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610 9TH AVE S.PDFiiiiiiiiiiii 9948 610 9TH AVE S CITY OF EDMONDS 2"'NEW ADDITION RETIREMENT ASSET INFORMATION SHEET . ASSET NO. ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION DEPT NO "PURCHASE ORDER NO. - PURCHASE ORDER DATE COST *PROJECT NUMBER PROJECT COMPLETION DATE COST B.A.R.S. ACCOUNT NO. -0 0 0 - 49 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 D/DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT - 0 G.L. ENTRY REFERENCE DATE e�ic� VERIFIED BY PROCESSED BATCH NO. INITIAL kvp) DEPARTMENT FILE Fo -I v I'- _L b" C7 Ell -7 Is v v '�V /7 ci 9 07.97 tY 6'-7 d cr 7 7-7 5- cY -7 7 7 -7.T- I'Y9 / 5NII-f s 61fy) m ty :7-'q cy /'y CT-7 --10 -L b— 7a*_ 69,�- 0 S6 a -7 / 9/1 D.Ivf C7 /Y (Y -1 -7 Py 0 /V 61 7 ci- _L 0 -7 dL 00 C) V) CITY of EDMONDS I C E . IVED S-IDE SEWER PERMIT For Inspection Call 771-3202 MAR 2-6 1986 PERMIT NO gwnr-FT FILE VikWu - Am EDMONDS \r Address of Construction: 3 q i � TREATMENT PLANT Property Legal Description (Include all easements): Owner and/or Builder: Contractor & License No: 00- VAT-- -LIJI — 17� \LJ=-- Single Family Residence Mul ti.- Fami 1 y. 1-41 (No. of Units Commercial. I (No. of fixture Units Invasion into City-Right-of-Vay: No Yes (If Yes, Right -of -Way Construction Permit required. Call One -Call -Center '(1-800-424-5555) before any excavation.) Cross other Private Property: 'No Yes (If Yes, easement required, attach legal description and co unty easement number.) PLEASE EA�D4/HE ITE - LISTED ON THE BACK C-X69 I c6rtilfy (t- ave read and shall comply �dte with the, itzeslisted on'the back. Permit Fee: Trunk Charge: d90 Assessment Fee: Issued By: Date Issued: Receipt No.: Partial Inspection: Comments Date Initial 0 W- Final Inspection Approved: (to 'AF Date inifial Rejected: eason PERMIT MUST BE POSTED ON JOB SITE Wh.ite Copy File Green Copy - Inspector Date . —Tn i —ti a I Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO - ------------------------------------------ - NEW CONSTRUCTION [g REPAIRS [:] LID NO . .................. ASMT. NO - ------------------ OWNER ..... V4,atAF-S ... lt4-pr ---------------------------- CONTRACTOR ..... L.L)-r-7 - ------ 7B CI<V--kO-'P -------------- ....... PERMIT No - 74 --.(a -S JOB ADDRESS ------ (0-1-0 ..... 9 ............ A%V-E-� ... &.t ------------------ LEGAL DESCRIPTION: LOT NO . ..... 4 ------------------ --------- BLOCK NO. ......... Z) ------------------------------------------------------------------------------------------------------------------------------ --- _r", NAME OF ADDITION c--er)P-.K--- L,Dp. 3,op. --.No NOR-r4rA <4w PWW-0001 - 11/75 (R EV. 11/78) Approved: P/ DATE �AL.94.,v.ffi ........ ....... ...................... '17 7 macr Frviod ommin leo. "-PR03ECT NAME: 401dWid Pro=ADDREss- 616 RECE'Ilyr 6LIC�kON DATE: PLANNING Reviewed by: Uni ial7date) WTR/SWR ENGNRNG -1-*'IRE BUILD ING ////'//F//777// SIN= FAMILY/MULTIPLEVCOYMMbj� (Circle One) ,SETBACKS CHECKED Planning 111111117 11111771 1111117117 VAPJ-VICE/SETBACK ADJ. ///////// //////// 1 777F//77 11111711 1111171771 �=MrTIONAL USE PERMIT -77 -777 -77777F/ -777 2 - 7F7 7 —// 77T7 7T/T/77/ ADB MQUIREMM\7TS! CHBCIM 3 7777T 7T/-/T/777T/TR7/// ,OTHER ZONING R=REMENTS 4 7777 77777777 ENVIROt84F14TAL FEATURES 5 11117ITff -T 7777UT777777 -5 ACCESS SLOPE & VEHICLE ACCrSS 6 7T/T/7777////// -177TFITFI -/-R77777 DRAn4AGE PLAN (On Site) 7 STREEI! FILE /, 7' fffl-IT 711rf"U TUTFfFff -fTFFfrFl 8 ,LEGAL Dr-SCRIPTICN VERIFICATION e2l< 177711 77777T/77 11111117177777777 9 ......... 77T117 7TITIT117 CLAV/DEDICATIONS 10 111111777 "77T/7T/7 1 t.kSF1*-2?T - PUBLIC/PRIVATE ///////// //////// 11 -7TI77T-10111111 77777777T 11117111 CALCULATE SEWER CaVEXTION IF NO LID# ////// ///////// ///////// //////// 12 I . . . 777777 ITFITR7777797 ,PIAT/SUBDIVISICN REQUIREMENTS 13 'RIGHT-OF-4iAY OONSIRUCTIOWPERMIT REQD 14 V 777T7-7 -77 7-7-7 7777 -7 7 7F1 -71Ti BOND REQD rOR PUBLIC IMPROVO4IMS ////// ///////// ///////// //////// 15 ,SOILS OCNDITIONS & GROUND 77777T 7T777777 NATER FIErD CJ1@C2= 16 7/f/// 17TIRM MT11777 STREET PAVING REQUIRED 17 ITI Fil 777 71111 7TITT117T CURB AM GUTTER REQUIRED 18 SIDEWALK REQUIRED 19 77777777 711171111 7TRI71111 CURB CUT MR DRIVEWAY RBQD ///////// ///////// 20 . . :i, I - 11, " , .,! . 777TITR7 TIT17TT17 7711117171 '. 'SIRM NAME SIGN REQD 21 7T IMIT17 tl V 77111 01HM SIGNING REQD 22 77/777 171111111 777FIF177117711 SIDE SEWER AVAILABILITY 23 i � _7TITITTIT1717T 11171171 TTT777TI77 EXISTING MATER MAIN SIZE ////// 24 -71TR7 777TR-17T 7 TF1 77/ M 'MTER METER SIZE 25 '77TRT771111111 S S EIMCE LINE SIZE 26 77717TIT71111111171111111 HYDRANT REQUIRED' 27 - HYDRANT SIZE EXISTING -IT F-7 1 7 T7 7 7 T1 T TfTITfTR 7 28 711111'771111111 7T77T17T 7TFfF17T17 .CROSS' aX*M=ICN INSPECTICW RE�P 29 777T// /R////// J1711111 TTTF111717 WATER METER CHARGE REQD 30 1111117T77TRI1171 FM�E"LINE CHARGE REQD - SPRINKLER 111111,tY 31 STREET CUT' 32 11717 1 -777- 777T77 111711 OPEN'DITCH'EXISTING ////// ///////// ///////// 33 7777/7 7777777/7 REOD, J 34 //Iffr/// T77777777 CULVERT fu= 35 77 777 7 7/TTf/F/7 SIZE ///////// 36 T17TIT -177111111 77777T77-7 CATCH BASIN REM 37 77TIZT 7T/7T/777 77777TfFl "INDICATED CN SITE PLAN 38 -%KLILDER DRAINAGE MAINTAIN SHALE OPEN'RUNOFF 11171111T .34 MSC: 40 REVI I' PLANNING MGR. IEERING MIGR. --�RKS MGR. ENGIN PUBLVZ CITY OF EDIVIZONDS GONStRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) Homeland Homes Inc. a: uj MAILING ADDRESS Z .3 6 221 James St. #100 CITY TELEPHONE NUMBER Edmonds 775-2033 NAME DEsign Consultants LOU ADDRESS 1 903 10th.ST. 0 cc CITY TELEPHONE NUMBER Edmonds 745-6569 NAME Homeland Homes Inc. X ADDRESS 221 James St. #RRM100 CITY TELEPHONE NUMBER § Edmonds 775-2033 STATE LICENSE NUMBER CITY LICENSE NUMBER HO-ME-LHI174KE N/a Legal Description of Property - Include all easements (show below or attach four copies) USE IWPERMIT ZONE NUMBER JOB ADDRESS 'E� LID NO. LEGAL FSCRIPTION CHECK SUBDIVISION 21--Moe 'Pfa- Z191 �z 1 1 PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP EXISTING ;0 - REO UIRED DEDICATION PROPOSEEW< 7T7/91ixe RIGHT OF WAY CONSTRUCTION PERMIT REQUIREDI STREET USE PERMIT REQUIRED 0 SEE ENGINEERING MEMO DATED - SEE PIW DEPT. REVIEW CHECK LIST DATED REMARKS — 17 METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE i EXEMPT j ADB NO. Uj Z Lot #4: Plat of Cedar Ridge No. 4 VARIANCE OR CU PLANNING REVIEW BY I DATE YARDS LOT COVERAGE Z FRONT SIDE REAR[ Z Z REMARKS V-71 x t�'J 1K El NEW RESIDENTIAL PLUMBING ElADD/ALTER El NON-RESIDENTIAL MECHANICAL ElREPAIR El RETAINING WALL SIGN EXCAVATE F FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT DEMOLISH OR FILL I— x FT) A/ 25 IJPRE -MOVE INSP.1 COMPLIANCE INSP. swim El POOL SPECIAL INSPECTOR OCCUPANCY REQUIRED GROUP OCCUPANT LOAD SIDE SEWER 0 YES IINO REMARKS WATER LINE Z NUMBER OF STORIE9 NUMBEROF Aoel?j ss UA-VI &96 tV70 UWtI-LINti one I UNIlb NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) construct single family home - — ------------ q VALUATION _FE E V_---_RRA PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit 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 GRADING/FILL successors in interest, agrees to Indemnify, defend and hold 'Uoi harmless the City of Edmonds, Washington, its officials, j m employees, and agents from any and all claims for damages of cc < whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of. this permit shall not be deemed to P I A -:,I modify waive or reduce any requirement of any city ordinance 0 x 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 Information given Is correct; and that I am the owner, or the d uly ATTENTION authorized agent 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 wAbe employed in violation of the Labor ONLY THE Code of theAate of gton relating to Workmen's Compensa- WORK NOTED -ti on, I r),?dTa)(96. �r/ INSPECTION IGNA RE ER 02"T) DATE SIGNED DEPARTMENT 3/3/86 CITY OF EDMONDS TENTICN 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. Ibo:r6 S t �- # 4"'? .7q 1-60.00 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 ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD -- Asspssor AJ c "W; "M 41 ., 6' , i; P., * Www", 4 PUT." I 1z "r.", oy WWA0 me MCA I 415,40MAwn prow 4 WA - gy pea, IM, -_ - .%*I� V .. 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