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310 DALEY ST.PDF11111111111111 13918 310 & 312 DALEY ST 0 0 TAX ACCOUNT/PARCEL BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) FOR: CRITICAL AREAS: DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA: 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: SIDE SEWER PERMIT(S) #: GEOTECH REPORT DA STREET USE / ENCROACHMENT PERMIT #: FOR: DETERMINATION: E] Conditional Waiver 0 Study Required E] Waiver I/ WATER METER TAP CARD DATED: 09 A": 5 OTHER LID #: LOT: 3g/ BLOCK: �. 17 *NOTATION ON ADRESSES 304,310&312 DALEY STREET Parcel #0043202600101 consists of a Duplex (310/312) and a single family (304)., The assessor considers this property a "triplex" and has assigned one parcel number. LATEMP\DSrs\Fomis\Street File Checklist.doc This jurisdiction has opted to assign each dwelling its own address. � &`Yd :--r.;-�DEPART) UILDINGS 'WASH1NGX.,O,N M IT saps that. a plot,; plan'-, drawings, -ana-suffici6nr details,� di Her_eb1y,`:ce to in icate' td fii1fdl,',"adl,%r'-e,q,utrementq 'of this code.!.:�re��attach�&,h`� e'to 0 R t: b y.-padejor permit.to do thufollowing -work:, 0. .............. ......................... ........ ............. ............ o 2.".; 0 Z-� . . . .............................................................................. ............................ ... . ...................... ...................................... .................... ...... ................. C ... ............................................................................... ............................ ...... C 2� .. ... . .................................................................................................. 7 ................... ...... -0 . .......................... ............................................................. .............................. cn ............... ..... ........ . ....... ....... 10 - .......................... . .......... 0>7 U 04 . . . . . . ............. . ...... ................................................ "..80 Cn r.1 .. ......... . . ............... ...... ......... . Cz I ................. "I ...... 0 ......... I 5�;;W Or .. bl . Oa a 0 dimensions are .... . ..... ;51.. . . ........... I ..... .................................. 75 Womam ........ ........... . .. ... .... ... ..... . in height. 1119- -11�! I ­9t6 0 W L li�i!: of enL­., . ............. .. T . �; � �2 z n ... be.. ............................ ...... O&upifi�y,`bf"build' . ...... f ot line. _.....-feei �O�Aearqt adjoining I ...................................................... 'p; a't�,,cost� 6 ................... ...... tirfi $ Address........... ........... !z ......................... .................... ........ ................. uflater..` ... �&.' ................... ................ ....................................... "Gro 'p,..N . ................. . u . ......... ...... . . 10', ii i I d e r's -Address.. ................... : ............................................ ....... .................... ............ i i A�chitlec't o'iengineer ..... .................................... ............................ 7 ............... ':Llielo ermL. I ... . ...... .... Date. ........ .......................... 19 PI fil�d: Applicarit's Sig"nati4* ...... ........... (Owner or his, agent P 1717ruission is hereby granted. uo do the work.descnbed hereon, according to the a . pproye 'ild e tl�s-a 'sjecifi�iti` subject to' compliance with the ordinances.;,'O�f the City, of'Edmonds.� This 66�y-.'ls�",your�rec'ei'p,:t'�for-.thi�foll'o"w'l'n"g,,.,tees.--, 1. Building permit fee... .............................. ................. $ ........ ..... ............... ... 2. Sewer permit fee ............................................................ $ ..... ................................ 3. Inspection and svpevvision fee ........................................ $ ....................................... ...................................... 4. Total ........................................ .............................................................. ....... . ........ Re�eivM ...... .. ............ .... . ...... . ...... 'Usiming;0ifficer) ent'o 'Badings, PERMIT, N? 530 1:_7be7'biiiIain'g permit fee which iipplicat�: pays when permit is issued shall be based on estimated. cost of the proposed rructure, at the ya!e� of,, fl:00 for.e , aii $1000'.00 of_cosC If the actual cost of the structufe,witen finally determined, exceeds the estimated cost by more than 5%,applicant agfees.to jiy.-sua additional � f0i of $Yoo- for 'e2C11' tIO00.00 Of such excess cost. In svrh event no use permit shalt be issued until such "discrepancy, fee" paid. 2. Whene�er a contract for construction Is executed for any structure costing more than $1000.0b for which it'liceiiiied,architect, or �ngineer is u !t�qta the B Ilding Code of d,e Gry of Edmoods, tiie application for a building permit shall I be accompanied by a copy of the .contract 4ad t,a: .,copy of,:�t1se.."deiiii1LA spedfications. 3 '.,Prioi-to employing.any. labor or commencing-wofit, notify the lndustfisi�lns�ianc'e Division of the Department of Labor, and,Indu"ei,4iVin8 an estimate, of:'..'", the payroll and rn�ke`riionthl� re*pori�,,of payrolls. 'full instruciic,6 should be 6bt`ai._eZlfi�m the nearest office of the Departmene;bf-Larl ai.ladusrries.'!�Befp"re final p2ymeaL, the owner should obtain a release fr6ir-n the genefaf�-cw.tfactors �vho- iri%,&rn, should obtain release from all sub-coritritc.t6r, C relesseit should be I'- N, ut�stcd by the Dtpltrunent of Labor and Industries. The above �rocedurei' arej�equirements of the State Industrial Insurance Act. i 0 IlDO ................... . ....... District City of Edmonds --- Water Department TAP CARD _9 1�q � �)�i p�,;r Da .... * ....... *­* ....... . ........ 0 .... No ......................................... r Mete' 2� . .................... ...... Tap Size.............................. Size ....................... .............. Mfgrs. �,�o ............ �j ...... Style ......................................... For............ .......................... . .......................... .................................................. . .................................. . ......................... . ...... . .............. LotNo ........................................... Blk. No .................................... . .............. Add. .............................. . . .... . .............. / .......... ................. Service Location . ................................ ...................................................................................... . .......................... . ...... . .............. MeterLocation ............................. ....................... . ......................................... ....................................................................................................................................... MakeTap .................................................. I .............................................................. ....................................................................................................................................... Pressure.............................. lbs. Test .................................... % SendBills to ...... / ................ . ...................................................................... . ..... ...................................................... ... . . / .................. . ....... . .............. Date of Work ......... ..... J/1 ..... / .... j . . . ........................... .......................... 0.4 ....... . ..... . ................................ Foreman Guar. Voucher No ........................................... $ ............................ Remarks: .................................................................................................................. -w ................................ ..... F.Lt ..................................... ^.kor .0 BEET ..... ... 1" OUTGOING Index ......... Reg ....... Route Bk ......... Stencil ...... Card ..... — INCOMING Index .......... Reg ..... . Route Bk .. . ..... Stencil ...... Card. ...... X terial Chargeable i6-Installation P - -ers NO. --9'I—ZE DESCRIPTION Meter - ... * ..... - *".".-.,.'-' RATE AMOUNT ----- ---------- Meter Box I- � �.- W.. .............. . ... ......... .............. .......... Meter Plate ............................ .............. ............. .......... ............. .......... Check Valve .......................... .. ........... . . ......... .......... ....... . ..... ......... Pipe, Galv. Screw .................. .............. .. . ......... .......... ............. .......... Nipples ..................... .............. ............ . . . ......... .......... ........... .......... Bushings .................................. .............. ............. .......... ............ .......... Plain Ells ................................ .............. ............. .......... ........................ St. Ells ..................................... ....... I ... .............. .............. .............. .............. .............. .............. .............. I .... 7 "'-' .......... .......... .......... .......... .......... .......... .......... Tees .......................................... ........ I ........... I ... I ............................ ...................................................... .................................................... . ................................ I ..................... .................................................... . ...................................................... ......................................... ............ .............. ............... .............. .............. .............. ............... .............. . .......... I �1-­ ............ ............ ............ I .......... ............. I ...... .... ............ ... ... ............ .......... ....... ......... .......... .......... .......... ........... .......... ........... Material Chargeable to Taps Connected NO. SIZE DESCRIPTION RATE AMO NT ....... ... .......... Pipe, Black Screw .................. ............. ............ ......... .............. .......... Pipe, Galv. Screw ................. ............... ............. ......... "I .. ... ..... ... - Lead Connections - ................ Curb Cocks ............................ .............. .............. ....... R. ...... .... . Corp. Cocks .......................... ............. ......... . J. "T ...... �X --Saddles Unions.................................... ................................ ... ......... .... .............. ............. ......... . .............. .......... Nipples .................................... ............... ............ ......... -- .......... ......... Bushings .................................. .............. ............ .......... ........... ........ I . Plain Ells ................................ ..... ...... ............. .......... .......... .......... Street Ells .......................... ... ............. ............. .......... ....... -- ..... -.'. Tees .......................................... ........ ..... ............ .......... .............. .......... Curb Boxes ........................... .............. ............. .......... ...... ....... .......... S. 0. Extensions .................... .............. ............ .......... ....... I ..... .......... Gates ........................................ ... ----------- ............ ........... . ...... ........ ... ?I/ .. . Plugs ......... ....... -;V/ ------------------- Couplings . ......... .............. I .............. ......... a ........ ....... .... .......... Gate Boxes ............................ ............... ............. .......... .............. .......... .... .................... . . .. . .. . . ..... ........... .......... . ................................................... / .... .............. ............. I ............ ............ I .......... .......... .......... ..... ......... .......... ......... . .................................. ........................ ........................... I ............................... ......................................................... ------- I ...... ................. .... ......... ............ ........... .............. ..... ... .......... . ......... ...... . ....... - ..... Y", ...... ...... .. .... .... . .... ...... .. ........... ) ............... ............ ............ .......... .......... ............ .............. ........... ......... * ...... ........ * ...... ** .............. .............. ............... ............ ............ .......... .......... .............. ...... - ....... z�7.3:: Hours Time —Day Men -------- Hours Time —Monthly Men.. ------------- -------------- . ..... .......... Hours Time -Auto .. .......... ... -------------- I ............... ....... Superintendence ---------------------- Total .................. .............. . FM AV PW,, A, Tho (3ty,,Of SWE $swim VXAPOT NEW 0ONSTRUMON, -0 REPAMS 0 ll�-=on ........... .................................................. ................................................. ADDMV�S ....... 310 ... Dcae-y ... St,- .......... ............ ............................... LVGAL j>ZSCRUITION: IA3T No . .... ......... NA3= OF AMMON ........................ ...... — ..................................... . ............... . .. . . .................... BL.00X NO. --------------------------------------------