612 MAGNOLIA LN.PDF11914
612 MAGNOLIA LN
KEET HLE -
C 0
ITY F EDMONDS SIDE SEWER PONT
8 9 0.19" 1� PERMIT �\J 0 8 2 2 33
Address of Construction:
Property Legal Description (include all easements)�
Owner and/or Contractor:
State License No.
ea LJ
)�S ingle Family
El Multi -Family (No. of Units-)
El Commercial
El Public
4 VIL
Building Permit No.
Lte
EDMONDS
-REATIVI�NT PLANT
a U Itou
Invasion into City Right-of-Way)n/No 11 Yes
RW Construction Permit No.
Cross other Private Propertyx.-No El Yes
Attach legal description and copy of recorded easement
I CeV�_ajl_ �ave read ar�,S�Kall comply with all city requirements
as indicated on the bacbfAe Permit Card.
CALL DIAL -A -DIG (1-800-424-5555) BEFORE ANY EXCAVATION
OFFICE.USE ONLY,�_
* FOR INSPECTION CALL 771-3202, PUBLIC WORKS DEPT.
Permit Fee: 7 Issued By 2�e. 244""�
Trunk Charge:. C!�? S- Date Issued: �7 ZO - f6
Assessment Fee: -------- Receipt No.: Z
Arelwo
Partial Inspection:
Comments
Date -Initial
Reason Rejected: Date -Initial
Final Inspection Approved: DatdL_"_ _P___lnitiall�4-
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy: �de Green Copy: Inspector Buff Copy: Applicant Revised 3!90
5
Ae City of Edmonds
Side Sewer Drawing
EASEMENT NO - ----------------------------- --------------
NEW CONSTRUCTION REPAIRS LID NO - ------------ ..... ASMT. NO - --------------
OWNER------------------------------------------------------------------------------------------------ CONTRACTOR ------------------------------------------------------------------------------------ PERMIT NO. -Z-1-�A
JOB ADDRESS -(f-1 '),
- ------------------------------- - --------------
LEGAL DESCRIPTION: LOT NO . ...... 4 - --------------------------- BLOCK NO - --------------- --------------------
-------- ................................................................................................................ .......... FO&IONDS
- ------- ------ --
TREATtv'I'ENT --- PLA'NT'
NAMEOF ADDITION ..... I .......................................................................J I_;
-------------------------------------
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Q49 Ott. 5 caof-
Ce" P-V-C- 040
(e 1 0 e e, ? . __,4h-
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�,\ Y� G th -�t A V, 0, *� T-- Approved:
T S e-
el"'.1
PWW-0001-11/75 (REV.11/78) DATE ................. � By(� ----- �- ... �.lell --- -------------------
CITY OF EDMONDS
ASSET INFORMATION SHEET
NEW
ADDITION
RETIREMENT
ASSET NO.
ADDITION TO ASSET NO.
f> �� 0 0 (g 0 2�- 9 -30 -70
DESCRIPTION
SERIAL NO.
LOCATION o-- Lc�
DEPT. NO.
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER \A)0,;�
.47
PROJECT COMPLETION DATE
COST �
B.A.R.S. ACCOUNT NO. 000, cNv- 3y �-, (no - (o 3
Is 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
E� /DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
t(p) INITIAL
DEPARTMENT FILE
VERIFIED BY
PROCESSED
BATCH NO.-
FLE
CITY OF EDMONDS
USE PERM T
ZONEjqS_& NUMB I ER
CONSTRUCTION PERMIT APPLICATION
OWNER NAME/NAME OF BUSINESS
j S
ADDRESS 4w,� UITE/APT
#
1SN P-1 -4
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_AD6RESS
EGAL iiF,-PTOiT��,-��ION
NO�
LID NO
I�AILING
z
Si�
0 LO-4- 9-
CITY ZIP
TELEPHONENUMBER
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TESCP
APPROVED BY
F o tj_6 Aj 0 5 it' 2-4)
-7 _23169
EXISTING R�OUIRED DEDICATION
NAME
PROPOSED
6 0 r\�
z
Ow
76®RES�
RIGHT OF WA'Y CONSTRUCTION PERMIT REQUIRED 0
(r
STREET USE PERMIT REQUIRED 0
W
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CITY ZIP TELEPHONE
NUMBER
SEE ENGINEERING MEMO DATED RE W By
z
2JE 9 3 01
S-,Y6- 22 &9
REMARKS
NAME
MIA" 6, J,4,7 ILI
Cr
0
ADDRESS
-7 ��406
METER S
CITY ZIP
I/
U
BUILDING PPLY SIZE
F IXTURE UNITS
TELEPHONE
NUMBER
a:
Oz
2- 0
-77 '�;' 7 36f
Uj
<
REMA_
RKS
Q
STATE LICENSE NUMBER
V
JIM
SIGN AREA
EN V. REVIEW
ADB NO.
Legal Description of Property - include all ease��e_n_ts
ALLOWED
PROPOSED
COMPLETE
EXEMPT
(show below or attach two copies)
z
SHORELINE #
(L
E
0
LO J 0 V4 A_N
VARIANCE OR CU
PLANNING REVIEW BY
DATE
LU
t�� P
SETBACKS -FEET
HEIGHT
LOT COVERAGE
z
Tax Account Parcel No.
Y_e)
FRONT SIDE REAR
z
z
REMARKS
�IXA41
IL
NEW
RESIDENTIAL
PLUMBING
ElADD/ALTER
COMMERCIAL
MECHANICAL
ElREPAIR
APT. BLDG.
SIGN
EXCAVATE, FILL FENCE
El DEMOLISH OR GRADE x
CHECKED BY
-M
TYPE OF CONSTRUCTION
_77—
CODE
I
HEIGHT
_FT)
CARPORT
44
/;/
!�2 0
Z-Au
swim
REMODEL GARAGE POOL
SPECIAL INSPECTOR AREA
.,Sy
'?
OCCUPANT
WOOD STOVE/ F__j RETAINING WALL/
INSERT
REQUIRED
n YES NO
JOCCUPANCY
GROUP R3
LOAD
ROCI�ERY RENEWAL
REMARKS
(TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN:
PROGRESS INSPECTIONS PER UBC 305
z
cc
0
�j
V)
W
NUMBER OF STORIES
NU BER OF
UM
7
TD
W ELLING
0
UN S
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
C= U-) '5;
FINAL INSPECTION REQUIRED
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
Plan Check No.
MECHANICAL
This Permit covers work to be done on private property ONLY.
GRADINGIFILL
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
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
successors in interest, agrees to indemnify, defend and hold
�armless the City of Edmonds, Washington, its officials,
TO: Permit Coordinator, Building Division
FROM: Dan Smith, Engineering Inspector
ADDRESS.
OWNER
PLAN CHECK #
After review of the subject building permit application, we have the
following comments:
1. Construction hours are: WEEKDAYS ........... 7:00 a.m. to 10:00 p.m.
WEEKENDS/HOLIDAYS.-10:00 a.m. to 6:00 p.m.
2. A Right -of -Way Construction Permit is required for any work on
City property.
3. Connection to City water system required. lt6ii2��.
4. Connection to City sanitary sewer system required; obtain separate,
permit. —FVW�JMd.
5. Water and sewer lines to be separated by 10 foot minimum.
6. Driveway must be paved a minimum of 20 feet back from City
right-of-way; separate permit required.
7. Driveway slope not to exceed 14%.
8. Back water valve required if downstairs plumbing is below
elevation of upstream manhole..
9., Builder/Owner responsible for containing all temporary runoff and
erosion control on site. Construction may not impact neighboring
properties in any way.
10. No burning of construction refuse without approval from Fire Dept.
11. Street to be kept clean of debris, dirt, mud, and construction
materials. Contractor responsible for dust control.
12. Inspection required on drainage system, catch basin installation,
driveways, and sidewalks. A final engineering inspection is
required prior to the building division granting occupancy.
13. Repair or replace all defective existing curb, gutter, and
s i dewa I k. If intersection is involved, installation of wheelchair
access may be required.
&I
BLGPER/TXTFORMS
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$ T,3,10 F ILE
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04 urr S ks w
klo-or ewlls
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00 1�0
JRF.CEIVED
JAN 16 1990
PERMIT COUNTER
LOT IQ (0$ QKUMIA Uvill, PiLl