21303 93RD PL W.PDF9074
21303 93RD PL W
CITY OF EDMONDS
NEW
ADDITION
RETIREMENT
ASSET INFORMATION SHEET
STREET FILE
ASSET NO. "0Z
ADDITION TO ASSET NO.
DESCRIPTION
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SERIAL NO.
LOCATION 2-
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DEPT. NO.
*PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER tO,eCn (K 7Z 2-
PROJECT COMPLETION DATE
COST 1'7 S-- o o
B.A.R.S. ACCOUNT NO. 3 q�-,
ESTIMATED LIFE 2
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
40 G.L. E
REFERENCE DATE
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VERIFIED BY
PROCESSED
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DEPARTMENT FILE
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CITY of EDMONDS
':'PERMIT NO.
For Inspection Call 771-3209'TREET FLE
Address of Construction: 0
Property Legal Description (Include all easements):
14
Owner and/or Builder: 14
Contractor & License No:
Single Family Residence EDMONDS
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EREA'TM7ENT PLANT]
Multi -Family (No. of Units
Commercial (No. of fixture Units
Invasion into City Right -of -Way: No P'O"" Yes _ (If Yes, Right -of -Way
Construction Permit required. Call' One -Cal 1 -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEA, 11A)D THE IT S ON THE BACK
7 �7
1--certify that I have read and shall comply Date
with the items listed on the back.
Permit Fee: '30 �Issued By: -R-r-7
Trunk Charge: 2s iDate Issued:
Assessment Fee: F-W 1-0 Receipt No.:
Partial Inspection:
Comments Date Initial
Final Inspection Approved:
Date' 'Initi'al
Rejected:
Reason --ffa—te Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh.ite Copy - File Green Copy -'Inspector Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION REPAIRS M LID NO . .................. . ASMT. NO - -------------
OWT4R------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO.
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Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work is Started Within 180 Days
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"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
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FINAL INSPECTION REQUIRED
TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
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OWNER 605'1-
PLAN CHECK #
After review of the subject building permit applicati'on,-we have the
following comments:
1. Construction hours are: W EEKDAYS ........... 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. Vater 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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Plan Check No. MECHANICAL
This Permit covers work to be done on private property ONLY. GRADING/FILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission. STATE SURCHARGE 4-S!
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
,n successors in interest, agrees to indemnity, 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
T of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT co
modify, waive or reduce any requirement of any city ordinance
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:r nor I.imit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE
provision." -�E*_
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 APPLICATION APPROVAL
authorized agent 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
Code of jhe State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insulance. INSPECTION acknowledged in space provided.
SIGN R WNER & IYAGENT) DATE GNE DEPARTMENT
CITY OF OFF C 5_1�)G�K71LIRE DATE
EDMONDS Z 8 -
CALL FOR LE S�D Eq: DATE
ATTENTION INSPECTION
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IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTUR 771-3202
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
CHAPTER 3. PINK — Owner GOLD — Assessor
102-87