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23818 78TH AVE W
STREET FILE
PFCOPID
46LIC 14ORKS DEPART= CHECKLO
Bunx)ING PERM REVIEW
Date
LE
Street Right -of -Way Existing REQD
Access Easements Existing Y--A REQD
Utility Easement Existing C1 r- REQD
Lot per Subdivision Plat, Assessor Map :L-� AZ�-S(
Site Plan Checked for Accuracy,
Underground Wiring Reqd.
Check Accuracy of Legal Description
Environmentally Sensitive.Area
Environmental Checklist Reqd.
Flood Hazard Zone
Shoreline Management Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin
Existing Zoning Per�Code
Amenities Design Board Approval Reqd. ADB # Approval
Board of Adjustment Approval Reqd..,
Review By: —J's
Date:
Existing Water Tiain Size
Water Main Reqd.
Service Line Reqd.
Hydrant Size Existing
Hydrant Reqd. Per Fire Code Size
Detector Check Meter Reqd.
Cross Connection Inspection
Fire Department Conments
Water Meter Charge Reqd.
Review by: Date:
Septic Tank Design
Septic Tank Permit Reqd.
Sanitary Sewer Availability
Drmfing No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
Review B)r:
Permit No.
Proi .
File No.
Date:
�ss
O1)en Ditch Existing Reqd.
Culvert Reqd. Size
Catch Basin Reqd. Indicate on Site Plan.
Stioulder drainage nnintain collection ot-i swale. open. runoff
0
C
C
u
a
U J)
reqd. Indicate on Site Plan
S S
oil Conditions and Ground Water Field Checked
Review by
)QStreet Paving Reqd.
Curb and Gutter Reqd.
Sidewalk Reqd.
Curb.Cut for Driveway Reqd.
r4 Right-Of7lqay Construction Permit. Reqd.
Bond Reqd. for Public lnproven-�-_nts
Street Nam, Sign Reqd,.
Other Sigiing Reqd.
A- -AAA-
Pre Permit Site Inspection made on
0
BY: MIER
WATER
STREET
ENGINEERING
3M �3;
Special Requireii-ents listed in mam to Commmity Developn-ent Department;
Building Division
-BY
Date
.0 All item filled in on Building Permit Application
BY Date
Drawings Starmed and Notations Made
P4
BY Date
Approved by Public 'Noi ks Deparom
evi-Sed: IV 10-1977
LIST
89 14V .......
DO
Street Pdpht-o[-1-:ay nxisting TZIDID
WA
Access Eismxjits Existing
Utility Fascment 1'--istincy PT-.O!)
Lot Per Sui)div;sjon Plat -------
4 Assessor 1'bT)
Site Plan O�ecl:od for Accurn
4
Fxisting 1*.',itci- '.1nin
Er
0
Hydi-xit i-z,-,
11vOrwit
J)ctectnr (1-:cl: —Cter Rcciii.lrcd
Firc
S
)tic Tan!: !"rprov-ed
SiOC I
5m..,er
(-,I 'cr I'".
ry Sc'� Col"nection Fcc. Penuirco,
cop'�'Ilcction "
C 17, V-0 1---p-C.O-rrt- �-
Catch 11115-'ili pe-ittil-00
Q IOL
N11111ole required
Soil C
onditions F-1 GFOL111d 1':Z1*LC1' r'
Rcvicv; by
'od"Cd
ze
c ':o.
Peo-idix"(1
Size
Indicate
plan
oil Site Plai"
I
Street Paving, Rcqui rod
airb 'MMJ tir (!Ili.rC( I
m "IL -c 'c I I
-rccl
Sidcwall- Pcoldrcd
t for
D,i i' b Ou t for Privewa-, PZcquirc(I
c
on_, md
Pi OIIt-oJI-I',:av Construction PCII'd
c, red.
Eoncl Required for Ril vc ments
�r �C, I in �Iroy
IC(ii
Street N, - )"o I i Re(iiired
0- icr Sinnii�i, Pcoui rccl
Yn I -", 11
S19
T)ci-mdt Site Inspcction macic on
Site I �Pcct-
scwc
I"Y - -.0
L; Water
Street
�71
Pom"il-c"'.1c"Its listed ill to Bui Iding j�--prirtmicnt
K I
4c;�, 's f-inccl ill on iui Iding ren. it Applic, on
L
1)"Itc
111-a'v"in"rs Stx-Ipc(I mndl
C4 11 1 -'.- D , h I
IV - Date
Approve(I by Ptiblk F)cpart]"Iclit
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 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
employees o* officer-'s shall be Hab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
Elm
pproyxA
D, IT
BACKFILL RK ORDER ISSUED ......... .................................. EPOS $ ......................................... . ......
SEWER WORK ORDER ISSUED .. . .......... I ....... ..................... DATE.4.1p
APPROVEO
4