23723 78TH PL W.PDFlill 1111 lill
6787
23723 78TH PL W
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 for * th on these
map(s). Any person or entity-reque sting 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
emp-loyees or officers shall be Hable for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
OUTSIDE A INSIDE 0 REPAIRS 0
CARD No . ............................... ...... ...
EASEMENT No.
.� /P /0
.........................................
OWNER ....... ........ ....
CONTRACTOR ...... /V;39
. .............. ......
. ............ —b., ....................
— .................. PERMIT No.
........................................ .............................. .......... ... ..............
HOUSE No . ..... 4372-7- 7 d . .......
STREET
AVENUE LOT No. .. .......... z ...........................................................
..... . .
BLOCK No.//O... M� ... .. .....
NAME ADD ...... ......... F .. ...... 0.4-s ..........
/10/d�., ..............................................................
..... . .......................................
0
U170
9
Is
0
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APPROVED
�AfR 8 - 1963
Date Approved:
BACKFILL WORK ORDER ISSUED ............................................ DEPOSIT, $ ......................................................
.. ............
BY ..... . \
SEWER WORK ORDER ISSUED ................................................ ...... .......... ...... ...... .. ........ .......
PL-07 PL—AN
4
GENERAL NOTES;
The site is flat with no existing streams�,Vlftft
.-creeks, ditches, ponds, etc. within or
adjacent to site.
No proposed changes to exterior of' existing
Structure or site is planned or requested.
tNco )
C�.
APPHOVED BY PLANNING
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MA4 *1b A A
4P.
- ---- - ----
24
GENERAL NOTES;
The site is flat with no existing streia�ms�,
creeks, ditches, ponds, etc. within or
adjacent to'site.
No proposed chanqes to exterior of existing
structure or site is planned or requested.
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Tlo!"D BY PLANNIA
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4-5� PL \,4
.,CITY OF EDMONDS
USE PERMIT
ZONE
NUMBER fig
CONSTRUCTION PERMIT APPLICATION
JOB ITE,APT
ADDRESS 70 v- IU
OWNER NAME NAME OF BUSINESS
Heidi Jindrich & Linda Lorenteen-
LEGAL DESCRIPTION CHECKI
SUBDIVISION NO
LID NO
a:
W
MAILING ADDRESS
Z
3:
0
8645 34th Ave. SOWS
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP Approved 13
EXISTING —REQUIRED DEDICATION —
RW Permit Required 0
Street Use Permit Req'd 0
0
CITY ZIP
Seattle 981?
TELEPHONE NUMBER
11.906 1
932
.6
PROPOSED
inspection Required
Side.alk Required 0
cc
NAME
None,
METER SIZE
LINE SIZE
NO.OFFIXTURESJ
PRV REQUIRED
I
YES C3 NO 0
ADDRESS
REMARKS
cc
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Lu
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CITY.i, _;Ip TTELEPdONE.NIJMBER
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NAMT
011�,' The Level Greg =y NJ dhas nV
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ADDRESS
27523v Wo LiKe Riley RD*
ENGINEERING MEMO DATED REVIEWED BY
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CITY ZIP
TELEPHONE NUMBER
FIRE MEMO DATED REVIEWED BY
cc
1
Z
&iiington 98223
435-1883
0
L)
STATE LICENSE NUMBER EXPIRATION DATE
SIGN AREA
SEPA REVIEW
ADB NO.
0NTnL*0_55jC 3/28196
ALLOWED PROPOSED
EMPT
Legal Description of Property - include all easements
House. is loCated Bit n723 No 78th PL. W.,
SHORELINE st
Z
is b=dU/ Cn the ba& side (W E, sids by
1
Q.
VARIANCE OR CU
I
PLANNING REVIEW BY
DATE
CA
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C)
No 78th Aveto we
uj
0
SETBACKS — FEET
HEIGHT
LOT COVERAGE
Z
FRONT SIDE REAR
Z
Z
<
Property
Tax Account 514&-WO-OOZ-0000
REMARKS
_1
a.
Parcel No.
F%71 0
NEW VSL RESIDENTIAL PLUMBING
El
ADDITION COMMERCIAL MECHANICAL
APT. BLDG. SIGN
REMODEL
GRADING FENCE
El
CHECKED BY
TYPE OF CONSTRUCT)IN
1
CODE
7q!z
OCCUPANT
G FJO U P
REPAIR CYDS. L_ x _FT)
-.11
" / -*12
<- _
WOODSTOVE SWIM POOL
DEMOLISH INSERT HOT TUB/SPA
SPECIAL INSPECTOR
REQUIRED
AREA
OCCUPANT
LOAD
13 YES
FGARAGE RETAINING WALL/
]CARPORT ROCKERY RENEWAL
REMARKS
CD
PROGRESS INSPECTIONS PER. UBC 305
Z
OF�
JSE. SU51NEYS OR ACTIVITY) EXPLAIN:
nal Amily 4%P dwelling
rc
q1129=
001 � V1 Ad 0-�
L 75
NUMBER
NUMBER OF
DWELLING
CRITICAL
AREAS
INUMBER
Z5
uj
0
00
OF
STORIES
UNITS
0
DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN)
FINAL INSPECTION REOUIRED
011 �E
Interior remodel, oclaverting wdatiM
gBirage Into bedrioom W/ bathrooms
VA�ATION
E
PLAN CHECK FEE
I
removal of kitchm pantry,
BUILDING
EAT SOURCE:
GLAZINGil% 321. %
e
PLUMBING
P n Check No.
la
MECHANICAL
GRADINGWILL
.1r,7
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sldewplks,
i
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
STORM DRAINAGE FEE
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
S'
ENG. INSPECTION FEE
El
"Applicant. on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to indemnify, defend and hold
'Wn
harmless the City of Edmonds, Washington, its officialsr.
m
employees, and agents from any and all claims for damages of
DEPOSIT
Cr
whatever nature, arising directly or indirectly from the Issuance
of this permit. Issuance of this permit shall not be deemed to
PLAN CHECK
'I
TOTAL AMOUNT DUE
T
le
�Ir 5V
a
modify, waive or reduce any requirement of any city ordinance
nor limit in any way the City's ability to enforce any ordinance
provision."
I hereby acknow7ge that I 'nave read this application; that the
ATTENTION APPLICATION APPROVAL
V
information given is correct; and that I am the owner, or4he duly
, ,
j
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
signed by the Building Official or his/her
r
ed thereb 0 person will be employed In violation of the Labo r ONLY THE aid, and receipt is
WORK NOTED Deputy; and fees are p
10 S I
'Code State of Washington relating to Workmen's Compensa acknowledged in space provided.
tion In ur ce and RCW 18.27. INSPECTION
LIT c
nK
SI ER OR AGENT) DATF bIG DEPARTMENT F IAL SIGNATURE DATE
7 CITY OF ;7-'
1W
EDMONDS
(;AL.L FOR RELEAVO BY: U%TE
AT NTION INSPECTION
IT I NLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
A FINAL INSPECTION HAS BEEN NIADE AND APPROVAL OR 771-0?20 ORIGINAL — File YELLOW — inspector.
LIN
A CERTIFICATE OF OCCUPANCY HAS' . BEEN GRANTED. UBC -1 or
-p b,.f PINK GOLD — Assess'
CHAPTER 3. 4.—