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545 SEAMONT LN.PDF11111111111111 13022 545 SEAMONT LN 40 TAX ACCOUNT/PARCEL NUM BER: ZO IFJ�m BUILDING PERMIT (NEW STRUCTURE): V-Ox7n) COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: F] Conditional Waiver F] Study Required E] Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DA PARKING AGREEMENTS DA EASEMENT(S) RECORDED 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) #: SOILS REPORT DATED: STREET USE ENCROACHMENT PERMrr #: WATER METER TAP CARD DA OTHER-- LAT'EMP\DST's\Fomis\Shw File ChecklisLdoc CONSTFMC_TION LA L PERMIT SE 970070 �L ONDS ONE IT Ar, LICATION joaR ADD ESS SIDN NO. t1D 1117 TEPT-101T 5q� 57- 111 -7.) PUBLIC RICH V OF %vAY pE, OFFICIAL STRi:ET MAP. TELEPHGNENUMBEF' DEDICATION r7r A?UITtrD T PROPOSED Or F, OF WAY CONSTRUCTION FERMI ( REQUIRED I IGHT R EQUIRED 1: S USE FERMI -------- L2 SEE ENGIN�ERING MEMO DATED mh, _;�/5 A" 9 ENV. REVI V Da NO. SIGN A AOPOSED PR COMPLETE I. )(EMPT ALLOWED REL.NEN - include all ease, perty Ur cop;es) F!Eviiivi B , DATE I VARIA E Oil cu PLANNING V�r>ll HEIGH LOT COVERAGP,- YARDS - REAR i'--tt- -S" FRONT' 7171, Ell ESMENTIAL L_J PLUMBING ,_.I IAL IUER� C-1 AIDDIAITE. L_Q MECHANICAL _. C1REPA!'I TAINING WALL ' CAVA7E DEMCLi1I1 L " LL PF,E-IA S n1-1VANCE 'P�"P sw,:, L_j R1:_11ODEL RE.E.AL EIWOOC;STOVF' E] F- BLDG INSEnT ------ RUC�ION CODE I HEIGHT By TYPE OF C N OC U N.CY OCCUPANT P P A EA P LOAD INSPECT P C. R LI REQUIRED r, YES NO pffa_ ,BE' OF STUH— �,VELLING ��.E A FEE "ALUATION PLAN HECK FEE UILDING PLUMBING MECHANICAL ONLY. private p,operly ONLY. :T;� Permit CO Ls, sidewall�s, RADINGIFILL his public r,o, � cul Any construction On the e imission. etc.) will requir( - 'parate pL STATE SURCHARGE rquees, EI FRGy CODE pDrmit ApPlIr-tion: 180 Days Started Within i8o Days YeIr - Provided Work I Permit Limi�: 1 7A �Plll;-111', on behalf of his or her spOus' heirs. assigns and, d hold indemnity. dcfend and hold successc(s �n in.,crest, agrees 10 Washinc,on. its officials, '.hG cil'i of Edmonds, - for damagcs 01 C<� harmless nd all C!,'� theiS3Uance emp�oyees, and agents frOrT- any Indirect-y Om natUre, art! 3ing directly or . h-11 ,it b,3 deen;�4! to PLAN CHECK DEPOSIT whatever h- p-rmit S rdinance of this permit. Issuance Of t Is i - duce any requirement of a r"." �'ty 0 dinance re any Or TO*rAL )\MOUNT �)UE IT.Odify. waive or nor limit in any way the city's ability to enforce APPROVAL provision." ..Catior,: q,.at e 1 ereby acknowledge III-, owner, or the duly * - and �.hat I Zm the - correct, h city and ATTENTION APPLICATION ti IT is not a permit until THIS PERMIT I Thl s a"lica to official or his gi information ven I s I agree to C'Ur"Ply wit auth lz- alitir,orized agent of the owner ind in doini;j the work Or 1. AUTHORIZES d by if. BUIlding "'. ONLY THE 5 are paid, an%j receipt Is Y.. . n di 1. - -kno state laws ragulating construction; will be emPl� yed in violation of 1h,, Labor 00,-npRnsa- NOT Pu �Iedged in space provided. 111OS!,:,C1. person ed thereby no ling to Workmen's Code of th; L�iale of Washington tdla NT OEVARIMIN OFFICIA!-'S SIGN DATE SIG ED 41224� SIGNAIUAF too'N Eq OR AG"T) ,.,Ty OF EDMONDS DATE % .320 FIEL By: -7 2 771.3202 ATT, NTION BUILDING OR STRUCTURE ORIGINAL - File YELLOW inspector IT IS UNLAWFUL TO USt: OFk OC',uP*( A APPROVAL HAS BEEN MADE AND RANTED. OR USC PINK - owner COLD - Assessor INSPECTION UNTI L A; ' OF OCCUPANCY HAS BEEN G A C�R ATE r,HAPT2R IC24B D S CITY of EDM41 For Inspection Call 7.71-3202 Address of Construction: 4`4 S.*E SEWER P E R M I T PERMIT NO. -t Z EDMOND9 TRFATMPNIT 01 A Property Legal,Description (Include all easements): Z -J 7- 7 -70 07 Owner and/or Builder: Contractor & - L i cense No: Single Family Residence Multi, -Family (No. of Units �C F. 1987 Commercial. (No. of fixture Units PUBLIC VIORKS Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way Construction Permit required. Call Oir6e_ call -Center (1-800-424-5555) before any � �T Id excavation.) Cross other'Private Property: No Yes' (If Yes, easement'required,, attach legalde�scription and county easement Tni4uber.) PLEASE READ THE ITEMS LISTED ON THEBACK /--n �A- I c&rtify thatI-have/read'and shall comply Date. with the items listed on the back. Permit Fee: 0 Issued By: Trunk Charge: Date Issued: ;7/y/Z Assessment Fee: Receipt No.: Partial Inspection: 'Comments Date Initial Final Inspection Approved: Date -Initial co Rejected: C) Reason Date Initial PERMIT MUST BE POSTED ON JOB SITE cu Wh-ite Copy - File Green Copy Inspector Buff Copy 7 Appl'ica'nt Side Sewer Drawing The City of Edmonds EASEMENT NO - ----------------------- -------------------- "I NEW CONSTRUCTION REPAIRS E] LID NO. - ---------------- - ASmT. NO. - ---------------- OWNER -NO-R ---------- CONTRACTO %vr;� ------------------ PERMIT NO.7651 ---- JOB ADDRESS ------ LEGAL D -SCHIPTION- TtAT No ---- BLOCK NO - ---------- EDMONDS ------- TREAT ME NT PLANT ------------ ----- ----- --------- AME OF ADDITION --------------------------------------------- -------------------- 544SEATIAONT LN. as 75 'OP. 125 j ----4�;Z.O.WVS 4'DP. 4' Irtill C^P J FIRE 14,JDPANT "M Approved: PWW-Ml -11/75 (REV. 11/78) DATE -------- --- - --------- CITY OF EDMONDS 121 5th AVENUE NORTH - EDMONDS, WA 98020 - (425) 771-0220 fax (425) 771-0221 www.edmondswa.gov 'DEVELOPMENT SERVICES DEPARTMENT IP c. 103 May 4, 2015 MEMO TO: Edmonds School District Verizon Northwest SNOCOM Policeand Fire Dispatch SNOPAC Snohomish County E911 U.S. Post Office Snohomish County Assessor's bffice Snohomish County Information Services Snohomish County P.U.D. Puget Sound Energy Fire District 1 Edmonds Police Department Edmonds Utility Billing Edmonds Public Works Edmonds Building/Street File Edmonds Address Files Lynnwood Disposal Corricast Cable Waste Management Northwest Allied Waste DAVE EARLING MAYOR Per the request of the Snohomish County E911 Office, in preparation of the GIS driven NWS (New World Systems) CAD (Computer Aided Dispatch) which. is to go into effect June 2015, 1 have attached a spread sheet of corrected addresses for the City of Edmonds. These addresses were corrected due to an audit check by Snohomish County for even and odd addresses to be on the correct side of the street. The spread sheet contains parcel, owner, old address and new corrected address. Owners have been notified through a separate mailing. If you have any questions regarding this letter, please contact a City of Edmonds Permit Coordinator at 425-771-0220. Please contact our office if you wish to be removed from future address change notifications. Sincerely, Linda Thomquist Senior Permit Coordinator City of Edmonds Cc: file Incorporated August 11, 1890 Sister City - Hekinan, Japan - Thornquist, Linda I From: Sent: To: Subject: la!,\ Itl A 1-101-1 25L 79FF-1 11,11-1 Memo.pdf City of Edmonds 2015 Address C... Thank you, Thornquist, Linda . Monday, May 04, 2015 3:06 PM Allied Waste; Angela Edwards; Bard, Mike; Cunningham, Diane; Curt Kiessig; David Baxter, Dowd Kim (kdowd@snopac9ll.us.com); Frontier; Jacqueline Amble;'joanne Coughlin'; Johns, Kristin; Kenyon, Denise; Kuhnhausen, Kris; Lawler, Patrick; Linda Dolan; Matthew Crisler, McMurphy, Linda; PSE; Rohde, David; Sharon Euster, Silva; Steve Wheeler; Tammy McGowan; Terry Peterson; Thornquist, Linda; Tim Harris; Todd Merriman; Vicki Thoroughman; Westfall, John; Witt -Williams Vicki (vicki-whitt- williams@cable.comcast.com); Zulauf, JoAnne Important! City of Edmonds Address Changes Linda Thomquist - Senior Permit Coordinator City ofEdmonds 425-771-022o ext. 1336 Our hours arefi-om Sam to 4:30 Monday, Tuesday, Thursday and Friday. On Wednesdays our permit counter closes at noon. 1 DATE: April 23, 2015 TO: MUDGE BRUCE & KATHRYN 544 SEAMONT LN EDMONDS, WA 98020 RE: House address changes for Enhanced 911 Current address: 544 8EAMONT LN Parcel: 27032500218000 Snohomish.County will be implementing a county -wide advanced technology system in June that will vastly improve police, fire, and emergency medical emergency responses through the 9-1-1 system. In preparation for this event, Snohomish County Enhanced 9- 1 - 1 Office is validating all addresses located in the Geographic Information System (GIS) for emergency responses throughout.the entire county. A recent audit by the county has identified a considerable number of buildings in the City of Edmonds whose addresses are not consistent with the approved protocol for addressing buildings, which could result in delayed emergency responses to those locations. The current address above has been identified as one of these. In an effort to cooperate with Snohomish County, as well as Fire Distr ' ict I and the Edmonds Police Department to improve fire and public safety for all types of emergency response, the City of Edmonds will be changing the above address to: 545 SEAMONT LN The main purpose for this particular change is to properly align odd and even address numbers on opposite sides of the street, and ensure they are in proper numerical sequence. We understand that this change may cause you some inconvenience, and even some financial expense, and we apologize for that. However, please understand that the change will provide additional assurance that police, fire, and public works services are quickly able to find your address during your emergency. For your convenience, we have enclosed a USPS addressing kit, which will help you make the appropriate notifications to your utilities, creditors, insurance companies, magazine subscriptions, etc. In order to be prepared for the upcoming upgrade to the E911 system, we anticipate that this address change will need to take effect by June 8, 2015, the date when Snohomish County E911 will implement the new technology. If you have any questions please contact Linda Thomquist, Senior Permit Coordinator for the City of Edmonds at (425)771-0220 or by email at linda.thomquist@edmondswa.gov. Best Regards, Leif Bjorback, Building Official City of Edmonds C: Fire District I of Snohomish County Edmonds Police Department Edmonds Finance Dept/ Utility Billing US Postal Service CITY OF EDMONDS IRZNEW ADDITION RETIREMENT STVIEET FILE ASSET INFORMATION SHEET ASSET NO, ADDITION TO ASSET NO. ,�Wif,3 DESCRIPTION SERIAL NO. LOCATION 2!�PT PURCHASE ORDER NO. PURCHASE ORDER DATE COST PROJECT NUMBERo-2--.z5'o PROJECT COMPLETION DATE 42Z424��2-7 COST B.A. R.S. ACCOUNT NO. ESTIMATED LIFE INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY /o"' 2/DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE (tnp INITIAL DEPARTMENT FILE VERIFIED BY PROCESSED BATCH NO.- 737TANDARD DRAINAGE PLAN C ATCH 5 A,5 I K: XIDS '6 1 S 3 0 (o WSUAL) n 1� _n WK 4FEFIT PIP9 ., TEE W/ 4'Low, LEGS TPkrLNCW Lsr"G-rH > COVWR-j - 40 LK'VrL T)MNCJ4 CAP SYSTEM CROSS—SECTION MIP,Aff I S00X 11 1 r__ r-r L-1-V %.j I L_4___4_ TO 15r-- L/,-/,ED e wllllc_)��EfD K0__K -rp,FW—VA COVER 3/46— WASWEE) GRAVEI ,4�01AM F'E;ZF P L2-1-0 2 TRENCH CROSS—SECTION T 41 PIPE- _� ne INFILTRATION SYSTEM PAGE I OF 2 for location plan by a - -1� R h r4 1) &'= phone `i 2 — 14pl &!V date b — )?76 DESIGN DATA Trench Perc LF per Imperm Trench Number Rate 1000 sq.ftZ,-Area _,,,R e q . ,, NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the responsibility of the property owner(s). Preventive maintenance consists.of preventing soil and other materials from entering trench during construction as well as after construction. Catch basins should be cleaned of floating material and sediment at regular intervals (at least twice p 16, z .5 CITY OF EDIVIONOS SITE DLAN, SCALE: f // z .2o / NOTE: DO NOT USE INFILTRATION SYSTEM ON SLOPES OVER 15 PERCENT (15 FOOT RISE 'PER 100 FEET HORIZONTAL Aj I? -7-05,St pl-r '-�C:09MO/VT Z-ANE STANDARD DRAINAGE PLAN INFILTRATION SYSTEM PAGE 2 OF 2 CITY OF EDMONDS 250 - 5TH AVE. N. - EDMONDS, WA 98020 - (206) 771-0220 - FAX (206) 771-0221 COMMUNITY SERVICES DEPARTMENT 8 Public Works * Planning * Parks and Recreation * Engineering October 1, 1993 Eugene Hochwalt 544 Seamont Lane Edmonds, WA 98020 SUBJECT: CITY COMPLIANCE WITH STATE W.A.C. 246.290.490 CROSS CONNECTION CONTROL Dear Mr. Hochwalt: LAURA M. HALL MAYOR As you are aware after your discussion with Mayor Laura Hall, it was determined that your water meter be turned on until the Mayor could review City policy on this matter. On September 13, 1993, Mayor Laura Hall, Noel Miller, and myself met to review this problem. The outcome of this meeting was that the Mayor was in full agreement that the City should comply with the State Department of Health requirements, and that the City is only following the current state regulations regarding cross connection control. As of October 1, 1993, the Mayor has agreed to grant you an additional 30 days to have your system checked by a Certified Backflow Assembly Tester (see attached list), or to physically remove the device and have it inspected by the City of Edmonds Water Section Cross Connection Control person, Linda McMurphy. If this is not done, the City will be required to shut off your water supply until compliance is met. If you have any questions or if we can help you obtaining this goal, please call us at 771-0235. Sincerely, Ron Holland Water/Sewer Supervisor RH/l k Enclosure cc: Mayor Laura Hall Noel Miller Linda McMurphy Scott Highland ct3 Noel'Miller Date HOCHWALT/TXTWATER 0 Incorporated August 11, 1890 9 Sister Cities International — Hekinan, Japan BACKFL EVENTION DEVICE INSTALLATION if TESTING 246.290.490 Cross -Connection Control 1. All reduced pressure principle backflow prevention devices, pressure vacuum breakers and double-check valve assemblies shall be inspected and tested by a certified backflow device tester or cross-c6nnection control specialist. Test shall be conducted: a. At the time of initial installation, and b. After the device is repaired, and c. Annually thereafter, and/or d. More often when tests indicate repeated failures. 2. The devices shall be repaired, overhauled or replaced whenever found to be defective. Inspections, tests, and repairs shall be made under the purveyor's supervision and record thereof kept as required by the purveyor. 3. Failure of the customer to cooperate in the installation, maintenance, testing or inspection of backflow prevention devices required by these regulations, shall be grounds for the termination of water service to the premises or the requirements for an air -gap separation. (Statutory Authority: RCW 43.20.050. 83-19-002 (Order 266). 246.20.490) CERTIFIED BACKFLOW ASSEMBLY TESTERS CERTIFICATION # PHONE # Michael Arndt 1042 Don Blackwell 1180 Bruce Davis 1389 Richard H. Delk 0243 Charles Flickinger 811 David Fowler - 1333 Tim N. Gellatly 1334 Jay Hornbeak 0274 Brian Hurban 1045 Rick Keeman 0296 Ron Kolbo. 0841 Dale Lanz 0277 Daniel Lisbony 0846 Doug McCary 1319 Dean Meyers 215 Vince Nordone 0261 Ken Rust 0249 Richard Scott 1086 Garry Shadle, 0935 Harry Shelton 0010 Dave Smith 0298 Roger Summy 4972 Dick Unger 3578 Denise Unger 713 Richard Weaver 1429 Eric Young 1250 mobi I e 522-1714 467-6419 775-6464 762-5900 361-1577 776-6200 334-8190 369-5273 641-0734 483-0223 483-2724 527-6642 827-9654 488-8286 778-4131 483-2776 652-7840 670-3655 776-2442 821-1922. 337-4175 827-4964 1-800-828-1962 827-4964 418-8016 451-1594 BACK/TES/TXTWATER 4 SENDER: Complete items 1 and 2 when aaditT64-1 services are desire(i-,a—nd complete items 3 and 4. Put your address in the "RETURN TO" Space 'ie reverse side. Failure to do this will prevent this card I r.m being returned to you. The return r2ece i t 4ill provid'Cvou the name of the person delivered to and ry� , tF the date of deliverX. For ad al Te-es the Tollowing services are available. Con s-u I-tp-o-st-m-as-te -rFo-rTe—es and,_�heck box(es) tor additional service(s) requested. �1. A -Shn)X -to whom delivered, date, and addressee's address. 2. 0 Restricted Delivery , , f-tw, x . I � (Extra charge) (Ertra charge) 3. Article Addressed to: 4. Article Number —P 905 902 816 Eugene Hochwalt Type of Service: 544 Seamont Lane 0 Registered 11 Insured Edmonds, WA 98020 (K Certified 11 COD t El Express Ma-- urn Rece t il .0 chanTise Always obtaifi t ddre a or agent and ELIVERE 5. S�-�e Address 8. Addres Yi x -- V t4c requestel pa 6. Sig9fure Agent x 7. Date of Delivery PS Form 3811, Apr. 1989 *U.S.G.P.O. 1989-238-815 DOMESTIC RETURN RECEIPf 0 STREET F STORM SEWER EASEMENT 00 For a good and valuable consideration, the grantors Michael R. Santopolo and Gayle E. Santopolo hereby grant to the owners, Eugene 0 Hochwalt and Phyllis Hochwalt and to future owners of: t" That portion of the northwest quarter of the northwest quarter r-4 of section 25, township 27 north, range 3 east, W.M., more particularly described as follows: beginning at the southwest corner or the northwest quarter of the northwest quarter''of said section 25; thence N 0039'00" W., along the west line of the northwest quarter of the northwest quarter of said section 25, a distance of 2 " 79.00 feet; thence N 89037'03" E., along a line drawn parallel with the south line of the northwest quarter of the northwest quarter of said section 25, a distance of 414.00 feet; thence N 0 0 39'00" W., a distance of 10.00 feet to the true point of beginning of the tract herein described; thence N 89 0 37 03" E., a distance of 65.00 feet; thence N 0 0 39'00" W, a distance of 107.00 feet; thence S 89 0 3710311 W, a distance of 65.00 feet; 0 thence S 0 39'00" E, a distance of 107.00 feet to the true point of beginning. An easement for the installation, operation and maintenance of storm sewer line over, across, through, under and upon the following described property, situated in Snohomish County, State of Washington, to -wit: Beginning at the Southwest corner of the Northwest quarter of the Northwest quarter of Section 26, Township 27 North, Range 3 East, W'.-M"z�".--,in Snohomish County, Washington, described as follows: THENCE North along the West line of said subdivision 396 feet, THENCE East 392.98 feet to the point of beginning; THENCE continuing East 110.02 feet; THENCE North to South line of Hemlock Street; THENCE West 110.02 feet; THENCE South to the point of beginning. Situate in the County of Snohomish, State of Washin gton, and better known as 560 Hemlock Way, Edmonds, Snoh ish County, Washington. ?� DAT.ED this /0 'ZA_ — day of — 1. Uk STATE OF WASHINGTON S.S. COUNTY OF SNOHOMISH On his day personally appeared before me7i4:X4-,e-6J4 �_ and to me known to be the individuals described in and wh45 e)(ecuted'the within and foregoinjiq�nqtrument, and acknowledged that - - signed the same as free and voluntary act and de6d, for the uses and purposes therein mentioned. Given under my hand andi:pfficial seal this day of 1987 NO EXCGE RECORDED Norary -Publ V:? FO LJ I T? P the State ofWashington residing at MAR 18 1987 198 7 MAR 17 PH 3-' 4 8 RFPSI R191imish r� unly Ifeasurer DEA14 V. WiL L /A P1 KIN V S110,40ti/sh 606h AUDI TOP 13Y Ty. IVA SH P 031.VIO 38 t 7 K`.s ...... . My commi Wapires Fu January,-4-ri9p.0 0 .0 PRDJECT REVIEW CHECKLIST PRDJECT NAMEt RESS: S44 *V�ont Lame - APPLICATION RFXMIPT DATE: — Reviewed by: (initial/date) COMM PumiNG wrR/swR sTREEr ENGNYmG BUIMING FIRE SINGLE VAMILY/KJLT1PLE/COt*MCXAL - (Circle One) ,.'SETBACKS CHECKED --! P1Tu �ing 777T/7//77/////// 7T7FITF77 VARIANCE/SETBACK -TITI-IITFI T/T/-//// CONDITIOWL USF PE1*MT -i ///////// 7TT17Tj 7-77-777777 MB REQUIREKEMS CHECKED OTHER ZONING REQUIREMENTS 777TT/7T77T/TF/7 ///////// //////// ////V///// 777777777 //////// ENVIRONMENTAL FEMURES ///////// //////// / g am r4 11111111777177177777717, ACCESS SWPE & VEHICLE ACCESS ///////// ///////// //////// 11 ///////// 7TFIT1771 77711T DRAINAGE PLAN (On Site) ///////// ///////// //////// 1 11111-1-ITITII-177'111111111 SIrRMT FILE LErAL DESCRIMON VFJUFICATION 1,07' 7-74 111TIT ////// 171777711 ///////// 111111171- ///////// 9 /////////'7777/7T/7 QUIT CIAIM/DFMICATIONS 1� LINZ ///////// //////// 1 10 /71/T/-/77777T/77 EASEMENr - PUBLIC/PRIVATE CALCULATE SEWER CONNECTION IF NO LID# 7TP7777 12 PLAT/SUBDIVISION REQUIREHRM A74111Z�0 13 RIGRr-OF-MY CONSTRUCTION PERMIT REQD 111171777 ///////// 14 71777177711 77777TI-I- POND REQD FOR PUBLId IMPRoVEmENTS //////, ///////// //////// 1 15 Soils COMMONS & MAO= 111111117777=7=11 WATER FIETD CHECKED 16 7= STREET'PAVING3 REQUIRED ///////// ///////// 17 CURB AND GEYrqW REQUIRED 1777=711111111 11777= SIDEWAIX REQUIRED .18, 19 CURB CEJT FOR DRIVEWAY REQD 777P7 111711111 20 STREET NAME SIGN REM 21 777771 -177777777 MnM ST(NrW RECD ////// 22 -17FIV 111711111 -177= STDE SEWER AVAIIMTLTTY ////// ///////// 23 MISTING WM MATN SIZE 111711 ////// ///////// ///////// 24 777TMm 7771-777TFI' WATM lw� SIZE 25 11111T 77771777T SERVICE LTNE SIZE 26 ffYDRARP RD-XITRED 27 777/77 HYDRANT SIZE EXISTING ////// 28- * 7= T177= 7 7 7 77T17 7771-T= - Cf?DSS C0NNWT1ON TNSPECTION RFZD 29. MTER METER CIIARGE REQD 30 PIRE LIM CHARGE W_D - SPRrNKLFR 11111177-1-177771171 -. 31 STREET CUT 32 OPEN DIICH EXISTING 77777T7TITf7M ////// ///////// 33 777T77 777/-= 7T/T/7/77 34 CMVERT REM 35 SIZE 77T87 7TITT717 ////// 777777/77 ///////// ///////// 36 CATCH BASIN REQD T17TI7 7TI777TI7 7/77T/T/7 37 INDICATED 0 SITE PLAN 38 SHOULDER DRXINAGE MAIMrAjN '-ITIT17 -1771717 SHALE OPTN RUNOFF 39 111111TIT 7777T/777 40 CITY OF EDMONDS L15F ZONE PERMIT NUMBER CONSTRUCTION PERMIT APPLICATION C]ATION JOB NAME (OR NAME OF BUSINESS) ADDRL— - cn, HOCII(A2411- LEGAL DESCRIPTION_C_Hff� FSUBDIVISION NO. M AILING ADORE ss , 0 1 5- 'K 7 0 ?Z -S W CITY, TELEPHONE NUMBER ma� PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. b & QA) 177y - :?o EXISTING REQUIRED DEDICATION NIAME PROPOSED12U� NAME N01014 ADDRESS ? 0 12( CITY 1-y6L21A)0( STATE LICENSE NUMBER Legal De'scription of (show below or attac ��Aj ITAT, NUMBER — tN/ TELEPHONE NUMBER — 4J-9, RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED le 17 r METER SIZE I UILDING SUPPLY SIZE URE UNITS REMARKS SIGN AREA ENV. REVIEW ADB NO. Dperty - Include all easements ALLOWED PROPOSED COMPLETE EXEMPT our copies) I SHORELINE# zey I VARIANCE OR CU PLANNING REVIEW BY - I DATE P_ YARDS _��EIGHT I LOT COVERAGE jt— FRONT_2�0 SIDE REAR [�NIEW E.-TIR"ESIDENTIAL PLUMBING r_1 ADDIALTER L0111 COMMERCIAL MECHANICAL R: REPAIR RETAINING WALL SIGN DEMOLISH EXCAVATE OR FILL FENCE UREMODEL El PRE -MOVE INSPJ COMPLIANCE (_ x _FT) swim INSP. POOL WOOD STOVE/ INS [] APT.BLDG El RENEWAL NUMBER OF STORIES NUMBER OF DWELLING Q [UNITS '[NATURE OF WERK TO BE DONE (ATTACH PLOT PLAN) CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT OCCUPANT -7 GROUP LOAD SPECIAL INSPECTOR AREA REQUIRED 0 YES 0 NO JOCCUPANCY . REMARKS -PA611 PLAN CHECK FEE L An t f- BUILDING PLUMBING This Perm ' it covers work to be done on private property ONLY. MECHANICAL GRADING/FILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. _�ermlt STATE SURCHARGE Application: 180 Days Permit.Limit: I Year- Provided Work Is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and' ENERGY CODE successors In interest, agrees to Indemnify, defend and hold 24 i harmless the City of Edmonds, Washington, its officials, 2 employees, and agents from any and all claims for damages of cc < whatever nature, arising directly or Indirectly from the Issuance X of this permit. Issuance of. this permit shall not be deemed to PLAN CHECK DEPOSIT modify,.waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." I hereby acknowledge that I have read this application; that the Informa tion given Is correct; and that I am the owner, or the duly ATTENTION authorized age'nt of the owner. I agree to comply with city and state laws regulating construction; and In doing the work authoriz- THIS PERMIT AUTHORIZES ed thereby, no person will be employed In violation of the Labor ONLY THE Code.of;the State of Washington relating to Workmen's Compensa- WORK NOTED tIqn Insbranc SIGNATURE (OWNER OR AG D -]DATE SIGNED INSPECTION DEPARTMENT CITY OF EDMONDS ATTeENTION 771-3202 IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102-78 VALUATION rli_*Tbjl�did APPLICATION APPROVAL This application Is not a permit until signed by the Building Official or his Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE DATE RELEASED BY: DATE ORIGINAL — File YELLOW — inspector PINK — Owner GOLD — Assessor MEMO TO: Building Division FROM: Engineering Division SUBJECT: Z"� After review of the subject building permit application, we have the following comments: 1) Connection to City water system required. 2) Connection to City sanitary sewer system required. 3) Right-of-way permit required for any work.on City property. 4) Driveway slope not to exceed 14%. 'bing is below 5) Back water valve required if downstairs plum elevation of upstream manhole. 6) Water and sewer lines to be separated by 10 foot minimum. 7) Builder/owner responsible for containing all temporary runoff And erosion on site and may not impact neighboring properties in any way. 8) Construction hours from 7:00 a.m."to 10:00 p.m. on weekdays and 10:00 a.m. to 6:00 p.m.,on weekends and holidays. �-74 — an IC-17a.-Ii