21018 HIGHWAY 99.PDF11111111111111
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21018 HIGHWAY 99
I R
I I I OMIIRI 'I
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
e9,11 6g?��
CRITICAL AREAS: :X::z DETERMINATION: E] Conditional Waiver [] Study Required 43-1raiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DA
SEWER LID FEE $: LED
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Fomis\Street File Checklist.doc
CA FILE NO.
Cel cal Areas Checkli SV
Site infortnad on (soi Ishopogmphy/hydro ogy/vegetatio
1.
Site Address/Location: 2.1 C) 16 4W U
2.
Property Tax Account Number. 001 otp
3.
Approxintate Site Size (acres or square feet): Cl-
'Z�
4.
Is this
site currently developed? —k�fyes; 00.
If yes; how is site developed?_jeE64� — CZ A.C,
�MMRIPC�
5.
Describe the general site topography. Check all that apply.
V' Flat less than 5-feet elevation change over entire ttte,.
Rolling:. slopes on site generally less than 15% (a vectical - irisevf '10-fe . et ov'er i a ,
horizontal distance of 6"eet).
Mr.
slopes present on Mae of mote than-15% and less, than 30% (a veritiiical rise'',..'
horizontal distance of 33'
,of 10-feet over a
to 6&feet)-
Steep: grades of greater than 30% present on site (a vertical dse, of 10-fee't over a
"horizontal distance of less than 33-fed).
'.Other'(Please describe): -
J,
6. Site. contains. an.:as.9i year-round standing vrAer. ab Approx. -Depth:
7. Site contains areas of seasonal standinZ water. ao App Depth:
Mx
What season(s) of the year?
S. Ske,is in. the floodway GoodPL-dn —7-7T,�- ofawatercourse.
9. Site contains a creek or an irea where water flows across the grounds surface? Flows are y;eir'--*
round? Tlows are4easonal?. (What time of year?
.10. Site is priniarilr. forested meadow, dmbs mixed !Ao—
urban landscaped (lawnshrubs etc)
11. Obvious wetland is present on site:
-For 0W Staff Use F
J-.-, site is Zone&..
Unvood soil-type(s)?
ap.�.t�-iweuanauveqtofyorCA-mViMicat wedandpmenton-si�
'Inventory or C.A4 Area oalW
Arew,
p. v#, incth subsidence-1811Mj& JM7Ard4jnjea9.
Sen�tjya A:n=,Map7
R,M*.WZ"3
0,90-19%-
City of Edmonds
Critical Area's -
�Q
It OR.
-k
The Critical Areas Checklist contained an and submit it t"o thecity.�' �"e City will
this form is to.' be APO gut 0Y any person..,-...;, -review the checkli:s4 maim 'a" premwry site
preparing a Development permit
Application for the City of Edmonds prior Visit, and make a dewmirmfion of the
,subsequent steps,necessar to co a
to his/her submittal of a 4��eloprneni 'y,, _mpiqe
permit applicafion.
permit to the City.
'The purpose of the Checklist is to ena'616"'
City staff to determine whedw any _ . _ _
potential Critical Areas are or may be
Present On the subject PrIGperty. Tbe
information needed tocomplet�'tihe ',�:-_
Checklist should be easily available fi-orn
observations of the site or data available at.
City IWI (Critical Areas inventories. Taps,-,
or soil survevs).
�7
An applicant,- or hi
must fill out the checklist, sign zinddate
WIM - signed,
. - �OpXpf this forrn;the
applicant should also submit -a vicinit
or plot plan for �individual lots of the parcel
with enough detail that City staff can find
and identify the
addition, the applicaa!kshaH
Wude
other Pertinent inforn , tafloq,(g�g.'site
phin, topograiAiinao, , 00 ii it6dies in
�cordunctioii with thissUi7eddi4 t6'j!�M -k
U In!CUKFWeU'ng TRW prdWmary
xssinentof.the#�.J.,_'.
I have completed the attached -Critical �Arca Checklist,and atlest-tharthe erSpnMd6da"r"e_`-
factual, to the best of -my -knowledge (fillbut the ap*pdate,column"belo*y--"--,-"",---,-,*--"--,- "
Owner Applicant:
Street ;�ddn=
levc P, 842
T'56_e�ce
DL��_Vc __J
City. State, Z�IP Phone
J,
4 gnature
�� r
Appli'can--t-",R-e,p,resentative:
123 C-4 1;1*4� Y) e-
Stred-Addrm
F Pve-� W-A
--w Z583-�642 1
City. State, ZIP Phone
iIgnatu
� re Date
(A):
17
. . .............................. .
1994
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I AA
I fA
If
:r4.
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s§ VL
77� 19
C.0 16-X'
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x
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all,
CaF4 C..
Ar
'77, -
-Y
Ao *W',;
1q. 0
45'
jq6. 5
IL
10
14
Ao
- A"
Inx
LZ
7A '7
—\\. . -/ -3 -1-,. 1
7-1
4.
ka
I ct,
F'
1. lot, 6+;CW1.A
CJCP%AC.
C-5 C�tb.
ir. —
SUI,-4,Ey 411-
).AA (-Ze v
PLOT H ac? 06 V,/
UWTY
t -SWO �40 t-A I EA4 C-0
r=tor Parldnq
nninter stagirq
T MM ST.
T
Lor,ATION MAP +
NOM
Project Lowtion
Mcdn Floor
FA
RECEIVED
STREET FIL�MAY 132004
ERMIT COUNTER
APPLICATION
The City of Edmonds for
SIDE SEWER PERMIT EASENTENT NO . ...................
ex::, CLA VAL-) NEW CONSTRUCTION- REPY\IRS .1 LID NO. ASMT. NO.
--- -------- T NO.
OWNER - ------------ . ...... .. - -- ---- ... . ........ . ----- CONTRACTOR .................. ------ - -------- --------- --------- ... ........... I ------ PERMI .. .........
JOB ADDRESS --- -- --------- LEGAI DESCRIPTION: 1.OT NTO . ............. ------------------ ---- BLOCK NO - --------- ---
==V=-- Z!!.Z.-T—T C�sc-- �—AFH
..................... .. ------ I ------ --- -- ---- ..................... ------------------- -------------------------------- --------------- - .....
NA'ME OF ADDITION --------------------------------- ------------------------ - ---------------- -------- ------------ ---------------
t
DATE
APPLICATION
The City of Edmonds
for
SIDE SEWER PERMIT
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION
REPAIRS F� LID NO - ------------------ ASMT. NO - ------------------
OWNER -------------- ...... ------------------- CONTRACTOR ........
�ZZ-X�,45 ------------------------------------------------------ PERMIT NO.
JOB ADDRESS -------- -------
---- 4/1*-- - - -".
---- -- ------------------
LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------
..... ; '0 -------------------------------------------------------------------------
0
4L
j"cl
NAME OF ADDITION -------------------------------------------
I— I V1 :,,—
Approved:
DATE........................................ ... By ..........................
90
Novewber 20, 1974
Fi le No. 4673
LEGAL DESCRIPTION FOR HARVEY ROBINISON
ENTIRE PROPERTY EXCLUDING PARCEL LEASED TO SHELL OIL COMPAINY
That portion of the southeast quarter of the. southeasL quarter of the
southwest quarter of Secti(.)n 20, Township 2'j North, Ran�e 4 East, 1-1. M.,
in Snohomkh County, Washi,iqton, dc�,cribed as follows: Commencing at. the
southwest corner of said '�Uljdivision; thunc c! N ]"Ji"/'1211 W, alonq the West
line of said subdivision, a distance of 184.02 feet ; thence 14 88012,10' E,
a distance of 30.00 feet to an intersc-ction with the east margin of 70th
Avenue West, the 'True Point of Beginning of this description; thence con-
tinuing N 88'12'48" E, a distance of 73-70 feet; thence S 13'12'48'' W,
a of 15.00 f(-(,t; t1wrice "" 76"47'12" F., a di�.Iancv. of 120 feet
more or le"s Lo an inter-.ec.tion wit.1) thc w(-A mar(jin ol' U.S. Hiqhway 99;
thence N 25'12'00'' '1', i-ilong the vie(-;t iij;)r(liji of thc U.S. Iliqhway 99, to
the sotjthca(;t cornur of Lot. 11, Hoyt /\cr(,,;, according to the plat thereof
recorded in Volume 16 of Plats , on pa(le 2.6, recurds of Siiohoinish County,
Washington; thence N 89-53'00'' W, along the ;outh line of said Lot 4, a
distance of 140.65 fect. to the southwst corner of said Lot 4; thence
N 1`4P12" W, along the wc—,t line of -,aid I..()t 11, a distancr, of 6.70 fect;
thence N 89'53'00'' V1, a disLance of 80.00 feet; thence 14 1'47'12'' W, a
distance of 7.77 feet to an intersection with Lhe south line of Lot 3,
said plat of I-loyt Acr(.,(;; Lh(�ncv N 8.9"5"00" W, along the South line of
said Lot 3, a distance of 70-00 feel: to the soul-hwest corner of: said
Lot 3 on th(,- east margin of 70th Avenue Wc�;t- thence S 1'47,1211 E, along
said east margin, to the True Point of' Beginning.
R E., ID,
11, Hiqwlcis
41-111
211 51-1/21 211
51-011
V 2"
01-711
Lu
Ilk
01 1011 11-811
PUBLIC UTILITY DISTRICT NO.]
311
21018
NOHOMISH COUNTY..."=2 1/2" OVER2 3/).6-,N-C-qP
"21 d
8."= 3 1/2" COPY (TO BE BLACK IF BASE116-1RUS ED ALUMINUM", WHITE IF PAINTED #340 GREEN
v
ALS . 0 SHOWN - L.E.D. "OPEN/ CLOSED" SIGN. "OPEk"" REEN, "CLOSED"= RED
NOV I Z ku,,�
OPTION SHOWN = PEG "PUD" LETTERS OFF B/G & ILtWlfjfE Wl CONCEALED NEON (HALO LIGHTING)
BRUSHED ALUMINUM" FINISH SHOWN DARKER TO SEE -HA 0 LIGHTING).
:::� 'k. C llft PERMIT COUNTER
THESE ORIGINAL DRAWINGS AND SPECIFICATIONS JOB NAMEI'-X`�' PUD - EDMONDS CLIENT APPROVAL:
ARE PROPRIETARY AND/OR CONFIDENTIAL TO
BERRY NEON CO. INC. (BNC), AND SHALL NOT BE SCALE: 1 -,O,'b 6/28/2002 FILE NAME: PUD7.
REPRODUCED IN WHOLE OR IN PART, OR USED , _.,g _ I DATE:
b rr IN ANY MANNER EXCEPT IN THE COURSE OF SPECIFICATIONtv
"DOING BUSINESS' WITH BNC, WITHOUT PRIOR 0/4 N-LIT MONUMENT SIGN. SHEET ALUMINUM CONSTRUCTION, PAINTED BLACK&
"BRUSHED ALUMINUM"WA 8RICATED ALUMINUM "PUD" LETTERS TO BE PAINTED PMS #340 GREEN. METAL BASE
WRITTEN PERMISSION OF BNC. @ COPYRIGHT-
n n I BERRY NEON CO.,INC. REGISTRATION PENDING. TO BE PAINTED PMS iiQ GREEN OR "BRUSHED ALUMINUM". ALL OTHER COPY = WHITE VINYL.
21027 61st AVE. WEST R 0. BOX 5269 LYNNWOOD, WA 98046 (425) 776-8835 (800) 488-2430 FAX (425) 774-8221 E-MAIL beryneonogto.net
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41- 111
PANEL
OHOMISH
COUNTY
110
I U40 I- DO
6- 5" PANEL
THESE ORIGINAL DRAWINGS AND SPECIFICATIONS
JOB NAME: PUD - EDMONDS
GULN I
1APPROVAL
S)
ARE PROPRIETARY AND/011 CONFIDENTIAL TO
BERRY NEON CO. INC. (BNC), AND SHALL NOT BE
SCALE: 1 V- 0" 1
DATE: 6/28/02 RVSD:
FILE NAME: PUD7.
berr
REPRODUCED IN WHOLE OR IN PART, OR USED
IN ANY MANNER EXCEPT IN THE COURSE OF
'DOING
SPECIFICATIONS: RE -MODEL EXISTING EXTERIOR ILLUMINATED MONUMENT
SIGN. REMOVE & RE -PAINT NON -LIT LETTERS #340 GREEN. RE -FACE BOTH
I
neon
BUSINESS- WITH BNC, WITHOUT PRIOR
WRITTEN PERMISSION OF BNC. @ COPYRIGHT-
SIDES W/ 1/8" BRUSHED ALUMINUM PANELS & RE -INSTALL LETTERS (ANY MISSING
BERRY NEON CO.,INC. REGISTRATION PENDING.
LETTERS TO BE REPLACED W/ LETTERS FROM SIGN BEING REPLACED). I
21027 61st AVE. WEST R 0. BOX 5269 LYNNWOOD, WA 98046 (425) 776-8835 (800) 488-2430 FAX (425) 774-8221 E-MAIL design@berryneonsigns.com
8 9 0 C�
City of Edm.ond!F
RIGHT-OF-WAY CONSTRUCTION
PERMIT Permit Number. 5
Issue Date:
A. Address or Vicinity of Construction: 'W C1 Ir.,
B., Type of Work (be specific): S-0- 3Q' t4*&-k 0-
W %-1f*'VN 2. 10 'J Vi ri
C. Contractor: SWc�tAOVA %S\-\ C.,3-tok9 Contact: P 'j\)
Mailing Address: C1 01 - Phone: a
State License #: Liability Insurance: _ Bond: $
D. Building Permit # (if applicable): Side Sewer Permit # (if applicable):
E. Commercial [J Subdivision El City Project R Utility (PUD, GTE, WNG, CABLE, WATER)
Multi -Family 0 Single Family n Other
INSPECTOR: 114SPECTOR:
F. Pavement or Concrete Cut: 0 Yes (_6�JN G. Size of Cut: x6 H. Chargi�_$
APPL - ICAN - T . TO - READ AND S . IGN;
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City of Edmonds harmless from injuries, damages, or
claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or
employees, including or not limited to the defense of any legalproceedings including defense costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR, 4 PERIOD OF ONE YE4R FOLLOWING THE FINAL
INSPECTION AND ACCEPTANCE OF THE WORK ESTIMATED RESTORATION FEES WILL BE HELD UNTILTHEFINALISTREET PATCH
IS COMPLETEO BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THEAPPLICANT.
Construction drawing of proposed work required with permit application.
A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220.
Work and material is to be inspected during progress and at completion.
Restoration is to be in accordance with City Codes.
Street shall be kept clean at all times.
Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer.
All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day;
NO EXCEPTIONS.
Ihave read the above statements and underst%dthepermit requirements and thepink copy of thepermit will be
available on site at all times for inspe it) rp es.
�o �' /_4 zL 1) 01 S
./4
_4014�; zolre' '�Za Date
Signature: 4 '_
6N�;t_rdctor`or-i4Vrrt!
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVEDBY�, RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER t6ACC" 10 DAYS DISRUPTION FEE/FUND Ill:
SPECIALCONDITIONS: No Ac�P aoTs RESTORATION FEE:,
Lt- 0 V4 e-
COMMENTS: e_- C>
PERMIT FEE. � 30, 0 0
TOTAL FEE:
RECEIPT FEE:
DATE:,
ISSUED BY:
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUJ ANCE Eng. Div. 1994
FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.)
Comments:,
Diagram.:
CONTRACTOR CALLED FOR INSPECTION El YES E] NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
5.1
0. BOX 1107
EVERETT, WASH 98206
NEW SERVICE APPLICATION
014192
FQORM # 5290
AREA LIGHTS
REV. 1195
CUSTOMER ID#
BY
NAME 0 "C" r\ vF. kk C-0 wky
SPOUSE
DATE 1,)4
LAST F9W
SVC ADD C-) cA
IN�
ACCOUNT NO.
UNIT NO.
PUDZIP",:-�
MULTIPLE ACCT El SEPRATE ACCT. El
MAIL ADD. (D A
NEW SERVICE
HOMEPHONE
3 -c,
CITY STATE
ZIP
WORKPHONE
.-A 'A
,,REA4LIGHT -RD:REQWIRECr'
I I
DATEFIELDED
BY-T�-(-6-X-
';DATE:R'11ECEIVEb:'-"i��--
� . —
APPROVED
BY 7"doc
NEW SERVICEX RELOCATION
TAX CODE
DATE
WORK ORDER NO.
DRAWINGNO. ON
SIC CODE 996 SERVICE CODE
FEES REQUIRED YES NO
'AMOUNT.'. .---.'!-,RECEIPT,NO.-.
DATE'.
MISC. FEES
EXCESS FOOTAGE
3 SKETCH AREA
3)16 x
TRF#
DIAL DIG NO.
DATE
POLE NO. VAULT NO. THOMAS GUIDE
-i� S' zsl
�c
(AL) AREA LIGHT BRACKET A-
(SL) STREET LIGHT BRACKET A -
(FL) FLOOD LIGHT BRACKET A -
DATE ENERGIZED WORK DONE BY
A- A-
m- m-
A- A -
PROCESSED - CUST ACCT. FIER
A-
A-
1
A-
014192
----------
------------ --
Ole"
Oq�
1-1- -T-!
ractor Pa*,Jng
.2mi" ST. %K
L00ATION MAP +
NUK-r"
MAIN, K"'I
I
RECEIVED
MAY 13 2004
PERMIT COUNTER
oc
MOY-11-2004 14:06
ghting Summary
PrqJW Aftm
project info
Erjoect R!Lcl!ption
Compliance Option
Alteration Exceptions
(&,WkaMrq*ftba4-
Maximum Allowed U'
UMN&M
Mooftm no.)
1z
I
Now swav Addmw AWMW
Pmdwm —gLVMft Pow AWWWWO M*WS
&2 ouagpwton checmst (ove4, in"te PresMOvq A LPA spacm gM!1J an WAM)
No chanum am beino nuuW W #* 19h*V
rL-3 L.. ftn 60% *( M ftma am rWW. And -kHMjW Hot%"
ting Wattage (Interior)
ADOvad
Wean per fe
Is not b@kV ftnMWd
fe Ahmad x Am
0
**RWnTabW16-1(0ftd-dflr'J Wt&l - cc - Wftw WOn TOM AIWWW
Proposed Lighting Wattage (interior) 0"M-"' 'TOM Mm1w Wam fOr b*m
Numbw of WAW
(Rwft no.) Dftwe—ml� I Fbwrm I Fb*"
- - I - 1 1 .4 A I la��
TOW ftpowd Waft m" 6-&—mwW TOW AJWw6d Waft for
Maximum Allowed Lighong Wattage (Fxteri0r) -
OutdONAM0
I'll, "!mN
M4MYPWv")-- 'eat---QA
NoW f0f bAft OAWW- dW0" ~
1=111
FP
W&W
PFWOMW
I am vrapumw WWWM
Abowad WNW AMA In Aflowild WRAII
M ff *r-per ff W it tor 2!5m!!!q X fe (or X
0.2 Wfif
0.2 Wfif
0.2 Wfif
ois Wfie
7.5 WAN
facadq area or pqdmaw mw**, = not Dw) IV= pummu
(Exterior) (N* W ftwW TOW mOww w8ft far aft""
N=bw*1 WSW W*".
Fb&n basdpkffl FW" PIE
A,Vwp. 7715
ITW mi-exomd TOW Ajkr� Waft for EM11" ToW Oikxwwd WaW L
RECEIVED
TOTAL P.03
MAY 13 2004
PY PERMIT COUNTER
MAY-11-2004 15:01 P.02/02
IPI"Cdptive SPUN 10GQJPSIVY ... U Wamhmomw Mxmo� woo arakoaft-viumps hwqm 'Llothor I
Qualification' Cheddist LV" FbM.M
NoW 0 OOMWWW Me IS %*IW KW owmm
�bdmdkm4ftmm*w*f MmIn 1. FbMm am &XMOBK r"NOWA OM of tND Im"INk OW
to opme is rm NOW by CO& QMV
kdWsommuspem on Pism und L Low@ m T4 TA TO or PL, mrM a. Lwqx an m watts, xw
9AN14 do tPA CahAvllmmL 4. BWW* am �' i 1 � 9 rd 9 Moto
Table 15-2 Unit Lighting -Powek Anowance (IXA) for Interior L4hffi%
UNIF
PEA-
uw
LW
(WPM
PmIn*Uj!tft S!�jM iMchl�m &
Potim-aMMo
1.2
Bwbw shauk 011com
2-
Atrim (
1
2
hihio—� mjRW� aim ftdwm umvims;W, %ft
I
2
PMOOM 01ft
I
Cdalurimlastfood
P;&i`Ar
F8—mx—Ms,WQUh9*Amm% Wd"
FUMN—WO, Rubtf bm M a
Gm'sWAme, auto Mat eq&
P
1.0
Aftnift sbum hyMm
0.4
1.5
-P—WkkV2!SM
WhOWSW Stmes mckftM
I A
moo
1.4
Plffl� aftM %00mmm = Cnh?
Schools achad g!�� day cme to dw
Im
owynm vok-ft"Mom bugme LW
TdIet fadidam wod moshin"
lh*Wk*
V
f4w Table'15-1
I. Ifts
*0 Umft PowrAlkwomsm sW be dmmdnW by So bd anid& Tbb
deftemAmadon shall bo band tqm the =ad QMRGMWG an INdfled In the 6M& U Sadm'1512 fir 22M
2. Ilm w pw arm Amt nuv be bmmjkW by tm p=nt per fad of adling hdSht gave tw=W fbK uw6m spedfially duected
otherwimbymbacquentibomotaL
3. Wampw q-- twafro==ybcbmamWbymvp��poet�NsofodfthdSbt.mboonmhmixL
4� For all otim spaces, soch a susting md comsmon mm4 an 60 Unk MSk Pb*w Mmvamm for smusably.
S. Watts per sqoamhm afrom mybe incrossod by impave tporlado(cidWhoigitsbovenImAmL
6.
7.' In cum In which a lightly, p4mlsoftnift4fteal Iim afaMoor, *tbft-U$hft FOref APqwAzm.QflJS maybe nod for
.y4pm.
mmo-Com ftw arm md 0.80 - wam Por squam foot dudl be =W fir dw com� . mes" which mq imlu& almator mpece, lobby am
mod I" RML Common MCM4 u hadu ddood do not
& Sur fbe.fim Moto MUM4 *p U* Ughtifts POW.Allowmace is 1.0 W Por-rwiftot.
9. For Indom sport tournauxotmaits with m4mmt spom seatio$�-theEhhUSb#ug?*wAU*wsmfw&e wm' is 2.6 iwass por
apm fooL
.10. Aw bo* Relvil A and Road 16 H& fw km�um"S display. b""
ghowcome Ubudnmdm mod doft win&vvillmabudon inm&W
within two 69 of Me window we amaWL
Roull A allmn a Mh Ugbdnig Flowe Allowsoccof 1.0 wam pa mp#n gooL b-lom and EW
merchmadise iMq* Illumfouics aro cmmpt
PAIaU 9 dlows a ULit UShtiq Powar A&mmoo of 1.5 waft per opmiko.-Including A cofts mounted machmadin df @play
luminmdes.
I I.. Frumvided tbmd-a fkmv pl=4 JudicalimS nck Wcam mn4 hdgh4 k submluv4 the opm fixup for a vuchmse um be ddhmmL far
mly)
TOTAL P.02
DATE RECEIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
MAILING ADDRESS
CITY ZIP TELEPHONE
F_7-415r_�I-r ci4600(o I'-176-IS3-100c
NAME
ADDRESS
[PERMIT
EXPIRES
PERMIT
ZONE
NUMBER
JOB
SUITE/APT#
ADDRESS
Z %4
eirt
I b 12) "�.A R
uv�
OD
PLAT NAM E/SU BDIVI SION NO.
asa"�Y\A
tL
LID NO.
LID FEE $
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
TESCP Approved
RW Pomit Required
C3
0
Street Use Perrnit Req'd
0
EXISTING - PROPOSED
Inspection Required
113
Sidewalk Required
0
REQUIRED DEDICATION-
FT
Underground
Wiring required
0
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
YES 0 No
El
9
REMARKS
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
i5
CITY ZIP I TELEPHONE
NAME
:ENGINEERING REVIEWED/DATE
ADDRESS
LA LA 1-1
F_
REVIEWED BY
DATE
CITY
ZIP`4,
TELEPHONE
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THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
B E DONE ON PRIVATE PROPERTY ONLY. 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
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
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 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
NOR LIMIT IN ANYWAY THE CITY'S ABILITY TO ENFORCE ANY ORDINANCE 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 AUTHORIZED AGENT OF
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN'S COMPENSATION INSURANCE AND RCW 18.27.
1111111
SIGNATUI�E (OWNER 0 DATE SIGNED
5— 11 —0
Mll�, KA I
A17ENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
5/98
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PLAN CHECK FEE
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MECHANICAL
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ENG. INSPECTION FEE
7ANDSCAPING
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PLAN CHECK DEPOSIT IRECEIPT
RECEIPJ
TOTAL AMOUNT DUE
VALUATION
FEE
APPLICATION APPROVAL
This application is not a permit until signed by the
CALL Building Official or his/her Deputy: and Fees are paid, and
FOR INSPECTION receipt is acknowledged in space provided.
OFFICIA NAT DATE
(425) �A , z i
771-0220 6tA 4 VED—BEY I W A*"J ;W 41uf
EXT 1333 1 _YFATE '
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ORIGINAL - FILE YELLOW - INSPECTOR
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PERMIT EXPIRES
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Grading
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5 PERMIT APPLICATION: 180 DAYS
PERMIT LIMIT I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U' 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS. ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
9 IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
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Fire Inspection
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DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.'
Recording Fee
Receipt #
HEREBY 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 DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged in space provided.
WORKMEN'S COMPENSATION I
RANCE AND RCW 18.27.
F 11 SIG E DATE
SIG URE (OWNER 0 A
DATE SIGNED
1A9
1425
771-0220
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RE iD BY /bATE
OUTENTION
EXT 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
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A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
ORIGINAL -FILE YELI-d-INJ"TOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
PINK - OWNER GOLD - ASSESSOR
09/03 PRESS HARD -YOU ARE MAKING 4 COPIES
:_CONSTRUCTION
CITY OF EDMONDS
PERMIT APPLICATION
USE
ZONE PERMIT
16 NUMBER
jose,
SUITE/APT
ADuRE ss 21010 99
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OWNER NAME/NAME OF BUSINESS
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P9 . No.1 of Snohomish County
LEGAL DESCRIPTION E;HFCKI
SUBDIVISION NO.
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2320 California Street
PUBLIC'RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING - REOUIRED DEDICATION
PROPO . SED
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TESCP Approved 0
AW Permit Required a
Street Use Permit Req'd C3
Inipection Required 0
Sidewalk Required 0
CITY ZIP
Evere6t 98201 1206-258-8421,
TELEPHONE NUMBER
cc
NAME.
PA.D. No..1 of Snohomish County
METER SIZE
SIZE
OF FIXTURES
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YES C3 NO 0
ADDRESS
212biClIll'iformia Street
�.�NO.
Ks.
CITY ZIP
Everitt 98201 1206-258'8421..,'.
TTTELEPHONE NUMBER
NAME
R. K.-Construction, Inc.
ADDRESS
ENGINEERING ATE� Z REVIE)PV BY
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18431 87th Avenue S.E.
CITY ZIP
Shohomi s h 98290 1206-981-8709
TELEPHONE NUMBER
REVIEWED BY
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STATE LICENSE NUMBER EXPIRATION DATE
RKCONI101mu 7/26/95
SIGN AREA
ALLOWED PROPOSED
SEPA RE IEW
COMPLETE
ADS NO.
Legal Description of Property - include all easements
2
Office building,West side of Highway 99,
1EXEMPT
SHORELINE 0
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North of 212th Street S.W., Snohomish
VARIANCE OR CU
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Utility Regional Office
NUMBER
OF
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NUMBER OF
DWELLING
1UNITS
CRITICAL
AREAS
�NUMBER 94-226
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Construct a new handicap ramp from east
FINAL INSPECTION REQUIRED
parking lot to south side entrance to
VALUATION
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11PLAN
6ECK FEE
basement.
BUILDING
J8 6
SIR
HEAT SOURCE:
N/A
GLAZING
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PLUMBING
Plan Check No. 474
MECHANICAL
This, Permit covers work to be done on private property ONLY.
GRADING/FILL
Any -construction on the public domain (curbs, sidewolks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
STORM DRAINAGE FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
ENG. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
harmiess the City of Edmonds, Washington, its officials,
2
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0
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employees, and agents from any and all claims for damages of
whatever nature, arising directly or indirectly from the issuance
64 this permit. issuance of this permit shall not be deemed to
modify, waive or reduce any requirement of any city ordinance
It
nior I mit In any way the City's ability to enforce any ordinance
provision."
PLAN CHECK DEPOSIT
TOTAL AMOUNT DUE
r
.. I herebv acknowledoe that I have read this annlication! that the
informatiol%glyon Is correct; and that I am the owner, or th.9 duly
ATTENTION
APPLICATION 'APPROVAL
'aul 'detht of the owner. I agree to comply with city and
THIS PERMIT
state laws regulating construction; and in doing the work authoriz.
AUTHORIZES
This application Is.not a permit until
ed thereby, no person will be employed in violation of the Labor
ONLY THE
signed by the Building Official, or his/her
.:Code pf the State of Washington relating to Workmen's Compensa.
WORK NOTED
Deputy. and fees are paid, and receipt is
tion Insurance and RCW 18.27.
INSPECTION
acknowledged In Space provided.
S19PIA"RE (OWNER OR AGENTI DATE SIGNED
DEPART M9NT
/jZ q4
CITY OF
EDMON, DS
0 ATURE DATE
, /> go
1�w . / /*? 7�D
A TENTION L/
CALL FOR
INSPECTION
DATE
IT IS Ut4LAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE,
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
)0
771 T
ORIGINAL File YELLOW Inspector
A OF HAS
CERTIFICATE OCCUPANCY BEEN GRANTED, � UBC
—02
— —
CHAPTER 3.
PINK — Owner GOLD — Assessor
110247
USE
ZONE, PERMIT
CITY OF EDMONDS NUMBER
CONStAUC-TION PERMIT APPLICATION JOB
SUITE/APT #
OWNER NAME/NAME OF BUSINESS ADDRESS c21619
P.M. No.1 of Snohomish County LEGAL DESCRIPTION CHECKI SUBDIVISION 10. 'LID NO.
Lu MAILING ADDRESS
ok= California Street
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP Approved 0,
�CITY ZIP... . [TELEPHONE NUMBER
EXISTING RE0YjIRED DEDICATIONd�t 0
"WA'- `98201' 206-25E 4 Street Use Perimit Req'd
tvi�latf' - r-8421 i Inspection Required 0
NAME PROPOSED Sidewalk Required 0
W
P. U. D. No. 1 of Snohomish eounty METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
uj ADDRESS YES 0 NO 0
I'_ * — 0
i2320 California Street REMARKS z
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CITY ZIP TELEPHONE NUMBER
Everett, WA 982( 1206-258-81121&"14$
NAME
Puget Sound Refrigeration
ADDRESS
23132 N.E. 133rd ENGINEERING MEMO DATED REVIEWED�BY
CITY ZIP TELEPHONE NUMBER
FIRE MEMO-OAT.Ep REVIEWED BY
zSd uj
8 Atlb, 98125 120A,�367-2500 9;
C R XPIRATION DATE U.
oca I F.. .. . .z SIGN AREA
01 —,?=� 95 SEPA REVIEW ADS NO
Legal Description of Property - include all easements ALLOWED I PROPOSED COMPLETE 1EXEMPT Wly;�117
z3ffice building,,West side of Highway 99 1 1 SHOREL
EXP
VARIANCE OR Cu
134,�I`4NTaAEVIEW BY:b;, D4TE
-.ofth of 912th Street S.W., Snohomish
SETBACKS — FEET HEIGHT LOT COVERAGE
.oUnty z
FRONT SIDE REAR z
u.' Property
Tax Accoupt 5
Parcel No. 91-6001034
NEW RESIDENTIAL PLUMBING,
51*�_ 7-0
EIADDITION 1:1 COMMERCIAL 5] M'ECHANICAL
APT. BLDG.
REMODEL SIGN
GRADING FENCE CHECKED BY TYPE OF CONSTRUCTION CODE 0 CUPANT
�REPAI*. PYDS. X FT) GROUP
DDEMOLlSH WOODSTOVE/ WIM POOL SPECIAL INSPFCTOR AREA
INSERT El HOT TUB/SPA REQUIR I ED OCCUPANT
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CARPORT ROCKERY El RENEWAL REMARKS
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0 (TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN: PROGRESS INSPECTIONS PER UBC 305 z
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Plublic Utility Building
NUMBER NUMBER OF CRITICAL
0 OF DWELLING AREAS
W STORIES 2 1UNITS NUMBER 94-226
0 ......
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
Replace existing cooling tower and piping FINAL'INSPECTION REOUIRED
-with new cooling tower and piping. VALUATION FEE
K FEE -30
AZING
N/A NIA PLUMBING
HEAT SOURCE:
Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONL GRADING/FILL
Ap'y construction on the public domain (curbs, sidewalks,
-STAgE SURCHARGE
dlyeWAys,%Mairquees;, at Cj will Eaquire�separatepermlssion.
Pennit Application: 180 Days
STORM DRAINAGE FEE
Perinit Limit: 1 Yeai:'Provided Work Is Started Within 180 Days .
"Applicant, on behalf of his or her spouse, heirs, assigns and ENO. INSPECTION FEE
successors in interest, agrees to indemnify, defend and hold
of Edmonds, Was
harmless the City �jngton, 'its officials,
'damages of
I yees,'and agents from any and fo!, .
z empo airptl.
cc t i
< whatever nature, arising directly or indirect y rom the Issuance
X PLAN CHECK DEPOSIT
of this permit. Issuance of this permit shall not be deemed to
'modify, waive or reduce any requirement of any city ordirlance,
0
X1 nor limit in any way the City's a . bility to enforce any ordinance TOTAL AMOUNT DUE
provision."
I hereby,,acknow ledge that I have read this application; that'the
In format I § L I ',.,is correct; and that I am the owner, or th.e duly ATTENTION APPLICATI&N APPROVAL
au!, defil' of the owner. I agree to comply with city and THIS PERMIT
ltatiiaws regulating construction; and in doing the work authoriz- AUTHORIZES This application Is not a permit until
W 'Violation of the Labor igned by the Building Official or his/her
ad thereby, no per 0 be employed in I ONLY THE S
Code of the S f shing n relating tbWorkmen's Compensa,., WORK, NOTED Deputy; and fees are paid, and receipt is
07t 1 INSPECTION
InsurariMned CV W. acknowledged in space provided.
SIGNA URE (0)VE OVA:ENT T SIG DEPARTMENT
JDA7 0 C L'S IGNATURE DATE
CITY OF
77 EDMONDS
CALL FOR 01R EjLEA, S E DAK DATE
TENTION' INSPECTION
IT IS.UNLAWFUL-TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL, A FINAL NSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YELLOW — Inspector
.,A , CERTIFICATE. OF OCCUPANCY HAS BEEN GRANTED. USC
'CHAPTER 3.
PINK — Owner GOLD — Assessor
102,87
(0-2 re-E4ce_
V - 6-
SNOHOMISH COUNTY
PUBLIC UTILITY DISTRICT NO. 1
4'. 1-
PANEL
SNOHOMISH
CIO U NT Y
U�.D 5'- 5' PANEL
l'- 7'
)UNTY..."=2 1/2"OVER2 3/16'COPY
COPY (10 BE BLACK IF BASE IS "BRUSHED ALUMINUM", WHITE IF PAINTED #340 GREEN) V - 3'.),
.E.D. *OPEN/ CLOSED'SIGN. 'OPEN'= GREEN, "CLOSED"= RED
JOB NAME: PUD - EDMONDS TCLIENT APPROVAL:
SCALE: 1 '- 0' 6128/2002 1 FILE NAME: PUD7.
SPECIFICATIONS: D/F NON-LfT MONUMENT SIGN. SHEET ALUMINUM CONSTRUCTION, PAINTEDBLACK &
"BRUSHED ALUMINUM". FABRICATED ALUMINUM 'PUD" LETTERS TO BE PAINTED PMS #340GREEN. METALBASE
TO BE PAINTED PIVIS #340 GREEN OR"BRUSHED ALUMINUM". ALL OTHER COPY WHITE VINYL.
JOBNAME: PUD - EDMONDS -r.,CMIENA L
�CALIE: Y,,= 11'. 0' 1 DATE: 6/28/02 RVS0: IFILENAME: PUD7.
SPECIFICATIONS: RE -MODEL EXISTING EXTERIOR ILLUMINATED MONUMENT
SIGN. REMOVE & RE -PAINT NON -UT LETTERS #340 GREEN. RE -FACE BOTH
S DES W/ 1/8' BRUSHED ALUMINUM PANELS & RE -INSTALL LETTERS (ANY MISSING
APPROVED BY PLANNING LETTERS TO BE REPLACED W/ LETTERS FROM SIGN BEING REPLACED).
97 UBC.
P.-- Z o. 3 7- x Zo. q =_ L41q. szq
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— 'D, - RECEIVED
CITY OF EDMONDS
f4 s q 2 0 5- C RAMINI'r I NOV 12 2002
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