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op-MR-IT"e-7 PROJECT REVIEW CHECKLIST
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,�CORSTRUCTION
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CITY OF EDMONDS
PERMIT APPLICATION
USE PERMIT
ZONE NUMBER
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ADDRESS PL- S-W
NAME (OR NAME OF BU S)
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LEGAL DESCRIPTI(5—NCHECKI
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SUBDIVISION NO.
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LID NO.
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PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING �LO REQUIRE6 DEDICATION
PROPOSED
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TELEPHONE NUMBER
ICITY
NAM
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED 0
STREET USE PERMIT REQUIRED 0
ADDR S
SEE ENGINEERING MEMO DATED
916 A,-
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NUMBER
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METER SIZE
SUPPLY SIZE
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RE UNITS
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CITY
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TELEPHONE NUMBER
1_? 76 767
REMARKS
STATE LICENSE NUMbLK
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SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
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Legal Description of Property - include all easements
(show below or attach four copies)
SHORELINE#
T6 E L, Pl� P, 6-7-
VARIANCE OR CU
PLANNING REVIEW B Y
�—
DATEJ
YARDS
FRONT SIDE REARe6
HEIGHT
LOT COVERAGE
REMARKS
2
0
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0
NEW 19 RESIDENTIAL PLUMBING
ADDIALTER 1-1 COMMERCIAL MECHANICAL
ElREPAIR EJ RETAINING WALL SIGN
EXCAVATE FENCE
1:1 DEMOLISH 0 OR FILL E] I x _FT)
PRE -MOVE INSPJ SWIM
REMODEL El C
COMPLIAN E INSP. POOL
CHECKED BY
TYPE OF 0
7JSRUCTI
e 1!: ��_
0 N
I
CODE
lq2s—
HEIGHT
co
SPECIAL INSPECTOR
REQUIRED
0 YES I
AREA
OCCUPANCY
GROUP
OCCUPANT
LOAD
WOOD STOVE/ [_—]
INSERT APT. BLDG RENEWAL
REMARKS
? - 4--% —
Y' Da` u6(!, _�D 5
NUMBER OF STORIES
NUMBER OF
DWELLING W7.
[UNITS
T-Iraj 2;ff�wfj�hmn ?e4 i c (rc- c�,,
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
This Perm ' it covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
GRADINGIFILL
STATE SURCHARGE
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,
em'ployees, and agents from any and all claims fordamages of
MEMO TO: Building Division
FROM: Engineering Division
SUBJECT:
After review of the subject building permit application, we have the
following comments:
1) Connection to City water system required.
2) Connection to City sanitary sewer system require.d.
3) Ri gh t-of -way permi t requ i red for any work on C i ty property.
4) Driveway slope not to exceed 14'..
5) Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
6) Water and sewer lines to be separated by 10 foot minimum.
7) Builder/owner responsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
way.
8) Construction hours from 7:00 a.m. to 10:00 p.m. on weekdays and
10:00 a.m. to 6:00 p.m. on weekends and holidays.
11
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SUFNEYORS ;. DEVEUW
23108 IWTHAVE 0 ED
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CITY of EDMONDS SIDE SEWER PERMIT
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For Inspection Call 771-3202
STRFET
FIL,
PERMIT
No. 07700000
Address of Construction: -IS
71�
4
Property Legal Description (Include all easements):
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Owner and/or Builder: —
Contractor & License No:
Singl:e Family Residence e'_
Multi -Family (No. of Units LYNNWOOD
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
1 certify that I have read and shall comply Date
with the items listed on the back.
Permit Fee: 5 D —,
Trunk Charge: te!;_
Assessment Fee:
Partial Inspection:
Issued By: 7)111��
Date Issued: o 0.
Receipt No.: —� ok3
Comments Date Initial
Final Inspection Approved: �V
�Date Initial
Rejected:
Reason Date Initial
** PERMIT MUST BE POSTED ON JOB SITE **
Wh-ite Copy - File Green Copy -,Inspector Buff Copy - Applicant
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for use by the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting a copy should conduct an
independent inquiry regarding the information
shown on the map(s), including, but not limited
to, the location of any sewer stub shown. Such
sewer stubs may or may not exist and may or
may not exist at the location shown. Neither
the City of Edmonds nor its employees or
officers shall be liable for the information given
on map(s), nor for any one representation
provided based upon said map(s).
6 1
The City of Edmonds
Side Sewer Drawing
EASEMENT NO - --------------------------------------------
NEW CONSTRUCTION Z REPAIRS F� LID NO - ------------------ - ASMT. NO - ------------------
OWNER ...... Cc--V� --------------------------------------- CONTRACTOR S'b'nV"-e — ---------------------------------------------------------------- PERMIT NO.
- ----- LEGAL DESCRIPTION: LOT NO.
JOB ADDRESS --- ----- - ------ ----- ---------- -------------- -------------------------------------- BLOCK NO - ------------------- ----------------
:5
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PWW-0001-11/75 (REV.11/78) V�� I A— -�\ (�-
NAMEOF ADDITION ------------------------------------------------------------ ----------------------------------------------------------
EEEE�fl
Approved:
DATE -17 ............... .... By ---- 6t-Z----4 ........
CITY OF EDMONDS
le -"NEW
ADDITION
RETIREMENT
STREU FILE ASSET INFORMATION SHEET
ASSET NO. A/
ADDITION TO ASSET NO.
DESCRIPTION
SERIAL NO.
LOCATION -/-7 D��T. N 0.
t
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
*PROJECTNUMBER
PROJECT COMPLETION DATE
COST
0
B.A.R.S. ACCOUNT NO. �ts o
L
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
2//D'EPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
kP--
VERIFIED BY
PROCESSED
BATCH NO. -
ktnp INITIAL .
DEPARTMENT FILE