22218 98TH AVE W.PDF9689
22218 98TH AVE W
89 0 - 199
City of' Edinonds
A
RIGHT-OF-WAV, CONSTRUCTION.
PERMIT
Permit Num
IssueDate:— 6-17-
A. Address or Vicinity of Constructio6n: 22218 98 Av V (9615171)
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B. Type of Work (be specific): InaltallISeryle
C- Contractor: - Washington Natural Gas
MailingAddress: 1122 75 qt gy fterett
State License #: 98203
D. Building Permit # (if applicable):
Contact:,. Xaria6e K:Lr&sbury
J
Phone: j%_7 500 X7596
Liability Insurance: Bond: $
Side Sewer Permit # (if applicable):
E. []Commercial [:]Subdivision El City Project [N Utility (PUD, GTE, WNG, CABLE, WATER)
n Multi -Family E] Single Family n Other
INSPECTOR: INSPECTOR: t__,4-,',4cA_JrA
F. Pavement or Concrete Cut ELYes []No G. Size of Cut: /i x H.
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APPLICANT TO READ AN- J),!;SIG� N
INDEMNITY. Applicant understands and by his signature to this application, agrees to hold the City ofEdmonds 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 ofg'r'a'nting thispermit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD Q,� ONE YEAR FOLLOWING THE F&Alk"
INSPECTION AND ACCEPTAYCE OF THE WORK ESTIMATED RESTORATION FEES- WiTL BE HELD UNTIL THE FINAL STREET PATCH
IS COMPLETED BY CITYFORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED- FOR ISSUANCb TV�tHE`APPL_ICANT.
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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. . J
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 abovestatements and understand thepermit requirements and thepink copyof thepermit willbe
available on site t all,7time for inspection 7prp, S.
Signature: Date: 6-6-96
ctor or- , ent)
CALL DIAL -A -DIG PRIOR TO BEGINNING WORK
FOR CITY USE ONLY
APPROVED BY. RIGHT OF WAY DEPOSIT
TIME AUTHORIZED: VOID AFTER -Al )Cq I DAYS
SPECIAL CONDITIONS:
COMMENTS:
DATE:
DISRUPTION FEE/FUND III:
RESTORATION FEE:
PERMIT FEE: ao, 00
TOTAL FEE:
RECEIPT FEE:
ISSUED BY: -A—
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. 1994
FIELD INSPECTION NOTES
Comments:
Diagram
(Fund 111 - Route copy to Street Dept.)
CONTRACTOR CALLED FOR INSPECTION El YES El NO
Partial Work Inspection by P.W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
SAML-
M Gas -
AVVh#*V1onEreWC7rMV Addendum to: Ci of Edmonds
Right of Way
permit Applic4tion,
Submitted by: Marlamne Kingsbury,
ii6gin'eering Aide
Washington Natural Gas
1356-7500 X7596
Watermain depth Kk7t
gas main
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Key:
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-G- Gas .
-SS- Sewer
Water hydrant
0 Water valve
Washington Natural Gas Company
1122 75th Strect S.W., Evcrett, Washington 98203, (206) 355-3331
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Addendum to: city of Edmonds
Right of Way
ermit ApplIPAtion,
Submitted by: Marlamne Kingsbury
Engineering Aide
Washington Natural Gas
Q56-7500 X759��
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Key:
-w- 'Water
Watermain depth Mc7t P�CCk)q�ftl�,- -G- Gas
-SS- Sever
-& Water hydrant
-2, gas main Water valve
Washington Natural Gas Company
1122 75th Street S.W., Everett, Washington 9820.3, (206) 355-3331
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CITY OF EDMONDS BARBARA FAHEY
MAYOR
250 5TH AVENUE NORTH * EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221
COMMUNITY SERVICES DEPARTMENT
Public Works * Planning 9 Parks and Recreation 0 Engineering
February 13, 1996
Mr Shawn Monohan
22220 98th Avenue West
Edmonds, WA 98026
Re: Change of Address
A recent short -plat, which created a lot to the south of your property, fibs necessitated a change of
address to your property. Due to addressing constrictions in that area and the guidelines for
addressing within the Snohomish County grid, your present address had to be assigned to the
new house to be constructed and your address has been changed to 22218 98th Avenue West. It
is unfortunate that the lack of available numbers left us with no choice but to'change your
property address, and we hope it will not cause you undue hardship.
Therefore, with the concurrence of the Fire Marshall and the Building Official, your address has
been officially changed from:
22220 98th Avenue West to 22218 98th Avenue West
The City will notify all applicable City departments of the change. It will be your responsibility
to notify all others, including the Post Office. You have 30 days to post new address numbers.
Thank you,
Sharon Nolan
Permit Coordinator
cc: * Fire
Police
Public Works
Utility Billing
Address Files
Street Files�x
Engineering
Building Official
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NUMBER
CONSTRUCTION PERMIT APPLICATION
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ADDRESS At,—,
SUITE/APT
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OWNER NAME NAME OF BUSINESS
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LEGAL DESCRIPTION CH7UBDIVISION
NO. LID
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ADDRESS
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP, TESCIP
Approved 0
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Permit Required E3
CITY ZIP
TELEPHONE NUMBER
EXISTING � REGUIRED DEDICATION Street
Use Permit Req'd 11
Inspection
Required 11
PROPOSED Sidewalk
Required 13
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NAME
METER SIZE
LINE SIZE
NO. OF FIXTURES
PRV REOUIRED
YES 0 NO 0
ADDRESS
REMARKS
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NUMBER
FIRE MEMO DATED REVIEWED BY
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STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPA REVIEW
ADB NO,
ALLOWED PROPOSED
COMPLETE
Legal Description of Property - incl ude all easements
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1EXEMPT
SHORELINE11
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DATE
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SETBACKS — FEET
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REMARKS
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NEW RESIDENTIAL PLUMBINGIMECH
COMPLIANCE OR
M El CHANGE OF USE
ADDITION COMMERCIAL
151 REMODEL E] APT- BLDG. SIGN
CHECKED BY
TYPE OF rONSTRUCTION
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OCCU 3ANT I
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GRADING FENCE
REPAIR E] — CYDS. El ( x _FT)
DEMOLISH WOODSTOVE SWIM POOL
INSERT HOT TUB/SPA
SPECIAL INSPECTOR
AREA
OCCUPANT
REOUIREC
LOAD
GARAGE r__j RETAINING WALL/
RENEWAL
REMARKS
CARPORT LJ ROCKERY
PROGRESS INSPECTIONS PER UBC 108
JTYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
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NUMBER I
NUMBER OF
CRITICAL
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0
OF
DWELLING
Al EAS
W
STORIES
LINITS_
NUMBER
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL 16PECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
'41
HEAT SOURCE-
GLAZING
% 1
�2
PLUMBING
Plan Check No.
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewplks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
STORM DRAINAGE FEE
ENG. INSPECTION FEE
"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hot
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harmless the City of Edmonds, Washington, its officials,
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employees, and agents from any and all claims for damages of
IX
whatever nature, arising directly or indirectly from the issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK DEPOSIT
�jmodify,
waive or reduce any requirement of any city ordinance
0
nor limit in any way the City's ability to enforce any ordinance
TOTAL AMOUNT DUE
61F
provision."
I hereby acknowledge that I have read this application; that the ATTENTION APPLICATION APPROVAL
information given is correct; and that I am the owner, or th - a duly
authorized agent of the owner. I agree to comply with city and THIS PERMIT This application is not a permit until
state laws regulating construction; and In doing the work authoriz- AUTHORIZES
ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his/her
Code of the State of Washington relating to Workman's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is
tion Insurance and RCW 18.27. INSPECTION acknowledged in space provided.
SIGNATURE (OWNER OR AGENT) DATE SIGNED DEPARTMENT I . 117-
OFFI CIAQ� PjGiNATA PATE
411 CITY OF .
K 14V? 6
EDMONDS �1. 141
, -- ( E
CALL FOR RELEAft Y /6*
; �' �
ATTENTION INSPECTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-0220 ORIGINAL — File YFI I OVJI— I ector U
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC
SECTION 109 PINK —Owner GOLD —Assessor
10247