21223 SHELL VALLEY RD.PDF11111111111111
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21223 SHELL
VALLEY RD
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TAX ACCOUNT/PARCEL NUMBER: (n
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver E] Study Required Ej Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED: 1 (./
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR: -
PERMITS (OTHER); f2�
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:-!Y��--- Ug!!!
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
FOR: -
WATER METER TAP CARD DATED:
OTHER:
LATEMP\DST's\Fon-ns\Street File Cheeklist.doc
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01-YOF EDMONDS
BUILDING PERMITAPPLiCAT11"ON 7
NAME �Ok NME 01' eUSINI 51 P 0"x
177
LEG.AC- OCSCRIPTION
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I, CHECKEOPY ITYPIE CF CONS�RUCTI.11 IC1111r, HEIC",
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':----.S.DE:N-.AL L7-rC-A,.I1.L
SPEC.", ..SPEC OR -CA `cY UPANT
fteOu'R '0 LOAD
'�UPA
FENCE Y�s I'D fz
ALT-- XCAV-T.
0 R FIL L
..PA,R H;P., It
LE POOL
OMPLIANCE INSP. L
_j POOL
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PILI-ADER OF SORIF
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NA-rURC OF WORK TO BE OONF (ATTACH P'_O1 PLAN;
3
I lv�e*;,_ Per- i
VC1. ! VALUATION
MECHANICAL
This Permit covers work to 1:te doneonprivate proper:N NIL T"
Any co Piruction on the i�ublic domain (curbs. sidewalks, dn'"ays, FENCE
marquees, eta.) will require separate perm4sion
sic"
Permit Applicition: 180 Days
Permit Limit: 1 Vear - Providect Work Ir Sterted Within 120 Days RETAINING WALL
N[-illic-ant. on I,chj:'.- to h!� or her �pcwx. heir,, a,,ign� and
P, 0 L
L! ,,Ccs,,rs in Iqterc,j_,r,e, to multnomfy. ceiend aid hold il,rnile,'
plo�ee, �nd
11,,Iiingtan, i,, official, en,
a.--ent, ffon: :�n% JnL' �ii clairi- selr. danLice% I,," xhatcler n,
ar;vng dirconly o! tndir.-,d% froin the kNIC.InIc Of Oli, . cl"U. TOTAL AMOUNT DUE
C alice of` 4111, pe111. hall rat �'e dee'lic'! to nlvdu". 1), due,
j
jn� -cclolrorn,nz jn� --rcuLni-x nor urut ui any ,,� 7hc
cn!,-Cce Ay ordininz. ATTENTiON
:haz 1 hj.-- ,jd thii jpplic.:ion: that *J,,- in-
- - * e uIv 3u h r -..s
i, th d t o-
i'.e. i n.,ect:,'ar.d :hj'z 1 n ILI: l,ne
ie �enj "I "ne "A. er. I c7ee to uit;lv %,ith �it� and state Ii.. s regu- '.UT'j1q.2CS
la:ing I cons=czi,ii, and in coin g ;r� aUu;0AZCd illerl-by. ,,, pe,,'.n ONLY THE
ai, Lat-o. Coe., ci zh, State ofWahing,or., WORK CIOTLD
t I
Cov.r'nu ion n,urance.
clitina to \\orkrnea I rISPCCTION
joc. 0. AGENT) ATE SIGNEC cica, r.ENT
CITY OF
E: D M r,'.N D 5
6
FCC
iq
Z4
It 573 2��_
APPLICATION APPROVAL
This appiication is not a pe:mit
cntil simed by the Building Of.icial or
hiE Deputy: :ivd fees zue ;,Aid. �nd
.eccipi is acknowledf-ed it,. space p'o-
i'ded.
THIS SITE IS LOCATED IN THE CITY 775-2525 F
OF EDMONDS. LOCAL SALES TAX I
SHOULD BE CCDEG 31.04.
ATTE.-N TION ORIGINAL - F-Iz YELLOVV - I.spocza,
IT 1, UNLAWFUL TO USE, OR OCCUPY A SUILCING OR STRUCTURE PINK - Owner GOLD - A,ses,o,
UNTIL A FINAL INS;sr TION HAS BEEN MADE AND APPROWL OR
A CER�MCA . rE Oz f .'. UPANCY HAS BEEN GR,,.,iTE-,. UPC 304.306. OCT 2 7 REcb
02-�d
OCT 2 -( REC�-
I
52 1
32
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1�d
S I T EL P L A N -S-C-A-L-E'-- L - 16
STANDARD DRAI�NA16E PLAN
NOTE: Do NOT USE INFILTPATION Sl'STEM INF!LTRATION,' SYSTEM
ON SLOPES OVER 15 PERCENT (15 PAGE 2 OF 2
FOOT RISE PER 100 FEET HORIZONTAL)