21330 93RD PL W.PDF111111111
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21330 93RD PL W
CITY OF EDMONDS
STREET FILE ASSET INFORMATION SHEET
NEW
ADDITION
RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
DESCRIPTION %
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SERIAL NO.
LOCATION 02 1 c� 3 0 73 Y-A PLO C_4P
DEPT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER a� :z
PROJECT COMPLETION DATE
COST I
B.A.R.S. ACCOUNT NO. t 60 (0 t 0 1H 5—, (0 0
ESTIMATED LIFE r
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
/Kt -
VERIFIED BY
PROCESSED
BATCH NO.-
G.L. ENTRY
REFERENCE DATE
ktnp INITIAL
DEPARTMENT FILE
NOTICE:
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N'0 ... w-a r-r a n ty... cy.
The -information shown on the attached
Map(s) was compiled for use by the City Of
Edmonds, its Empl.oyees and Consultants.
Th,..e City of Edrn.onds does. not. warrant the
accuracy of anything set for.th on these
nt*ty -requesting a
Map(s). Any person or e. I
copy should conduct an independent
inquiry regarding the inform'ation shown- or
_tFe -map(s), including, but not I'mited to,
c ion of any sewer stub shown, Suc
the lo' at*
sewer stubs may or may not e.xist and may
or may not exist at the location shown.
Neitheir the 'ity of Edmonds nor its
e m pl- o-y e e-s o-r offrce*rs -shal-1 be l--`1a.b-l--e forthe
n on this map(s), nor for
infor . mation give' Ided based
any one representation prov
upon*said map(s).
STREET FILE
CITY OF EDMONDS SIDE SEWER PERMIT
18 9 0 1 9,51" PERMIT N2 82C2
Address of Construction: 1 -3
Property Legal Description Include all easements): L
EDMONDS
TREATMENT PL
Owner and/or Contractor: v-� - 40 vv'--es
State License No. Building Permit No.
13-<ngle Family Invasion into City Right -of -Way: Odf9`5' El Yes
El Multi -Family (No. of Units-) RW Construction Permit No.
13 commercial Cross other Private Property: 054o 11 Yes
-Public Attach legal description and copy of recorded easement
I certify thil have read and shall comply with all city requirements Date
as indicated on the back of the Permit Card.
* CALL DIAL -A -DIG (l.-800-424-5555) BEFORE ANY EXCAVATION.*
-U
OFFICE SE'ONLY.
FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: Issued By
Trunk Charge. Date Issued: 46 -/�3- 9(.)
Assessment Fee: Receipt No.:
Lid No.: -
Partial Inspection:
Con,v5nts
Date -Initial.
Reason Rejected: Date -Initial
Final Inspecfion Approved: . Datelf- M-InitiaK��g
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: File Green Copy: Inspector Buff Copy: Applicant
Rev,sed 3190
The City of Edmonds Side Sewer Drawing EASEMENT NO - ----------------------------------------
NEW CONSTRUCTION [0/ REPAIRS F� LID NO . .................. IASMT. NO - ------------------
---------- CONTRACTOR ..................................................... PERMIT NO. RRQ.;�
OWNER -------------------------------------------------------------------------------------- .......
(� 1 2) 'S C)
JOB ADDRESS -------------------------- ---- -- ----------------------------- t_�t( ........... LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO - ------------------------------------
PWW-000 I - 11/75 (R EV. 11/78)
NAME OF ADDITION
..........
0-10
c Ar -Fo i' o F,� ra P r-
Approved:
DATE../ ....... ........ q ----- 0 .............. B . ...........................................................
STREET FILE
CITY OF EDMONDS
USE PERMIT
ZONE NUMBER
JION
CONSTRUCTION PERMIT APPLICATION
R513
joe SUITE/APT
ADDRESS /3_3 q3 (j P1 �_� 'C�A�4
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OWNER NAME/NAME OF BUSINESS
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LEGAL DESCRIPTION CHECK
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SUBDIVISION NO. LID
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NO.
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MAILING ADDRESS
C/ S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. TESCP
EXISTING 4010 REQUIRED DEDICATION 14V APPROVED
PROPOSED
BY
C11 Y ONE NUMBER
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NAME
It A-
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
W
STREET USE PERMIT REQUIRED 0
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ADDRESS
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REVIEW BY
SEE ENGINEERING MEMO DATED //
411
10 A L,."
CITY ZIP
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ITELEPHONE NUMBER
71e-97�1?00
REMARKS
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NAME
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ADDRESS
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METSR IZE�
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LDIW SUPPLY SIZE
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FIXTURE UNITS
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CITY ZIP E NUMBER
STATE LICENSE NUMBER
MM kWh
DA RL- I+ T- L -f I
SIGN AREA
ENV. REVIEW
ADB NO.
ALLOWED PROPOSED
COMPLETE EXEMPT
SHORELINE
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Legal Description of Property - include all easements
(show below or attach two copies)
Lo
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VARIANCE OR CU
PLANNING REVIEW BY
W
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SETBACKS — FEET
FRONTIZ!�' SIDE REAR/
HEIGHT
LOT COVERAG
3, E
Tax Account Parcel No.
REMARKS
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"21 NEW n—RESIDENTIAL PLUMBING
.0a,
1:1
ADDIALTER COMMERCIAL MECHANICAL
ElREPAIR 1:1 APT. BLDG. El SIGN
0
En
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0
EXCAVATE, FILL FENCE
M DEMOLISH 1:1 08 GRADE I— X _ FT)
CARPORT
REMODEL 0 1:1—swoolmL
GARAGE
CHECKED BY
TYPE OF CONSTRUCTION
CODE
HEIGHT
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SPECIAL INSPECTOR
REQUIRED
n YES L-; NO
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WOOD STOVE I [:] RETAINING WALL/
INSERT ROCKERY RENEWAL
REMARKS
PROGRESS INSPECTIONS PER UBC 305
(TYPE OF USE, BUSINESS OR ACTIVITY) EXPLAIN:
W,4 A�jW6V &4E-
NUMBER OF STORIES JUNUM
BER OF
D'A
DWELLING
N S
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADING/FILL
Any construction on the public domain (curbs, sidew.Qlks,
STATE SURCHARGE
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Worl� is Started Within 180 Days
"Applicant, on behalf of his or her spouse, heirs, assigns and
wi
21
successors in interest, agrees to indemnify, defend and hold
harmless the City of Edmonds, Washington, its officials,
i5,90
4 -C
TO: Permit Coordinator, Building Division Ile
FROM: Dan Smith, Engineering Inspector
ADDRESS
OWNER
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. Conbection 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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