615 ELM PL.PDF11148
615 ELM PL
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ADDRESS: 615 ELM PL
TAX ACCOUNT/PARCEL 00736400002800
BUILDING PERMIT (NEW STRUCTURE) #: #BLD19870231
COVENANTS (RECORDED) FOR:
CRITICAL AREAS #: DETERMINATION: El Conditional Waiver El Study Required E] Waiver
CRITICAL AREAS #: DETERMINATION: [-] Conditional Waiver F1 Study Required El Waiver
DISCRETIONARY PERMIT #'S: PRD 1983-1, ADB 1983-88
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER - list permit #'s):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $:
LID #: ESR 279
SHORT PLAT FILE: P 1983-9
LOT: LOT 28
1 BLOCK: ELM PLACE BLK 000 D-00
SIDE SEWER AS BUILT DATED: September 3,1987
SIDE SEWER PERMIT(S) #: 07673
GEOTECH REPORT DATED:
STREET USE/ENCROACHMENT PERMIT
FOR:
WATER METER TAP CARD DATED: NONE IN FILE AS OF JUNE 10, 2008
OTHER:
US
N1 Cis ZONE E- 0 2 3
i i Y IF �� W 06,
APPUMT,0N
NAME (0;1 NA'-'E 07: CUSIX2S51i
615 Elm Place
HOMES... JNC.
LE AL DESCJli._-P710N CHECKI
SLIUDIVISION No
.,I
_!jQMELANQ
CAILING ADDI;Z3S
j 2,
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
TELEPHONE NUMBER
778-7551
PX STING _,_,,�UIFIEO DEDICATION
.S�D
NAME
F, IGN CONSULTANTS
RIGHT OF WAY CONSTqUCTION PERMIT REOU,RED I
STREET USE PERMIT REOUIRED,
jj�aQ4_1.nth
Strpp L_
SEE ENGINEERIN II45WO DATED
CITY TE' EP14ONE NU'-'.3ER
Mukilteo
745-6569
1 IIEM.ARKS
A---z __T
HOMELAND HOMES, INC.
zw?�,-,te
AD=ZSS
6,,221
James Street
.�METC SZE IRUILDI SUPPLY SIZ
TELEPHONE NUMBER
C`u 'U",
I'REMARKS
�Edmonds
T A ___"L
174KE _j
If Dc-scrIntion cf Proporty - lhcludo ail easements I,
bcIo,,y or att,-c�, four co�lqa)
,j_�.Ot 28, Elm PInce
4 Edmonds. Washl!jqton
N-EW R�GIGCNTIAL PLUMBING
E3
AODALTM 1:1 COMMERCIAL El ECHANICAL
REPAIR El RETAINING WALL F-1 SIGN
BE EXCAVATE FENCE
MOLISH OR FILL I _FT)
Pr*MOV2 INSPJ S ECIAL INS�� CTOR
LJ REMODEL L_j Lj nP
COMPLIANCE INSP. EOUIRED
M WOOD STOVE I I I YES 190.
Lj INSERT n APT. BLDG :RENEWAL A KS
iz
0 ucwe
STORIES :::]IIUIIIIER OF
NUMCER OF
TINO DWELLING One
UNITS
�'NATURC OF WORK TO BE DONE (ATTACH. PLOT PLAN)
To construct a-si.rgle family ho
PLAN CHECK FEE
71 BUILOtNG
PLUMBING
MECHANICAL
This Permit covers work to be done On private property ON4,Y. GRADINrIPILL
Any construction on the public domain (curbs, sidewalkf,
driveways, MarqUPCS, CtC.) Will require separate permis STATE SURCHARGE
Permit Application: 1CO Days ENERGY CODE
Permit Limit: I Year - Provided V`,ilOrk is Started Within 1 CO Oar I
"APplicani, on behalf of his or her spouse. hairs, assignt�anclI
successors In tntorebt, agleas to indemnify, defend and %old
'I harmiess the City -of EdInords, Washington, its offic�als
:S employees, and agents from any end all claims for damages oi
whatever nature, arising d:rcrtly or indirectly from the issuance
of this permit. Issuance of this permit shall not be cleemad to PLAN CHECK DEPOSIT
rnod ify, Via . ve or reduce any requirement of any city ordinance
no, firmit inI any way the City's zIbility !a enforce any ordi
nan TOTAL AMOUNT DUE
provision. -
I hereby acknowledge that I hnYwroed this application; that the
information given is correct; end that I am the owner, or the duly ATTENfl()�
authorized agent of the owner. I agree to comply with city and THIS PERMIT
state laris regulating construction; and in doing the work authoriz- AUTHOR'ZES
1 ed thereby, no person will be employed in violation of the Labor ONLY THE
Code of the State of!_�&ahlnj I ton relating to Workmen's Compensa- wORK NOT5D
tia�lrnurar :a. INSPECTION
NE DATE SIGNED DEPAPTMFNT
CITY OF
EDMONI 3,
ENTIO�
IT S UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
I"
UNTIL A FINAL 14SPECTION HAS BEEN MADE AND APPROVAL OR
A QEFITIFICATE OF occupi&vi HAS SEEN' GRANTED. UBC
CHAPTER 3.
102-78
,95;,e z
7011'AeD
IF. UNITS
SIGN AREA
OWED PROPOSD
ENV. REVIEW
COMPLETE EXEWPT
WI.Tl-t
��VARIANCE OR CU
PLANNING REVIE'.V aY
IS
-Or
ADS NO.
I (61s-5 I
OCCUPANCY )CCUPANt
GROLI�. LOAD
fill R-3 1,
VALU ��FE
�v �T.
771
67'
APPLICATION APPROVAL
This application Is not a permit un!II
signed by the Building 04icial or his
Deputy; and fees are paid, and receipt Is
acknowledged In speed provided.
OFFICAL'S SIGNAXUPE DATE
ORIGINAL � File YELLGW — In sPectw L
PINK —J�v r,.t . GOLD — Assessat F