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20331 81ST AVE W.PDF111111111111 7404 20331 81 ST AVE W -3 730 TV VAN 1,171 ---T- -T- lo �/— tt A W L5 c a x Ywe- �r c Cc> ---- I c>+ hQx, 1v q L lit rA,11 s spr- g T- -iTz-- T I LTZ pi (0 (D t-j;*,-,i-v -D BY PLANNING U r VE r04VOG— RECF.IVED FEB 2 4 1993 PERMIT COUNTER t 100 - -------------- ,:�,l P At too i co 14 - lz /N� 0+101 A (j.4 I ull Lu uj D GY PLANNINU pf"9 r .011( At loo 0+101 t - 1 4 �Z19- 23 .- RF-CEIVED FEB 2 4 1993 PERMIT COUNTER t 100 0 o u I �5p WA Z - �vl - 91 jA COPY STREET EMal Areas Checklist Sitc Information P -ect Name: j�z- file -A &-a r,,O-&J Permit Number. r0i I Site Location: 7 0 2�1 1 9 Isr- A -tot-. W - Property Tax Account Number -3 10:2 - 000 - 001 - Oo Approximate Site Size (acres or square feet): Have you filled out a Critical Areas Checklist f(ir a project on this site before? General Site Conditions �? 1. Has. the site been cleared or logged? )IS Date of most recent action: 11 Soils / Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? At QF11WOO ) 4(elW IhMl) 3. 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.-) Wly: slopes present on site of more than 15% and less than 300/,p ( a vertical rise of 10 feet of horizontal distance.) Steep: grades of greaAx than 30% present on site. Comments ReY3127/92 I At 9 QtY of Edmonds Critical Areas C'hec'klist 'Me- Critical .4,reas 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&cr SUbmittalof a development permit to the City. Ile Purpose Of the Checklist is to enable CitY staff to determine 'whether any potential Critical Areas M or may be Present on the -qlbjcct PrOPCItY- Ile information needed to Complete the Checklist should be easily available fi'Om Observations of the site or data available at City IWI (Critical Areas inventories, maps, or soil surveys). An applicant, or his/her representative, must fill out the ch0C'dis4 sign and date it, and submit it to the City. Ike City will review the chccldis4 =dbe a precursory site visit, and make a determination of the subnunt Steps necessary to complete a development Permit application. With a signed copy of this for.,,, the applicant Should also submit a v*icinity map of the parcclwith cnou 'gh detail that City staff can find and identify the subject Parcel(s). In addition, the applicant is encouraged to include any other pertinent information or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site - have completed the attached Critical Area Checklist and attest that the answers provided -are factual, to the best of my knowledge (fill out the appropriate column below) - Owner / Applicant: Name Tide Sheet Address City, State, Zip Phone Signature Date Applicant Representative: 9 K Y"A' A i F-I e t) Name Title / i� 7 -41� T-A-L--'.' /) /�'. Street Address 1 City, State, ZIP , ;,VA �eNOJ Phone a Date CITY OF EDMONDS STRUCTION PERMIT APPLICATION ZONE PERMIT k., <_ (�, NUMBER JOB SUITE/APT ADDRESS, —7 If OWNER NAME/NAME�OF BUSINESS &,N F 4 LEGAL DESCRIPTION CHECKI SUBDIVISION NO. LID NO. Z MAILING ADDRESS V L­ PUBLIC RIGHT OF WAY PEA OFFICIAL STREET MAP. EXISTING — REOUIREO DEDICATION PROPOSED TESCP Approved a AW Perfrilt Required D Street Use Pennit Roq*d 0 I-spectio. Required 0 Sidewalk Required 13 a Z, .Ty ZIP 14 TELEPHONE NUMBER NAME REMARKS x ADDRESS Z CITY ZIP TELEPHONE NUMBER NAME ENGINEERING MEMO DATED 'REVIEWBY m ADORES 9 �,j METER SIZE 1BUILDING SUPPLY 51ZL NO. OF FIXTURES 171TY ZIP TELEPHONE NUMBER 4 15 � �� I WA STATE LICENSE NUMBER EXPIRATION DATE <' I L� C lIC — Oeltl D (a U Q i A REMARKS SIGN AREA lita"ED SED I T070 SEPA REVIEW COMPLETE JEXE 17 Z Legal Description of Property - include all easenteft ,, . nt,f UTY WA 5 , W T( rV EXP VARIANCE OR CU P VkA61 �r, L7 P_ T..I=.t Parcel No, A0QIT`1oK1 1,0-r SETBACKS — fIETr I, FRO T SIDE 'IMAR r-�? t I HEIGHT LOT CO on REMARKS EDNEW ESI - DENTIAL PLUMBING E�ADDITION FC6MMEACi`AL D MECHANICAL EDREMODEL APT. SLOG. SIGN -M GRADING PENCE CHECKED BY TYPE OF CONSTRUCTION CODE H REPAIR CYOS. I x ---- FTI I __T 1 ?/ 1 0 DEMOLISH' ED WOOOStOVE 0 SWIM POOL 114SERT HOT TUBISPA /0 2-s-' SPECIAL INSPECTOR, AEOUIRED AREA ;k I;AICY. GROU - PANT, GARAGE M RETAINING WALtJ CARPORT —1 RENEWAL L_J 13 YES MA KS ZF/ LOTD ROCKERY (TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER, UBC 305 Vj_-3 I Q[ AJT $A L_ NUMBER OF STORIES NUMBER OF 0 I DWELLING UNITS olve, DESCRIBE WORK TO BE DONE (ATTACH PLOT PLA r>- cr -1 AQ0IT-ICI�) FINAL INSPECTION REQUIRED VALUATION FEE FEE PLAN CHECK FEE BUILDING HEAT SOURCE: GLAZING 0�—O 0/0 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 StartediVithin 180 Dayi STORM DRAINAGE FEE "Applicant, on behalf of his or her spouse, heirs, assigni dnd' ENO. INSPECTION FEE successors In Interest, agrees to Indemnity, defend and hold harmless the City of Edmonds, Washington, Its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or Indirectly from the Issuance /IV 5 1,- of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT I e- 7-1 �115`lf3 Q 0 modify, waive or reduce any requirement of any city ordinance nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." ellaillille I hereby gicknowledgethat I have read this application; that the ATT= 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 state laws regulating construction; and In doing the work authoriz- THIS PERMIT AUTHORIZE This application Is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THEE signed by the Building Official or his/her Code of the State of Washington relating toWorkmen's Compensa. WORK NOT ED Deputy; and fees are paid, and receipt Is ' INSPECTION acknowledged Wepace provided; A OR AGENT) DATE SIGNED _2 DEPARTMENT CITY OF OFFI I 'S SIGNATURE DATE EDMONDS -3 CALL FOR ELEA Irc 9 TE N INSPECTION IT IS UNLAWFUL TO USE OR OCCUPY A 13UILDING OR STRUCTURE 771-0220 UNTIL A F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — inspector A CERTIF CATE OF. OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-97 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 Edmonds does not warrant the accuracy of anything set forth on these map(s). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shoWn on '._'_tFe -map(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 emp'fo-yee-s o-r office-rs -sh-a-11*1 be 1--ia-b-11--e for the information given on this map(s), nor for any one representation provided based upon said map(s). APPLICATION for The -City of EASEMENT NO - ---------------------- -------- SIDE SEWER PERMIT NEW CONSTRUCTION F-1 REPAIRS [7] LID NO - - -------------- ASMT. NO. c> CONTRACTOR ---------------- ----------------------------------------- ----------- PERMIT NO. OWNER --------------------------------- ::K= ----------------- ------------- -- ...... ........ ----- JOB ADDRESS ---- LEGAL DESCRIPTION: LOT NO. --------- ­ ----------------------------- _ ------------------ -----_---------- I -------------------------------------- BLOCK NO_ --------- ------- -------------- ------------------------------------------------------------------------------------------------------ ---------------------------- ----------------------------- \—T\ (�__> V--N -------------------------------- ---- - -----_--_------------ ----------- ------------ --------- pproved: ATE 17'1 B — ....... - I— __/ ---------- .1 -1,,--, ...... ------ W, -)El!� E E W, /i E R; P E R)MY 11 TY, k Y -CIT ;',OF' E SID'' NT 4, ER S]�W� ruct on..),,.,: alli T75 cons-t T252q-' for �side,`sewer. Insplectionsk,'] 4ar Insp 6 " ide; -or.)tfoliday' inspection 1, C IiFJ�6�F: I p ov diw n,!24 ho�r' ectio willl.b7e r It s.466��'requst. 'NO SaU,.,.SUw,. Aln C, T-1 ON ........................................ ........ AMDRIESS,-LOOC ON, --OF CONSTRU ........... ............................................. ................... ......................................... ti P-ROPERTY LEGAIL, �DESCRIPTION.: ........... ................................... ............................................................. . ................................................................ ................ ............................................ ........... ................. ... z .................................................................... ................... ................ ......................... .................... "C.- A Aul OWNER ANiDYQRz,�BU,I,LDER':.:.....M ........... �W ................................................. ............................... .................... ........................................... ...................... % X,T,XA' M, t" ......... ........ .............. ........................................ . ... ........... .................. .......... 1�, IRUR '. m � I - . I div§MAME", ADDRESS ............................ ........ fq r�,, won� I s) granti�&_.::..� pair 'aiidYoi- O"e�don,'Of-�a ',;$4fiitiLry*�sew'e-r I "I"', .................... or re .................... Sp,_1114n) acc6rdance wi*th,�'City,,:Of.Ediilo'nd�,,,o�r.dinaii�ces.-" hT-ENTIONf ISt'GALLED).TO THE'F,01,LOWING', ;erty)inay-to�fa�in-a perniit'to,�c�iist�uct,.sewe��, e!�;A�Ilcensed �Side'liewer�:Conti.'d'ior, must:tbe�,erh�,1(5�,edl.fto,,�coristruct P Noi. fm-�The,',owneis�-,of. thel,�roj inslde propeA�,.ilin " �j ' - - o 8 '%tias .�sidetisewe�llin4'streetarew..,boino�6ovei,�iiyzporitori�'flem�6r,,bef6�6'itI .,been Jnspect6d.',.�',�, NOTE No� 2L-SAIll�,�.,)r�,�;e'rformedl�i*n',lcity�,fig4t-*of-:'%ya�,'req6'irdsi,�n,',Tn,�ail'onlc;f.tRlght-.Of-,Wak, MOTE;. N ; 3—,6i;t&ln,-fulh4nf6r' o n�ati6w iegELrding,10rdiniLnee,�l-It.-I*G'.630)'i�ndi Regulatio6& goverRlng,(side,-,hewers� when� you get.,permit N6;rE" 6. 4—ToPs4of',s1de,;s*ew�r musVhsi�e'-at,leeLs�.36 lnches-�_ 6v�erag'ellat-property,'llne and 12'!lnchesAnsl'&:,propert ­lne;�,mjnimum;grad'e-.of'2 No� 1�dw1w_ grade'.., shar . per,kthan "A- wilithe' permitted': - c' Y. dce.(of,s reet:re'e NOTE No., &�T�en6iis'� 6'street':must'bd'water t s ored' to originall c6xiditibriv 4Contraoctors �shaM,(�,b�,* r�espongfbie' "for, failurv, cl�le ',to, Improper work�'whtcb� may -develop, within one,,year -of completion, NOTE No­rL—Ittis, nla-wful��t.o,al�er.�6r'.d6�iin�,..6t-her,,work,than,,is%�prc;.vided',for�.in the A,- k th t Perm or fo,,do any,, wor lon, e..r�airr sewer, orIj s appurtenancesi,except to n.- lOe' nto� the w�e. sert"the p 3 MR" PROVER ...... L. ........ :_J� ............... .. Date... Dat ................................. *-..,.z::�,,By!:�.I.'...'.,.,....,-� Y... � MY. R6,V)Eb1 ........... Ai]�P' ...... ... :. . .:1. 4 ................... ........ . .......... ...................................... ........ inar s: . ........................ . .. k'' "' .. .. ............ ... ........... ................... ..... ................................ .... ................................ ................. 7 --------------- ........... . .............. ........... ........... ........ ............................................... ............................................... ................. ............. .............. .......... ...... �1111 W,�4v,� 'BOTH, "CbPies­MUST1'1 eesigmed-'By :0,w_,ner'�of,,.,Firm-, Performi4g,��C ns u 8hj!klO*�t�,,Request, r Jnspec idnl,� 7, A in�iall�tiorr..:congtructed!\urider,�this;ipermit !,,':;fi'er6by certifythatAhe, i e'rs( w n r, ...o tra -�,l forming�,C nstru t 6 C 0 the:iCity S- 'I wa.i:t�/lnsta,ll'ed�'ii�:acc(5rdaiiee�w-1 r ifig ordinaii qfEdm6ild" 1A Y�, 0 .......... _"','-DEU'e'di thl er, ih�ck;, U-, d i j-, BEFOR&y� f�r:,,Wiiter;',E];,' ­0 APPLICATION for Tho,City of Edmonds SWE SEVVIM PFP.MT EASEMENTNo . .......................................... NEW CONSTRUCTI[qNe REPAIRS 0 �06) OWNER ax.) . ......................................... CONTRACTOR --------------------------------------------------------------- PERMIT No. q7q� ...... 31 ADDRESS ................. . . I ...................... ........................ .................. LEGAL DESCRIPTION: LOT No . ............ / ------------------------------ BLOCK No . ............................................ NAME OF ADDITION --- ...... A-,-.53 ........... q4 ....... e�� ... uo 0 C,�, v- i cc,,c/ cif Fri- i RECFIVED MAY 2 3 1974 Approved: DATE................................................ By ...................................................................... Z/ r V LU .j U. ru Lij cr. t-7-t1i 0 REGARDING: 20331 - 81st Avenue West (address) R E C 0 R D 0 F C 0 N T A C T S DATE NANE, PHONE NO., & COMMEWS ADDRESS of CALLER 5/l/74 Gene Albertson Certified Letter No. 406313 sent requiring hook-up within 60 days. S/2/74 Please schedule dye test 5/2/74 Came into office and obtained permit #4794. 6/10/74 Connection completed. ACTION TAKEN Letter received. D.T.N.O.S. INITIALS TE TE TE TE RECEIPT FOR CERTIFIED _MALL—_—MLI_�us postage) 418-06900 P'01TA1 - K OR AT �T E cy) ALBERTSON, GENE 20331 81ST AVE. W �Q M EDMONDS, WASHINGTON C-0 980 c� CD OPTIONAL SERVICES FOR ADDITIONAL FEES RETURN � 1. Shows to whom and date delivered RECEIPT With delivery to addressee only S 1 S 2. Shows to whom, date and where delivered f350 ERV CE With delivery to addressee only ... .... 854 5: 0: DELIVER TO ADDRESSEE ONLY ........................ SPEC 1�_L51EL I VERY (extra fee required) PS Form NO INSURANCE COVERAGE PROVIDED — Apr. 1971 3806 (See other side) NOT FOR INTERNATIONAL MAIL 01-Oi 1070 0-397-408 iE N�OER: -B PLEA §E.'FURNISH;'SER .1ED - '.CHECKED,'BLbC' :S) INDI'CA,T (Additional' ch' rj7 *4eiqldred,loi- tit, e 0-, - ithow a dress, 11u, "y whem�dbliVe�' r. 1Vb G§see., A r REUIFT,. ndMbiered.,il -��WNATURE OR Eu�OF AE).DRESSEE,,(Mu cdti�vhys e, fi 105�j�) ERTIFIED AO. 10- 31 3 :S[-GN 1rutie! E Dr NO';; - 2 -A GEN -,,,IF ANY' DATE DELIVERED" SHO W HUEZELIVERED rifqWeitedi,i i itdliiibliide*'ZIF�tc�qeT,.",--�. 7. 2.