23712 80TH CT W.PDF111111111111
7239
23712 80TH CT W
0- -9-rT'� J A :f-
TAX ACCOUNT/PARCEL NUM13ER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: []Conditional Waiver Ej Study Require
��kaiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:.
SEWER LID FEE LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
OTHER:
LATEMP\DSTs\Fomis\Street File Checklist.doc
City of Edmonds
Development Services Department
Planning Division
Phone: '425'771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
'The purpose of the Checklist is to enable City staff to
deterniine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: 0�7
City Receipt #:- 61 1 �� 0
Critical Areas File #: co I
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant: 4-1/-03
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist; make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the signed copy
of this form to assist City staff in firiding and locating the
specific piece of property described on this form. in
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in con unction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, inderrinify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I certify that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to 4fiflet ':splicationSu-4ie behal"e owner as listed below.
SIGNATURE OF APPLICANVAG DATE
Property Owner's Autho * ati I
By my signature, I certify I authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permission for e public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER
PLEASE PRINT -CLEARLY
Owner/Applicant:
I —
"OL�J 'J � / r&L)CV4$
14ame
C-3 Z ff F - 5o
Street Address
city State zip
Telephone:
Email address (optional):
DATE
AppHcant Representadve:
OtIAJ I
Name
-77, 1 Alc;4yi Tr 461-;7-
Street Address
. 6�-�Y qr-
city State zip
Telephone: IYZ'5- 7-572-
Email Address (optional): )ohr-y,� okp-bt
V W
Critical Areas Checklist.doc/3.192001
0
0
City of Edmonds
Development Services Department
Planning Division
Phone:
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: I ot7
City Receipt#:_ fko'�S c)
Critical Areas File #: -200--:5 -602-1
Critical Areas Checklist Fee: $ 5.00
Date Mailed to Applicant:
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist, make a
precursory site visit and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the.signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indernnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file plication 9W
�e behajf"e owner as listed below.
SIGNATURE oF APPLicANT/AG DATE
r
Property Owner's Author* ati
By my signature, I c i I authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permissi for e public officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER
Owner/Appficant:
I —
" 0 �V Wcw Zi 0
14ame I
2 i; C 3 Z Of
StIvet Address
4�6wo)V,e5
city State zip
Telephone: Z/0!�;-- '�� Cr7
Email address (optional):
DATE
Appficant Representadve:
r?
11:>1T
Name
1 -77, / Hcic--'t -rr— Aa:r
Street Address
qT-
city State zip
Telephone: 1Y 7-5-2-
Email Address (optional): I-ohl-R oks-bt
V .
Critical Areas Chocklist.doc/3.192001
E
46
City of Edmonds
Development Services Department
Planning Division
Phone: '425'771.0220
Fax: 425.771.0221
The Critical Areas Checklist contained on this form is to
be filled out by any person preparing a Development
Permit Application for the City of Edmonds prior to
his/her submittal of the application to the City.
Ile purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, or
may be, present on the subject property. The information
needed to complete the Checklist should be easily
available from observations of the site or data available at
City Hall (Critical areas inventories, maps, or soil
surveys).
Date Received: I/ I 0_'�2
2-7 V:�p
City Receipt#: I
Critical Areas File M z_cr_,�3 — 002 -2-
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicant: 44-::V--r_Z3
A property owner, or his/her authorized representative,
must fill out the checklist, sign and date it, and submit it
to the City. The City will review the checklist make a
precursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, al . ong with the. signed copy
of this form to assist City staff in finding and locating the
specific piece of property described on this form. In
addition, the applicant shall include other pertinent
information (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their preliminary assessment of the site.
The undersigned applicant, and his/her/its heirs, and assigns, in consideration on the processing of the application agrees
to release, indemnify, defend and hold the City of Edmonds harmless from any and all damages, including reasonable
attorney's fees, arising from any action or infraction based in whole or part upon false, misleading, inaccurate or
incomplete information furnished by the applicant, his/her/its agents or employees.
By my signature, I cer* that the information and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to file he behal e owner as listed below.
SIGNATURE oF APPLi G DATE
Property Owner's Author* atio
By my Signature, I certify I e authorized the above Applicant/Agent to apply for the subject land use application,
c
and grant my permission for Tepublic officials and the staff of the City of Edmonds to enter the subject property for the
purposes of inspection and posting attendant to this application.
SIGNATURE OF OWNER —DATE
PLEASE PRINT CLEARLY
Owner/Applicant:
4122OLv 1J)/
Name I
. 2 i; I C _3 2- F
Street Address
4;6WOW5 .
city state zip
Telephone:
Email address (optional):
Applicant Representative:
Name
-70 )4a;r
Street Address
CrT—
city State zip
Telephone: IYZ!T 7-5-2- -246$2
Email Address (optional): johl--y okot-bi
U
0itical Arm Checldist.doc/3.192001
WILE NO.
Critical Areas Checklist
--------------------------------------------------------------
Site Information (soils/topography/hydrology/veg�ta�ion)
1. Site Address/Location: ROOS- .2,31ll-tA SZ_ S/,/, -5
2. Property Tax Account Number:
3. Approximate Site Size (ac . res or square feet): 3.5
4. Is this site currently developed? _,�Z_Yes; no.
If yes; how is site developed? llaag- 5Y7� eAl Ma7AV a
5. Describe the general site topography. Check all that apply.
Flat: less than 5-feet elevation change over entire site.
A�IA Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a
horizontal distance of 66-feet).
Hilly: slopes present on site of more than 15% and less than 30% a vertical rise of
I 0-feet over a horizontal distance of 33 to 66-feet).
Steep: grades of greater than 30% present on site (a vertical rise of I 0-feet over a
horizontal distance of less than 33-feet).
Other (please describe):
6. Site contains a.reas of year-round standing water: A1QA11e5 Approx. Depth:
7. Site contains areas of seasonal standing water:
_jg6jj!E: —;.Approx. Depth:
What season(s) of the year? 44
8. Site is in the floodway A,�Q floodplain_ kl) of a water course..
9. Site contains a creek or an area where water flows across the grounds surface? Flows are.year.-
round? 11)464� — Flows 'are seasonal? - AA� (What time of year?
10. Site is primarily: forested meadow ;shrubs mixed
urban landscaped (lawn,shrubs etc) gajW -7V
11. Obvious wetland is present on site:
J.
� ------------------------------- — -------------- — -- — For City Staff Use
-1. Site is Zoned!
A
SCS mapped soil typ )? '000r �Wuwilj�
e(s
2
Wetland inven'tory''or C.A. map indicates wetland present on site9
4. 'Critical Areas--inventor'y or C-.A. ma 'indicates Critical Area on site4 Ale)-
p
'5� Site within designated earth subsidence landslide hazard area? NO
Site designated on the Environmentally Sensitive Areas Map?
:UTt'kM1NAT10,N
_'DY RJEOUIRED CONDIMNAL WAIVER:
W�A;111
Reviewed by:
PlanneKT like
�a_chk.doc; Re� 10/0:
Ll
City of Edmonds
RECIEWED
JAN 0 6 19ng
COMMUNIrf SEWICES
CRITICAL AREAS CHECKLIST
The Critical Areas Checklist contained on this form is
to be filled out by any person preparing a
Development Permit Application for the City of
Edmonds prior to his/her submittal of a development
permit to the City.
The purpose of the Checklist is to enable City staff to
determine whether any potential Critical Areas are, 'or
may be, present on the subject property. The
information needed to complete the Checklist should
be easily available from -observations of the site or
data available at City Hall (Critical Areas inventories,
maps, or soil surveys).
An applicant, or his/her representative, must fill out
the checklist, sign and date it, and submit it to the
City. The City will review the checklist, make a
precursory site visit, and make a deten-nination of the
subsequent steps necessary to complettz,development
permit application.
Please submit a vicinity map along with the signed
copy of this form to assist City staff -in finding and
locating the specific piece of property described on
this form. In addition, the applicant shall include
other pertinent information (e.g.-, site plan,, -topography
map, etc.) or studies in conjunction with this Checklist
to assist staff in completing their preliminary
assessment of the site
' i
I have completed the attached Critical Areas Checklist and attest that the answers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Ovsner/Applicant.- Applicant Representative:
%
—7—ovu A^ La1V4r111_:_'1P
Name Name
2 /)7 Z4W
31;e
I Street Address
Street Address
City State Zip. City State Zip
Telephone Telephone
Signa Signature
,We
77
_-Date Date
(over)
�77 n 7,—,, Z,,77-, 7.7 7, 7; 7 7.7;: Z
;7, =7 7777W_�
PERMIT NO: .9940.
fity0A Ednionds
PERMIT EXPIRES
SI,DE SEWER PERMIT V_
Address of Construction": �R 7_2 A 15. Ul LI'D #
Property Tax Account Parcel No.
Attach copies of all access and utility easements `_V"erifed and Approved b
Owner and/or Contractor:
Contractor Licensek Building Permit #C
Single Family. Invasion into City *Right -.of Way: [:]Yes )KNO'
Multi-Famiily� (No. of Units *RW, Construction Permit #
Commercial (No. of Units' Cross other,* If Private Property: E]'Yes No.
ELI] Pubr *Attach I egal"
qescription and copy of recorded easement.
Owner/Con'tractor L//0
C� )I , /'
Owner or contractor signature and acknowl edgernert statement:. Date,,':,
s public handout entitled
By signing f6r this permit I certify that 1have read the* City'
4M&S
/�ide Sewer Specifications, and shall comply with all Q%ity requirements outlined therein.
171 q
a CALL DIAL, -A -DIG (1-800-429-;-5555) BEFORE ANY EXCAVATION 2
W'FOR INSPECTION CALL 425-771-022W6t�fisdonj', W
REOUIRED FOR ALL INSPI
City Permit Surchargefee 45.00
Total Few
... . . .. .. .....
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 R&INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO Date: Initial:
Partial Inspection: flted, CT (dAghdit o- RL. Date* Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: 9��Qs- .Initial: As -built to Street File: E].
t�. PERMIT MUST BE POSTED ON JOB SITEr/-
White Copy: File Green Copy: ln�pector- 130 Copy: Applicant
L;temp;bldg-Iforms;ssperTnitjlg4/00
i, - w
Ep4f
A 0
d a lkwl 71w�
CITY OF EDMONDS SIDE SEWER AS-BUILTI
ADDRESS: 23712 80TH COURT SW I
CONTRACTOR: HOMEOWNER:
VIKING PROPERTIES CAJUN
DATE DRAWN
DRAWN. 6/7/05 BY: 1. A131A
PERMIT
NO: 9940
SCALE: NTS
-D
.E FAMILA N -01 GLE FAMILY SINGLE
0:
R PN 6D
31DENCE w ;,i RESI
C,
�j 1 RESIDENCE
Oth COURT W. ) ,I: - T-- 23711 80t
0 237�Q 80.th CdOR W.
ONTRACTORiSRESPONSI LE
OWNERIC
-0
0
D
n
S
237
I N
R
G
1 1
6 00'
FOR EROSION CONFF-ROL ANDPAMA SE ca
Ln
ul�ol N
36.50" 36.50'
0- . .. .... ..
89'21'37" W—I,, N 8 1'37" w
36
T-
46.50' 1,40.00 B
-7
ALL EXPOSED SURFAC'E'S''O' 6' P�SE#3
B
BE COVERED WITY� 2 15kY S w
14 <
'D
c:�
-E FAMILY b b' SINGLE
SINGLE FAMILY
co : I a
SIDENCE RESI
RESIDENCE
Dth COURT W. 0 0 23713 80
MAINTAIN PLAT INSTALLED EROSIONZC�NTR( 23712 80th COURT W.
z
D C'I A D
3650'
46 50' 0 En ....... . 36.
..... .... . N 8
...................... ..............
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TRA(
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APPROV U!
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'71 —7 ACGEPTABLE TIGHTLINE
MATERIAL
C, h -e (9 7, 7 SDR 35
SCH 40
9 7 N - 12
F810 HANCOR
N JUL
2004
PE
OWN ER/CON TRACTOR Rkfj
cou/v
VIKING PROPERTIES, INC. W E TER
P.O. BOX 1034 1* 0.
LYNNWOOD, WASHINGTON 98046 10' 20' REtEIVEL)
PHONE : 425-670-2711 WATER & SEWER
INSPECTIONS REQ'D. PLOT PLAN OCT 2 0 2004
BENCH MARK CALL 425-771-0220 EXT. 1326 FOR DEVELOPMENT SERVICES CTR.
THE PROJECT BENCH MARK IS THE CONCRETE rjNDS
MONUMENT IN CASE LOCATED AT THE L 0 T 14, VIKING HEOP
CENTERLINE OF 238TH STREET S.W. AT
APPROXIMATELY THE MIDPOINT OF THE IN SE1/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY.
CITY OF EDMONDS
ELEVATION : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM : ASSUMED
�ffimj Lovell - Sauerland & Associates, Inc.
En&eers/Surveyors/Pl&tLnei-s/Development Consu.)L&nts
APPnOVED AS NOTED e-mafl: infoftmengineering.com - web: Isaengineering.com
BY ENGINEERING
1kW 33rd Avenue W., Suite 200 - Lynnwood. WA 98036 - (425)775-1591 (4Z5)672-7998 fax
MINN DATE SC"
7-- 20' 1 FU No
Date: JTT JTT 1 3.603 4656-0-04]
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— — — — — — — — — — — — — — — — — — — — — — — — — — — — —
HIGA-BURKHOLDER
ASSOCIATES, LLC
LAND Usa PLANNING I CIVIL ENGINERRIM43
1721 movdtt Avemm 0 Soft 401 M Evw*M WA 98M
phme (425)252-2&M fax (425)252-9551
LIU & ASSOCIPTES 4862746
0 0
DAILY FIELD REPORT
LIU & ASSWAATES, IN(". 4AO85 J. L ILI 'IV. r aW� I of 1
GQnt%:thnicA! Ungineering. Frij Ar TIMOU11 git-3 1) 73e__
ji1ccTi1!,! (jcslog) & 1: 1h SCmic VITGS
26 11 i5OA 2!18/200!
192t3 Kenlike Place NE f ravel 11 irrU (Hr3) rim-e-OWTi—G) W-e�FFZ�
Kenmore, Washin.-ton 98028 1 12:30P Sunny
Phone: (425) 483-9134 Faxi (42il 486-2746 lVehii�le Pra on Site P; � _ff F _2r-a-a T - 7: —vi, i r Q
6
�Ilcfll
Lots 14 throuqh 19 - Sunrise Ridge 8OXX - 238th Strep,! SVV, Edmonds
IV-ki.nq Properties
Oene-'21 Contrador_SupeH—ntendent IKqCQ1VC-1J UAChOCKOCi 13y
Vikinc Properties Ted Coleman
_6rthw0tk Cf)nt,-R—or
Earthwork Contractor SU—P! R—eceived
Calun Exrav2��__
At the reclijest byTed Coleman with Viking Properties, I come on site to verify the footing bearing soils for the
ho, ises to ue built on the subject lots. At the time of my site visit the tooting trenches oil these lo,s �iave all been
excavated out down to the footing level.
The footing trenches over about the eastern halves of the building footprints are, Cut intc light -gray, gravelly, silty fine
,z and, whiie the footin-s over about the eastern halves of the buildirg footprints are cut into bi own silty fine sand'.
I., M I
A steel T-bar manually pushed into the tooting oearing soils can penetrate no more than a couple of inches into tile
grly grave;1y silty sand, but oan penetrate up to about 8 to 10 inches into the brown silty sand
I intori-n Bob, the foreman with Viking Properties that the loose disturbed soils pushed into the footing trenches
should be removed, and tne surfirial brown silty fine sand in the footing tren,ches over abOLIt the eastern risa:ves ol tile
b�,liiding footprints should be compacted to a non -yielding state with a vibratory mechanical compactor. If th2 above
are done. it is my opinion that the footing bear;ng soils will be able to render an allowable bearing capacity of at ie�lst
3.000 psf.
RECEIVED
FEB 2'8 2005
DEVELOPMENT SERVICES CTR.
CITY OF EDMONDS
I --- I q I
1) Ted (_'cleman/Viking Properties
2) on Next
4) Paoe
'a'�l k1 16d(-- Lo,,-V jw
I Z-
E'FAMILY b . 0
31DENCE
Oth COURT W
NSIBQ
OWNER/CONTRACTOR IS RESP tmll
FOR EROSION CONTROL AND D AGE
D�?o
36.50' . - '- I
89*21'37" w 4",
ALL EXPOSED SU1036 7 "4'000' �' : 1
BE COVERED WITHIN 2 D�)k. "
, " I W
13
-E FAMILY
8
SIDENCE I Cno
rQ
)th COURT W. 0
0
MAINTAIN PLAT INSTA4 z
.,�D. I ERbft4, 00
PNGLE FAMILY
RESIDENCE
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WATER & SEWER IN F81 0 HANCOR JUL
INSPECTIONS REQ'D.
0
OWNER/CONTRA&% 425-771-3220 FAT. CITY COLI?Y=20' PERA41 I xon, "0-:4
VIKING PROPERTIES, INC. W E Cot)IVTER
P.O. BOX 1034 0' 10' 20' PEIVED
LYNNWOOD, WASHINGTON 98046
PHONE : 425-670-2711 S PLOT PLAN OCT 2 0 2004
DEVELOPMENT SERVICES CTR.
BENCH MARK FOR CITY OF EDMONDS
THE PROJECT BENCH MARK IS THE CONCRETE
MONUMENT IN CASE LOCATED AT THE LOT 14) VIKING HEIGH TS
CENTERLINE OF 238TH STREET S.W. AT
APPROXIMATELY THE MIDPOINT OF THE IN SE1/4, SECTION 31, T.27N., R.4E., W.M.
PROPERTY.
CITY OF EDMONDS
ELEVATION : 200.00 SNOHOMISH COUNTY, WASHINGTON
DATUM : ASSUMED
Lovell - Sauerland & Associates, Inc.
APPROVED AS NOTED En&eers/Surveyors/Platme'n/Development ConsWtants
Ill P-% e-mail: info@Lsaen&euing.com - web: IsaengineeriDg.com
BY EN ERIN INO 33rd Avenue W.. Suite 200 Lynnwood. TA 98036 - (425)775-1591 - (425)672-7998 fax
DIUTN B. ScAlit FU No.
JTT JTT 3. - 1 = 20' 4 6�5 �6— 0 �—O 4
DATS6.03
Date:
L
0 DATE RECEIVED
q7
t94�t
&1361
FPERMIT EXPIRES
TY-7 'E
a DMONDS
USE PERMIT
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION.
JOB
SUITE/APT#
ADDRESS.;�
W M.E/NAME OF B�ftSS
)71
K
ULAT NAME/SJ VISION 0,
LOT NO.
LID NO.
cc
W
MAILING ADDREI�,,
Yhncl �;
ALI
14
LID FEE $
01?�4
PUBLIC P4&T OF WAO-1-F!
OFFICI I
TESCP Approved
RW Permit Required
Street Use Permit Req'd
CITY ZIP
Lknrum,A%% I
TELEPHONE
71
EXISTING 4-0000e PROPOSED
REQUIRED DEDICATION FT
inspection Required
Sidewaik Required
Underground
Wiring required
Nkj
4__Czl��
METER SIZE
1
LINE
SIZE
NO. OF FIXT URES
1
QUIREd
C3
g h 12
I
Lz
YE;: NO
._43e-:,C;A
PqRESS
REMARKS
C�
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROODRAINAGE
IbEd-& itufte-AGUS
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PHONE
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ADDRESS
G ElIPME BY
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FIRE: REVIEWED BY
DATE
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Cl ZIP,
TEL5RHONE
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"A LICENSE NUMBER. EXPIRATION DATI
VARIANCE OR CU �SHORELINE
OR ADB0
INSPECTION
BOND
POSTED
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PROPERTY TAX _A.QCOUNT'PARCE'-NO 1. 1
SEPA REVIEW'
COMP LETE:, EXEMPT
AREA P'
ALLOWED PROPOSE?,
HEIGHT
LLOWED PROPOSED
C1, nr3o co
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NEW
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XR
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REQUIRED SMACKS (Fr..):'
'PROPOSED SETBACKS (FT)
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ALLOWED PROPOSED
FRONT SIDE REAR
FRONT L/R SIDE REAR
ADDITION
1:1
COMMERCIAL
COMPLIANCE OR
0 CHANGE OF USE
466,%
W/A.
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13 MULTIFAMILY
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PARKING LOT
REO'D PROVIDED
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PLANNING REVIEWEbtry DATE
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1
REPAIR CYDS X Fri
1315
-2 0
M KS
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DEMOLISH TANK
GARAGE RETAINING WALL'
CARPORT -_ * , ;�' -[a F:RE SPRINKLER .
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0
ROCKERY F REALARM
((TYPE OF USE, BLIPIESS OR Ar.TFVnY) EXPLAIN:
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REMARKS
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PROGRESS INSPECTIONS PER UBC 08/.IBCI09/`.IRC109 FINAL INSPECTION REO'D
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VALUATION, -
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Description
FEE
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Plan C�hep
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ASP
State Surcharge
41�410
HEAT SOURCE
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PP
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-
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1puildindl rmit
City Surcharge
PLAN CHECK NO:
VEST111DA'
tPlumbing
Base Fee
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED T IS �V;.OVERS WORK TO
I=
BE DOME ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
DOMAIN
Grading
170
(CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
t
SEPARATE PERMISSION.
2
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Engr. Review
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PERMIT APPLICATION: ISO DAYS
IL
PERMIT LIMIT 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. Deposft.:?5,V
IN INTEREST, AGREES TO INDEMNIFY DEFEND AND HOLD HARMLESS THE CITY OF
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt
#
14471
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE, ARISING DIRECTLY OR INDIRECTLY
FROM THE ISSUANCE OF THIS PERMIT ISSUANCE OF THIS PERMIT SHALL NOT BE
DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
Landscapelnsp.
Total
Amt. Due
0
NOR LIMIT IN ANY WAY THE CITY$ ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
I
Recording Fee
Receipt
#
i i��W
L
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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-
CALL
This application is not a permit unfil signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN'S CO
>,PENSATION INSURANCE AND RCW 18.27.,
DA7E SIGNED
(425
VFFAALS S
RE DA E
771-0220
A D BY TE
ATTENTION
Eff 1333
i
IT IS UNLAWFULTO USE OR OC YABUILDING OR STRUCTURE UNTILARNAL
INSPECTION HAS BEEN MADE ND APPROVAL ORA CERTIFICATE OF OCCU-
PANCY HAS BEEN GRANTED. UBC109/IBC110/IRC110.
ORIGINAL - FIL INSPECT/.
PINK - OWNER GOLD - ASSESSOR
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