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514 5TH AVE S
TAX ACCOUNT/PARCEL NUMBER: elm
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED) FOR:
CRITICAL AREAS:
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE
DETERMINATION: [:] Conditional Waiver E] Study Required 0 Wai�er
1,7, r" , cvjj(fm �)
LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #:
SOILS REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
OTHER:
DATE RECEIVED
PERM4T EXPIRES
CITY OF ErM ONDS
USE C PERM
ZONE
NUMBW
CONSTRUCTION PERMIT APPLICATION
T
'ON-
_',
JOB SUITE/APT#
ADDRESS
51q
OWNER NAME/NAME OF BUSINESS
Aw,�,?_ i cA A 7,C�/_-s
7 C'
PLAT NAMEISUBDrVISION777-'777
L D NO.
x MAULING ADDRESS
LID FEE S
11: 5"1 q - 5 14 AIr 5
T-1
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP
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CITY'\ ZIP TTELEPHONE
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D*E61CATION FT — U
NAME
ME TER SIZE,
_UNE_61ZE
NO. 01 FIXTURES
PRI REQUIRED
Y ESO NO 13
ADDRESS
REMARK
z
0 W N E R ONT R A T I
NERICO SIDI
`C NTRACTOR RESPONSIBI. CONTROL/DRAINAGE
C
CITY" ZIP
NAME
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N I E IN. R EV
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ENGINEERING REVIEWED BY DATE
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X ADDRESS
3 P0. Box y, 6
X,EXP
FIRE REVIEWED BY
FIRE REVIEWED BY DATE
CITY ZIP
TELEPHONE
ST&E LICENSE NUMBER
EXPIRATION DATE
VARIANCE OF :U
VARIANCE OR CU
SHORELINE AD;
INSI
BOND
19e_fr,y,Aj,,077 CA-, 7-11/-03
�HE�RE
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[1YE i�
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0 S
I
j PROPERTYTAX ACCOUNT PARCEL NO.
SEPA REVIEW
COMPLETE EXEMPT
SIGN AREA
PROPOS�
ALLO�j
HEIGHT
ALLOWED PROPOSED
Z. 7 0 3 Z- to: 00 1 0 C) 0 0
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REQUIRED SETBACKS (I`T)
PROPOSED SETBACKS (FT)
ALLOWED PROPOSED
FRONT SIDE REAR
FRONT LIR SIDE REAR
1:1 ADDITION
;E;�,,G�MERCIAL
COMPUANCE OR
CHANGbQF USE
/Vl if A
P EMODrL
MULTIFAMILY
SIGN
RED' P ARKI%G
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LOT AREA
PLrNING�REViEWEO Y DAT79
_REO'
E3 FENCE
C] REPAIR GRADING CYDS I x FT)
54
DEMOLISH TANK C] OTHER
I
o GARAGE C] RETAININGWALL F RE SPRINKLER
CARPORT ROCKERY FIRE AILA RM
(TYPE OF USE BUSINESS OR ACTIVITY) EXPLAIN:
E - R C
CHECKED BY
TYPE O�fSC
OCCU NT,
NUM6E
OF
I
NUMBER OF
W LLING
I . E
'ICAL
AREAS
GROUPA
P
SPECIAL INSPECTION
I AREA
OCCUPANT
STORIES
U NITS
NUMBER
E.LRED
R Ut 0 YES
I
LOAD
DESCRIBE WORK TO BE DONE
1114 e7AA)A I C I/ fl
11 MARKS
'�JIJ _ITRL'1� qA_� e_,jb,,0f
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REO'D
as
—
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51C
]A) 10141-)Ct 60 bolldJAM VALUATION
$
Depciription FEE Description FEE
��I=Chm State Surcharge
AT SO�RCE GLAZING % LOT SLOPE % City Surcharge
Build P
CHECK NO:
VESTED DATE
m "�harkal
2er
THIS P RMIT AUTHORII S ONLY THE WORK NOTED.'THIS,�,ERMIT COVERS WORK TO'
BE DOME ON PRIVATE PROPERTY ONLY. ANY SO*NSTRU IONONTHEPUBLIC
ETC) WILL REQUIRE
DOMAIN (CURBS. SIDEWALKS, DRIVEWAYS,.1
ing
S�OUEES,
SEPARATE PERM N.
I
E 'R'
ngr. eVI
PERMIT �1.0.N �S
T PERMIT LIMIr. I YEAR - PR= IS18SOTA Igo W:Ar.;� led DAYS
'g
V
Enqr. I ion
E S on
SEE BACK OF PINK PERM FOR MORE I
E�.F.
in ON ERALF OF HIS OR HER Udl, EIR A IGNS SU CESORS
IR
Rn 0 �v
'San Chk. Deposit
;APPLIC
N INTEARNETST. AGREES TO INDEMNIFY. DEFEND AND HARM S THIEC CT e�
EDMONDS, WAS
2 INGTON, ITS OFFICIALS. ENIPLOYEESAND AG S FROM ANY AND.
c
Fire Inspection
n sp e I'D n
FireLan"
Receipt III
ALL CLAIMS FOR DAMAGES OF WHATEVER NATURE. ARISING TLY OR INDIRECTLY'4_
EC
FROM THE ISSUANCE OF THIS PERMIT. ISSUAN(;E`OF Ttl ERMIT SHALLzNOT BE
9 U ANY CITY C
DEEMED TO MODIFY. WAIVE OR REDUCE ANY REQUIREMENT OF ORDINAN, E`
Ins
Landsca'pe"Insp.
ds C. pe P.
Total Amt. Due
0 NOR LIMIT IN ANY WAY THE CITY$ ABILITY T?,EkF7E ANY ORDINANCE PROVISION.'
Recording Fee�
e_ d g Fee
FINSPECTION
Receipt #
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION; THAT THE INFO1,1110.
GIVEN IS CORRECT, AND THAT I AM THE OWNER. OR THE DULY AUTHORIZED AGENT OF
APPLICATION APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC.
CAU:
L
This appl,cation,s nm a peneet until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR
8.11 ding Official or his/her Deputy: and Fees ans paid. and
eceipt is acknovi,ledged in space immided.
WORKMEN'S COMPENSAT AND RCW 18.27.
j
,5"SUR�INCE
SID N ?RF =0
DATE SIGNED
(425)
9PFICIALS SIGNATURE DATE
"" L,�IR,;2 /
1 2
11—/
1
771-0220
�J
.0
RELEASED BY BAT
ATTENTION
EXT 1333
IT�IS UNLAWFUL TO USE OR OCCUPY A BUILDING On STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
OR GINAL - FILE YELLOW� INSPECTOR
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
P:NK - OWNER GOLD - ASSESSOR
04/02 PRESS HARD -YOU ARE
MAKING 5 COPIES GREEN - ACCOUNTING
APPLICATION
for
The City of Edmonds SIDE SEWER PERMT
NEW CONSTRUCTION REPAIRS E] EASEMENT No . ..........................................
104-01100
OWNER----------------- Wi.aters --- Glass .......................................................... CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS .............. 5.1.4 ... ..... 5.t.h ... Av.en-u.e ... S . ......................................... LEGAL DESCRIPTION: LOT No . .............................................. BL4C)CK No . ............................................
.. .. . .. ..... .... .. .. ...
U.
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NAMEOF ADDITION ...........................................................................................................................................
DYE TESTED ON SEWER
JULY, 1972
Approved:
DATE............ ................................. - By ......................................................................
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SNOHOMISH . Environmental Health Division
HEALTH 3020 Rucker Avenue, Suite 102
DISTRICT Everett, WA 98201-3971
M. Ward Hinds, M.D., M.P.H 11� (206) 339-5250 (206) 339-5270
Health Officer % Fax: (206) 339-5254 TDD: (206) 339-5252
June 4, 1997
Asao Sakakibara
906 Sea Vista PI
Edmonds, WA 98020 STREET 171LE
Subject: Proposed, Kyoto Book Storer1,N;z2_L__r1t_1,_ 7_7' %,
5:44 5th-A-ve-.8" #B-2, Edmonds
Dear Asao Sakakibara:
Your plans hav& been rd-,View-ed- with the Rules- and ReCulatfons of the State Board of Health, and
with the policies of the Snohomish Health District. With the addition of the following, the plans are
approved.
The floor must be surfaced with a durable, nonabsorbent, easily cleanable material.
A preoperational inspection is required prior to opening for business. At the time of inspection the
construction of the food service establishment must be complete and all equipment must be in
place. Incomplete construction may result in a $60.00 reinspection fee. Please contact the Food
Program office about one week in advance to schedule an appointment. This' -will ensure
compliance with the Rules and Regulations of the State Board of Health for Food Service
Sanitation.
If there are any significant changes or additions to your layout or equipment, the Snohomish
Health District must be notified.
Please contact me if you have any questions. My office number is (425) 339-5250.
bert A
0 pa
R bert A. oppa,
r
Environmental He�al� S�pecialist
RH/cch
cc: City of Edmonds Building Department
. Healthy Lifestyles, Healthy Communities
0 STREET FILE 0
CITY OF EDMONDS
250 - 5th AVE. N. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
July 14, 1983
Winters Glass
5-114 - 5th -Av-e. S,!
Edmonds, Wa. 98020
Gentlemen:
HARVE H. HARRISON
MAYOR
You were contacted earlier this month concerning the dis-
connection of your roof drains from the City's sanitary sewer
system. To date, we have not received any response on this
matter. Again, may I reiterate the need for you to take action on
this matter.
Please contact Dan Smith, 771-3202, extension 256, by
July 29, 1983 and he will give you any needed assistance.
Thank you for your attention to this matter.
Sincerely,
i S E;. # P. E.
Engineer
DS/ st
Dan Smith Dt
0
46
STR'EET FILE
CITY OF EDMONDS
200 DAYTON ST. - EDMONDS, WASHINGTON 98020 - (206) 771-3202
OFFICE OF THE CITY ENGINEER
5 2 7 Ba ,, 16 G- R S t
Edmonds, Wa. 98020
7
Gentlemen:
I
May 2, 1983
HARVE H. HARRISON
MAYOR
The City of Edmonds is currently experiencing a serious storm
water problem. our sewage wastewater treatment system is being
overtaxed by large volumes of storm water from roofs, drains,
driveways, and parking lots. If this water is not eliminated from
the system, the sewage treatment plant will require expansion much
sooner than it otherwise would.
A series of tests were completed, identifying your property
as one of the infiltration sources. This storm water must be
removed from the sanitary sewer system as soon as possible. The
attached drawings indicate several solutions to this problem, one
of which should be applicable to your property.
The City has established this as a top priority project, and
your cooperation is urgently needed. Please contact Dan Smith or
Jerry Hauth at 771-3202 for assistance prior to installation of
your modified system.
Sincerely,
JAMES E. ADAMS, P.E.
City Engineer
DTS/s t
Attachments (2)
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This letter sent to the addresses on the attached list.
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