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20818 88TH PL W.PDFIIIIIIIIIIII 8520 20818 88TH PL W CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET 2NEW ASSET NO. 7 ADDITION ADDITION TO ASSET NO. RETIREMENT DESCRIPTION SERIAL NO. LOCATION D gT NO. * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBER a)Z-7�- PROJECT COMPLETI ON DATE COST B.A.R.S. ACCOUNT NO. # -o a &14-, o o -4-0 ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE ttnp INITIAL DATE VERIFIED BY PROCESSED BATCH NO, DEPARTMENT FILE CITY of EDMOND SIDE SEWER PERMIT STREET FILE For I.nspection Call 771-3202 PERMIT NO. 07550 q;:Z EF, PL Address of Construction: _�,Og�g _ ('� S Property Legal Description (Include all easements): EDMONDS R TREATMENT- PLANT - Owner an , d/or Builder: ;�Iob 112rvd_�P Contractor & License No: /1 -Z Single Family Residence Multi -Family (No.' of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Yes,,Right-of-Way Construction Permit required. Call One -Call -Center (1-800-424-5555) before any excavation.) Cross other Private Property: No k", Yes (If Yes, easement req'uired, .attach legal description and county easement number.) PL:EASJEIR TH TEMS LISTED ON THE BACK I 'k--- &Yt j T y that I have read and shall E-omply Date with the items listed on the back. Pe rmit Fee: Issued By: Tr unk Charge: Date Issued: Assessment Fee: Receipt No.: Partial Inspection: Comments Eate Initial Final inspection Approved: Date Initial 00 - Rejected: C) Reason Date Initial PERMIT MUST BE POSTED ON JOB SITE Wh-ite Copy - File Green Copy - Inspector Buff Copy - Applicant 11 f A r The City of Edmonds Side Sewer Drawing EASEMENT NO. � ------------------------------------------- NEW CONSTRUCTION REPAIRS F-1 LID NO - ------------------ ASMT. NO . .................. OWNER ------ 40V-0,F - ------------------------------------------------------ CONTRACTOR . .............................. PERMIT NO. 7SE.c. JOB ADDRESS .10-818 ------- W .............. LEGAL DESCRIPTION: LOT NO. —.8 ------------------------------ BLOCK NO - ---------- EDMONDS ------- TREATMENT PLANT PWW-0001-11/75 (REV.11/78) NAME OF ADDITION --- 15-L)t4RISE ..... P'l-zGor ......................... ................ .................... Z0818 88 PL.W. 6" DP. I - S'DP. 19 j t V Approved: DATE ....... By F - -- ------ ................... NOTICE: 'ran -y ... 0. No war ched The -informatiOn shown on the atta MaP(S) was Compiled for use by the City Of Edmondsi its Employees and Consultants. Th..e City of Edmonds does, not.warrant the. anything set forth on these accuracy Of rnap(s�. An . y person or entitY,requesting a copy should conduct an independent inquiry regarding th*e inform-ation shown on -map(s)., including, but not limited to, the lociation of any sewer stub shown. Suc sewer stubs may or may, not oxist and may or may not exist at the location shown Neither the City of Edmonds nor its t2mpl-o-yee's o*r (Dffi-ce-rs -s-h-al-1 be I-Jab-l--e for the information given' on this map(5), nor for any one representation provided based upon said. map(s). PROJBCr REVIEW CHECKLIST PM= ADDRESS: P,10,='NAME: Ke-57. 'ADT)T TeEnITIM 17M-PTPT DATF Reviewed by: (initial/date), PLANNING WIRISWR I STRMT ENGNFNG FIRE TUILDING T/77T/77777777// snq(ZE FAmnY0mTIXE/CCK4ffZCIAL - (Circle One) -m7/7777 SETBACKS CHEM= - PlaMir-9 77777771 7777777777 VARTANCE/SETaACK AW. //////// 1 77777777 1111111117 CONDITIONAL USE PER= -171-77 //////// -71717 2 - T17 T17 7T/ 7TTI-17TI 7 ADB MQUIREMENIS 3 09, 7777777777 OTHER ZONING REQUIREMENTS 4 777777777 ENVIRONMENTAL FEATURES 409' ACCESS SMPF & VEHICLE ACCESS 71111 ///////// 7777=7777TrIT ///////// //////// . - 1. . 6 o C70 77T17T717111111 DRAINAGE PLAN (On Site) 7 111177 TrlTlTff STREET FILE -TRI17111 //////// 8 LEGAL DESCRIPTICN VFRIFICATION Jlav 2 11711111 9 77-777777 1111717T7TIURT QUIT CIAIM/DEDICATIONS ///////// ///////// //////// - 10 7111 11117171 EASEMENT - PUBLIC/PRIVATE ///////// -IU" //////// -R 1 11 '7T"U CALCULATE SEWER CON 77TTrR7T TTIT //////// 12 77777777 PIAT/SUBDIVISION REQUIREMENTS I 3 7777//77f V 4/4 . RIGHT-OF-WAY CONSTRUCTION PERMIT REQD ///////// 14 777T77777 BOND REQD FOR PUBLIC IMPROVV-1ENTS Ao' 15 SOIIS CONDITIONS & GROUND 1111IT-11"11111 WATER FIETD OiBCKED 16 STREY-T PAVING REQUIRED 1111711/ 17 7///// 1111IT1777TTI7TTF177T CURB AM GUTTER REQUIRED ////// ///////// ///////// 18 ////// IITITTT17- I//////// W, 7 SIDEWAIX REQUIRED WWWW/u/ 19 CURB CUT FOR DRrVEWAY REQD 20 111117TIl IITTFR77 STREMT NAME SIGN REQD -111111711 21 7-7 R TITTIT177 OTHER SIGNING REQD 22 7TI71-1111 7TTIT177. SIDE SEWER AVAILABILITY ///////// ///////// //////// 23 EXISTING WATER MAIN SIZE 77TI77TIT ///////// ir - g P, It //////// //////// 24 WATER METER SIZE 25 SERVICE LINE SIZE 7W11 1111V1111 ///////// Vv "' 7777/777TR77�77 //////// 26 — T111 17777 7777777T 7777777777 HYDRANT REQUIRED ///////// //////// 27 //7./77T77777W 17TflT17T1-TflT"UU— HYDRANr SIZE EXISTING ////// ///////// //////// 28 — r7-7777 "7 777TTT777 CROSS CONNECTION INSPECTION REQD 29 7-77/7/ -171-11111 WATER METER CHARGE REQD 30 1111Kn 1111111171 FIRE LINE CHARGE REQD SPRINKLER 31 STREET CUT 32 777111111 T-7-1711111 OPEN DITCH EXISTING A 33 171111111 T/-[////// RMD, ///////// ///////// 34 777777 1111117TI 7TITI-1-1-IT CULVERT REQD 1111111111/11111 ///////// 35 7777717 SIZE ///////// -1177777 36 Trr17T77T111177 CAMf BASIN REQD 37 TI-IT17TFITI-F111 INDICATED ON SITE PIAN 38 SHOUIDER DPAINAGE MAINTAIN SHALE OPEN RUNOFF 39 7-17=711117117— Vasc: 140 j Z REVIEWED BY.— Z-Z/ 5/'g y PIN-TiMIG MR. ENGINEERING MR PUBLIe WORKS MGR. USE WPERMIT ZONE < NUMBER CITY 0 DS XONSTRUCTION PERMIT APPLICATION jOB NAM!� AME_R NAME OF ;BUS E , ZIN S) ADDRE55 LEGAL —DESCRIPTION CHECKI SUBDIVISION NO. LID NO. At NG ADDRESS, C V YZ_ I Ty TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. 9 97 EXISTING— REQUIRED DEDICATION- 7 OSED/"f NAME C-- RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 ADDRESS STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED CITY TELEPHONE NUMBER REMARKS I , 1 NAME ADDRESS CITY TELEPHONE NUMBER STATE LICENSE NUMBER Legal Description of Property - Include all easements (show below or attach four copies) I NEW RESIDENTIAL U PLUMBING ADDIALTER E] COMMERCIAL El MECHANICAL REPAIR RETAINING WALL SIGN 0 EXCAVATE FENCE DEMOLISH OR FILL I x _ FT) El PRE -MOVE INSPJ swim El_ REMODEL COMPLIANCE INSP. POOL WOOD STOVE INSERT I [:] APT.BLDG E] RENEWAL MBEROF NUMBER OF STORIES NU 2 UWt:LLINU I UNIJS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 4<_1) / I -C'S' - METER SIZE BUILDING SUPPLY SIZE FIXTURE -UNITS REMARKS SIGN AREA ENV. REVIEW ALLOWED i PROPOSED I COMPLETE i EXEMPT 0 W; W; Z! a! Z� Uj fr Uj ADB NO. IORELINE 0 VARIANCE OR CU IP�ANNING REVIEW BY . D TE / -9-7 YARDS HEIGHT I LOT COVER�GE/ —7 FRONT y25 SIDE 7-Y2- REAR/5 '54 �HECKED BY TYPE OF CONSTRUCTIO CODE T7 /y SPECIAL INSPECTOR AREA OCCUPANCY REQUIRED GROUP g.3 0 YES 0 NO REMARKS 1;Ftc- /Vo _51511 �C(77PAI � VALUATION PLAN CHECK FEE BUILDING PLUMBING This Permit covers work to be done on private property ONLY. MECHANICAL GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and w successors In interest, agrees to Indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, m employees, and agents from any and all claims for damages of a: < whatever nature, arising directly or indirectly from the issuance X 0 of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT modify,.walve 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 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 authorized agent of the owner. I agree to comply with city and state laws regulating construction; and In doing the work authoriz- THIS PERMIT AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED tiQn.I_nsuranqe. I NSPECTION SIGNA (o#N OR A�ENT) DATE SIGNED DEPARTMENT .')�IJAE 1-7 CITY OF EDMONDS IM ATTENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-78 HEIG OCCUPANT LOAD APPLICATION APPROVAL This application is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt Is acknowledged In space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor Z Z 41, K'� —P MOM ."Womi 0 nil 0 n- ---mc q N on ayn ...... . .. .. WAS- A "N XQ n now, low lye -all -,Wn may =A, 'I --' Ic t 14 ;42'. IQ As" AN "Too v "or JIM. —"'m MOW