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24126 77TH PL W
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ADDRESS: 0,"-1
TAX ACCOUNT/PARCELNUMBER: —�M —100
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: El Conditional Waiver E] Study RequiredX<ai�er
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
PLANNING DATA CHECKLIST DA
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
SHORT PLAT FILE:
SIDE SEWER AS BUILT DATED:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
OTHER:
LID #: 103
LOT: BLOCK:
SIDE SEWER PERMIT(S) #: 77S,
RECEIV
MAY 14 11
PERMIT COU
ADD.GUTTERS/DOWNSPOUTS
AND SpLASHBLOCKS
FOB
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APPROVED AS NOTED
BY ENGINEERING
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Th . e. Cit RE
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REPAiRS E]
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NTRAC71' MIT No. - -------- -----
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STREET
AVENUE LOT'No . ............ .................... No . ...............................................
------- ............................... BLOCK
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HOUSE No.
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NAME ADIb. ---------------------------------
.............................. .................. ...............................................................................
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13 2003
DEVELOPMENT SERVICES CTR.
APPROVED AS HUW EDMONDS
BY ENGIN,EERING
Date:
STREET FILE
DATE RECEIVED
4
PERMIT EXPIRES 117
Ido
BE r? PERMIT
CITYOF EDMONDS NUMBER
JOB #
CONSTRUCTION PERMIT APPLICATION ADDRESS
OWNER NAMEMAME OF BUSINESS 71-7 /4112
KA L �Lcllvr-1 :5�0/1/6-1 PLAT NAME/SUBDIVISION NO. LOT NO. - LID NO.
MAILING ADDRESS
LID FEE $
TESCP Approved
r PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
(4 �) Ell
zC/ RW Pemit Required
Street Use Permit Req.
7-77 ZIP / tTPHONE EXISTING — PROPOSED Inspection Required 0
Sidewalk Required 13
REQUIRED DEDICATION.;.— FT Underground
17 Wiring required
i� l)M 1W �Rc t 13
NAME METER SIZE LINE SIZE NO. OF FIXTURES PRV REQUIRED
YES C3 NO 13 9
ADDRESS REMARKS z
x OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
z
CITY ZIP' TELEPHONE PR!M A, Fj�&' C) su< ul
NAME CBL)�
t
[<'A �zc ENGINEERING REVIEWED BY DATE
IC ADDRESS
0 L 6t?9-T7 2JU4 10Z .. 4540-1
15
2 4/ /. 2- '2,42 7
FIRE REVIEWED BY DATE W
CITY Zip TELEPHONE W
0 rL
STA7 LICENSE NUMBER EXPIRATION DAT VARIANCE OR CU SHORELINE OR Ao� 31NSPECTION BOND
E CHECKED B REqD
POSTED
YESoOMNO $ —
SEPA REVIEW SIGN AREA HEIGHT
PROPERTY TAX RCCOUNT PARCEL NO. COMPLETE EXEMPT ALLOWED PROPOSED ALLOWED I PROPOSED
LU t,,c- C C CC 4 47
EXP x ZL
1:1 NEW [ErRESIDENTIAL 1:1 PLUMBING MECH LOT COVERAGE REQUIRED SETBACKS (Fr.) PROPOSED SETBACKS (Fr.)
ALLOWED pROPO-S-ED, FRON I FRONT LIR SI IREAR
g k a
COMPLIANCE OR '3 z
ADDITION COMMERCIAL VZ? V�b-� 7.' P:5't-4A-bA07' E
CHANGE OF USE z
PARKING WAREA PLAN!NG REVIEWED BY DAIE 5
REMODEL MULTIFAMILY SIGN RE2D I PROVIDED CL
.110 10
FENCE
REPAIR DI CYDS.. x _Fr) REMA'hKS
OTHER
DEMOLISH TANK E]
Ei GARAGE F RE SPRINKLER
RETAINING WALL
z CARPORT ROCKERY FIRE ALAR
UIE OF USE U
L SINESS OR ACTIVITY) EXPLAIN: TY� �FON TRUCTION ICOPE
CHECKED BY OCCUPANT
J 7-1241 1114) )l GROUP 5
NUMBER NUMBER OF CRITICAL cl 7
OF DWELLING AREAS SPECIAL INSPECTION JAREA.Ij OCCUPANT
UNITS UMBER LOAD
0 STORIES REQUIRED [
- DESCRIBE WORK TO BE DONE _] YE
REMARKS
PROGRESS INSPECTIONS PER UBC 108/FINAL INSPECTION REO'D ra
5
C I I
?
./IVIA'14- A00A.4 VALUATION
$
'0�
Descillption FEE DescrIption FEE
Plan Check State Surcharge
HEAT SO RCE
6714' U LOT SLQPE % Building Permit City Surcharge
PLAN CHECK NO: VESTED DATE Plumbing 12 A
a- A'4�
(9--?
Mechanical
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
E DONE ON PRIVATE PROPERTY ONLY. ANY CONSTRUCTION ON THE PUBLIC
B . Grading
DOMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.).WiLL REQUIRE
SEPARATE PERMISSION.
2 Engr. Review
CC PERMIT APPLICATION: 180
ul DAYS
IL
PERMIT LIMIr I YEAR - PROVIDED WORK IS STARTED WfTHIN-1S0,DAYS-- Engr. Inspection
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
U) 'APPLICANT, ON BEHALF OF HIS OR HER SPOUSE, HEIRS;-ASbIGNS AND SUCCESCIRS Fire Review
U) - Plan Chk. Deposit
!I IN INTEREST, AGREES TO INDEMNIFY. DEFEND AND HOLD HARMLESS THE CITY OF -
2 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
0 Landscapeinsp.
-A DEEMED TO MODIFY, WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITYS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.
X. Recording Fee Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION" �hAT�THE INFORMATION
GIVEN IS CORRECT; AND THAT I AM THE OWNER, OR THE DULY AuTH6RiZED AGENT OF APPLICATION APPROVAL
THE OWNER. DIAGREE TO COMPLY WITH CITY AND STATE LAWS REGULATINIS C6NSTRUC- This applicafion is not a permit until signed by the
TION; AND IN OING THE WORK AUTHORIZED THEREBY.N0 PERSON WILL BE EMPLOYED CALL Building Official or his/her Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE 6F WASHINGTON RELATING TO FOR INSPECTION receipt Is acknowledged In space provided.
WORKMEN'S 59MI?4�SATION INSURANCOND RCW 18.27. OFFICIALUIGNATURE DATE
SIGNATURI( (OWNER C� AGENIk DATE SI NED (425)
------- IREL Y
771-0220 1
___;IATE
ATTENTION M 1333"
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL '0 3
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ACERTIFI-
ORIGINAL-FILE YELLOW- INSPICTOR/
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109 PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING
0
0
PLANNING DATA
NAME: 1,7)r)o,_iC,2
SITE ABDRESS: 'a Q
PROJECT DESCRIPTION
REDUCED SITE PLAN PROVIDED?��l N�o� r_--iES
MAP PAGE: Co CORNER LOIJID �/No - FLAG LOT: (Yes / No)
ZONING:Q�4-'73 CRITICAL AREAS DETERMINATION #:.0 CO
U Study Required:
U =r
onditional Waiver
SEPA DETERMINATION:
CHKMO,:�j_ 1 -1
LJ Fee
U Checklist
Ll APO list w/ notarized form
Ll (Needed for 500 cubic yards of grading, Shoreline Area- site within 200 ft. of Puget Sound or Lake Ballinger)
xempt
SETBACKS:
Required Setbacks:
Street: �'Q'95 / te�lde: Right Side: -7. Rear: -7
ight
Actual Setbac 65r
ESI:
Street: —Left Side: Right Side: Rear
Street map checked for additional setback requlredl'(Y_e� / No / DNA�
DETACHED STRUCTURES:
ROCKERIES:
U FENCES/TRELLISES:
,,�-_�BAY WINDOWS/ PROJECTING MODULATION:�eq=-�
LJ STAIRS/ DECKS:
PARKING: Requiredz'�- Actual:
LOT AREA:
LOT COVERAGE
Calculat—a- P-) L�v -4- L44j) u2� AjDo-�- L4
BUILDING HEIGH-F CD V__
0,��Datum P t. nntiim Flav2finn-
Maximum Allowed: Actual Height: %�
A.D.U. CREATEDITiD/ Yes) ) '5TCA9_k_1__5_ -
i - N - (-_ tD
I butWIVINUN: 1-4-
(e
LEGAL NONCONFORMING LAND USE DETERMINATION ISSUED: (Yes
OTHE
NO2--t-14 Plan Review By:9n5T!qF_ C.49",_re-,,Ej_L ,,,= ::::� _-, , _
N>�'Z-cs -ro.
LA.Aew
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Criticalkeas Checklist
Site Information (soils/ topography/ hydrology/ vegetation)
Site Address/ Location:. n
2. i..Pioperty Tax AcqbuntNumbe
All
e a
3. AppfokiiA4t6.-$iteSiz Ocresor-square ee
4. Is . a-ds site cu n developed? yes; no.
rrently
If yes; how is site developed?
5. Describe the general site topography. Check all that apply.
)� Flat: less than 5-feet elevation change over entire site.
CAFileNo:
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 10-feet
over a horizontal distance of 33,to 66-feet).
vertical rise of 10-feet over a horizontal
Steep: grades of greater than 30% present on site (a
distance of less than 33-feet).
Other (please describe):
6. Site contains areas of year-round siapdin * water: _,z&O Approx. Depth: IE
7. Site, contains, areas of seasonal standing Water; Approx. Depth:.
the
at ' ear?
Wh:' season(s) of y
8. Site is in the floodway floodplai.n of a water course.
9. Site contains a creek or an area where water flows across the grounds surface? Flows are year-round?
-ellle Flows are seasonal? (What time of year?
10. Site is primarily: forested — ; nipadow shrubs mixed
urban landscaped (lawnshrubs etc)
obvious wetland is present on site:
Critical Areas Checklist.doc/3.19.2001
NII
0:ndft Date'Received:
C*
it.Y-
i Development S&w6ei'l) 6640t,"k, aj!7
arming b.
ceitic
"'TI i tqd& Filqi
C J
'k
q. -Ar
-h6ne: 4j5.771-0220 n ical. ea—
P wCI166
._'M#0,:. Milled:toi. 0
-tax:- 425.771.0221.. -.. ... 1. !A.
The Critical Areas Checklist contained on this form is to A pToperty owner., or; hi er authorize
. ... . ; , I .: . ; 0 repreiehta ve,
be filled out by any person preparing a Development_ :,must, fill.out, the qhecklipt,. sigp: arid,:;date it and: iubmit it
Permit Application for the City of Edmonds prior' to review ;� the::ch'
to the.City. The City Wi ecklift make a
his/her submittal of the application to the City
rectisory site visit and k6
P s a determination"',of the
The purpose of the Checklist is to.enable City steps necess t r complete a development
ATY, :0
ernut p ication;
determine whether any potential Critical Areas are, or� P''" aP 1 .:. .� I If . :
may bq,, present on the subject property. The information Please submit a vicinit
y map, Along with the signed copy
needed to complete the Checklist should -be ea'sil
Y � "Of.this t6rrn to dssitrCity"g ff-ifffindihg and loca g e
tin th
available from obser�vations of the site or data available it' -specific- piece of �'pr'operty 'des'6fib6d on this form. Jn
City Hall (Critical Areas inventories, maps, or soil addition, the applicant :sliall, in lude other pertinent
c
surveys). inf6rmation (e.g. site plan, topography map, etc.) or
studies in conjunction with this Checklist to assistant staff
in completing their prehminary'asse6smerit of the site.
The undersigned applicant, and his/her/its heirs, and as�l;"g'h��"�,in'cdiigideration'oxi the processing'of the application agrees
P
to release, i - riderrmify, defend and holdthe City of Edmonds-hamiJess, from any.and all�darnages, includin ireasonable
attorney's fees, arising from any action or infractiont based 'in whole or p .9.
.aq upon false, misleading, inaccurate or
incomplete information furnished by the applicantp 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 file this application on the behalf of the owner as listed below.
SIGNATURE oF APPMANVAGENT
DATE
Pro
perty Owner's Autborization
By my signature, I cer* that I have authorized the:above Applicarit/Agent
to apply for the'subject land use application,
and grant my permission for the public officials and the staff of the 9ty of Edmonds to '
enter the subject prope:rty.,for the
purposes of inspection and posting attendant to -this -application,...., 11
SIGNATME OF OWNER
0
city Stat
Telephone:
Email address (optioilal):
Applicant Reoresenuitiie'".
me
State Zip
Telephone:,
Email Address (optional):
Critical Areas Checklist.doe/3.19.2001
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
s ewer 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 liab-le for the
information given on this map(s), nor for
any one representation provided based
upon said map(s).
0
0
24126 77th OV). a
STREET FILE
October 31, 1979
M E M 0 F 0 R R E C 0 R D
The following is a list of calls received during the
heavy rains during.November of 1978 and March 1979. Some
were only for covered inlets, others for plugged drains and
creeks. During the week of October 22 to October 26, 1979
all of these addresses were checked for possible plugged
or trouble problems., Nothing was found to cause a problem.
These addresses were checked by Leadman Bill Stroud.
Eobby MtI-'ls
Street Foreman
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