's fees, arising from any action or infraction based in 'whole or part upon false, misleading, inaccurate or incomplete information furnished by the applicant, his/her/its agents or employees. By my signature, I certify that the informati^and- exhibits herewith submitted are true and correct to the best of my knowledge and that I am authorized to file thro)lication on be alf of the owner as listed below. SIGNATURE OF APPLICANTIAGENT DATE Property Owner's Authorization By my signature, I certify that I have authorized the above Applicant/Agent to apply for the subject land use application, and grant my permission for the public officials and the staff of the City of Edmonds to enter the subject property for the purposes of inspection and posting attendant to this app)ication. SIGNATURE OF OWNER— DATE 0 Owner/Applicant: Name Street Address Jr,,w- os /Vt-o �—J O-CD City State Zip Telephone: 42c5 - 77�- ( ( -72::� Email address (optional): Applicant Representative: L-,-I�kCkAJ 1—tcA-A L.& e-�-M A/1 Name A39-01S- Street Address C-- -, �--,A A c D, t, 0 city State Zip Telephone: 'X 4 -&,? -:;- & 2-:, (fe / Email Address (optional): Critical Areas Checklist.doc/3.19.2001 USE ZONE PEhMIT 5 0735 CITY OF EDMONDS NUMBER CONSTRUCTION PERMIT APPLICATION joe SUIT APT ADDRESS � 0 7 _, . il�n , P, a OWNER NAME NAME OF BUSINESS THomAS QUARD LEGAL DESCRIPTION CHECKI SUBDIVISION NO LID NO MAILING ADDRESS Z Z-* 0 2-ol-2,8 H1,10 A Vie W PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP TESCP Approved RW EXISTING _ REQUIRED DEDICATION Street Permit Required E3 Use Permit Req'd 13 CITY ZIP TELEPHONE NUMBER F—DMO Al D-S 40261 774 7.� Inspection Required 0 PROPOSED Sidewalk Required It NAME W METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED u LO YES 0 NO 0 0 ADDRESS REMARKS < Lu uj Z CITY ZIP TELEPHONE NUMBER a Z Lu NAME Iss"Ississis r,rLE&I RDSEATSoliiiJ ADDRESS 12)0-4 &j qqti, I sr. ENGINEERING MEMO DATED REVIEWED BY U I CITY ZIP TELEPHONE NUMBER FIRE MEMO DATED REVIEWED BY W Cr Z �EAMF -QVJ 0 3 33 - 1-71 0 L) STATE LICENSE NUMBER EXPIRATIO N DATE SIGN AREA SEPA REVIEW A0B NO 1-3-9(t ;# Xbi36,eF:*0'52LC_ ALLOWED PROPOSED COMPLETE EXEMPT Legal Description of Property - include all easements SHORELINE Z EXP Q. W VARIANCE OR CU ING REVIEW BY DATE W a SETBACKS — FEET HEIGHT LOT COVERAGE FRONT SIDE REAR Z Z Properly Tax Account 572q-C)DO-0 11 Not a. REMARKS Parcel No. NEW RESIDENTIAL PLUMBING ADDITION COMMERCIAL MECHANICAL APT.BLOG. REMODEL El SIGN Lai GRADING FENCE El FT) CH�WED By TYPE OF CONSTRUcTION CODE OCCUPANT GRO P REPAIR — CYDS. x_ _V WOODSTOVE SWIM POOL DEMOLISH INSERT HOT TUB/SPA 6PECIAL INSPECTOR REQUIRED EA OCCUPANT LOAD 13 YES fl FGARAGE RETAINING WALL/ _1CARPORT El ROCKERY RENEWAL REMARKS PROGRESS INSPECTIONS PER UBC 305 (TYPE OF USE. BUSINESS OR A IVITY) EXPLAIN: 0 0 j C to NUMBER OF NUMBER OF DWELLING CRITICAL AREAS W 0 STORIES UNITS NL DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED Dye 14 k-t A de 14 do W 0% ( h4l I'/ M'Sike bd j VALUATION FEE PLAN CHECK FEE aem) imm BUILDING A, HEAT SOURCE: GLAZING % Fce(,ej - 0j PLUMBING 'C/- 66ir i) 7 6-- 1 171 1 Plan Check No. MECHANICAL ORADING/FILL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curts, sidewalks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 160 Days Permit Limit: I Year - Provided Work Is Started Within 180 Days STORM DRAINAGE FEE ENG. INSPECTION FEE "Applicant, on behalf of his or her spouse. heirs, assigns and successors I n interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of PLAN CHECK DEPOSIT 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 0 nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE 7 '-'0 provision." I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL information given is correct; and that I am the owner, or the duly authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until state laws regulating construction, and in doing the work authoriz- AUTHORIZES THE signed by the Building Official or his/her ed thereby, no person will be employed In violation of the Labor ONLY WORK NOTED Deputy; and fees are paid. and receipt is Code of the State of Washington relating to Workmen's Compensa. acknowledged in space provided. tion Insurance and RCW 18.27. INSPECTION SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT OFFICJAvs SIGNATURE DATE CITY OF Li EDMONDS CALL FOR RELEASED PYI� 1.,�AT ATTENTION INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-02 0 ORIGINAL — File YEI I (WI — A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 0,-- PINK — O-A,�er GOLD — AssesSor �/ 2 ? 10247 /rI itc. RECEIVED 'PERMIT 0 3- EXPIRES 91TY OF-EDMONDS USE 'PE RMiT ZONE NUMBER CONSTRUCTION PERMIT APPLICATION - JOB SUnVAPT# 70 ADDRESS OWNER NAMEWME OF BUSINESS 66CIAM PLAT NAME/SUBDIVISION NO. LOT NO. LID NO. I MAILING ADDREbS LID FEE S TESCIR Approved ;)0:01 T771 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW Pennit Requinad Street Use Peffnit RKM CITY ZIP TELEPHONE EXISTING PROPOSED impaction Rm Sidewalk Required 13 476 q<tX--& 4 t7S REQUIRED DEDICATION— FT . UndwWV_-d Wnffj;-rqqWr813 13 NAME METER 81 LJNE SIZE PRV REQUIRED YES E3 NO 13 ADDRESS REMARKS z z x OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE a z CITY ZIP TELEPHONE NAME -ENGINEERING REVIEWED BY. DATE w ADDRESS 'DATE IEWED BY CITY zip TELEPHONE 0 . /. j STATE LICENSE NUMBER PIRATION DATE CKED 1 VARIANCE OR CU "Won-000 SHORELINE OR AD ZIN ECTION REaD SO No POSTED 1 AS 13NO SEOA REVIEW SIGN AREA HEIGHT PROPERW TAX ACCOUNT PARCEL NO. COMPLETE EXEMPT ALLO ED, PROPQSED AL�OWE PROPOSED AL�OWE I , EXP % NEW RESIDENTIAL,z� �PLUMBING/MECH LOT'COVERAGE ALLOWED hEdOIRkb�SETSiCKS (Fr.). FROW Ii. S PROPOSED SETBACKS (Fr.) FRONT L/R SipE REn YO E P POS D �EAR A+j z ADDITION OMM'RCIAL`� "AL 13 �_-O.,POMPLIANCEOR: CHANGE OF USR 2)6 r I z AEM06EL LY1 MOLTIFAMILY1 SIGN PARK1111G, D LOT. AREA P I REVi E Y DATE I �TAM REA4 % Id ZR7 7&0 0', .GRADING FENCE REPAIR X FT) CYDS ol .4�U; REMARKS DEMOLISH 0 -1" 16-FHER ., pF GARAGE RETAINING WALL., FIRE SPRINKLER 0 ROCKERY' 41�11- FIREALARM 0 CARPORT", , (TYPE'OFMSE' R . USINES9 0 1 R Agpyrip,mLAW 'CkE6kEb'6Y TYPE OF OCCUPANT wewm .., A 77 GROUP M NUMBER* NUMBER OF :1.1 I 0 OF STORIES N I DWELLIN UNITS AREAS NUM S�ECIAL INS PF61110N REO qIqED,[] AR d", U CCUP#NT TO AD. YES DESCRIBE WORK TO SE'DONE, REMARKS. OGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION RECeP., D W, V�ION Aao oscriougo FEE Description OeEl :Plan, k . . State Surcharge HEAT SOURCE 76 LA23NG % LOT SLOPF.�A Bijildin "Perifift City,Surcharge PLAN CHECK NQ: 'VESTEb'DAT . 'flu. Mechanical THIS PERMrT AUTHORIZES ONLY Pi`E'Fikiii64iRi4f 16. I= BE DOME ON PRIVATE PROPERWONIX ANY CONSiRUCTIOk ON THE Pdbud DOMAIN (CLURBS, S!DEWALKS, O"IVEWAYI i,'MARQUEES, &C.) WILL- RE001RIE'', Gradi SEPARATE PERMISSION. :` :En R�A BIN PERUMAPPLIcATIOW jB0 1M.1fil IL PERMM LIMM I YFAR..'PROVIDED WORK IS'STARTED WM4IN don: SEE BACK OF PINK'PEhmrr FOR MORE INFORMATION- Appij�w. �N B' E'K ; A* ALF'qF,HIS;OR HE -SPOUISE;'HEIRS.ASS.101,48'AND.gUCCE89RS, . I Fire Plan Chk. Deposit IN INTEREST.'AGREES'TO -:INPEL !NIF�,PEFEND- Ago HOLD H I ARMLESS 1640 bITY; OFf,. 2 EDMONDS. WASHINar.ON.',.fr�QFFIC�AW,,.�MPW'�E S; AND AGtktS-FROM':A1W 'AND,-'� Fq, nsoedion;* Receipt # W �:ALLCLAJM F()OD�"CitdOFW"ATWER,"TURE,.tk,S[NdPIFiEdTLYOR:'N.6!"�cliy,. I FRO10 THE IASUANb9_OF'1J1IS: PERMIT`: ISSUANCE OFJHI N SPEqyIT:i8Hk. PT.BE k:AiDL1Ci-ANY ktdU�R'EMENT:OF;At4Y�CITY:ORDINANPE Sp." Total Arnt Due TO MODIFY,,WAW ��Liin�sbkoe 2ra 0 NOR LIMIT'IWAW WAYTHE'CRYS-ABILITY TO FNFORCE-ANY 0 DINANCE PR ��rdog Fei:s. Receipt # 1, HEREBY!�6016WLADGE THA4-"I'H;Wi AEA6 THIS �THAT THE I.NF6h,M'**1ON'- GIVEN IS C�ORRE" AND THAT I'AM. Ti-19 OWNER, LITHORIZED AGENT 01. . ORTHEDULYA -`APPUCATiON APPROVAL THE OWNEFL' I AGREE TO COMPLY, CITY 9 . WITH , ANDSTATELAW REGULATING CONSTRU6. TIOh" AND IN'DOING THE WORK AUTHORIZED TH ERESYi NO PERSON WILL'6E"EMPLbYE'D CA This application Is not a Offnit untfl al ned by the I � 9 aullong Oqiciel or fils/he! Deputy: and Fees are paid, and IN 6`6LATION' OF THE LABOR CODE�OF THE STATE OF WASHINGTON kELATiNd To' _' '; FOR INSPECT! ON :re0e0t.19'acknowledged.In space provided. - WORKMEN'S Co ENSATI N.INSbRANCE AND RCW 18.27. . '' - '.Ij - - X I . . I .. . SiGkAruRr; 'Jtl�,.�AGE DATE SIG '142 OF 1"�S URE DATE RELEASEP a DATIE ATTENTION EXI 1333 IT IS UNLAWFUL TO USE OR OCCUPY A BUILD114G OR STRUCTUkE;UNTI AIIIL�v %0111 N JF4 L U U A' .FINAL'. INSPECTION HAS BEEN MADE AND APPROVAL OR.,A CERTIFI-� � CATE OP-OCCUPANdY HAS BEEN G*kANTED. UBC'SECTION 109'. IL-E YFI I ORIGI INS�rh 04/02 PINKQER GOLD -ASSESSOR PRESS HARD -YOU AAE'MAKING 5 COPIES GREEN - ACCOUNTING