23728 80TH CT W.PDF111111111111
7249
23728 80TH CT W
ADDRESS: a?37o? E
TAX ACCOUNT/PARCEL NUMBER:
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
—� C—) 03- �X,
CRITICALAREAS: I ) n5;k��'
DISCRETIONARY PERMIT #'
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED: I 1 0
SEWER LID FEE $:
SHORTPLAT
SIDE SEWER AS BUILT DA'
SIDE SEWER PERMIT(S)
V 9
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DATED:
OTHER:
LOT:
TION: [] Conditional Waiver E] Study Re . quired)<Waiver
LID #:
BLOCK:
LATEMP\DST1s\Fomis\Street File Checklist.doc
0
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
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).
- . 'T " ,� -D
L�3
Date Received:'.-',51 f 1/ 1 cq--�2
City Receipt#:_
Critical Areas File #: --2 C30*-3AW-20
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 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 on e owner as listed b-blow.
_91L#ie behalf
SIGNATURE OF APPLiCANTUAG DATE
Property Owner's Author' atio
I
By my signature, I cer* I e 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
Owner/Applicant:
"w 1J)/
14ame
-2 5 C 3- Z
Street Address
city state zip
Telephone:
Email address (optional):
DATE
Applicant Representative:
Name
/ -77,
Street Address
&"44-r qT—
city State zip
Telephone: 7-!5,2- -0�0,�g
Email Address (optional): )ohu-V,� okpbi
U W
Critical Amas Checklist.doct3.191001
City of Edmonds Date Received:
Development Services Department CityReceipt#:4
Planning Division Critical Areas File #: -7003 -COC-i2-1
Phone: 425.771.0220 Critical Areas Checklist Fee: $45.00
Fax: 425.771.0221 Date Mailed to Applicant:_�L�3
Ile 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).
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
p recursory site visit, and make a determination of the
subsequent steps necessary to complete a development
permit application.
Please subn-dt 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, 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 certify that the information,and exhibits herewith submitted are true and correct to the best of my
knowledge and that I am authorized to 4fillet *:splicati beh owner as listed below.
SIGNATURE oF APPLicANT/AG DATE 't:>
jo;Property Owner's Author* ati
By my signature, I c ify I authorized the above Applicant/Agent to apply for the subject land use application,
and grant my permissi for =epublic 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
Owner/AppHcant:
4�2j6� 'J ) /
Name
C-3 Z F - 5�
Street Address
4;�DwOAI,e5 V,4
city State zip
Telephone: '�/' '?67 !�44;5
Email address (optional):
Applicant Representadve:
,6 - '? A
Z�
Name
1-77,1 �/c;4-)07—
Street Address
qT—
city State zip
Telephone: qZ 5' - 7-57Z &�O
Email Address (optional): johj-,-� okp-bt
Critical Areas Checklist.doct3.192001
0
17J
City of Edmonds
Development Services Department
Planning Division
Phone: '425'771.0220
Fax: 425.771.0221
Ile 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: V 1.
7U
City Receipt#: I
Critical Areas File M Z—cr-,-�3 — 00-z -2-
Critical Areas Checklist Fee: $45.00
Date Mailed to Applicaft,
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 detennination of the
subsequent steps necessary to complete a development
permit application.
Please submit a vicinity map, along with the,signed copy
of this fonn 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 infon-nation fiimished 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 s I
,Wp icati7� owner as listed below.
SIGNATURE oF APPLicANTr:/AG DATE
hor7Property Owner's Author' atiold
By my signature, I certify I C 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 OVVNER
I — PLEASE PRINT CLEARLY
Owner/AppHcant
0.*k/
Name
C-3 2-
Street Address
16;6WOW5
city State zip
/ '7-!�#t;5
Telephone: L- 4r
Email address (opt ional):
DATE
Applicant Representative:
",)Oim) /
Name
1 -70 / HL;o-�izr- Aa;r
Street Address
. &z&
city State zip
Telephone: 4 Z 5' - 7-57Z - ZS:V 16
Email Address (optional): _1oh1-Vj o P-bt
V W
Critical Areas Checidistdod3.191001
*ILE NO.
Critical Areas Checklist
--------------- ------------------------------------------------
Site Information (soil s/topography/hydrol ogy/ve ptation)
P300-6'- .2,3147LA 57 SIA1. 4�06hVIQS 4a. MZ�'
1. Site Address/Location:
Property Tax Account Number:
2. 19d 0.-12,9 '&!29
3. Approximate Site -Size (acres or square feet): 3S. /Z
4. Is this site currently developed? _k:f�_Yes; no.
If yes; how is site developed? QW 14,MTIAAJ 0/4= lxdl�pg�
5. Describe the general site topography. Check all that apply.
P" Flat: less than 5-feet elevation change over entire site.
A1,1k 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 3 0% 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 areas of year-round standing water: A��A�� Approx. Depth:
7. Site contains areas of seasonal standing water: A&A1,LZ_ Approx. Depth:
What season(s) of the year? 4144
8. Site is in the floodway AJ40 floodplain of a water c.ou*rse..
9. Site contains a creek or an area where water flows acro ss the grounds surface? Flows are.year-
round? Flows are seasonal? AlfdL�, (What time of year?
10. Site is primarily: forested meadow shrub s mixed
urban landscaped (lawn,shrubs etc) WjW 7�e� g4,pc
7V
IL Obvious wetland is present on site: lyelyes;_
----------------- --- - --------------------- For City Staff.Use Only ------------- - ------ ------ - -----
1. Site is Zoned!
A
A A
..2.. SC mapped soil type(s)?
:3. Wetland inventory or C.A. map indicates wetland present on site?
4-. CriticaJ Areas* fii�entory or C.A. map indicates Critical Area on site�
'site 'Within designated earth subsidence landslide hazard area?
5.
iie designated on the Environmentally Sensitive Areas Map? V0
R-
U
DY REQ IRED CONDITIONAL WAM
W�Arjlk
viewe'd by:
Re*
P Plan
lanw*-r I bite
lu-chkAoc; Rev 101W
0 0
RECSIVED
City of Edmonds JAN 0 6 19%009
COMMUN11Y 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 frorn -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 determination of the
subsequent steps necessary to completez,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 have completed the attached Critical Areas Checklist and attest that the ansiwers provided are factual, to the
best of my knowledge (fill out the appropriate column below).
Owner/Applicant* ' Applicant Representative:
Name Name
Street Address Street Address
S.
city State Zip city State Zip
q2��_
Telephone Telephone
Si' n
,�e
9 Signature
Dite Date
(over)
M TT
77
City of Edmonds. IERMIT NO: 1111
PERMIT EXPIRES 1,,�IAO
SIDE SEWER PERMIT I
Address of Construction, LID #
_9,1W ;��tg e17
Property Tax Account Parcel No.
Attach copies of all access
Owner and/or
Contractor License #:
ilityeasements 'Verified and Approved b
Building Permit kc;�
XSingle Family Invasion into City *Right -of Way: El Yes X No
r_1 Multi -Family (No. of Units *RW Construction Permit #
F� Commercial (No. of Units Cross other "Private Property: Yes �^o
F] Public "Attach legal description and copy of recorded easement.
Owner/Contractor
Owner or contractor signature and acknowledgement statement: Date
,.,..,,,By signing for this' permit I certify that I have read. the City's public handout entitled
ide Sewer Specifications, and shall comply with all Cityrequirements outlined therein.
9 CALL DIAL -A -DIG (1-800-42V
� �5555) BEFORE ANY EXCAVATION 9
Iff FOR INSPECTION CALL 425-771-0220 extension
24 HOUR NOTICE REOUIRED FOR ALL INSPECTION REOUESTS
FOR OFFICE USE ONLY
....... ....
. ... ... ... . .. ..... . ......... ....
PermitFee Repair Fee $ Issued By:
Trunk Charge $ Date Issued:
Assessment Fee $ Receipt No:
City Permit Surcharge Fee 45.00 Total Fees Paid $
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN
INSPECTOR ARRIVES A $45 RE -INSPECTION FEE WILL BE CHARGED.
Job Site Ready YES NO —Date: Initial:
Partial Inspection: Date: Initial:
Partial Inspection: Date: Initial:
FINAL INSPECTION APPROVED: Date: As -built to Street File:
Initial:
t/- PERMIT MUST BE POSTED ON JOB SITE I -
White Copy: File Green Copy: Inspector Buff Copy: Applicant
L;temp;bldg;forms;sspermitjlg4/00
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LATERAL DEPTH 5.5 @ CONN
123732
238 ST SW
00
Ki E.D �*o CITY OF EDMONDS SIDE SEWER AS— BUILT
,d ADDRESS SCALE
237.28 - 80 CT NTS
HOMEOWNER CONTRACTOR
-VIKING PROPERTIES -CAJUN CONST
DATE DRAWN PERMIT
.&t. 1890 01/31/2005 BY SIBREL NO. 9938
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BUILDING PERMIT
PERMIT#: BLD20041042
PROP OWNER: Viking Properties
STATUS: FINAL
ADDRESS: 23730 80TH CT SW, EDMONDS
BALANCE: $0.00
.19SUED: 12/1412004
CREATED: 12/14/2004
SCREENS: Select Screen...
FUNCTIONS: Select Permit Function..
64 -
SINGLE FAA41LY RESIDENCE
NEW
SIC-ft E L .1NF NA
— jr� '
-0ai
Permit Title: 164 - Single Family Residence New ���v
Status: IFINAL
Permit Type: 164 - Single Family Residence New
Issue D ate: Close Date:
Situs: 123730 80TH CT SW
Zone:
Occupancy:
R3.
Code Edition: 0
Occupant Load: Lot:
Project Va . lue: $143,745.001
Subdivision: Archive Record:
13
Plan Review Fee:
Units: ol Plans on File:*
Permit Fee: $1,829.001
Notes:
SFR ist fl 465sf, 2nd fi 938sf, garage 593sf, deck 71sf, nce, Structural Reed#30771, Geotech Liu #27589. 78 cu
yds of grading, lot 2
V
Thursday, Apr 10, 2014 03:28 PM
BLD20041042 (PT-UVE) - PermitTrax by Bitco Software - Windows internet Explorer
BUILDING PERMIT PERMITM BLD20041042;i
PROP OWNER: Viking Properties STATUS: FINAL
ADDRESS: 23730 80TH CT SW. EDNIONDS
BALANCE: S0 00
ISSUED: 12114i2004
CREATED: 121/L2004
SCREENS Select Screen... FUNCTIONS !Select Permit Function. v
64 - SINGLE FAMILY RESIDENCE NEW
,iSUMMARY
;0�iADDRESS
23730
80TH CT
SW
EDrJONDS Y
`*PARCEL
P451900102200
Y
4PEOPLE
PROP OWNER
Viking Properties
Y
CONTRACTOR
Viking Properties Inc
Viking Properties Inc
N
VASSOCIATED PERMITS
1A ki [$I
I il, 102,
F INAL 64 - Single Family Residence
23701 80TH CT SW, EDMONDS
$3,013.00 S000
FEES
10
&9,2006 A
Pori -nit Fee.
$2.903.00
(S2.90300) S000
Thursday, Apr 10, 2014 0128 PM
20041061 PT;.U_VE) - PermitTrax by Bitco Software - Windows Internet Explorer
PERMITM BLD20041061
sm, BUILDING PERMIT
PROP OWNER: Viking Properties STATUS: FINAL I
ADDRESS: 23732 80TH CT SK EDMONDS BALANCE: $0.00
ISSUED: 12/2012004 CREATED: 12/20/2004,
-SCREENS: I Select Screen... FUNCTIONS: Select Pe rmft Function.. v
Permit Title: 164
- Single Family Residence New
Pe,mrtit Type: 164
- Single Family Residence New
Situs: 123732
80TH CT SW
Occupancy:
R3.
Occupant Load:
Lot
Subdivis ion:
Archive Record:
13
Units:
�:01 Plans on File:
Notes:
Status: IFINAL
Issue Date: Fli720—/2700 Close Date: F0_8_/2_9_/2700
Zone:
Code Edition:
Project Value:
$172,315.001
Plan Review Fee:
S1,222700
Permit Fee:
$2,1173,070]
FR, 1st floor 558 sq. ft., 2nd floor 1109 sq, ft., garage 659 sq. ft., deck 269 sq. ft. CA03-20 includes fence
Thursday, Apr 10, 2014 03:29 PM
BLD2GG41061 (PT -LIVE) - PermitTrax by Bitco Software - Windows Internet Explorer
BUILDING PERMIT
PROP OWNER: Viking Properties
ADDRESS: 23732 80TH CT SW. EDr-dONDS
4
6 ISSUED: 12�2O�2004
SCREENS Select Screen... Io
4*ADDRESS
,�*PARCEL
PERMIT#: BLD20041061!
STATUS: FINAL!
BALANCE: SO DO
CREATED: 12�2&20G4
FUNCTION& I Select Permit Function. .,
23732 SOTH CT SW EDMONDS Y
P451900102200
PEOPLE
PROP OWNER Viking Properties Y
CONTRACTOR Viking Properties Inc Viking Properties Inc N
-4,,ASSOCIATED PERMITS
iii 1026 FINAL 64 - Single Family Residence 23701 SOTH CT SW, FDMONDS $3,01300 SO 00
j FEES
10 &9,,2006 A Permit Fee $3,335,00 (S3 335 00) 'SOOO
Thursday, Apr 10, 2014 03:29 PM
BLD20041043 (PRIWE) - PermitTrax by Bitco Software - Windows Internet Explorer
T.:
BUILDING PERMIT
PERMITM BLD20041043
PROP OWNER: Viking Properties
STATUS: FINAL
ADDRESS: 23728 80TH CT SK EDMONDS
BALANCE: $0.00
ISSUED: 12/14/2004
CREATED: 12/1412004
SCREENS: Select Screen...
FUNCTIONS: Select Permit F�
64 - SINGLE FAMILY RESIDENCE
NEW
EN: _'_qE.N1E!,1A,1�-j N FqRMATION
Permit Title: 164 - Single Family Residence Now
Status:
Permit Type: F64 - Single Family Residence New
Issue Date: Fi�i14/2�00 Close Date:
Situs:' 123728 80TH CT SW
Zone -
Occupancy:
I R3.
Code Edition: 0
Occupant Load: Lot:
Project Value: $252,315.00]
Archive Record:
.Subdivision: __13
Plan Review Fee, $1,222. 0
Units: Plans on File:
:01
PermitFee: .1 $72,1173,00]
Notes:
SFR Ist fi 558sf, 2nd I 109sf, garage 659sf, deck 264sf, nee, Structural Reed#30771, Geotech Liu #27589. 122cu
yds of grading, lot 3
Thursday, Apr 10, 2014 02:58 PM
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Searo Pernift:
stem:
Date Range
BLD2004104a
BLO20110154
7.
0
111-M 7TI1jjjHjjL;o� - yihnd� Int~ boore,
8UPLIDING PI
PROP ER: Viking Propert�
ADDRESS: 23726 BOTH CT SIN, EDMONDS
ISSUED: 12/14/2OD4
SCREENS [�O�Ioq S
PWMT#. BLWAG41043
STATUS: Fli�
BALANCE: 50.00
CREATED: 12,114.12004 1100—
FUNCTIONS'
ADA"=,
23728 80TH CT sw EDMONDS y
GIs P4519DO1022DO y
PROP OWNER Mking Proper�fies Y
CONTRACTOR Viking Properbes Inc Mking Properties Inc N
ULD20041026 FINAL 64 - Single Family Resiclence. 23701 80-THCT SW, EDMONDS $3,013.00 $000
..........
10 &Q!2006 A Permit Fee $3�335�00 ($3,33500) $0.00
$3,33500 (&3,335DO) S&DO
S589�50 (S589.50) SO.00
Thursday, Apr 10, 2014 02:12 PM
BLD20110154 (RT-UVE) � Pprmiffrax by Bitco Software - ��in' o,�s Inlemet Explorer.
BUILDING PERMIT
PERMITM BLD20111101154
PROP OWNER: WONG, CHEE KONG
STATUS: FINAL
ADDRESS: 23728 80TH CT W, EDMONDS
BALANCE: SO.00
ASSUED: 3/812011
CREATED: 318/2011
SCREENS: Select Screen...
FUNCTIONS: Select Permit Function.. y
05 - ALTERATION/REMODEL
EXTERIOR
E -VVGRK
kN:' OPESPONTION,
IM: j 17-111
Intake By: 10-h-e-rFs-aTUT—m a
Work, Description:
ROOF REPAIR, TREE DAMAGED 5 TRUSSES, DECK BEAM AND RAILING WITH ASSOCIATED WALL BOARD,
INSULATION, SHEA-THING, ROOFING & FINISHES.
Outstanding Items at Time of Submittal:
Permit Revisions:
Thursday, Apr 10, 2014 02:57 PM
Inspection
Comments
- BLD20110154
05 - Alteration/Remodel Exterior
P EzRmvTTF4Ax
Applied: 03/08/2011
Issued: 03/08/2011
Expires:
03/14/2012
Address: 23728 80TH CT W, EDMONDS
*��=ECTION
DATE
INSPECTOR
ACTION
1133 :-B-Roof Sheathing
03/25/2011
STEINKE
CIVIP
Comment:
1142713-Framing
03/29/2011
BJORBACK
CIVIP
Comment:
1146, B-Insulation/Energy
04/19/2011
STEINKE
CIVIP
Comment:
1158 - B-Building Final
03/13/2012
LAWLER
CIVIP
Comment:
10
I
4/10/2014 2:57:51 PM' Page 1 of 1
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BLD20040696 (PT!1��a%eWifff� �by ffitZUSbaftware - Windows Internet Explorer
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BUILDING PERMIT
PERMIT#: BLD20040696
PROP�OVVNER: Viking Properties
STATUS: FINAL
ADDRESS:.23732 80TH CT, EDMONDS
BALANCE: $0.00
:ISSUED: 8/20/2004
CREATED: 8/2012004
SCREENS: Select Screen...
F1LlJGRADE/EXCA\/ATE
FUNCTIONSI Select Permft Fu7niEctio7n.7.y]
28 -
11A
SC W TZ ERA ;MFOORM
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Permit Title: 128 - Fill/Grade/Excavate
Status: FINAL
Permit Type: 128 - Fill/Grade/Excavate
Issue Date: 108/20/200 Close Date: . Flo—/2-5—/20�0
Situs: 123732 80TH CT
Zone:
Occupancy:
Code Edition:
Occupant Load: Lot:
Project Valu a: 1 $0.070
Subdivision: Archive Record: 12
Plan Review Fee.: $240.001.
Units: Pla . ns I on File:
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Notes:
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Critical Areas 03-20, 99-1, 03-21, & 03-22.
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RROP OWNER: Viking Properties
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PROP OWNER: Edmonds Fire Wood
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CREATED: 9/3/1975
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BUILDING PERMIT PERMITM OLD19750419
PROP OWNER: Edmonds Fire Wood STATUS: FINAL
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IN INTEREST, AGREES TO INDEMNIFX DEFEND AND HOLD HARMLESS THE CITY OF
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Receipt # 5PV117,1-
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Recording Fee
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I HERE13Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFORMATION
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CALL
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IN VIOLAT19U_OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknovdedged in space provided.
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