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CITY OF EDMONDS
121 5TH AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 a FAX (425) 771-0221
Website: wwwci.edmondsma.us
DEVELOPMENT SERVICES DEPARTMENT
Planning - Building - Engineering
January 29, 2004
Steve and Sandra Caugbell
23126 76th Avenue W
Edmonds, WA 98020
Re: Address Change
Dear Mr. Caugbell:
GARY HAAKENSON
MAYOR
This letter is to inform you that due to a recent subdivision in your area, it is necessary
that your address be changed. This is so that your address is in accordance to the City
grid for Fire and Police. Your address has been changed from 23126 761, Avenue W to
7605232ndStreet SW. I will inform all City Divisions including Fire, Police, Utility
Billing, Public Works and Building.
It is your responsibility to inform the Post Office, the Phone Company for Enhanced 911
emergency purposes and all other interested parties of this correction. We apologize for
the inconvenience this may cause you and greatly appreciate your cooperation.
Sincerely,
Mane Harrison
Permit Coordinator
cc: Fire Department
Police Department
Utility Billing
Public Works
Building Official/Street File
Snohomish County Assessor
L\Ternp\DST's\Master Letters\Address Change
Incorporated August 11, 1890 0
Sister City - Hekinan, Japan
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DATE DRAWN PERMIT
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76th
AVE W
CITY OF EDMONDS. WATERLINE
AS-
BUILT
ADDRESS:
76th AVE
W
23126
PERMIT
NUM13ER 2004-0269
HOMEOWNER:
CONTRACTOR:
SWEAZY
I -
DATE INSPECTED:
DRAWN BY1
DATE
DRAWN:
4/27/05
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ABILA
4/29/05
NOTICE:
No warranty of accuracy.
The information shown on the attached
map(s) was compiled for use by the City of
Edmonds, its Employees and Consultants.
The City of Edmonds does not warrant the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy should conduct an independent
inquiry regarding the information shown on
the map(s), including, but not limited to,
the location of any sewer stub shown. Such
sewer stubs may or may not exist and may
or may not exist at the location shown.
Neither the City of Edmonds nor its
employees or officers shall be liable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
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'ek 1890 ur%mvvl,4 PERMIT
.4--7 -7- 1)4 IBY � I A tz e-L INO. lz< Alo-��d
S. PERMIT NQ-5 100io
City ofEdmond
PF.RMIT RNPIRER LJI
Qirnr QrXVrD 'PrIDX411rlr
on: LID #,
Address of Constructi C -�'IaLp
Property Tax Account Parcel fNo. ' (-)O.s -I co -1 0160c)
asements dApproved, by.
Attach- copies of all. access and utility e Verified an V.
Owner and/or Contractor:
&D
din M :i 4.. .00
Contractor'License LE�N -00 1 Buil'
C8L4 9 1-70
R /Si es E] No
Single Family Invasion into C Right -of Way:
f 1. Muilti--Family (No. of Units RW Construction Permit #
Cross other "Privat e.Property: El Y�� VNo
F] Commercial (No. of Units'
DIPublic. "Attach legal description and copy�of recorde/easement.
Owner/Contractor
Ownet,dr contractor sign"a—ture and acknowledgenfent statement:.: bat�'
By signing for this permit I certify that I have read the, City's public handout entitled
Side Sewer Specifications, and shall comply with all, City requirements outlined therein"'
9 CALL DIAL'!..A7DIG (1 -800-4*_(5555) BEFORE ANY, EXCAVATION� 9
_� 4-; 1�_ 11
W FOR, INSPECTION CALL 425-771 0220 extensioQ, QW&
24 HOUR NOTICE REOUIRED FOR: ALL INSPECTIONREQUESTS
DATE RECEIVED
12- 1PI
PERMIT E
XPIRES
CITY OF EDMONDS
USE Ep PERMIT
ZON NUMBER
CONSTRUCTION PERMIT APPLICATION
AD:RESS SUITE/APT*
JO '7
OWNER NAMEINAME OF BUSINESS
115
— 2>1- .,�d 62, S4(4/e-4 7,e 5f
PLAT NAME/SUBDIVISION NO.
I OT NO.
LID NO.
MAILING ADDRESS
LID FEE S
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
P
64—
ITESCIP Apirrmed
RW Permit Required
street Use Penns Raqd
CITY ZIP
TELEPHONE
EXISTING , PRO
Inspection Required
Sidewalk Required 13
REQUIRED DEDICATION FT
Underground
Wiring required 13
NAME
METER S
LINE SIZE
NO. OF FIXTURES
PRV REQUIRED
13
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21s,
YESK NO 13
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ADDRESS
REMARKS
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OWN ER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
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CITY
TELEPHONE
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J_W_ /JEV
NAME ICBL# 7
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ENGINEERING REVIEWED BY
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ADDRESS
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4101eowl
MEN -
FIRE REVIEWED BY DATE
CITY 41P
TELEPHONE
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49 22,P- 4(ogg
STATE LICENSE NUMBER EXPIRATION DATE
VARIANCE OR CU
SHORELINE OR ADB#,-11
INSPECTION
BOND
— 4 'k— /k V.
'0, "."Ov
IR.!'WE's
L , REO'D
CIND
POSTED
$ 1
PROPERTY TAX ACCOUNT, PARC NO.
SEPA REVIEW
COMP ETE EXEMPT
SIGN,AREAV�
ALLOWED PROPOSED
HEIGHT
-ALLOWED PROPOSE�
wo 90/1.0�0'1 0 V
EXP
69
NEW E]' RESIDENTIAL PLUMBING MECH
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OT COVERAGE
L WED
REQUIRED SETBACKS (Ft.)
PRb1POSED SETRAIIKS (FT.)
PROPOSED
FROtj SIDE REAR
FRONT L/RSIDE REAR
COMPLIANCE OR
ri ADDITION COMMERCIAL
4 tP2,, 40,
re 15 Id
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CHANGE OF USE
PARKING.
REO'D PROVIDED.
LOT AREA
PLAN NING AEVIEWED,BY D
R EMODEL muLnFAMILY 13 SIGN
3
13 REPAIR GRADING FENCE
4�CYDS X FT)
Do .2-1
pIry A*
WKS I
DEMOLISH TANK OTHER
Is
C, lr� %.a N, C — Q 'I,
-I ,
U
RETAINING WALL FIRE SPRINKLES
CIV
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0
ROCKERY FIRE ALARM
[TYPE OF USE BUSINESS OR ACTIVITY) EXPLAIN:
TYPE OF CONS LICTION
COD
OCCUPANT
U)
GROUP
Lu
0
NUMBER NUMBER.OF
CRITICAL
SPECIAL INSPECTION -
AREA
W11 V14"
OCCUPANT
10
0
OF DWELLING
STORIES UNITS' 1
REQUIRE�DgLyl:
LOAD
DESCRIBE WORK TO BE DONE
REMARKS
ez.,
PROGRESS INSPECTIONS PER UBC 1108/FINAL INSPECTION REO'D
j ,Velw ef,.P0,y _C 761-yew"I 64,0F.
VALUATION
!374 E-37,15
-7 IF
Description
EE
Description
FEE
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Plan C he ck X
State Surcha rge
HgT SOURCE
tt GLAZING 16
IiLOT�91LOPE %
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Zuildi'h'gt,?prmi
1-71 �2
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City Surcharge
PLAN CHM� VESTED DATE 'Plumbin 91
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO Mechanical
It BE DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE Grading
SEPARATE PERMISSION.
Engr. Review
PERMIT APPLICATION: 180DAYS
PERMIT UMrP I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT; ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS Fire Review Plan Chk. Deposit
IN INTEREST. AGREES TO INDEMNIFX DEFENDLAND HOLD HARMLESS THE CITY OF
a EDMONDS. WASHINGTON, ITS OFFICIALS, EMPLOYEES. AND AGENTS FROM ANY AND Fire Inspection Receipt #
ALL CLAIMS FOR DAMAGES
OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT. ISSUANCE OF THIS PERMIT SHALL NOT BE __JA
Landscapelnsp.
.9 DEEMED TO MODIFY; WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Total Amt. Due
0
x NOR LIMIT IN ANY WAY THE C17YS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.*
Recording Fee Receipt #
I HEREBY ACKNOWUD(3
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
GIVEN IS CORRECT' AN
GIVEN IS CORRECT. AND THAT I AM THE OWNER, OR THE DULY AUTHORIZED AGENT OF APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC- This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED CALL
[IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO Building Official or his/her Deputy: and Fees are paid, and
WORKMEN'S COMP SA FOR INSPECTION receipt Is acknowledged In space provided.
,�%EYSATION INSURANCE AND RCW 18.27.
— tft,!IG !E DATE
S IGNATURE AG DATE SIGNED
(425)
±
2 hil 13 10 771-0220 4 lmij��
-RE D BY DAT9
ATTENTION Off 1333
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 ORIGINAL -FILE YELLd.INsAcTOR
04/02 PINK -OWNER GOLD -ASSESSOR
PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING