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656 3RD AVE N.PDF4913 656 3RD AVE N .:dl 00 CD 0J cr_ _14F CITY of EDMONDS SIDE SEWER PER,MIJ For Inspection Call 771-3202 PERMIT NO. Address of Construction S�G 3 ow e Property Legal Description (Include all easements): 1-02- 5-/ 9- F ?- �� u 0 K"9, 9 VYLL Owner and/or Builder: qi� co V"C'. Contractor & License No: Single Family Residence Mul ti-Family (No. of Units EDMONDS TREATMENT PLANT Commercial (No. of fixture Units Invasion into City Right -of -Way: 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 county easement number.) PLEASE READ THE ITEMS LISTED ON THE BACK REGt�i v EL) A- 16�4' (0 --r; F 7 I certify that I have read and shall comply FEB 7 1989 Date with the items listed on the back. PUBLIC WORKS Permit Fee: Trunk Charge: Assessment Fee: Partial Inspection: ,Issued By: �Date Issued: 2- 7- (F7 Receipt No.: 1�q2lg Comments Date Initial Final Inspection Approved: Z(4 Date Initial Rejected: Reason —Ta—te —Tn—itial PERMIT MUST BE POSTED ON JOB SITE Wh-ite Copy - File Green Copy —Inspector Buff Copy - Applicant The City of Edmonds Side Sewer Drawing EASEMENT NO. - ----------------------------------------- NEW CONSTRUCTION REPAIRS F� LID NO - ------------------ - ASMT. NO - ------------------ OWNER ------------------------------------------------------------- .................................. CONTRACTOR ........ C-0-VIlk-S73 - ----------- ......... PERMIT NO. JOB ADDRESS . . ......... Do' ------ - 't r ----------- qfJ --- ' ----------- LEGAL DESCRIPTION: LOT NO - ------ 13 ---------------------------- BLOCK NO. -- -------------------------------- ------ ---- -- --- ------- ---- PWW-0001-11/75 (REV.11/78) - -- -- -- -- ---- ----------------------------------------------------------------------------- E - D . M , 0 . N . D�� ---------- ------------------------------------------------------- NAME OF ADDITION ......................... T .J�j�81M�jS:E..PLAAT . ...................................................... Approved: G 4-L,&-j j) DATE ............. By .............. �7.... Pixxncr REviEw cmmuasT PROJECT NAME: A, q- PROJECT ADDRESS: -?",y ClivED APPLICAION RECEIPT DATE:' Reviewed by: (ini ialA 0 OCb1MENTS PLANNING WTR/SW`R I STREET I ;NAZ FIRE- BUILDING SINGIX FAMILY/MULTIPLE/COW�ERCiAX (Circle One) SETBACKS 0MCKED - Planning 111111117-71-111111 7 7 7 7 7-ITT17 VARIANCE/SFTp,q3( ADJ. //////// 1 -17TI-I ITT 177 CONDITIONAL USE PERMIT //////// 7771TI -77-77-777-7 ADB REQUIREMENTS CHECKED //////// 777777 7 7 7 7 7 7 7 77 7TF1 77/7 7TF/T/-/ -//7 OffliER ZONING REQUIREMENTS 4 ENVIRONMD"Ar, F'EATURES ACCESS SLOPF & VEHICLE ACCESS 1IT71-1-17T71111111 -14 - DRAINAGE PUN (On Site) c� 1w 41 Itt, TRTIT -777///// 7 777777 71777771177777771- SIT<EET FILE ////// ///////// //////// 8 LFCaAL DESCRIPTION VFRTFICATION /-V/- 111117- ////// 7TIT17TI7 ///////// TITT17TI7 ///////// T/777777 //////// 9 777777 -11MM77 77777UU QUIT C7AIM/DFI)TCATICNS a14 10 M13114-HP - 1-1MT,TC/PRTVATE -1U77UU 77777777 7777TT/7 IF 111117 -1-177777777TIT177777777777T CATaffATE SEWER CONNECTION NO LID# 12 PIAT/SUBDIVISTON REn_UIRD*-VM 13 77777777777777TI7 R.TGIrP--OF-WAY CONSTRUCTION PERMIT RFf_Y) 1� q/(ff 1 14 711711 T/-//-/7T/7' 777 - 777777F77177FI-1-i P4M REQD FOR PUBLIC IMPROVEZAENTS ////// ///////// ///////// //////// 15 S0IL,S CONDITIaIS & GROUND 77TR Tf 7 77777777T WA!VER FIELD CHECKED ////// ///////// ///////// 16 77Tr/7 711711111777777777 S'fREEP PAVING REQUIRED 17 711171 7777777 aW AND GU`PrER REQUTRED ////// ///////// 18 V/77-/-/7/7/7/7 V SIDEWAIX REQU IRED ////// ///////// ///////// /// ) , 19 Tf1-1 /7'-/T/77T/7T 777771� T! T1 TTI TF1 - CURB CUT FUR DRIVEWAY REQD 20 //77/7777 S7`REFf NAME SIGN REQD 21 ODIER SIGNING REQD 22 771111111 TITT1777T STDE SEWER AVAIIABIT,ITY ///////// ///////// 23 TITrif 717777TIT 77777T77 7777777777 EXISTING WfER MATN SIZE �(T, /( //////// 24 7-///-77F/7 1177111111 - WATER MEM SIZE 25 7T/77 7177/77777 SERVICE LINE SIZE 26 HYDRARP REnUIRED 771-FR7-177 - 27 7TITIT 7-17TI771 11171111 7TfFI77777 - IfYDRANr SIZE EXISTING ////// ///////// 28 7/7777 777777R7 CROSS CONN`ECTION rNSPWPION REQD 29 V�ATER METER C7HARGE RSQD 7777/7 ///////// 777777777777777777 //////// 30 FIRE LINE CIViRGE REQD - SPRINKLER 77777717T 771111117777/7777 - 31 ego STREET CUT 32 OPEN DITCH EXISTING 33 7777-77777777777 REM ////// ///////// 34 777T 7TTIF17 -77- 77 7 7 7 7 / 7 7 CULVERT REQD 35 7TTT11-17T 171117TI7 SIZE 36 TR T1 7 7TI 71-TI T CA701 BASIN REQD ////// ///////// ///////// 1 37 -1777T -ITITI-ITIT INDICATED ON SITE PLAN 38 SHOULDER DRAINAGE MAINTAIN. 7 / TTITI -IF17 -171-1 -IT7T SHALE OPFN RUNOFF 39 MISC- 40 IORKS REVIEWED BY: a":f=6 e— opz� PLANNING MGR. ENGINEERING MGR. PUBLTC WORKS MGR. IR CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) MAILING ADDRESS C) CITY TELEPHONE -NUMBER W-P . 1 4-9-S - Z NAME a" &e_ ADDRESS CO3 - CITY TELEPHONE NUA413ER M11) I-C, \ vx) NAME Sovo,,-Q- Gc� (3 c'),-, ADDRESS CITY TELEPHONE NUMBER STATE LICENSE NUMBER H,FZZ /-7, C Legal Description of Property - include all easements (show below or attach four copies) Z 0 NEW RESIDENTIAL Lj PLUMBING ADD/ALTER COMMERCIAL MECHANICAL ElREPAIR El RETAINING WALL El SIGN DEMOLISH EXCAVATE 1:1 FENCE REMODEL OR FILL PRE -MOVE INSPJ El COMPLIANCE INSP. I— x _FT) swim POOL WOOD STOVE/ INSERT APT.BLDG RENEWAL NUMBER OF STORIES NUMBER OF DWELLING UNITS NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) _(3122AAC _Q 0 Ubt PERMIT ZONE NUMBER fN-) io , JOB & 3 'ADDRESS �qt; 4�57 /Jr _ OkF LEGAL DESCRIPTION CHECK SUBDIVISION No. LID NO, 4 7 3r, TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED BY EXISTING ___ REQUIRED DEDICATION P RO POS E DK/DZ21a_4A?_7__ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED. . STREET USE PERMIT REQUIRED SEE ENGINEERING MEMO DATED BY fV11,W JE. REMARKS 13 METER SIZE IBUILDING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA I ENV. REVIEW ADB NO. ALLOWED I PROPOSED COMPLETE I EXEMPT I NE# VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGHT LOT COVERAGE FRONT SIDE REAR I I I CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT 7 SPECIAL INSPECTOR REQUIRED n YES I. -I NO AREA OCCUPANCY GROUP)? OCCUPANT LOAD REMARKS PROGRESS INSPECTIONS PER UBC 305 PLAN CHECK FEE BUILDING PLUMBING 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. STATESURCHARGE Permit Application: 180 Days Permit Limit: 1 Year - Provided Work is Started Within 180 Days ENERGY CODE "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, :E employees, and agents from any and all claims for damages of whatever nature, arising directly or indirectly from the issuance r of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT D , modify, waive or reduce any requirement of any city ordinance D E: nor I.imit 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 duly 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 p�rson will be employed in violation of the Labor ONLY THE Code of the State of Washington relating to Workmen's Compensa- WORK NOTED -tign Insurance. I NSPECTION SIGNATURE (OWNER OR AGENT) OATE SIGNED DEPARTMENT CITY OF L EDMONDS ATTENTION 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. 102-87 VALUATION I FEE ,/C) C) I q--,5(.3 I I I 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 RELEASED BY: DATE ORIGINAL — File YELLOW — Inspector PINK — Owner GOLO (D Z Z 3 Z W a: 0 Z Z CL a Z D 03 -SITE PLA-N SCALE: I' - 20'-0* LOT: 3 0 99.81 BLOCK: CITY OF EDMONDS 20.00 LOT 3 WASHINGTON -F 7 8 8 4 T. -NETj 19.00 R=20.00 ACCESS 8�/U TI L. 0 EASEMENT ACCESS & UTIL. c); "i EASEMENT OL - 28-91 �n 7'-.90- H I E 6— H T- L C-'5 316.64 O/ALL /N.T.S. b,. = -t- 0 - 3 4 r; = -#- o - '10 + o.bo -t 0 Tq - -Tort"= 2,c5-67—. -q=- +-o-5-i v + 4 33 DATE: MEMO TO: Permit Coordinator, Building Division FROM: Dan Smith, Engineering Inspector ADDRESS: OWNER: After review of the subject building permit application, we have the following comments: Construction hours are: WEEKDAYS 7:00am to 10:00pm WEEKENDS/HOLIDAYS 10:00am to 6:00pm 2) A Right -of -Way construction permit is required for any work on City property. 3) Connection to City water system required., 4)'- Connection to City sanitary sewer system required; obtain separate permit. 5) -Water and sewer lines to be sepa'rated by 10 foot minimum. 6) Driveway mutt 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, 61AMr,7212?5�m1,11vo - /i/z 11" PRWECT NAME og wu 403?i4o APPLICATION RECEIF`T DATE: J: Raviewd by:� (UaWrlutw- i, CCMMENM PLANNIM WrR/VWR I mirt= � i ENTMM BUILDIM FIRE, ////1//1/1/7T/7777'7/7M, 77// SIN= FAm:rLY/KjLTrPLE/cm4u=AL (circle one) /W/m/ /11111W 111111M)IIIII SE'InACKS CHECKED - Planning 71TM VARIANCE/SFTPACK ADJ. 11117T 11T11111 CY)NDITIONAL USE PERMIT 7TTI 77 :ADB REQUIREMEMS CHECKED /TF//7/7777-/T/-/-//7 OTHER ZONING REQUIREMENTS ENVIRO"ONrAT, FEA7URES ACCESS SLOPF & VEHICLE ACCESS 77777777 //////// DRAINAGE PLAN (On Site) w/w// ////77 -S'IREFT FILF J.FraAL DESCRlryrl()N VFRTPICATTON QUIT CIAIM/DF.DICATICNS ////777777//////// FAS94W - PUBLTC/PRTVATE 77777777 CArk"ATE S W-ER CONNDC."PT(N IF NWO) TDI //////// PIAT/SURUVIST.01\1 nF-x)urREMENTS RIGI IT--OF-WAY CONSTPoCTICN PERMIT RE M_ 77TI7 ////// 71111111-1 ///////// 7, T71gy --77TF/-/7F/-//-/-//77//////// B(ND REQD rnR Punic immovEmms ////// ///////// ///////// SOTTS OCNDT'PTQ,1S L G.Rotim -/7-/r/Tf -1-177771-7 777777RT 7777777 WATER HUD Cjf1XXED ////// ///////// ///////// //////// RUH -/-/?r/7/77T7//////// S'I'RIWP PAVTW. RWITRM- ////// ///////// ///////// A 717777TI7 CAMB AND GUI -MR REQUTRED T177T[ TFf/7//r/7 -17R77R7 STDEWALK RE(.UIRED 111711 71111111 TM111111 CURB CUP R3R, DRIVEWAY REM 1-11-TI-IT17 111711111 7777777777 MTUMr NAME SIGN REM_ OTHER SIGNIM REQ0 77TFIT I T1777TI-T //////// . / ///////// 7 7 7777TTI-7 171111111 7T7TTT17T71111111 STDE SEWER AVAILAR11,11"I Tff177 177771ff 7T77711111 EXISTING WPER MATN SIZE //m//// o/"' C. d # - //////// WATER MF.`TER SIZE 1111A1111 ///////// 1711111111 7 TIT17 T17TP 77 1111f1Y77T177T117 SDIVICE LTNE SIZE frITITITT 7TTlTR7T -177TRT[ 777TfT177 UYDRANP TTn_ JIRED ///////// ///////// //////// 7TRII 7TI77TI77 let 77111111 77T/T/7777 HYDRAN'r SIZE EXISTING //////// 7T7177 77TI7777 7 7 7 7 7 T/7 77T/7T/T/7 CROSS Ca*MCTICN INSPECTION REW V,%TER MEIn CHATCE REQD 7TI1111111 7777T/7777 FIRE LIM CHAWSE REQD - SPPINXIER STREET CUT 71T7T7T1-T OPEN DITCH EXISTING REQD T/7777'f//////// /T/T///// CULVERT REQD ////// ///////// I A 7T717777717T77-1111111 SIZE //fi IIIIIIIW77TFIIIII Zfl CATCH BASIN REQD 77T/7/T/7 INDICATED CN SITE PLAN SHOULDER DPAINAGE MAINTAIN SHALE OPTN RUNOFF MISC: -2 4 5 6 7 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 RECE'ivEo REVIEWED BY: PLANNING MGR. Mop .Ivy Nov-4 ' 'PUBLIC wonn CITY OF EDMONDS CONSTRUCTION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) a: w MAILING ADDRESS Z 0 CITY TELEPHONE NUMBER ADDRESS TELEPHONE NUMBER 71 C or, 0 v C) G(r.4 C NAME cc ADDRESS 0 s. CITY I TELEPHONE NUMBER 7/ Z 0 STATE LICENSE NUMBER 4(-f A 1? 7 14 1 1 Legal Description of Property - include all easements show below or attach four copies) 2?X44a7#- :76,6Z-000-00-3-0002- 1//0 AA "J NEW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR RETAINING WALL SIGN F] EXCAVATE FILL FENCE DEMOLISH OR (_ x _FT) REMODEL PRE -MOVE INSPJ swim COMPLIANCE INSP. POOL WOOD STOVE/ FT INSERT APT.BLDG RENEWAL i NUMBER OF STORIES NUMBER OF DWELLING C) k) Q_ 1UNITS_ ___ NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) e5l 7s: PERMIT NUMBER ZO, JOB ADDRESS 0" /ire �/ /0 /0,7 LEGAL DESCRIPTION CHECK SUBDI ISION NO. LID NO v— —9'7 qj TESCP PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. APPROVED By EXISTING - OUIRED DEDICATION PROPOSEiffi—Lifte RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED STREET USE PERMIT REQUIRED REVIEW SEE ENGINEERING MEMO DATED REMA�KS METER SIZE IBUILOING SUPPLY SIZE IFIXTURE UNITS REMARKS SIGN AREA . I COMPENV. REVIEW ADB NO. ALLOWED I PROPOSED LETE a EXEMPT I VARIANCE OR CU PLANNING REVIEW BY DATE YARDS HEIGH1 LOT COVERAGE FRONT SIDE REAR Uj W Z Z 4 _5 0� CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT SPECIAL INSPECTOR AREA OCCUPANT REQUIRED GROUP LOAD n YES C NO REMARKS PROGRESS INSPECTIONS PER UBC 305 Z W-0141- -A 1L A t, M ,!�17A D k PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewelks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE Permit Application: 180 Days ENERGY CODE 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 harmless the City of Edmonds, Washington, its officials, 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 DEPOSIT modify,.waive or reduce any requirement of any city, ordinance 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 duly ATTENTION 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 ed thereby, no p�rson wil.1 be em96yed in violation of the Labor ONLY THE Code of th �Otate of WashingtoTrf ating o Workmen's Compensa- WORK NOTED tiQn Insuyaryce. I NSPECTION ;717ATIE �(WNER 0 4- DATE SIGNED . *1 io DEPARTMENT CITY OF VALUATION I FEE —/00 147-T53 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 RELEASED BY: DATE IT IS UALAWFUL TO USE 08 OCCUPY A BUILDING OR STRUCTURE UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR ORIGINAL — File YELLOW — Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. PINK — Owner GOLD — Assessor 102-87 DATE: MEMO TO: Permit Coordinator, Building Division FROM: Dan Smith, Engineering Inspector ADDRESS: 8/0 10V1,4VC Al OWNER: 11clile ra'1r1V9 After review of the subject building permit application, we have the following comments: 1) Construction hours are: WEEKDAYS 7:60am to 10:00pm WEEKENDS/HOLIDAYS 10:00am to 6:00pm 2) A Right -of -Way construction permit is required for any work on City property. - 3) Connection to City water system required. 4) Connection to City sanitary sewer system required; obtain separate permit. 5) Water and sewer lines to be sepdrated 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. STANDARD DRAINAGE PLAN ?Pr R 09TEWriON P1 LKNE" CONTROL CATCH (YEwr) BASIN I' MIN, 2' MAX COVE& f . 1 111% SLOPE-4- a 00"4. vyli f��5 _,�;w P I Lj�—OVTLRT CONTRoe SYSTEM CROSS SECTION !&SEE PA'.GE 3 FOR OUTLET 'CONTROL DETAIL - - 4- Lj�— ,7 70 OLITL-ET (PJ P RAP OR PIUNOFF SPREADER) 2' 2' . iV'VzWP, 4t- 16 * SPAL-LS �116 60"L) 'P � r a 2' bc 3r DEEP, V4*— CRUS"ED ROCK FRCM 0LJTLET CON-rROL RIPRAP OUTLET WA314ED Cw"YS'L) f OUTFLOW TRENCHr tAIN 10' LONG I, TOP 4 4" PFFLF PIPE -M BE L-r-VWL FROM 0Vr6ET CON'TROL OL 4� PF—RF PIPE WITH CAMS ,RUNOFF. SPREADER OUTLET DETENTION SYSTEM PAGE I OF -2 for location We) ker-Pug- Wre-cr plan by H-r, D, a T-L, i di) C-� phone - 972- - (ou -��4 date— It -:2 -ikV DESIGN DATA System Imperm Pipe Pipe Orifice Number Area Diam Length Diameter., I � C M., M IN wl =mom mmmmm� NOTES 1. Call Engineering Division (771-3202) for prebackfill and final inspections. 2. Responsibility for operation and maintenance of drainage systems on private property is the reSDonsibility of the property owner(s). material accumulated in the storage pipe must be flushed out and removed from catch basins to allow proper operation. The outlet control orifice must be kept open at all times. BUILDING, -10 V 7 - 19V8 CITY OF EDMONDS 0 IIAJf,_, 4'1 DOW#J 5POUT 0 S1 C PTc 44 /* Dl�TrrUTIOO 4' Bekyr, op"oj ILI CD,SteoL (60 114) CCVT '4 OUT(:ALL 4—� STo2m CeAlm NOV 7 CITY OF EDMONDS ASSET INFORMATION SHEET 2.- 'NEW 1:1 ADDITION RETIREMENT /7( ASSET NO ADDITION TO ASSET NO. -5-2 q!�z DESCRIPTION -ak SERIAL NO. LOCATION DWT NO * * PURCHASE ORDER NO. PURCHASE ORDER DATE COST�� u,w PROJECT NUMBER PROJECT COMPLETION DATE COST --�/7/1 ;? 1--ee) a - B.A.R.S. ACCOUNT NO. 14 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 10/DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT G.L. ENTRY REFERENCE DATE INITIAL DEPARTMENT FILE 4�L VERIFIED BY PROCESSED BATCH NO. -SITE PLAN SCALE: 1" 20'-0' LOT: 3 w BLOCK: CITY OF EDMONDS WASHINGTON 0 0 Lo Ln 20.00 F- 99.81 COU14TER -t c. 15- -C-0 T -Y-- - 4 _0 15.00 J\ �9.00 1-4 7 eo 3w \('R=20.00. ACCESS �kvUTI_L 0 EASEMENT ACCESS & U 1*1 L. A EASEMENT (D 0 -W 9 4 �__ �ml 28.91 70.00 Ln H T_ CPx L 316.64 O/ALL S. + 0 - '3 4 c:) - 4 0 C:= + ST ET FILE a5-0(0 M&Y- &-"OWAJ31-� 4 25. 51- 14 ip:e 1. 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