624 SUNSET AVE N.PDF11111111 lill 11
13373
624 SUNSET AVE N
ADDRESS: 40:�-4- CVr2set A-u&
,TAXACCOUNT/PARCELM �29032-qbC)2,6-1600
BUILDING PERMIT (NEW STRUCTURE) #:
COVENANTS (RECORDED) FOR:
CRITICAL AREAS DETERMINATION: F] Conditional Waiver E]StudyRequired gWaiver
CRITICAL AREAS #: DETERMINATION: [:1 Conditional Waiver [] Study Required El Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORD FOR:
PERMITS (OTHER — list permit #'s):
PLANNING DATA CHECKLIST DATED: -040
SCALED PLOT PLAN DATED: 10
SEWER LID FEE $:
LID #:
SHORT PLAT FILE:
LOT:
BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE/ENC ROACH M ENT PERMIT #:
FOR:
WATER METER TAP CARD DATED:
OTHER:
L:\TEMP\DST's\Forms\Jana's Street File Checklist 5-14-08.doc
PLANNING DATA
SINGLE FAMILY RESIDENTIAL
11 STREET
Name:
Date: 0-92>1 L-)
Site Address:
Tax Parcel gle)Ka�M) �LO)
Project Description: �-\OKA I Te-VVJ4
Plan Check #: -B L��> DO/ /57
Reduced Site Plan Provided: NO)
I Zoning: 7,i� :�, 6
Map Page:
Corner Lot: NO)
Flag Lot: (YES / NO)
Critical Areas Determination #: n I
El Study Required
N�Waiver
SEPA Determination:
,WExempt
Needed (for over 500 cubic yards of grading)
El Fee El Checklist 0 APO List with notarized form
Re� Setbacks
Street:
Side:
Side:
R!79-r:
Actual Setbacks
Street:
Side:
Side:
Rear:
11 Detached Structures:
El Rockeries:
El Fences/Trellises:
El Bay Windows/Projecting Modulation:
NrStairs/Deck: 4�
Height
Datum Point: 6 v\_ er
Datum Elevation: 100
Maximum Height Allowed:
Actual Height:
Other
Parking Required:
Parking Provided:
Lot Area:
Maximum Lot Coverage: 35% Proposed:
Lot Coverage Calculations:
ADU Created: (YES / NO)
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES / NO)
Comments
\�Va-r, v -^ L Q. �'^
Plan Review By: Planning Data Form 07-14-09.doc
APPLICATION
for
The City of Edmonds SEDE SEWER PERMT EASEMENT No . ............... ..........................
NEW CONSTRUCTION [] REPAIRS C]
112-07600
OWNER........... 0-c-cup.atit .............................................................................. CONTRACTOR .................................................................................................. PERMIT No . ......................
ADDRESS ....... 624 ... Sialset-Amenue ..................................................... LEGAL DESCRIPTION: LOT No . ............................................... BLOCK No . ............................................
NAMEOF ADDITION .........................................................................................................................................
11
0
Dye, Tested On Sewer 1972
Approved:
DATE............................. . ................ By .......................... ............................... ...........
CITY OF EDMONDS
IS
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Subinil In Duplicate)
Permit.,to be issued to:
For work at: (address or vicinity) —
Type -of work to be done:
(Attach Drawing When Applicable)
TjjN#jE-!LL Umom 'MAkIO3 ToAv e-U116T..
ro, S M)AILNISLIC PW0
Owner:-Ist-i -L7. J5-'er4'6 ".-j
Mailing Addresi-
AJ b-a
City State Telephone Number
Contractor:
Name
Mailing Address
City Telephone Number
Signature:-141/---:� � - / 4-1.- -7 -3
4?4viWr dr Agent Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (date) June 14, 1973 Permi Number 73-85
Remarks: Sublect to inspection & restoration. All work to be doce in
;jcqqr4§nqa.v#� Ord, XKX 1394-.�A,., A.24-hpur noticoji,required for ins ection.
N
dt-ineDectiDn call 775-2525., xt. 252.
7T
EER'S APPROVAL -DfkTE
CITY OF EDMONDS
ENGINEERING DEPARTMENT
505 BELL STREET
EDMONDS, WASHINGTON 98020
APPLICATION FOR INVASION OF RIGHT-OF-WAY
(Submit In Duplicate)
Permit to be issued to:
e
For work at: (address or vicinity) /,PIP 1W 45 -1 A $Or 6.2 �/ a--�
Type of work to be done:
(Attach Drawing When Applicable)
Owner:—, lr�
_24
11ailing Address
ki,
city
Contractor:
Name
Mailing Address
city State
Signature:
Owner or Agent
7 4, R_6
S,
Telephone Number
Telephone Number
Date Signed
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
Permit Issued (date)
Permit Number
Remarks: "41"14 5 1,!' /C C .,T
Subject to inspection restoration. All work to be done in
accordance with Ord. No. 1394-A. For inspection call 775-2525, ext. 252