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20932 88TH PL W
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TAX ACCOUNT/PARCELNUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRIT1CAL AREAS: DETERMINATION: F] Conditional Waiver [:] Study Required [] Waiver
DISCRETIONARY PERMIT #'S
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
SOILS REPORT DA
STREET USE / ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED:
OTHER:
BLOCK:
LATEMP\DSrs\Fonns\Sbret File Checkfistdoc
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PERMIT NO: 950
0 of Edmonds
ity PERMIT EXPIRES
SIDE SEWER P9ftMIT r
Address of Construction: 7, i::25 3 Z 5 9'7—'(A _P/ LID #
Property Tax Account Parcel No. -.0 0.5—a'9
Attach copies of all access and utility easement Verified and k0proved b
Pnrawrier d/orContractor: -,,�IJ4AV
t ctor L
icense.#: /V 1A /Building Permit#: 20()
§ingle Family Invasion into City *Right -of Way:, M,Ves El No
Multi -Family (No. of Units *RW Construction Permit
Commercial (No. of Units Cross other "Private Property: Yes
F� Public "Attach legal description and copy of recorded easement.
-Owner/.Contractor
-7,
Owner or contractor signature and acknowfdgement statement: Date
By signing for this permit I certify that I have read the City's public handout entitled
Side Sewer Specifications, and shall comply with all City requirements outlined therein.
2 CALL DIAL —A —DIG (1-80042o'KT-5555) BEFORE ANY EXCAVATION 2,
W FOR'INSPECTION CALL'425-771-0220 extensionJ'�"�'
24 HOUR NOTICE RE 611HRED FOR ALL INSPECTION REOUESTS
...........
.. ... .... FOR OFFICE USE ONLY .. ....
. . .... ....... .
...::: . :.. . .... . ... ..
Permit Fee Repair Fee Issued By:
Trunk Charge $ Date Issued: '7
Assessment Fee Receipt No:
City Permit Surcharge Fee $5.00 Total Fees Paid
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45- RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial;
FINAL INSPECTION APPROVED: Date: initial: L2(3 As -built to Street File:
t� PERMIT MUST BE POSTED ON JOB SITE tm/-
White Copy: File Green Copy: Inspector Buff Copy: Applic.ant
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CITY OF EDMONDS
SIDE SEWER AS -BUILT
ADDRESS
20932 88TH PL W
PERMIT
NUMBER 9510
HOMEOWNER SUSAN McMURRAY
CONTRACTOR OWNER
DATE
07/24/01
DRAWN
BY
L ABILA
NOTICE:
n-y ... 0 T -a u t-o Y..
No a r-ra
The -information 'shown on the attached
map(s) was compiled for use by the CitY Of
Edmonds/ its Employees and Consultants.
Th,.e City ofEdmonds 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
e information shown on
inquiry regarding th
___tNe -map(s); including, but not limited to,
-er stub shown. Sucl-
the lotation of any sew
sewer stubs may or may- not e.xist. and may
or may not exist at the location shown
Neither the City of Edmonds nor its
empl-o-yee*s o,r offi-ce-rs -shatl be 1-Ja-b-1--e for the
information give-h on this map(s), nor for
any one representation provided based
upon said. m a p (S)
V_
DATE RECEIVETD
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
,4,tlf,�j
MAILING ADDRESS
CITY ZIP ;;HONE
5
NAME
ADDRESS
[PERMIT EXPIRES
USE PERMIT
ZONE Sp NUMBER
JOB SUITE/APT#
ADDRESS
/,E5 7
P LAT NAMEISUBDIVISION NO LOT NO LDN
L�D FE0E $
TESCP P"'. 0
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP RW PeZ Rqdi—
Sueet Use Polls R" d^O
EXISTING — P E lmp�n A.q,kw
Sid -all, Asa"ea
REQUIRED DEDICATION T
WI,lN,.qui,.d x
METER SIZE I LINE SIZE I NO.OFFIXTURES PRV REQUIREC(
YES 0 NO 0
REMARKS z
OWNERICONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE z
13
CITY ZIP
TELEPHONE
40:4z AMU
18v2M4,,I
NAME
X. 1;724111111_.:��_ (/! C./
ILE
ENGINEERING REVIEWEDI;S
X ADDRESS
L)
FIRE REVIEWED BY DATE
a:
IETE
z CITY ZIP
TELEPHONE
VARIANCE OR CU
SHORELINE OR ADBN
INSPEC!ION
FIE. .
PB.0ND
TED
STATE LICENSE NUMBER EXPIRATIONDATE
CHECKEDBY
C] YES_aiq0
SERA REVIEW
COMPIL EXEMPT
SIGN AREA
ALLOWED PROPOSED
HEIGHT
ALLO ED PROPOSED
PROPERTY TAX ACCOUNT PARCEL NO
00
5
P
EX P
X
q34
NEW RESIDENTIAL PfCP.LUMIIING MECH
T
LOT COVERAGE
L 0 C
L L 0 W E 0
ALLOWED PROPOSED
REQUIRED SETBACKS (FT.)
FRONT SIDE REAR
P POSED S ETBACKS(FT.)
FRONT LJR SIDE REAR
P LIANCE OR
7'
-�557",,
5
_ /
, z
z
1�z �
0 AUDITION COMMERCIAL
CHANGE OF USE
P A R
PARKING
T AREA
PLANNING REVIEWED BY dATE
0 REMODEL C] APARTMENT
0 SIGN
R D
REQQ I PROVIDED
E Q
L�z
REPAIR 0 GRADING CY FENCE
US El ( X FT)
K
MA KS
M A S
DEMOLISH TANK
0 OTHER
GARAGE RETAINING WALL
0 RENEWAL
z CARPORT ROCK FRY
0
7 (TYPE OF USE, BUSINESS OR AC
CHECKED BY
TYPE
OF CONSTNlk��,X
C
I
_T
IF— OUPAV
OR UP
NUMBER
al OF
2-
N—UM13ER 0 F
WELLING
'U)NITS
TCRITICAL
AREAS
SPE A L 1
T CCUPANT
L.A.
10
a STORIES
NUMBER
RPECIAL
EQU RE 0
0
3�n
E
DESCRIBE WORK TO BE DONE
R ARKS
P GRE INS
R1
0
K
CTI PER UBC 1081FINAL INSPECTION REO'D 0
fVALUATION
FEE
L A N I
PLANS�IHEQJN_
MOURCE LIT SLOPE I Ut LD+
U I LD
I
S
_\
PLAN CHECK NO(,, VESTED DATE
P 11BING
M E ANI L
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK T1
t B E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
NIAD\11111-1-
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMISSION.
STATE SURCHARGE
PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT: I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
ENG. 'REVIEW FEES
SEE BACK OF PINK PERMIT FOR M ORE INFORMATION
L AND SUCCESORS
A PP ICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIHS, ASSIGNS
ENG. INSPECTION FEE
Soo
N TEREST. AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF
I IN
LANDSCAPING
2 EDMONDS. WASHINGTON. ITS OFFICIALS. EMPLOYEES. AND AGENTS FROM ANY AND
INSPECTION FEE
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING DIRECTLY OR INDIRECTLY
RECEIPT
FR M THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE
PLAN CHECK DEPOSIT
DEOEMED TOMODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITYORDINANCE
0 NOR LIMIT IN ANY WAYTHE CITY'SABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
x
11 CEIPT
TOTAL AMOUNT DUE
IR
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION: THAT THE INFORMATION
APPLICATION APPROVAL
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 CONSTRUC-
CALL
This application is not a permit until signed by the
TION: AND IN 0 NO THE WORK AUTHORIZED THEREBY. NO PERSON WILL BE EMPLOYED
D If
Suit ding Official or his/her Deputy: and Foos are paid. and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION receipt is acknowledged in Space Prolided.
WORKM . EN'S COMPENSATION INSURANCE AND RCW 18.27.
OFFICIALS SIGNATURE DATE
SIG URE (OW7R Q�,rNT) DATE SIGNED
(425)
'�l - -,;', 2,
771-0220
,�_ - -5
RELEASED BY DATE
A17ENTION
EXT 333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
771-0221
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL � FILE - YELLOW - INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
FAX
PINK - OWNER - GOLD - ASSESSOR
a
November 26,2000
City of Edmonds
Development Services Department
121 5th Avenue North
Edmonds,Wa 98020
Re: Permit Application--60-'247
SiteAddress: 209332 88th Pl. West
Ex
,piration Date: 12/8/00
To: Building Official
im F
R%.CF.JVgD
NOV 3 o 2000
DEVEL40PM - ENT §E�YICES CTR.
C 1,T,,Y Q F LP MR OkA � ' r'
I am requesting an extension on the subject permit application, 00-247
If you have any questions, please call our home at 425- 778 -5594
Thank You,
N If
Alan and Susan McMt a�y
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WATER & SEWER
INSPECTIONS REQ`D
CALL 425-771-0220 EXT. 1396
FOOTING DRAINS NOT
TO BE TIED INTO
DETENTION SYSTEM
TEMPORARY �,%oNJSTRUCTION
ENTRANCE REQUIRED
'C�
Lj tWjr
., joglirft.Any
OWNER/CONTRACTOR IS RESP04BLE FOR
OV -
EROSION CONTROL AND DRAINAGE
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.tr 311.0
APPROVED AS NOTED
BY ENGINEERING
Date:
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RECEIVED
STREET
FILE
MAY 2 2 2001
PERMrr COUNTER
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APPROVED AS NOTEU
B v ENGINEERING
Date:
,,4NS,4jCON-rRACToR IS RESPON'$2LE FOR
EROSION CONTROL AND DRAINAGE
STREET FILE
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RECEIVED
MAY 2 2 2001
PERMIT COUNTER
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