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555 PINE ST.PDF11111111111111 12775 555 PINE ST CITY OF EDMONDS j9NEW I ADDITION E] RETIREMENT ASSET INFORMATION SHEET ASSET NO. DITION TO ASSET NO. C!TDCCT C:II C DESCRIPTION Nor 6 m—m I-- &-m law — SERIAL NO. LOCATION DEPT. NO. "PURCHASE ORDER NO. - PURCHASE ORDER DATE COST B.A.R.S. ACCOUNT NO. ESTIMATED LIFE *PROJECT NUMBER 0/0 PROJECT COMPLETION DATE COST INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY $DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY INITIAL (vp) REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. - DEPARTMENT FILE 00 C I T Y o f EDMONDS REC�JVIEP S I D E*- S E W E R P E R M I T For Inspection Call 771-3202 DEC 2 3.1985 O#rRMIT NO.' IC�IRKS EDMON=DS,. '40 TM T i = P Address of Construction: 3_3 Ave -S/— TREATMENT PLANT Property Legal Description (Include a-11 easements):' a -am LJL Owner and/or Builder: C 1.b Contractor & License No: WA1 S b L C c C Single Family Residen e Multi -Family (No. of Units Commercial (No. of fixture Units Invasion into City Right -of -Way: No Yes (If Ye' s, Right -of -Way Construction Permit required. Call One -Call -Center (1-800-424-5555,).before any 6xcavation.) Cross other Private Property: No Yes (If Yes, easement required, attach legal description and county easement number.) PLEASE READ THE ITEM-5-LISTED ON THE BACK T cdrtify that I have read and shall _11� Da�te with the items listed on the back. Permit Fee: issued By.: Trunk Charge: Date Issued: Assessment Fee: Receipt No.: .Partial Inspection: Comments Date Initial '/ W /Ajsp 6 y R . llbami D Final Inspection Approved: S. ac.-i Date InAial Rejected: Reason Date _f _n i t _ia 1 PERMIT MUST BE POSTED ON JOB SITE 'Mh.ite Copy File Green Copy— Inspector Buff Copy Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------------- ------------- - - - NEW CONSTRUCTION REPAIRS LID NO. -74 -------- ASMT- NO - ------- OWNER ------------------------------- CONTRACTOR --- CIO --------------------------- PERMIT NO. JOB ADDRESS --- -------- N)e - ------- :s7ro ------------------- -------- LEGAL DESCRIPTION: LOT NO. --------------------------------- --- BLOCK NO. -..LTrnWt M 8ZED A;rR �PND�_ Q6'-A-c- ............. _ TMENf�KANT -------------- — ---------------------------------- ---------------------------------------------------------------------- . .......... _I P— a-,M-&k ?^F NAME OF ADDITION -------------- 16 G" pqe- WtL 4, e,ec, Iv wqv; �.,c 3,t)p. 4* -o - w -j F- Av, I 16 ep F .1 Im e ST. Approved: ----------------- ------------------- -------------------- ----------- -------------- \A/ PWW-0001-11/75 (REV.11/78) DATE --- ... . ........ M., silly WOO 7 W A ARKS WIN: r-vJ.A-L-L, FiZL.P" OHM A2 --:7 ."7i -1 -.00 . ................ ............. ... ILL- 77114 .......... yoga Woo we.-ti Cj:" IM MIA, W.A., joy 11 SO QW . Q Off low! . — — df-c- .. -- 4:�� T 1 W", PRQ= REMN CHEMIST h fe'-SY PRQ� ADDRESS: I.r wStAIFL APPLICUION PMEM DATE i al cb, to COMMENTS PLANMG WIR/SWR 'AMPM ENGNFUG FIRE M T/ 7777 7 7 TIR V 7 TR 7/7 7 sINmzPAM1LY/MULTM2/CMffmCM - (Circle One) '9�s 1117- RMP77777FITU CHEMED - Plannfzig- VARIANCE/SETBACK ADJ. CONDITIONAL Lin PERt%aT TT777171777-ITI-17 1111171111 17111111 T7777777T7 ADB PJ3QLjTjUDdE2M (JEMCM 77777T-7TTTf7777'r111?117 TIM7 OTHER ZCN= RE=REMENTS //////// 1j1f11,C1111 4 177111711 11 Y Tf17 _7 MVIR0NMUAL P MVJRES ACCESS STOPE & VEHICM ACCESS 6 111111177 /////?// DRAINAGE PLAN (On Site) 141& 7 FILE j ITI-177 ////// TITT= ///////// TflflT17T ///////// 1171TIlf //////// p ////// 117111111 _17TIM17 Tl-= LEGAL DESCRTprim waipicATim f),& ////// ///////// ///////// //////// 1 9 77TR7 TIV17V ...... ......... C)UIT CIAIM/DEDICATIONS - 19".P-4 /J ////// ///////// 10 1111T17777TM_1Tf EASEMENT - PUBTIC/PRIVATE CALCULATE SUIER CaRZ=ICN IF NO LM# 11=7777= ////// 711177777 7M7M- 112 117TI7 TOM17 PIAT/SUBDIVISION REQUIREME2M RIGH71-OF-WAY CONSTRUCTION PMW RECID 171777=1 .13 14 777TfIT17 7777T/77 BOND REM FOR PUBLIC 1WROMUMS _4&n ////// ///////// ///////// //////// 15 SOILS CONDITIONS & GROUND 111W 7TI7= T17T= WATER FIEID COMM 111177777111111 111177777 STREET PAVIM REQUIRB) Ll 17 777771 111111111'777777777 777,'#7777/' CURB AND GMTM RBQUTRED 777777 -M171111 SIDEWkM REQUIRED 77ffff 777/77Tff 777F/777 1111IR711 CURB CLYr FOR DRIVEWAY REQD ///////// 1# 20 777777777 -1777FMI7 MMET NAME SIGN REOD ///////// ' 21 I " 7 17 TfIRT T 7 77 77/7 7 7_ OIMER SIGUM RMOD ////// ///////// ///////// ////// 777777777 77777777777777 SIDE SEWER AVAIIMILITY ////// ///////// ///////// ///// 23 111Tff 7177TMI 7 177M_ 7 77 7 7 7 T1 U EXISTIM WATER MAIN SIZE ////// ///////// &� ' (*� �' -, //////// 24 7777ff 7T77777_7 77TTF17TIl - NATER METER 7771TITM 25 7RTff TrITfTRT Yi r SERVICE LINE SIZE 26 HYDRAM MQUIRED 777T/7Tff 7777777 -7TITR77 7TT777/777 - 27 HYDRANT SIZE EXISTING 11111117 //////// 7r/7 M7 7TI1777 -177 WT/-/ I -MI 28 - 1117V TfrfTM I .:FM CONNECTION INSPECTION REM TITTI-1 17TIWTI-111-11-171 -IT 'MER MMM CHARGE REM W11111 7 7/7 1107 3(, T/ 711 _/ 7 171 LIM CHARGE REQD - SPIRINKLER Zlllz�'fl wwwk "TREST CUr 777Tff 717777777 -IT171TITf 3PEN DITCH EXISTING -17TITIT77 __'33 REM ///////// 111111117 ///////// t" /A I I I W 7 T1 7 TM, I _7 T1 71-1 F � 0MVERT REM SIZE 77M7 ////// 177717711 ///////// 7TF7_7177-7 ///////// _7/r7_7 J; 6 7= 711111711 MICH BASIN REM ////// 7 7 7 R 7 ///////// 7777717 ///////// 37 INDICATED ON SITE PLAN .'HOUMER DRAINAGE mAn-YrAIN SHALE OPEN RUNOFF Y V. 15, n. USE PERMIT CITY OF EDM S ZONE NUMBER 85OS15 CONSTRUCTION PERMIT APPLICATION JOB NAM,E �OR NAME OF BUSINESS) )7, Tftz ADDRESS �(e LEGAL DESCRIPTION CHECK SUBDIVISION NO. LID NO. MAILING ADDRESS ) CITY TELEPHONE NUMBER PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING ED DEDICATION __4011REOU'IR NAME PROPOSED,,� zRIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0 Uj A _YSS W DUR STREET USE PERMIT REQUIRED 0 Z SEE ENGINEERING MEMO DATED CITY TELEPHONE NUMBER \v� REMZ,�_�X NAME SI R E BUILDING SUPPLY SIZE FIXTURE UNITS CITY TELEPHONE NUMBER __? P I H I W Oz C- 0/k, N If Q Z5q -9, REMARKS L) STATE LICENSE NUMBER eY 01 —S Q tn I FZ_ SIGNhR_EA ENV. REVIEW ADB NO. IMPLETE Legal Description of Property - Include all easements ALLOWED PROPOSED EXEMPT (show below or attach four copies) Z SHORELINE# IRE VARIANCE OR CU P6AVNING REVIEW BY DATE x )7P niz �� I — _j < YARDS HEIGHT LOT COVER G 1�k 0 Z W .1W FRONT 7d SIDE REAR/,5- 2-5' Z EMARKS NEW RESIDENTIAL PLUMBING El ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL E] SIGN EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION HEIGHT ICODE DEMOUSH OR FILL ( x _FT) I 117tyZ _r-/j/ PRE -MOVE INSPJ swim SPECIAL INSPECTOR AREA JOCCUPANCY OCCUPANT REMODEL COMPLIANCE INSP. POOL REQUIRED GROUP I LOAD WOOD STOVE/ [:] 0 YES 0 NO /f INSERT APT.BLDG RENEWAL REMARKS Uj NUMBER DRIES NUMBEROF 00 DWt:LLINU co OT NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) 770,ql 14C_-&Uj1Z,,cD tZ� VALUATION FEE PLAN CHECK FEE BUILDING OEM PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, V driveways, marquees, etc.) will require separate permission. _�ermlt Application: 180 Days Permit Limit: 1.Year - Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and successors In Interest, agrees to Indemnify, defend and hold Zu harmless the City of Edmonds, Washington, Its officials, 5 employees, and agents from any and all claims for damages of < whatever nature, arising directly or Indirectly from the Issuance of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOS T —60-00 '13111 modify,. waive or reduce any requirement of any city ordinance - __ OL 0 x nor limit In any way the City's ability to enforce any ordinance TOTAL AMOUNT DUE provision." =i::z Z-L I hereby acknowledge that I have read this application; that the information given Is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and THIS PERMIT state laws regulating construction; and In doing the work authoriz- AUTHORIZES This application Is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington relating to Workmen's CompenSa- WORK NOTED Deputy; and fees are paid, and receipt Is tIQ_gInsurance. acknowledged In space provided. INSPECTION SIG ATURE (OV 01 jAER R A ENT) ATE SIGNED DEPARTMENT OFFICI 'S I N RE CITY OF EDMONDS 771-3202 RECEASED BY: ATTENTION /I �� -�5 h0h, IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE L UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — Fi4re/ YELLOW — Inspecto A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-78 THI .46 Titc Ac w Lm-,,4r.*rw I ti CAP7 "o,TION uj > 0 'T ION T.44�jr,.Q IH ko TACNCt4 L" NGTH R t: Nt vi cov JU Vl-tt- 4*'Prmr vip C" Av/ AL04G LEGS SYSTEM CR08S-SECTION .MlfZAff I SOOX 0 p F?� qulvr-L.E��,4T, To 6r:!� 01-4 N W- c ov E IR 'A. 40 1 7 J- ;r - ---------------- zv* 11, le —I 1114�PH lAkt5ila IH - -7 4, H pe, 4 yv-, 0 W, ev h- jv�, 7-71 t S190--1 OJ�