310 SKYLINE DR.PDF11111111111111
13137
310 SKYLINE DR
ADDRESS:
TAX ACCOUNT/PARCEL NTUMDER:
BUILDING PERMIT (NEW STRUCTURE): —
COVENANTS (RECORDED) FOR:
CRITICAL AREAS: DETERMINATION: E] Conditional Waiver [] Study Required E] Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DA
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED
PERMITS
sl
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S)
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DA
LATEMP\DS'Ps\Forms\Street File Checklist.doc
BUILDING DEP
PERMIT APPL
�AME (OR NAME OF
W. [d'A�-Q.L
Z
U r_
M CITY
P NI PPROVAL . I AYE
NAME e7
STREE� R/W
EXISTING STREET R/W FT. DEFICIENCY THIS PROPERTY
0 ADDRESS -A-'Wr N
'b FT.
COMP. PLAN ST R/-60/w FT.
CITY TELE HONE NUMBER REMARKS
Driveway S10Des not to exceed those
Z I No. 103
Stnndi�d Dwg. it
U LICENSE NUMSEV? CITY LICENSE NUMBER CH BY W
F i
Applicant Fill
Inside Heavy Lines
L Ines
Z61�E K<'Z) _ t—
A"UMBER
750378
Joe
ADDRESS
LEGAL LOT
YES 0 NO
A
LOT
11/ �t
'a, N N D,
IT'D`
VARIANCE OR
COND. USE NO.
PROPOSED YARDS,
FRONT
ADS
sir)E50
NO,
EIGHT
REAR"
'HONE NUMBER
A LOWASLE
SIGN AREA
1PROPOSED
SIGN REA
Tw Ckx�
0 HK
RIGURIREMENTS 1-1v_=
IR
i;E
;HONes NUMBER
I
na) La T)m P_ ql;4k4'
11)
Z
W
Legal Description of Property (She. Below or Attach Four Copies)
STREET AND/OR UTILITAY 0 YE:S
WORK REO'D El NO
UNDERGROUND P�YES
Z
WIRING REQ'O NO
TYPE CONNECTION
V
U
W
W
W
SE TIC SYSTEM YES PRMIT
APPVO By CITY ENG. NO
NUMBER
REMARKS
0
J
M
W
"rTE1 SIZE
4�
ISr"VICF SIZE
/ /f
JCLEARANCa
ICH6rKrO By
-
10 NEW RES..1 TIAL _Lf`N`E
r:]
REMARKS
7-3
FIRE ZONE TYPEOFC07CTION 1CO
E
137.7.3
ADD
L DEMOLISH E] RETAINING
'ALL
-L-.R Ej XCA
0 VtVATE _NC"
R LL , Fr
W
SPECIAL INSPECTOR rREA
REQUIRE
ES
C] Y 0��
jc).(=U'A�Zy
GROUP
00CACUI P A N T
L
PLAN CH K D BY THIS SITE IS LOCATED IN THE CITY
REPAIR E] SWIM
INSP, PC) O�.
OF EDMON DS. LOCAL SALES TAX
SHOULD BE CODED 31.04. 10
0
z
NUMBER OF STORIES
NU ER OF
OWE ING
UN7:
;7 .73
7-1dA,1
NATURE OF WORK TO BE D
Flloev C146;c< EU1144TI&J-5
ES 7;?� �. 1.5tq jWUM V4 W7�
PLAN CHECK
Z
PROr`OSE0 USE
VALUATION
F E
FEE
NO.
U
PLOT PLAN (INDIUCATE UUILDINGSSETBACKS.
AD TTING STREET
BUILDING
PLUMBING
;I
CP7,50
W
0
AE=ft
HEAT & GAS LINE
ee
FENCE
SIGN
RE7AINING WALL
SWIMMIN POOL
I hereby that I have read this application; that the III.
TOTAL AMOUNT DUE
formation given 13 --rect; luid that I Arn the owner. or the duly "Llior.
11 agent of tile wnei-. I agree to comply with city And state law. mint.
letting construction; and In doing the work isitth.11led thereby. no person
0
ATTENTION
APPLICATION APPROVAL
on
will be employed In violation of the Labor Code of the State of Washington
THIS PERMIT
relating to Workmen'@ Compensation Insurance.
This application is not a permit until
NOTE: Permit Limit One Year (Except DEMOLITIONS which]
AUTHORIZES
ONLY THE
Igned by the Building Official or his Dep-
shall be completed In bluely days; blOVED-IN BUILDINGS shall be com.
WORK NOTED
uty; and fees are paid, and reecipt. is ac-
pitted in six months.)
knowledged in space provided.
(OW.CR OR F-T SIGNED
INSPECTION
0 EPARTMCNT
DIRUCT:��
104Te
7—
CITY OF
EDMONDS
DATE le
NOTE: Applicant Si,7Iject to Plait Check ]-cc
775-2525
7
This Per T it covers work to be done on private properly ONLY.
ORIGINAL -File YELLOW - ;,.-:or
Any co nstruction an the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
P I N K - C) - CO I D '
-<Ii Z/4
oo
.75018
-11-03
3'
33 cs
&
CIA
APPLICATION
The' City of Edmonds for EA SEMENT -NO. -
SIDE SEWER PERMIT - --------------------------------
NEW CONSTRUCTION E] REPAIRS F� LID NO. ---------- - ASMT. NO - ----------
77
... No.
OWNER ------- ...... -- --------------------------------------------------- CONTRACTOR ---- .... PERMIT
JOB ADDRESS ------------------------------------------------ ----------------------------------- LEGAL DESCRIPTION: LOT No - ----- ------------------------ BVOCK NO. -------- -----------------
----------------------------------------------------- ............ . — ----------------- -- - -----------
............................ ........
V
3.0
,v I
DATE ....
....................................... By ....................... ......................
'Iffiq W S, I,
I 'ONDS SIDE SEWER PERMIT
WATEM-ex
j
PERMIT
425 for side, sew" m4p"tIOUS ".FORZ covering any portion of the construction.%
GC:W;r-_2wiII bs, provided within 24 hours after regust, � NO "t., BUD., or holiday inspeatiorej
ADDRESS LOCATION' OF
PROPERTY LEGAL DESCRUMON ..........
... 4.0 .. ..................................................................................... ...................
........................................... I ...... ................ I ...... . .................................................... ................... . ..... .. .......... . ........................... ..................................................
.......................................... ......... ..... OWNER 4"/OR IRUMDER .......
CONTRACTOR% NAM & ADDRESS ........ ...................................
L-1-i- Irp-0 .. ................................. . ... ...................................................
r7
V'—,= In accardsim with 01ty of ISIS, for rePaIr And/or connection of a side sewer to the city sanitary sewer
six*&
ATTENTION 18 CALLED TO THE FOLLOWING:
NOTE No. I —The owners of the Property may obtain a permit it construct sewer inside property llue. A licensed Side Sewer Contractor must be employed to eongruct
side sewer in'street area. Do not cover auY Portion of sewer before it bag been Inspeo ed
NOTE Nm 2—All work Performed in city right-of-way requires an invasion of RLght-of-W&y Permit t
Obtainable from the City Engineer,& office.
NOTE No. 3--obtain full information regarding OrdinsaCe 11.16.030 and Regulations governing side sewers when you get permit.
NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line; minimum grade of 2 %. No bends it srade
Nr' sharper than % will be permitted.
;o. 5—Trenches in street must be water settled and surface of street restored to Original condition. ContractOrs $11all be responsible for failure due to iftl""r
work which may develop within one Year Of Completion.
NOTE No. 6—It Is unlawful to alter or do any other work than Is provided for in the Permit, or to do any work on the main sewer or its appurtenances except to in -
$art the pipe into the wye.
W&AU"OVED 0 Date ....................................... By ................ Date .......... .. .. . .........
By ............... Date ................................... By ..............
APPROVED Date .. . ......
.... 17 .... ....... 13Y ..
.. . ............................... ...................................
Remarks: ....... .... ... ........................... .. ............................ ..................
..................................
................................ .................................................................. . . ...... ......
.............. ..................... . ...................... . .........
..............................................
0
B( Permit Copies MUST Be of Firm Perfortning Construction PRIOR To Request For Inspecti
on
............ ... I hereby certify that the side sewer instal
(Owner of Contra<-ii'n FI eri.r"Q�g construction) lation constructed under this permit
Was lnstalled In accordance with all governing ordinances of the City of EdrnondS.
Dated this ............... . ........... dW
of ............ . ..........................
Check You d1jr for: Water Gas 0, Telephone
D. Power, 0, Sewer 0, Other 0 V t so"
4W
Aw
APPLICATION
The City of Edmonds for EASEMENT NO - ------------------- — -----------------
SIDE SEWER PERMIT
la NEW CONSTRUCTION FEPAIRS 0 LID NO�,,-;��/.
NO
OWNER ..-F��LJL ------ F�'7-177-7; -- --------------------------------------------- CONTRACTOR
-------------------- ------ --------------------- ---------------- PERMIT NO - --------------------
JOB ADDRESS ----- ----------
------------------------ -------------------- I -------- LEGAL DESCRIPTION: LOT NO - ---------- -------------- BLOCK NO - ------------------------------------
--------------------- - ---------- ------------------------------------------ ----------------------------------------------------------------- -------------------
NAME OF ADDITION ------- L — ZP --------- " \ L—\-- E—i-
- - - -----------------------------------------------
.......... By;�4 ------ ---------------------