21302 93RD PL W.PDF9073
21302 93RD PL W
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CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
CONSTRUCTION PERMIT APPLICATION
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LEGAL DESCRIPTION CIEC11
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
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STATE LICENSE NUMBER
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SIGN AREA
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ADB NO.
Legal Description of Property - include all easements
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(show below or attach two copies)
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REPAIR APT. BLDG. SIGN
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HEIGHT
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ROGRE SS INSPECTIONS PER UBC 305
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER OF ST0131ES
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
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PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewqlks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided WorR is Started Within 180 Days
Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to Indemnify, defend and hold
ha'r'mless thia Citv of Edmondq. Washinoton. Its Officials.
January 3, 1990
TO: Permit Coordinator, Building Division
FROM: Dan Smit�, Engineering Inspector
ADDRESS 95-W A�-'
OWNER 1,0,'4y44W 111-Itcl:9
V PLAN CHECK #
After review of the subject building permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS ........... 7:00 a.m. to 10:00 p.m.
WEEKENDS/HOLIDAYS..10:00 a.m. to 6:00 p.m..
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required. Fees paid.
4. Connection to City sanitary sewer system required; obtain separate
permit. Fees paid.
5. Water and sewer lines to be separated by 10 foot minimum.
6. Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7. Driveway slope not to exceed 14%.
8. Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
9. Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may -not impact neighboring
properties in any way.
10. No burning of construction refuse without approval from Fire Dept.
11. Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12. Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
sidewalk. If intersection is involved, installation of wheelchair
access may be required.
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DETENTION.WORKSHEET
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To OUTLET
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SYSTEM CROSS SECTION
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WA3HED rpRAYFL 0LrrFLOW TRENCH, MIN 10' LONG,
r-rop 4 A- PWP.F PIPE -ro Off %-MVWL-
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4� PERF PIPE WITH CWS
RUNOFF SPREADER OUTLET
FOOTING DRAINS SHALL NOT BE
STANDARD DRAINAGE PLAN
DETENTION SYSTEM
for t7ZL.?nPoe i A-,� 7— e!mllt
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plan by -%'�
phone -7 -7 1 Jyy�43
date—
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DESIGN DATA
System Imperm Pipe Pipe Orifice
Number Area Diam Length Diameter
NOTES
1. Call Engineering Division (771-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Material
accumulated in the storage pipe must
be flushed out and removed from catch
,basins to allow proper operation. The
outlet control orifice must be kept
open at all times.
Pi,r rw =�*'
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CITY OF EDMONDS
Page 9 of 9 CONNECTED TO THE DRAINAGE SYSTEM
-STREET FILE -
CITY OF EDMONDS S'I 0 E
I 1 91
Address of Construction:
Property Legal Description (Include all easements):
Owner and/or Contractor: JM&LA542Z 44 ZZ 9*�' I I-AlU
State License No.-ITZ"AC;:211 DO Building Permit No.
94ingle Family
E3 Multi -Family (N6. of Units-)
El Commercial
El Public
SEWER
PERMITN20
PERMIT
8214
.N
EDMONDS
,TMENT PLANT
Invasion into City Right -of -Way: 20<o El Yes
RW Construction Permit No.
Cross other Private Property: P-IN"o 0 Yes
Attach legal description and copy of recorded easem.-ent
I certify that I Yve read and shall comply with all city requirements
as indicated on the back of the Permit Card.
Date
* CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION *
�.�.�OFFICE USE::.ONL,Y,:
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: Issued By --7-6
Trunk Charge- Date Issued: 7- // J0
Assessment Fee: Receipt No.:
Lid No.:— zC-ISR /8
Partial Inspection: Date —Initial —
Comments
Reason Rejected: —
Final Inspection Approved
'74 &
Dat Initial
Date —Initial
PERMIT MUST BE POSTED ON JOB SITE
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Revised 3190
,The City of Edmonds Side Sewer Drawing EASEMENT NO - ---------------------------- — -------------
4
NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ - ASMT. NO - ------- ..........
OWNER------------------------------------------------------------ ----------------- ----------------- CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
a - k&f.
..[.3 a - 9 3 "-" t
JOBADDRESS - . _Q .... . ....................................... -------------------
PWW-0001-1 1/75 (REV.1 1/78)
LEGAL DESCRIPTION: LOT NO . ......... /- ------------------------ BLOCK NO - ------------------------------------
............................................. ------------------------------------------------------------------------------ ---------- E-DMORaS
TREAI'MENT PLANT
NAME OF ADDITION --- D . .. ... ..
. ...... -------------------------------------------
4-"Py-e, t4
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Approved:
- - 13,
DATE./ ...................... 6 ---------------- By ---------
NOTICE.
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a - C -C. - U.
No... w"a'r.r a n - y ... 0 t
The inform ation'shown on the attached
map(s) was corn ' piled for. use by the City Of
Edmonds/ its Empl.oyees and Consultants.
Th,..e City of "Edm.onds does ' not * warrant the
these
accuracy of anything set for.th on
r entity -requesting a
map('S*'-). Any person o ndent
copy should conduct an indepe
orm-ation shown, o
inquiry regard'ng the inf'
t_h-�� -m a p (s), including, but not hm'ted to,
the location of any sewer stub shown, Suc
sewer stubs may or may not e.xist and may
or may not exist at the location shown,
,*ty of Edm0nHI.AS nor.its
Neitheir the %'� I
empl-o-yee-s o-r office-rs -sh-a-1-1 be Via-b-11--e for IIN
information given on this map(5), nor for
any one representation provided based
upon said map(S').
CITY OF EDMONDS
ASSET INFORMATION SHEET
NEW
ADDITION
El RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
S-3 00 (o 02—
DESCRIPTION
SERIAL NO.
LOCATION
1 -30 a Plo-Lo--
DEPT. NO.
�pe's�-
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER 0 S-
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO. �l I - 0 0()-(D3
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
0 G.L. ENTR
REFERENCE DATE
VERIFIED BY
PROCESSED
BATCH NO. -
(tnp INITI
DEPARTMENT FILE