521 HEMLOCK WAY.PDFiiiiiiiiiiiiii
11456
521 HEMLOCK-S-T/-,N�1
THE ACTIONS OR CORRWrIONS INDICATED ABOVE ARE REQUIRED
WITHINT --.- ......... DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPL4ED. FOR I
N-SPE=ONS CALL: 775-2525.
F� BUILDING DIV.
CITY' OF
EDMONDS
D-ruLIC WORKS
IlIRE ijkPl'�
9
0
TO P7,FLAUTTEE AND101% OWNIM
E] PA TIAL APPROVAL
g-'woLAnoy
PERMT coRREcnONS REQUIRED
NUMBF-R
FADDRESS
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ENO PER= - STOP WORM - REMOVE CONSTRUCTION OR OBTAIN
l T7_1 RXIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
CONST' tUCTUON IS NOT IN ACCORDANCE WITE &7PROVE D ZILANS
AND PER',= - STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS AND PERMIT OR REMOVE IT.
Fl STOP WORM - UNTIL AUTHORIZED TO CONTINUE BY INSP=07-
r,-j,�RRECTTONS RZSMD BFILOW MUST BE MADE -BEFORE WORK CAN
1 -1 BE APPROVED.
Fl WORK DOSCRI32D 3FZGW HAS BEEN INSPECTED AND IS A.P2ZOVED.
ONTTACT n,'Sl?=T0It AND RECAL7L FOR INSPECTION
ARRANGE FOR APPOIN'ThIENT.
V
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/_s7ecZ le -
THE ACTIONS OR CORRECT TONS INDICATED ABOVE ARE REQUIRED
WITHIN .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE
Ap_Rlff-�;D. FOR ISPECTIONS CALL: 775-2525.
BUILDING DIV.
Ns,Pl�=To PUBLIC WORKS
CITY OF
EDIVIONDS E] FIRE DErr.
Li
u T I E
TO PERACITTEE AND/OR OWNER
F� PARTIAL APPROVAL
Fj VIOLATION
El CORRECTIONS REQUIRED
-r-zIT
u=ER
JOB ADDRESS
v
-To ERrMT — STOP WORK — REMOVE CONSTRUCTION OR'OBTA-IN
41T
P E Rpl- AND MAKE WORK COMPLY WITH BUILDING LAWS.
DCONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS
AND PERNUT — STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS AND PERMIT OR REMOVE IT.
STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY I`NSPEOTOR,
C CORRECTIONS LISTED BELOW MUST BE MADE BEFORE WORK CAN
o
BE APPROVED.
WORK DESCRIBED BELOWHAS BEEN INSPECTED AND IS "PROVED.
CONTACT INSPECTOR AND RECALL FOR INSPECTION
ARRANGE FOR APPOINTMENT. F
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THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .... /:�� ........ DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED. FOR INSPECTIONS CALL: 775-2525.
(7�)
F� BUILDING DIV.
IN9-PECTOR- PUBLIC WORKS
CITY OF 9AT 1 1 171-F
EDMONDS F] FIRE DEPT.
V000"k I TICE
EE AND/OR OWN=
0 MRTIAL APPROVAL
FLATION
C100IRRECTIONS REQUIRED
JOB ADDRESS
la"NO PERPftT — STOP WORK — r.3uqOyr& C-DWOMUCTION OR OBTAIN
PERMLIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
ONSTRUCTION IS NOT XN ACC03DAWMi V= AFj7-20VED ?PLANS
AND 7ER111IT — STOP WOER. MAKE EXISTING WORK COhTPLY WITH
121-11
APPROVED PLANS AND PERlylIT OR REMOVE IT.
RSTOP WORK — UNTIL AUTHORIZED TO CONTINUE 33Y �UWSFECF
ylaZL
CORREMONS LISTED BEIDW MUST BE WAD-74' BE -TORE WCRK CAN
BE APPROVED.
WORK DMCPXaED BELOW HAS BEEN XNSPEC-TED AND I-" APPROVE1,I).
r,--3,,-tVNTACT INSPI;CTOL AND
U6 ARRANG-EFOR "PDXNTYLENT. HE CAR -1 FOR -INSPEC-7170N
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WIT141IN ... ................ DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED. FORJVSPECTIONS CALL: 775-2525.
BUILDING DIV.
��fUBLIC WORKS
I
CITY OF
EDMONDS FIRE DEPT.
18 NOTICE
TO PERINUTTEE A.ND/OR OWN-E
,R
F� PARTIAL APPROVAL
F� VIOLATION
CORRECTIONS REQUIRED
F ERMIT
�P,,,,ER
JOB ADDRESS
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0 NO PERI�IIT — STOP WORK — REMOVE CONSTRUCTION OR'OBTAIN
1-PERIMIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS
AND PERNUT — STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS A -ND PERMIT OR REMOVE IT.
STOP WORK — UNTIL AUTHORIZED TO CONTINUE BY INSPECTOR,
CORRECTIONS LISTED BELO'VV'%l-UST E BEFORE WORK CAN
Fr S�
I BE APPROVED.
WORK DESCRIBED BELO'"' RAS BEEN %INSPE I APPROVED.
CONTACT INSPECTOR AND A
ARRANGE FOR APPOINTMENT. RECALL FOR ;4j!,�%,TION
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THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .... / ........ DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPLIED. FOR INSPECTIONS CALL: 775-2525.
BUILDING DIV.
114—PECTOR PUBLIC WORKS
CITY OF
EDMONDS DATE' FIRE DEPT. q
NOTKE
'EE AND/OR OWNER
PARTIAL APPROVAL
IOLATION
E] CORRECTIONS REQUIRED
PERMrT
NUMBER
ADDRESS
po-B
FNO PERN[IT - STOP WORK - REIMOVE CONSTRUCTION OR ORTA-IN
PERMIT AND MAKE WORK COMPLY WITH BUILDING LAWS.
CONSTRUCTION IS NOT IN ACCORDANCE WITH APPROVED PLANS
D AND PERI�IIT - STOP WORK. MAKE EXISTING WORK COMPLY WITH
APPROVE, D PLANS AND PERMIT OR REMOVE IT.
STOP WORK - UNTIL AUTHORIZED TO CONTINUE BY INSPECTOPL
RRRECTIONS LISTED BELOW MUST '7 DE -BEFORE WORK CAN
VEI APPROVED. 'S
WORK DESCRIBED BELOW HAS BEEN INSPi�jrNf/CPROVIED.
ONTACT INSPECTOR AND
ARRANGE FOR APPOINTMENT. RECALT FOR kECTION
V
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THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .................... DAYS OR PENALTIES IMPOSED BY LAW MAY BE
Ap,k�D. FOR 'SPE NS CALL: 775-2525.
BUILDING DfV.
l'fNS_ CTOIr PUBLIC WORKS
CITY OF
/
EDMONDS VATV FIRE DEPT.
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .... .......... DAYS OR PENALTIES IMPOSED BY LAW MAY BE
APPL.WD. FOR ;NSJ�ECTIONS CALL: 775-2525.
[:],BUILDING DIV.
EIPUBLIC WORKS
cffy OF
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E] FIRLDEPT.
EDMONDS P"T 2
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Im
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PERMIT
NUMBER
JOB ADDRESS
L5-- -�- -: -- " g r - z,<
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,"NO Pmn�T — STOP WORK — REMOVE coh,rSTRUCTIOZT OR OBTAIN
PERDUT AND MAKE WORK COMPLY WITH BUILDING LAWS.
ONSTRUMOBT IS NOT IN ACCORDANCE WrM APPROVED PLANS
AND PM, TKIT — STOP WOBIL MAKE EXISTING WORK COMPLY WITH
APPROVED PLANS A.111M PERAUT OR REMOVE IT.
STOP WORK — UNT71, AUTHORIZED TO CONTINUE BY IWS?00'203�
COREWTIONS LISTED BELOW MUST BE MADE BEjFORE WORK CAN
BE APPROVED.
WORK DESC=ED BMIOW HAS BEEN INSPECTED AND IS Al?PROVED,
6I ONTACT INSE'ECTOR AND
---�AoRiRTANGE, FOR APPOINTMENT. RECALL FOR INSPECTION
THE ACTIONS OR CORRECTIONS INDICATED ABOVE ARE REQUIRED
WITHIN .............. ..... DAYS OR PENALTIES IMPOSED
"PLIED FORTSPECTIONS CALL: 775-2525.
CITY OF
EDMONDS
BY LAW MAY BE
BUILDING DIV.
2?--U,BLIC WORKS
FIFIRE DEPT.
Q
1�
�9TY OX,, EDM ONDS Permit No 113
C
60MMONITY SERVICES DEPARTMENT
RIGHT-OF-WAY CONSTRUCTION PERMIT A Issue Date
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A. 9 Owner: Washington Natural Gag Company
Name
815 Mercer Street
1�ilaiR �dd,e,,
e e WA 98111
city . State Zip
Ln
&me
Mai I ing Address
City
State Zip
State License.Number Telephone Number
C. 9 Address or Vicinity of Construction: . 521 Hemlock Way
Type of Work*to be Done: Install 2" PE Main from 441' We�t to 566' West centerline 6
Avenue South. Install 1 1/4" PE Main fromn5' South to North
Li" Per tached D 91.?-187 (Ilh 6043-3) (2)
D. 0 Work in Con'necti'on With: �ub or Alt efinngie: Farm y City Projects
0 Commercial 0 Multifamily 1i Utility
E. 0 Pavement Cut: KI Y El N F. 0 Size of Cut: 2 X 4 _(8) Over Gas Main
(1) Over Water Main
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant' understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or description whatsoever, forseen'or unforseen, that may
be'made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense
of -any legal proceedings including defense costs, court costs, and attorney fees by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A. PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed by City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be -inspected during progress and at completion.
• Restoration to be in accordance with City C-ocle. _4
• Street to be kept clean at all times. 441�
• Traffic Control to be in accordance with City regulations.
9 All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that, this permit must be available at the job site for inspection purposes at all times.
Signature: Date: April 15, 1991
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
. Call DIAL -A -DIG Prior to Beginning Work .
APPROVED BY:
Time Authorized: Void after �4 AY
Special Conditions: N1 A�
4 —
RELEASED B
Date41- 16 -
V,2
PERMIT FEE: '-?0-. To 15e 6/1.1
Restoration Fee:
Receipt No.:
Fund 1. 11 Fe
Street Cut Dirnensions
INSPECTED BY
NO WORK TO BEGIN PRIOR TO PERMIT ISSU ANCE
Date
Eng. DiV. March 1989
'm I
FIELD INSPECTION NOTES (Fund I I I Route copy to StreQ.t QW
44
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION 0 YES 0 NO
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
Eng. Div. July
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CITY OF EDMONDS
CONIKUNITY SERVICES DEPARTMENT
kiGHT,-OF-WAY CONSTRUCTION PERMIT
A. Owner: Washington Natural ran__ c"pa'niy,
Wmarcer"Streot
lgeag&§ddress WA 98111
City State Zip
Permit No. 0
Issue Date
1`7_
0 6ntraci�r 7
Mailing Address
City State Zip
a ____
State License Number Telephone Number
C. e Address or Vicinity of Construction: 521 HeAlock Way
Type of Work to be Done: Install I" PE Main from 4411 Was t to 5661 West centerltue 6 Avc
South. Install 1 1/4" PE Main from 51 South to N-Rl@ Line
reC Attacnea urawing: toiz—iat ttm ov4j—jl kLj
D. * Work in Connection With: 0 Sub or Plat El Single Family D City Projects
El Commercial 1-1 Multifamily xxu ili
H. 0 Pavement Cut: N Y 0 N F. * Size of Cut: 2 X 4 (8) overt Vas main
ki) Over water Main
APPLICANT TO READ AND SIGN
INDEMNITY- Applicant understands and by his signature to this appligatlon, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or descriptioTIVkhatsoever, forseen or unforseen, that may
be made against the City of Edmonds, or any of its dep�rtments or employees, including or not limited to the defense
of any legal proceedings including defense costs, cour� costs, and attorricy fe7s by reason of granting this permit.
n A�.,� Cy
TBE CONTRACTOR IS RESPONSIBLE FOR WNKMANSaA" ND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch'is C'o'rnpleted,by I City forces, at which time a debit or credit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Eniineering-771-3202
• Work is to be inspected during progress and at completion.'
0 Restoration to be in accordance with City Code. AW-Molintain
• Street to be kept clean at all times. coak4d'ors, Inc
455�
• Traffic Control to be in accordance with City regulations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end of working day;
NO EXCEPTIONS.
I understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature:
MeAtaa" " January 28 1991
Date:
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:
Time Authorized: Void afterAM I L 16- days.
Special Conditions:
PERMIT FEE: 3 () r
ff r1l WTI R IT-741 =-
Receipt No. -
Fund I I I Fe
Street Cut Dimensions: ---. x — = $_ ---
RELEASED BY: Date INSPECTED BY — Date'_______
NO WORK TO BEGIN PRIOR TO PERMIT ISSUANCE
Eng. Div. March 1989
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CITY. QF EDMONDS
1�44MUNITY SERVICES DEPARTMENT
RIGHT -OP -WAY C ONSTRUCTION PERMIT
A. o Owner: Washington Natural Gas -Company B. 0 Contractor:
WfTeMercer Street
C.
�eaailin&Vdress WA 98111
City State Zip
F&\/ao
5-23-91
Permit No.
Issue Date
Name
Mailing Address
City
State License Number
State I Zip
Telephone Number
e Address or Vicinity of Construction: 521 Hemlock Way 1/51
I I
Type of Work to be Done: Install 2 PE Main from 441! West to 566' West centerline 6 Avi
South. Install 1 1/4" PE.Main from 51 South to N—R/@ Line
Per Attached DrawinR: —912-187 (IR 6043-3) (1)
D. 0 Work in Connection With: Sub or Plat Single Family ity Pr ects
0 Commercial El Multifamily Xxutility
E. 0 Pavement Cut: 91 Y El N F. 0 Size of Cut: 2 X 4 (8) Over Gas Main
(1) Over Water Main
APPLICANT TO READ AND SIGN
INDEMNITY: Applicant understands and by his signature to this application, agrees to hold the City of Edmonds
harmless from any injuries, damages, or claims of any kind or descriptil Ohatsoever, forseen or uniforseen, that may
be made against the City of Edmonds, or any of its.departments or employees, including or. not limited to the defense
of any legal proceedings including defense costs, court,,costs, and atto'rhey f 's by reason of granting this permit.
THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONE
YEAR FOLLOWING THE FINAL INSPECTION ANDACCEPTANCE OF THE WORK.
Estimated restoration fees will be held until the final street patch is completed* b�y City forces, at which time a debit orciredit will be
processed for issuance to the applicant.
• A 24 hour notice is required for inspection; Please call Engineering: 771-3202
• Work is to be inspected during progress and at completion.
'o Restoration to be in accordance with City Code.
• Street to be kept clean at all times.
• Traffic Control to be in accordance with City reg�lations.
• All street -cut ditches must be patched with asphalt or City approved material prior to end ol� worZingip/4
NO EXCEPTIQNS.
1 understand the above and that this permit must be available at the job site for inspection purposes at all times.
Signature: MiFAA1,A �o_L 1 Date: January 28, 1991
Owner or Contractor
This Permit Must be Posted at the Job Site For Inspection Purposes
Call DIAL -A -DIG Prior to Beginning Work
APPROVED BY:
Time Authorized: Void afterAfflil IF-7 days.
Special Conditions: N
PERMIT FEE: . t) L) (
Restoration Fee:
Receipt No.:
Fund I I I Fee:
Street Cut Dimensions: x
RELEASED BOA Date INSPECTED BY Date
NO WORK TO BEGIN, PRIOR TO PERMIT ISSUANCE
rng. uiv. iviarcn r)no
FIELD INSPECTION NOTES
(Fund I I I - Route copy to Street Det)t.)_
Comments:
Diagram:
CONTRACTOR CALLED FOR INSPECTION
El YES
Partial Work Inspection by P. W.:
Work Disapproved By: Date:
FINAL APPROVAL BY: Date:
0 NO
Eng. Div. July 1985
-0
MEMO TO:PUBLIC WORKS SUSPENCE DATE
FROM: BUILDING DEPT. 17
SUBJECT: SINGLE FAMILY FINAL INSPECTION AT
The Building Dept.. requests that the Engineering Dept. review the
following items prior to final.occupancy being granted at the above
address.
Initial
Date
1.
Sanitary sewer line installed and approved
/;f 7S
L17 F
2.
Water line installed and approved
71-- IT
1114�-17
3.
Drainage installed and approved
0
/ 7, -71, f
"Vo tv /)a.-, - re,
4.
Driveway
5.
Underground wiring installed to home
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6.
Other
-XV
VED
DEC 31 1981
Dir,
Of PLk;lc Works
&MIC.I%TJRKS DEPAM04T CHECKLIST
BUILDING PEaaT REVIEW
Date
0
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Street Right -of-Way'Exis ting REQD
Access Easements Existing
REQD
Utility Easement Existing REQD
Lot per Subdivision !f>-:s-MT Plat Assessor Map
Site Plan Checked for Accuracy
b
Underground Wiring Reqd.
Check Accuracy of Legal D , escription 7/1 -Z?;, g
Environmentally Sensitive Area
Environmental Checklist Reqd.
Flood Hazard Zone QO
Shoreline ManageTtent Area
Slope, Soil, Vegetation
Stream, Creek, Drainage Basin C-n k CT-r-- TZVE�X-F—= XQ-rro k3
Existing Zoning -Per Code
Amenities Design Board Approval Reqd. I)Oj1p ADB # Approval
Board of Adjustment Approval Reqd. 1� )e) 1k)F_
Review By: Date: %j sh
Existing Water elain Size 4 cx
Water Main Reqd.
Service LJ -ne Reqd.-
Hydrant Size Existing
Hydrant Reqd. Per Fire Code -e-e) Size
Detector Check Meter Reqd. 4-AO
Cross Connection Inspection Ar--�O
Fire Department Comments
Water Meter Charge Reqd.
Review bv:
Sep
If
te:
;4 Septic Tank Permit Reqd. Permit No.
Sanitary Sewer Availab.ilityc__O� Proj. 4/0 7C/
Drawin No. el
File No. 32-1,011
Side Sewer Availability . oW
w Sanitary Sewer Connection Fee Reqd. 4,10o�
Review By -
Date:
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BUILDING DEPARTMENT
ERMIT
Applicant Fill
E NUMBER
PERMIT APPLICATION
Inside Heavy Lines
JOB
ADDRESS :5
-FLAT
NAME (OR NAME OF BUSINESS)
1-10
SUBDIVISION No.
NAME
ASSESSOUAAP NO.
W
MAILING ADDRESSI
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PUBLIC RIGHT OF WAY PER ORDINANCE NO.
0
CITY'
TE�E��NE NUMBER
�—: & A"\
EXISTING RIGHT OF WAY C9
PROPOSED RIGHT OF WAY
NAME -0
DEFICIENCY OF RIGHT OF WAY
ILI
ADDRESS
STREET/UTILITY WORK REQUIRED NO
YES
In
y
U,
PERMIT FOR WORK IN PUBLIC R/W -&YES NO
0
0:
UNDERGROUND WIRING REQUIRED R YES ONO
3:
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CITY
HONE NUMBER
CONNECTION TO SANITARY SEWER AYES 11140
SEPTIC TANK PERMIT REQUIRED YES ENO
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N'JE
SEPTIC TANK PERMIT NO,
0
ADDRESS
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SEE MEMO DATED
-CI T —Y
TELEPHONE NUMBER
REMARKS
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STATE LICENSE NUMBER CITY LICENSE NUMBER
CHECKED BY
begal Descriptio� -of Property (Show. Belo'w or Attach Four Copies)
METER PIZE BUILDING SUPPLY SIZE
a:
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SIGN AREA
ENV. REVIEW
ADB NO.
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ALLOWED PROPOSED
COMPLETE EXEMPT
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REMARKS
VARIANCE OR CU PLANNING REVIEW BY DAT
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NEW aRESIDENTiAL GAS
YARDS .5-11 . -' ILOT COVERAGE
/FRONT SIDE REAR
L
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
ED S:NE
NON-RESIDENTIAL GN
1COCIE
ADD
DEMOLISH RETAINING
WALL
SPECIAL INSPECTOR
REQUIRED
OCCUPANCY
OCCUPANT
ALTER EXCAVATE FENCE
1:1 OR FILL I— X—FT1
JARE
0 YES 0 NO
I
GROUP
LOAD
PLAN CHECKED BY THIS SIT E IS LOCATED IN THE CITY
REPAIR PRE -MOVE swim
1:1 INSP. POOL
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
NUMBER OF S1
JMBER OF
REMARKS
2-
NELLING
4ITS_
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NATURE OF WORK TO 8
V,�&j KE� �E
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PROPOSED USE
PLAN CHECK FEE
VALUATION
FEE
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PLOT PLAN (INDICATE BUILDING SETBACKS,
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ABUTTING STREETS)
BUILDING
CL
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PLUMBING
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MECHANICAL
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FENCE
SIGN
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RETAINING WALL
CHRONOLOGICAL STATUS REPORT ON THE GWINN
SUBDIVISION (S-3-78) AND SUBSEQUENT BLDG,
PERMITS AT-,-521-? 527, 539 AND 535'HENU
--WAY'l- .. ........ .
1. Engineering requirements deferred to time of building permits.
2. Subdivision recorded (7-10-78).
3. Correction notice posted (.10-31-78).
4. Side sewer inspected (11-5-78).
5. Correction notice posted (3-1-79).
6. Correction notice posted (6-1-79).
7. $1,000.00 subdivision bond released, Tony Pinto maker of
bond (2-20-79).
8. Memo to Building Dept. coordinating final occupancy (2-20-79).
9. Bob Franklin punch list letter (.2-21-79).
10. Memo to Building Dept. (11-2-79).
11. Correction notice posted (11-6-79).
12. Boras of Bomar Construction asking for occupancy for
client Paul Ghenov (11-21-79).
13. City Engineer holds water meter for water line inspection
C>
(11-21-79).
0
0
The existing problems at this subdivision site have evolved
for over a year. Each time the contractor attempted to correct
a problem it resulted in a worse situation. At present, Hemlock
Way in the area of this development is a shabby sight.
Initially, Jay Bollinger contacted me at the Public Works
counter. He was inquiring into�the engineering requirements for
the Gwinn subdivision so as to obtain building permits.
Through the course of events, three builders applied for
permits on four building sites. However, Jay Bollinger made
most of all the contact with the Engineering Dept. regarding
required improvements.
As work progressed, and became substandard in the public
right-of-way, Jay Bollinger personally and continually assured
me that he would take care of the problems. To date, Jay Bollinger
has been working in the public right-of-way without a permit and
without inspections. The physical problems at the site are
worsening under his substandard work causing a large trench at
the entrance to the subdivision.
The subdivision bond was released by me considering that
the basic requirements had been met. Although some corrections
were needed at the time (and have since worsened due to building
activity), Jay Bollinger assured me that they would be corrected.
At that time, I told Jay Bollinger and Tony Pinto (the maker of
the bond) that I would release the bond. However, I stipulated
that the Engineering Division would not approve the building
permits for final occupancy until all problems had been cor-
rected. Both agreed.
At present, Jay Bollinger (the primary developer) claims
responsibility only for work under his own building permits (if
that much). He is now disclaiming any responsibility for work
in the right-of-way by saying that they are not his permits.
Also presently, Bob Bollinger is working in the right-of-
way without a permit in an attempt to gain occupancy for Paul
Ghenov. Mr. Ghenov is illegally occupying 535 Hemlock Way
CD
with no water meter hook-up.
November 2, 1979
MIO TO: Harry Whitcutt
Building Official
FROM: James Adams
City Engineer
SUBJECT: 521 - '527 - 535 HEMOCK
The builders at the above addresses have made curb cuts and
sidewalk and driveway modifications which are not in accord-
ance with approved plans and not to City standarda.
Please withhold final -approval for these buildings until
corrections have been completed and accepted by the Engineer-
ing Division.
If there are any questions regarding this matter, contact
Jerry Saterlie at ext. 220.
JS;vlW
'�Saferlie 7
M 17i
Cu S tom Builders E93mcmos
SHINGTON 98= - (XV 775-2525
24120 - 116th West JAY ORKS
Edmonds. WA. 98020 (206) 546-6782
October 18, 1979
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Bollinger Construc-tion
24120 116th W.
Edmonds, Washington 98020
Attention: Mr. Jay Bollinger
Gentlemen:
SUBJECT: HEMLOCK WAY DEVELOPMENT (S-3-73
HARVE H. HARRISON
MAYOR
You were issued a notice requiring correction Of your
project on June 1, 1979. A copy of the notice is attached.
Please arrange for a final inspection of these items
or submit a schedule prior to October 25, 1979, showing
when these corrections will be completed.
JEA: j ak
Attachment
I
Yours very truly,
C!"-7
-FS L3 , "PE
It�En�ineer
A
Ad1h,
EIRM" I,, V1_�1,"_"__ - 7r1PT1_W*7
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i
February 20, 1979
ME140 TO: Treasurer
VIA: Art Housler, Director
Finance Department
FROM: Leif R. Larson
Director of Public Works
SUBJECT: RELEASE OF CASH DEPOSIT FOR SITE IMPROVEMENTS
�,1,000, RECEIPT
1,7GW�,Z,NN S�,U,BV,3�:Ql�'_T,S; �014, ��
St 1. § 7 8
�-07�4ZY6
n
With re.Eeretice to the above-subj.ect Treasurer's Receipt, Please
release all funds being being held to the following:
Tony Pinto, 539 Hemlock, Edmonds, Wa. 93020
If you have any 0 ' uestions regarding this, please contact Jerry
Saterlie, extension 220.
j ak
__"Sdee-i�liel D lk�. CE Dt. CE Dt. A m�int.
W I
Land Surveypr's-Certificate:.''.
This short'plat correctly represents a survey made by me-.
or under -my d I rec, t I on' In conformance with the requl,re-
No
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CITY OF EDMONDS
RECEIPT N? 5724
--Z4
D artment d!�IIA
ep
D ate ZZI - I-Zy��
RECEIVEDOF
-4
Check Cash Ej
s-
Utility Charges.
Citizen Deposit
Trunk Charges
Water Meter
Water Turn on/off
Sewer Permit
Dumpster Permit
Septic Tank Permit
Building Permit
Curb Cut
R/W Invasion
Recreation Class Fee
Swim Class Fee
Rentals
Fingerprinting
Fire Permit
Fireworks Permit
Sale of Maps — Books
Sales Tax
Other
ckt-, .5, L
I Ih 10 P, 4 1, - kl&—� -r, —S — -3 - Z?
0 0
B
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FROM:
SUBJECT:
November 2, 1979,
Harry Whitcutt
Building Official
James Adams
City Engineer
521 - '527 - 535 HEMO*CK
The builder's at the'above addresses have made curb cuts and
sidewalk and driveway modifications which are not in accord-
ance with'approved plans and not to City standards.
Please withhold final approval for these buildings until .
corrections have been completed and accepted by the Engineer-
ing Division.
If there are'any questions regarding this matter, contact
Jerry Saterlie at ext. 220.
J S; vlW
(:: ;; 3 �� , /" /,7 ��
,"Saferlie '/- / dt.
I
0
The City of Edmonds Side Sewer Drawing EASEMENT NO . ..................... ----------------- --,
NEW CONSTRUCTION REPAIRS LID NO . .................. ASMT. NO - --------------
- --------------------------- CONTRACTOR ------ ....... -- -- ---
OWNER . . ........ PERMIT NO.
JOB ADDRESS �—;Zl ...... ----- LEGAL DESCRIPTION: LOT NO . .............. lNi -------------------- BLOCK NO - ------------------------------------
------------------------ �l .......... ..............................................................................................................................
.............................. -7 �ES
NAME OF ADDITION .....
A<::>
...................................................................
0
0
A
It
PWW-0001 -11/75 (REV. 11/78)
Approved:
-- ------ - - ---
DATE ...... ZZ/ By -----------
-------------
14�
� -1
01
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W I
PUBLIC 1%JRKS DEPARTI�� CHEL;1W
XiIWING PETI-aT REVM4
-7tk=.LL
E= W
Cc)
Street Right-of-Way"Existing �ZEQD
Access Easements Exi9ting mn T=j 7p�� REQD
Utility Easement Existing REQD
Lot p&- Subdivision Plat Assessor Map.
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 CnO
Existing Zoning. Per. Codd
Amenities Design Board Approval Reqd. �'A)Ojjp ADB # Approval
Board of Adjustment Approval Reqd. ik Nn OF -
Review By: Date:
Existing Water IMain Size 4"' cz:
Water Main Reqd.
Service Line Reqd.
w Hydrant Size Existi ng
Hydrant Reqd. Per Fire Code -0-e:) Size
Detector Check Meter Reqd'. x.,'o
Cross Connection Inspection o6-�O
Fire Department Cammts
Later Meter Charge Reqd.
Review by: Date: -71AS17AB
Septic Tar& --------
Septic Tank Permit Reqd. AM- Permit No.
Sanitary Sewer Availability Proj D 7 C/
i lo. Z/ ,
Drawing N File No. 0
Side Sewer Availability 0,-#j
W Sanitary Sewer Connection Fee Reqd. A'101�
Cn Review By: WIS Date: 7
. I AAK. 1W'7P2
Date
LJA4Address
0901)en� Ditch Existing. Reqd.
ulvcrt Reqd.
C &a214 Size
C4 Catch Basin Reqd. Indicate on Site Plan
C)
Shoulder drainaj;c nviintaixi collection on swale open runoff 4md�aa -cad/ a-&w
H
(n Indicate on Site Plan
Linhole rcqd. NOAle
Soil Conditions and GroundMater Field Checked
- el"-"- �'-
Revic-.,T by
Street, -Pa-Ving'Recid.
Curb and'Cutte'r Reqd.
Sidewalk Reqd. A"4 -
Curb Cut for Drive�,;ay Reqd._
c4 Right -of -Way Construction PeAt Reqd-
Bond Reqd. for Public In-prova-m-nts
Street Nar,7e Sign Reqd.
1OLher SiL�ning Rend.
1.> . -Ar&-
Pre Pern-Lit Site Inspection ma de on
0
F-4 BY: S F-1.1 E R
U
ILI I-1
Ln
E 1 \1 G I R ING
1-1 ISpecial RecjLdre-,:VT1LS listed in mom to Comi-Lmiuy Development Departamnt,
Builcting Division
13Y Da te
o All iteirs filled in on Building Permit Application
13Y Date
PL4 D rawings Stan;)ed and Notations 1�1-ide
BY W t e -7
jApproved by Puljic '%-!oi-ks Deiiartinmt:
Rovised: lv 10-1977
-FUB—L-lC-7WOR-K'S-DLPAF;rTMEt4Tj EN61NEERING DIVISION
N F.
FOR RTr.HT-nF-
THIS PERMIT MUST BEAVAILABLE AT THE JOB SITE FOR INSPECTION PURPOSES
Applicant to Complete Parts A and-B
A. Permit to be issued to:
For Work at:(address or vicinity) S4,NAL6C_*1C_
LJ 1)
C&A-) J vt_
Type of Work to be done: d 7-w- co C
(attach drawing when applicable)
Time Required Start:_- ND V4 q Finish:
Owner.?�, q , 0.. \_
Name
M4iling Ad s
L-f wv)wDDO
City State Zip Telephone Nu mber
Contractor:
Name
Mailing Address
State License Number
City State zip— Telephone Number
9
B. INDEMNITY: Applicant understands and by his signature to this application, agree's
to hold the City of Edmonds harmles . s from any injuries, damages, or claims of any
kind or description whatsoever,� foreseen or unforeseen, that may be.made against
the applicant -or the City of Edm ' onds, or any of its departments or employees,
including or not limited to the defense of any legal proceedings including defense
costs, cour I t costs, and attorney fees by reason of granting this permit.
Upon issuance of this permit, the contractor is responsible for workmanship and
- materials for a period of one year followingthe final inspection and accep . tance
of the res toration by the Engineering Division.
Funds held from the Security Deposit (estimated restoration fee) will be held until
the final street patch is completed, at which time a debit or credit vill be
processed for issuance to the applicant.
Work is subject to inspection and restoration in accordance with City Code. A -
24-hour notice is'required for inspection by Engineering. Call 775-2525, ext. 220.
I understand that this permi . t must be available at the jo I b site for inspection
purposes at all times.. A - n
Signat efie: A' f IO_N1!2!n
Ownei or Agent
Date: -
TO BE COMPLETED BY I-SSUING AGENCY: -
Date Issued: Permit No.: Fee
Security.Bond:
Time Authorized: —70 0�"14J_
I
APPROVED BY
Date :f
I n - *7 17 1 . . .1 � I - . I
018
PUBLIC UTILITY DISTRICT
homish Cou y 0 L-1 'T AREA
No.1 of nt
�,�'.101721 - -
Z) L-:-
t\ AV C� 1`�.
DWWT_� - \ - _2 W.O. No. (3 0
��ocation_
,�J W 1/4 2 S_ S I 'I T
--'> R
Revision Scale k"_ 3-00
aeason for work I 1-k ST
PGO. It R�SL-
Engineer M PS C_ —As Built
0 L_ L k t-J L) G
0 K% S'T
U.G. File No.
Approvals ZfAeA
PERMLT REQUIRED
REIGN CONTACTS
EASEMENT
ENVIRONMENTAL ANALYSIS
Type L
Company
FGrantor—
Exempt under District SEPA
J.RN.No.
procedures, Section III -A
Date Granted
M Fees required YesW NoO
Paragraph Item
_QS S
Log Posted Inventory
LA. C1 C. Date Granted
Type
Date By
Transf.Card Pole Dept.
Date —Amount
Interpretation Referred To:
Map Posted Circuit a
;ate Released For Construction
Date —By
Date Work Completed
B
Foreman
O.H. U.G. Cond
Circuit Number
Substation
Add—Ckt Ft —PH
Remv_Ckt Ft —PH
I
Net—Ckt Ft *
W
0
(A
Water
Sewer
DE Gas
Backhoe
_0C. K
E-A & L- LA ti&n S
nV�'..
C 0 ET i�'
4" k:,\/ C.
I KI S —1 tN L_ L S C- C.
H C'N,) L0 C ST. -r R L:� Ki C 0 0 )? -V,A S 7 V-) L_ L_
0 " '7 � Im %A 0 U �. 4" PN/ 0 OP, -70
L) V,-j 12.0, 0 V\ 1�z 0 0 /&\ — A-�
A S 7 7 0 R \) Q %90' 351) t\ACt-A
P�L L)RO F P 0 V,-^ 1) /F\% S UFT %Sj�)_3 C C' , TA L
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/F\ S� t-5-7 k�-*_ D e' A L tN S Tp� k_< I.- D
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W.O. No 6 a 4081
DATE. -
MEMO TO: Building Division
Community Development Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After review of the subject building permit application, we have
the following comments:
(1) Coordination of the location of any structure with respect to
utilities, streets, property lines and driveway grades is,the
responsibility of the contractor.
2) The contractor is repuired to keep the abuttin
ed of dirt and debris caused bv the constructi
streets clean -
on.
(3) A "Right -of -Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to exceed 14%.
I '�g
0 FAI 0 E � i FA i 2 MM.J! 0- P
IKA
M-6
PW 5/77
0 - , 0
PUBLIC 'NORKS ENVIROINMENTAL REVIE'vi
PROJECT NAME FF-3z'eL-L F I L E. 7A
ASSESSMENT DATED:— -79
AN ENVIRONMENTAL REVIEW OF THE PROPOSAL 14AS BEEN
COMPLETED AND THE FOLLOWING DETERMINATIONS HAVE
BEEN MADE:
<aiv--t ::511 IT-r—
IRAWRiATROM
(21�
WE
X!L jemm
..................... . ..
PREPARED B).
REVISED: 10/77LV
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SHORT PLAT FOR BOLLINGER a ASSOC.
4'
1-11, ("1
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LIJ 6 In 10
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0) s 8 0 37'03 W N 890 37' 03" E
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N 890 37' 03" E zz.5.1 7
HEMLOCKU4,
0 = S.et Iron Pin With Plostic Cup No'd. 4561
0 = Found Iron Pin With PlOSjir 4561
R E P L.A T Or' HDiMEL-AND ADD.,
7
N'890 35' 23" E
113.14 f 5 116.86'
-co --?-, N ; 06 22' 57 " W
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BUILDING DEPARTMENT
PERMIT APPLICATION
'�AME (OR NAME OF BUSIWESS)
��( I I - � P R
, NG ADAlsm�- -
I �- I-
3::q
U —
W ADDRESS
U
M CITY
N�7 E
AU
0 ADDRESS
F-
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01
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USE PERMIT
Applicant Fill ZONE NUMBER
Inside Heavy Lines
JOB
[RESS
ADD
SUB.
in SUBDIVISION NO. PLAT NAME
ASSESSOF�-JMAP NO.
TELEPHONE NUMBER
PUBLIC RIGHT OF WAY PER ORDINANCE NO.
c
EXISTING RIGHT OF WAY CD
ql� 0 7(Y-2-
6
PROPOSED RIGHT OF WAY
DEFICIENCY OF RIGHT OF WAY
STREET/UTILITY WORK REQUIRED OYES NO
PERMIT FOR WORK IN PUBLIC R/W -&YES NO
UNDERGROUND WIRING REQUIRED 61 YES ID N 0
TELEPHONE NUMBER
CONNECTION TO SANITARY SEWER MYES NO
SEPTIC TANK PERMIT REQUIRED YES ENO
Kj qe
SEPTIC TANK PERMIT NO.
SEE MEMO D ATED
TELEPHONE NUMBER
REMARKS
7-CITY
LICENSE NUMBER
CHECKED BY.
- I I - I (Z - E -:Mgpt --
Jescriplion of Property (Show Below or Attach Four Copies) METER IZE LOING SUPPLY SIZE
/j I BU,
SIGN AREA COMPENV* REVIEW ACB No.
ALLOWED I PROPOSED LETE I EXEMPT I
REMARKS
W
i
VARIANCE OR CU
PLANNING REVIEW 13Y
rATE
NEW
aRESIDENT, GAS
YARDS
D 'FRONT
SIDE REAR
ILO - T COVERAGE
NON-RES D :1-ITIAL
L :NE
GN
FIRE ZONE
TYPE
OF CONSTRUCTION
CODE
HEIGHT
ADD
ALTER
REPAIR
_ED
DEMOLISH
EXCAVATE
OR FILL
PRE-MbVE
INSP.
RETAINING
WALL
FENCE
x_F-r)
swim
POOL
CIAL INSPECTO
REQUIRED
El YES N
OCCUPANCY OCCUPA
GROUP LOAD
P LAN CHECKE
THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
N U M B STORIES
O:F:7�
NUMBE R 0 F
WEM A R KS.
ZER
2—
D W E L IL I N G
UNITS
UNITS
NATURE OF WORK TO BE
z
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USE --------------- _IPLAN CHECK FEE I VALUATION I FEE
4DICATE BUILDING-S-E-TBACK
ABUTTING STREETS)
BUILDING
PLUMBINq
MECHANICAL
FENCE
SIGN
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RETAINING WALL
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MEMO TO
T-Rom:
SUBJECT
Bu j I (I I.,, p
, r) 1. V
COMMLInj � ,Or)
t: y 1)"clOPITlent:
Fred 1'. Her7j)erg
CitY Engineer
01jINN
SUBDIIIISIOrq
3 7 8
Tr '-'� I-C(ILIC—L-p(j
be 1-mlt-ed Ll 1_
J i D 11) 1. () v,-11 . 1, P (- . 1), ]. I. j- 11
7,110,q0 blljl(jijj�, Di k, i
n i i S 1- 11 colicc,J-11
1� Cq I lire (2 0 r SCT--e�,jpj
e i i t: i 0 11
17C --0 Fr Ti —e 5
i-s "N', r L e,,,- is
SL. CL:- 15
Land Surveyor's Certificate:
This short Plat correctly represent�. a survey made by me
or , under my direction In conforn-inro the require-
Ments Of appropriate state and count with
ordinance. Y Statute and
Date
Short'Plat No. 7,d?
Certificate No.:
5> 2
q /111�16
Dir D t
W,A46
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EM
w,4341 �Pv 89
DE@- T D-A 'OAT F-3�2-��j :F I �L-
-40 8 A
t� oce E3 7 FIL—E NO.
ENGINEERS SURVEYORS PLANN R
ERS
324 Main Sfre� E "sh, i,,n qp(, C --.Q: P, A
Aoin Sfre_t Edmoncls, wsh;n
7100268 t d , wsh;, fc,
9P020
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ITEM QUANT DESCRIPTION STOCK NO.
BILL OF MATERIAL
PERMITS: erC:)
1/4 SEC: t,.AW -Z -ES'
PLAT: 1(-*4
OP MAP: (104
AREA: -Z 41
lap &S smm' TAX CODE:
Z=G" na ; S�S SEC. N&
AWIW�Icn Erergy Ccffp&w D.G.R: -2 - Ica -0) 1-
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DESCRIPtiON i DATE BY APP-D CHK'D
DRAWING
REVISIONS
SCALE: C:) App L
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