The URL can be used to link to this page

20612 88TH AVE W.PDF111111111111 8475 20612 88TH AVE W PROJE T REVIEW CHECKLIST PROJECT NAME:fja5sico e, ,�7 n*1 PROJECT ADDRESS:. 6 z- oL41-kr,(k) PLAN CHECK #: RECEIPT DATEPILaLls REVIEWPD Br. (nitial/D e) PLAN.:]WATEIR COMMENTS: -'.FIRE -BLDG.;'ISEWER STREEI-. ENG...... Setbacks/Variance/Setback Adjustment Conditional Use Permit AD13 Requirements . .... . . . .......... Other Zoning Requirements . . . . . . . . . . Underground Wiring Required 5 . Lot Slope 15% -: ..... . . . . . . . . . . . . . . . . . . . . . . . . Iwo .6 SEPA Environmental Checkiist/Hydraulics Permit 7 Tree Cutting Plan ................................. . . . . . . . . . . . . . . . . . . . . . . . . . . . Plat/Subdivision Requirements ....... . . . . . 9 Legal Description Verification Quit Claim/Street Dedications MIA Easements - Public/Private .... ........... r :-12 Engfneering Storm Drain Review Fee 13 Engineering 2.2 Inspection Fee Drainage Plan (On -Site) N. 45.. Setback - Top of Bank, Stream, Water Courses Satback - Storm Drain Line Open Ditch - Existing .......... Culvert Required 20-- Culvert Size Shoulder Drainage/Shale Open Runoff Catch Basin Required Driveway Slope & Vehicle Access . . . . . . . . . . . . . . . . ....... . . . . . . . Sidewalk Required 0 /Vo Curb & Gutter Required Curb Cut For Driveway Required Street Paving Required R., *;.0 Mc, Right -Of -Way Construction Permit Required `:2& Street Name Sign Required Other Signing Required .............. -;:30:.: Bond.Required For Public Improvements /V. FEMA Map Check/Water Table Side Sewer Availability I/ Es .7 Calculate Sewer Connection Fee If No LID # Create Street File Existing Water Main Size Water Meter Size --37 Service Line Size Water Meter Charge Required ....... . . . . . . . . Hydrant Required Hydrant Size Existing 1411-2-,-1-- Fire Line Charge Required - Sprinkler Street Cut Miscellaneous Reviewed By: FIRE ei2L fljl?6 — PLANNING r=NGINEERING PUBLIC WORKS F - �- �/,4 �g�4' R E C 0 R D OF C 0 N T A C T S a 9 1 21 2 22 3 23 4 24 5 25 6 26 7'1 27 8 1 28 RW PERMIT DATE ISSUED RECEIPT # I 9d 29 0 30 31 32 PAID $ RECEIPT # DATE 33 SS DATE ISSUED RECEIPT # -PERMIT .4 PAID RECEIPT # DATE 34 �5 35 �61 36 37 1 METER SIZOL/ PAID $,3 DATE RECEIET # 38 �9j 39 io, 40 A fl;-;-.] Frivate Road CITY COPY ---------------- — I --- -- ------------- MW 'A WAW MAW POW 'I' Proposed- 14 s 7-1 6� -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - v I i L J L- - - - - - - - - - *� - - - - - - - - - - - - - - - - - - - - - - - - - - i Plo+- F HEIGHT CALCULATION P~ 'A' MVtAff P-awr S VSAW POW r wise, WIRM47 04" abs, NJUL kQl COVSR*AK CALCULATION z;w ------- two — W.; 607 A 12AM 60 Fr. ............... LOT COVOUM POWNWAM RAO % 2 LEGAL DESCRIPTION crr� OP no %Poe . wAswo"Tck AUG 1 8 1998 F,"A I T C0 �',jr' — — - i'd t' �'.' Z, 95kt- Cc U.1 cv) 0 w cv) z C.) a cQ > < C) cj) w W Lv) -.1 , ca 1< cl �.r. AUG I a f,383 Private fRoad CITY Copy C014mm MWILIAY MANWOLff CZIYM AT W - - - - - - - - - - - - - - - ------------ PONT'A 71 J Y Proposed- Resence IMM"C' LOM ftffi�AfICN IMW' F-ONTI row V 10100, RATIO L- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - APPRUVED AS Y- ( �7;771 �5 Drainage 6C.AL§i I" . 20*-&' HEIGHT CALCULATION FOIT :A. 101"' F.014T 5 10AC T lam" P-ONT'D' 106"' AVERA" 10600' 39"EOWT 3100 PIC104T 126,16' Plan -F, c�0 V-0 -A-t �Ar,� LOT COVERAGE CALCULATION LEGAL DESCRIPTION -------------- ----- -------------- LOT CADVMMAM 2j�*% &a PT. LOT 2, CLA66600* APPMCN LOT AMA Dom 6CL Pr. CITY CIP RDMO", WA664MTON -------------------- LOT CX't&RA*E PERCENTAW 2L40 It LIM"= NOTICE: W a 1, 1 a formation . shown on the attached The in map(s) was cOm. piled 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 . y person or entity *requesting a copy should conduct an independent info-rm-ation shown on inquiry regarding th*e ffi� -map(s)., including, but not limited to, the lociation of any sew-er stub shown. Suc -not exist and may sewer stubs may or may at the location shown. or may not exist of Edmonds nor its Neither the City r the ernp1*o*yee's o*r office-rs -shall be 1--iab-[e fo information given' on this map(s), nor for e representation provided based any 0 upon said- map(s). Water Service Drawing The City of Edmonds EASEMENT NO . .......................... NEW CONSTRUCTION REP,AIRS [:1 LID NO . .................. . ASMT. NO . ........ ......... OWNER............................................................................................ ... CONTRACTOR ...... HOME5 ..... ........... eERMIT NO. LEGAL DESCRIPTION: LOT.NO . ............................... A-OCK NO . ................................... JOB ADDRESS ... ..... ......... . NO H Ej NAMEOF ADDITION ................. .......................................... ....... ......... ......................... .............. UVI r- 0 LA Approved: �A� WAN-00Ul-11175 (REV. 11178) DATE .... 12---4-18 ....... ... �-') --rn-4 ..................... ....... ... ... ........... By .4 1 W CITY OF EDMONDS :CONSTRUCTION PERMIT APPLICATI USE ZONE PERMrr q vo F1 6, AS— / Z_ NUMBER SUITE/A ADD R Ess r_ 71 OW?E N E/NAMEOFELUSINESS 74 DES71PT ly CHECKI 7_7 SUBDIVISION NO t,10 NO. A PUBLIC RIG . HT OF WAY PER JIFFICIAL STREET MAP. EXISTING' REQUIRED DEDICATION PROPOSED I TESCIP Aorroved Pt 4 1 0 R Permit Requiriid �J. 13 sw U -1� 0 Intel w Permit Req'd, Impeclion Required yfj 0 Sidevimut Requiredt� & 0 CITY TELEPHONE NUMBER NAME . A NO.OFFIXTURE7F —PRV REQUIRED YES XNO 0 U w ADDRESSf x REMARKS /IV rc,_C_ 7141 V S oit� < CITY ZIP ITELEPHONE NUMBER rlAJ,4 41 A) Zl]n �Z NAME ADDRESS Li ..INEERr.yEMO DATED REVIEWEDBY 'F1311?,q CITY Z 8. TELEPHONE NUMBER I"s IRE MEMO DATED -AEVIMED 'BY STATE;�C7SE21IIIBER VARIANCE OR CU ADB# SHORELINE14iiiiiiiiii 0 Legal-Descilption of Property - Include all easdmehFC Z CO,. SEPA REVIEW MPLETE1 EXEMPT. EXP SIGN AREA ALLOWED I PEWSEEr HEIGHT A ED LOT COVERAGE ALLOWED P OPOSED REQUIRED SETBACKS (FT.) FRONT SIDE REAR 7 PROPOSED SETBACKS (FT, FRONT UR SIDE REAR loll 0 I Property LO T AREA '117 IEW 11 I _jA 61 IDATIJ, Ta Account Pit= No. NEW F1 RESIDENTIAL E��--PLUMBINC4MECH COMPLIANCE OR El ADDITION [1 COMMERCIAL E] CHANGE OF USE ElREMODEL El APT. BLDG. SIGN G7A_?y C'.. FENCE X REPAIR I x —FT) WOVE SWIMPOOL DEMOLISH INSERT HOT TUBISPA GARAGE RETANINGWALU 1 R'CARPORT L_J ROCI.RY RENEWAL (TYPE OF USE. BUSINE�SSR A F NUMBER C 1 NUMBER OF ACRITICI. OF DWELL No EAS 0 STORIES UNITS NU BE 0 NECKED BY TYPE 7JNSTRUCTION 00�7 7 1 OCCU GROU I PECIAL NSPECTOR REQUIRED YES E �7 4,? 2 jk_4p�, Aw4y__ I X% A OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER LIBC 108 V AlAWK-4 DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) A T IAJ 4.) FINAL INSPECTION"REQUIRED lear� �Lyrt- -7Vo - VALUATION FEE PLAN CHECK FEE n0+06k, 117- LI-Ylg, HEATSOURCE: GLAZING BUILDING 43Z000 04 111`�19 010 PLUMBING PlanCheckNo.. MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curts, sidewelks, 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 _::1 "Applicant, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE successors in 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 whate�er n lure, arising directly or Indirectly from the Issuance I h S S 0 1 1 permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT modify, waive or reduce any requirement of any city ordinanc: 0 I nor limit In any way the City's ability to enforce any ordinanc TOTAL AMOUNT DUE 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 allthorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating cons! ,�uctkon; and In doing the work authoriz- AUTHORIZES This application is not a permit until ed thereb ' no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her Code of l7e State'of Wasf�ngton relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid. and receipt is tion Insu ance slid ROW-1-8.27. INSPECTION acknowledged in space provided. SIG AT R (0 WNECR SIGVED/,1/ DEPARTMENT JDATE 1 LL� CITY OF EDMONDS OFF1 IA IGN r7� I! 1A11 X4 I I It ATIT, NTION CALL FOR INSPECTION MELEASED BY: DATE IT ISJUNLAWFUL TO USE OR OCCUPY ABUILDING OR STRUCTURE UNTJL A,F:NAL INSPECTION HAS BEEN MADE AND APPROVAL OR 7.71-0220 ORIGINAL — File YELLOW — Inspector A ERTFCATE OF OCCUPANCY HAS BEEN GRANTED. USC SECTION 109 PINK — Owner GOLD Assessor PERMIT APPLICATION REQUIREMENTS To: (21-455tco From: Gordy Hyde, Development Services Engineer Applicant Address: 857-,4 Xd� Plan Check Number: c/ P - z -7 7 Pursuant to issuance of a building permit, the following requirements must be met: -I- Construction hours are 7:00 am - 10:00 pm on weekdays and 10:00 am- 6:00 prn on weekends and holidays. (ECDC 5.3 0.110) 2.q�k separate right-of-way construction permit is required for all work on public property. (ECDC 18.60) 3Aruck haul route plan must be submitted and approved. %-4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) 6erptA,r O'No work shall be done within 15 feet of streams or 10 feet from any closed drainage facility. Builder/owner is responsible for identifying conditions on the drawing. (ECDC 18.30.50G) -16- Filter fabric fence shall be installed and inspected prior to clearing and construction. (ECDC l8.30),SP','1-*' -7. Inspections are required on ston-n drainage systems, tightlines and catch basin installation. Inspections are required prior to backfilling. (ECDC 18.30) 8.`l/�,e�air or replace all defective existing curb, gutter and sidewalk adjacent to the pro erty. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Tntgineering staff to determine the extent of repair prior to issuance of the permit (ECDC 18.90) Driveway slope shall not exceed 14% without a waiver. Waiver granted to allow 410 %. (ECDC 18.80.060D) tfAriveways must be paved from edge of pavement of existing roadway for a minimum distance of 20 feet. A separate permit may be required. (ECDC 18.80.060C) I 14iispections are required on driveways and sidewalks prior to and after pouring. (ECDC 18. t2'No burning of construction refuse is allowed without a permit from the Fire Department. -1-3. Connection to public water system is required. There is a separate charge for the water meter. (ECDC 7.20) -P. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) 15. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18. 10) 16. Connection to the public sanitary system is required. A separate permit is required. LID & Fees paid: Yes — No Charge if 5- _ (ECDC 18. 10) '-17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) A final engineering inspec ion is required prior to the building division authorizing occupancy of the building or structure. (ECDC 18.90) PRMTAPP DOC cc) ul z f > r cj) ('r, cy P Q u') w co) cf) _j co p w MEA - c C31 Sr- x 15 7 CU. Y0. HADED Lj4_r L,- Frivate f;Road WIC-11111111171111 cotplm"y AREA - A 3411 SF x 1B 1W CU. YO. (CUT) 5777-77-7� ........ .. L) . ....... mpolloorm i L- - - - - - - OS0261411 a / 0 AT - - - - - - - - - - - - - POINT'& Imm* AR" 883 EP x 1B 32 C4 YC>. (FILL) CROSS HATIHED I Up Z)VU_ /<4 Resi0o/nce I rN,&4mFLom aLlivA�ioN wbb�& POINT Z, RATIO - - - - - - - - - - - - - - - - - - - - j ! 010, w lue, 192 CUBIC YARDS - CUT .11, 89 CUBIC YARDS - FILL' Grading Plan W_ALI1,v.W_v. MEIGMT CALCULATION POINT 'A' 0190- POINT 15' 102AM' POW 1c, NMAW POWT .0. - - - - - AVKMAO2 W60V GRACS JQF�11_ W11111214T DIB& MAXPW �ehmw 126.10. Kwit _A!�z LOT COVERAGE CALCULATION �� 4� - - - - - - - 2w, - ;�� 0? AMA rj~ Ga wr. -------------------- LOT COYERAM P8ptzW4TA*V 21.40 Th LEGAL DESCRIPTION -------------- LOT 2, CLA66IC4'6 APOITION C)TY CO 110MCW06, WAAWIWTCN ("'ITY Copy Frivate lRoad III I bl, S KOwrw , � �t, �j [") I I \�� %,—/U L L11 1�j I 6CALS, I" . 20'-C" C4PVM AT COW-141STS ORNSWAY r- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .mOINT'A IVIAW PONT 01, 02AW - ------------ 4 ONcmr .1 W-21 L------ V Resi*ce i r— — — — — — — — — — — — — — — - POV�M,O, — — too," WIAW ATIO HEIGHT CALCULATION F-011"IT'A' 101"' POINT'S' 102"' POINT Ic 01", POINT V� 1109". --------------- AYERAOR 106"' **ADS WA, WE ICW4T MIAMI IMP—M LOT COVERAGE CALCULATION ------ ------------- LOT 0� 2,bbs Illa PT. LOT AMA *ADM Ga PT. -------------------- LOT CA"IRAde PeRCANTAW 2t4o % LE43AL DESCRIPTION -------------- LOT 2, "A"W'll A=MCH cirr op somoW6, WASWMTOW ------------ = OWT 126.16* PERMIT APPLICATION REQUIREMENTS To:—(21,,4-S-5/co From: Gordy Hyde, Development Services En-gineer Applicant Address: 2v41z-- 85-r-4 4q Plan Check Number: c/P. Z 7 7 Pursuant to issuance of a building permit, the following requirements must be met: -I- Construction hours are 7:00 am - 10:00 pm on weekdays and 10:00 am- 6:00 pm on weekends and holidays. (ECDC 5.3 0.110) 2A separate right-of-way construction permit is required for all work on public property. (ECDC 18.60) 3.14/4rruck haul route plan must be submitted and approved. ,4. Builder/owner is responsible for containing all temporary runoff and erosion control on site. (ECDC 18.30.030d) ONO work shall be done within 15 feet of streams or 10 feet from any closed drainage facility. Builder/owner is responsible for identifying conditions on the drawing. (ECDC 18.30.50G) -C Filter fabric fence shall be installed and inspected prior to clearing and construction. (ECDC l8.30)'5-1r"*'11' -7. Inspections are re ed on storm drainage systems, tightlines and catch basin installation. Inspections are required prior to �ackrfilling. (ECDC 18.30) VJke . pair or replace all defective existing curb, gutter and sidewalk adjacent to the proTerty. If an intersection is involved, a handicap ramp may be required. Contractor shall meet with the City Ingineering staff to determine the extent of repair prior to issuance of the permit (ECDC 18.90) -9. Driveway slope shall not exceed 14% without a waiver. Waiver granted to allow 410 (ECDC 18.80.060D) ft.'kveways must be paved from edge of pavement of existing roadway for a minimum distance of 20 feet. A separate pen -nit may be required. (ECDC 18.80.060C) I 14nspections are required on driveways and sidewalks prior to and after pouring. (ECDC 18. T2' No burning of construction refuse is allowed without a permit from the Fire Department. -ft Connection to public water system is required. There is a separate charge for the water meter. (ECDC 7.20) -r4. A back water valve is required if downstairs plumbing is below the elevation of upstream manhole. (ECDC 7.20) T5. Water and sewer main lines should be separated by 10 feet minimum. (ECDC 18. 10) 16. Connection to the public sanitary system is required. A separate pen -nit is required. LID 4'/& Fees paid: Yes — No Charge ? 5- _ (ECDC 18. 10) '17. Underground wiring is required on all new construction, and for additions, alterations, and repairs that exceed 50% of the total assessed value of the structure. (ECDC 18.90) A final engineering inspection is required prior to the building division authorizing occupancy of the building or structure. (ECDC 18.90) PRMTAPP DOC PLANNING DATA NAME: SITEADDRESS: 20W'Z' DATE: kr— -2- ZONING. PLAN CHK#: PROJECT DESCRIPTION: .5 /C�� CORNER LOT A -(Yes/No) SETBACKS: Reauired Setbacks: FLAG LOT 0(> (Yes/No) Front: 2-< Left Side: Right Side: Rear: '2S Actual Setbacks: Front: 31 Left Side: —Right Side: Rear: Street map checked for additional setback required? —(Yes/No) LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED (Y/N) LOT COVERAGE: 2 f, Maximum Allowed: Actual: A BUILDING HEIGHT: Maximum Allowed: ---Actual Height: MQ644*'_ Datum Point: Datum Elevation: A.D.U. CREATED?: 1�11V SUBDIVISION: 7 -7 - b !� CRITICAL AREAS #: I L( - 2 17 - t,,/ t+- 1 OA SEPA DETERMINATION: J� LOT AREA: f 7- 6 U U OTHER: Plan Review By: c.Tt1cs\permitkAp1&ndaLdoc cr Lu < Co cr) z 093 Cal) >,. cl) < W CO cf) -.1 . M �<- : a - POW W700, Fr i va te fRoa 6 -,, 'STREET FIEF COCRETE CMVEUAY — — — — — — — — — — — — — — — MANWM* WVM AT % ixa,+ ------------ I k( i 10ffWAU t *AhAdS L -7 71 Proposed IA" i Rosytncp // 1 // I rNOWED, - .4e— — 1'�- I 11, RATIO Raw V WlAv, L— — — — — — — — — - — — — — — — — — — — — I — — — — — — — — — — — — — — - N W20%, W IL20' NORTM �/�17� Drainage Plan 6CALE, V - 2V'-&* A U 1998 HEIGHT CALCULATION PONT 'A' 1901,W' PONT .5. wp;": POINT Y- VIAM PONT lc� ice", --------------- AVERAGE 10600' rdwoow Islac, rVOC996PI WEZM4T 126.18' -Ttn��4 i lsc'� ------------- APPROVED S AV � k-K R.0im 4,-� I MT rl(%V=Dktl= dr�Al 1'"I A'rlt%U I CMAI r%CQl%0l2b'Pl^U -------------- ----- -------------- LOT ODYMAW 'Bol ea Fr. LOT 2. CLA&M.0* A00MCH LOT AMA 29kw ba ". Crr4r OP XMIMPS, WAOMMMICH -------------------- LOT COvS*Ade PROMeAde R40 % w UJ co) K V)c:�). 13 77 POINT Pat IFPEA I cu. Yo. (FI�L) HADE n- t4A IAI-r,4 1AJ pi 47 JM0,5104 C�0,01 Frivate fRoad . —.. —.. - - - - t ft-- �2 & Lf"—r clow-MIM Dmvs"y APJ=-A - A 3411 SF x 1 -5 JS2 CU. YO. (CUT) CONeR AT ------------- PONT AR" - 5 aim I 32 CLTY'n' :j. Kr 4 C—ROSS WATC�4ED y ProposeE�, Resi0once MAJOR= FLOM fi:N�A" WbBC' 30" r---------- POINTI 0, L--------- - — — — — — I — — — — — — — — — 4-4-4- -- 192 CUBIC YARDS - CUT-,' 69 CUBIC YARDS - FILL-� MOWN Grading 4cA1m,1*.2W1-v, HEIGHT CALCULATION POINT'A' VIAW FIVNT'5* W2,00' . OINT Ic IMAC, POINT T)� h0s", AV911111,401111 W*00' 41tosod ka, -81dW4T MIAW zz�7 XW47 06.0' PATIO —ft7 to_: —W V201 Plan papa 1c, APPROVED AS NOTED 26# flulf'.8 - LOT COVERAGE CALCULATION -------------------- LOT COVW%AM 2pot 612 pr, LOT AREA VAID" Iba pr. -------------------- LOT COVEPLAW PE"CEWAde 21146 % LEGAL DESCRIPTION -------------- LOT 2. CA-A"10011 AC*MCN CITY OF ffomoNpa, WA64mraN FrIvate fRoad STREET FILE CIO'," AT Can - COWIMM --------------- — . I --- - - - - - - - - - - - - - - POINT:A I 10100 POW 15, 1 0- It IDEUIALI \Y/Proposed- ResiV L L 2 h� 72ce- I PNGWM LOOR ELFYA�� WbbC' tWJW' LZ - — — — — — — — - — — — — — — — — — - — — — — — — — — — — - w POW 10190, PAM L— — — — — — — — — - — — — — — — — — — — — — — — — — — — — — — — — — — - He �ht 6CALE! 1" - 2 HEIGHT CALCULATION POINT 'A' 10190: PONT S, 102AC POINTV 1911AC POINT V, ice", AVZFkAC.E 10600' WEIGHT 131.1m, WT 126.18, *Gmm— N 00*281b, W 1120, Calculation LOT COVERAGE CALCULATION -------------------- LO, =%IM448 2JWS 6Q Wr. LOT ANA UAW bQ ". -------------------- LOT C&,VtA4W PEWr--WA*E 21.AC % Plan AUG -18 - - 1998 �10 I T r A LEGAL DE8CRIPTION LOT 2. "A"IW* AZOITION CITY OP EDMON06, WAOWMTON Jo DA Y5 CITY OF EDMONDS SIDE SEWER PERMIT E 0 N �'D =S D T 7M M �T P PERMIT 8 '0 T ETREATMEONT PLANT Address of Construction: FF �Z, , - 6 Property Legal Description (Include all easements): Owner and/or Contractor: 9-S State License No. Building Permit No. Single Family Multi -Family (No. of Units—) El Commercial El Public RECEIVED Noy 1'3 1998 PI-IBLIC WORKS DEPI Invasion into City Right -of -Way: 0 No Yes RW Construction Permit No. Cross other Private Property: No 0 Yes Attach legal description and copy of recorded easement I have read and shall comply with all city requirements on the back of the Permit Card. Date * CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION * OFFICEVSE ONLT FOR INSPECTION CALL 7?4=8M, PUBLIC WORKS DEPT. 77/-0,-;;t,357 Permit Fee: — �,D - 'Do Issued By Trur)kCharge: -,�5-oo Datelssued:. Assessment Fee: Receipt No.:. Lid No.: Partial Inspection: Date —Initial — Comments Reason Rejected: D?te—Initial— Final Inspection Approved: Date Initi ** PERMIT MUST BE POSTED ON JOB SITE ** White Copy: �ile Green Copy: Inspector Buff Copy: Applicant Revised 3/90 The City of Edmonds Side Sewer Drawing EASEMENT NO . ........................................... NEW CONSTRUCTION 2--' REPAIRS F� LID NO . .................. ASMT. NO . .................. OWNER................................................................................................ CONTRACTOR ...... ............................... PERMIT NO. JOB ADDRESS -2-0.6.!X7 ... 9.8+A,,.Avg ---- W ............................. LEGAL DESCRIPTION: LOT NO . ...................................... BLOCK NO . ................... ................ 9 NAMEOF ADDITION ....................................................................................................................... L11 7 -2 0 (0 1 IZ — !&.2 44% Ajr. w. jai 0 (.9 + r— s 0 4 Fra— Ica eao ts Je-4p 104,'�C� �0 Approved: i PWW-000 1 .11/75 (R EV. 11/78) DATE .................... B y 4 /A��- -----------------------------------