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6818 157TH PL SW
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CITY OF EDMUNDS
CONSTRUCTION PERMIT APPLICATION
USE ; . ��WPERMIT
ZONE 2<,—] -- , - '- , NUMBER
JOB
ADDRESS �Z 7 IVZ
NAME (OR NAME OF BUSINESS)
SIGVE HELLEREN CONSTRUCTION
IEGAL DESCRIPTION CHECKI
-7 1
SUBDIVISION NO.
LID NO.
LU
W
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MAILING ADDRESS
15920-68 th AVE W.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION 10
PROPOSED—$
CITY
EDMONDS
TELEPHONENUMBER
742-7623
NAME
Bob Bozorth
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED 0
ADDRESS
21423-95 th PL. 14
SEE ENGINEERING MEMO DATED
CITY Edmonds
TELEPHONE NU
771-8185
REM�
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0
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NAME
SIGVE HELLEREN
ADDRESS
15920-68 th AVE W
METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
cc
W
CITY
EDMONDS
TELEPHONE NUMBER
742-7623
REMARKS
STATE LICENSE NUMBER
SIGVEHC208MN
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
SHORELINE#
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LU
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CO
LU
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0
Legal Description of Property - Include all easements
(show below or attach four copies)
LOT17 of STEELE PARK ADD
VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
--�SIDE
HEIGHT,
LOT COVERAGE
I I NEW E] RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR R RETAINING WALL SIGN
EXCAVATE FENCE
1:1 DEMOLISH El OR FILL x__n
PRE -MOVE INSPJ swim
REMODEL COMPLIANCE INSP. El POOL
FRONT REAIPt�51
REMARKS
C . HECKED BY
TYPE OF CONSTRUCTION
V
CODE
HEIGHT
z
SPECIAL INSPECTOR
REQUIRED
0 YES 0 No
AREA
OCCUPANCY
GROUP /
OCCUPANT
LOAD
WOOD STO El
INSERT V APT.BLDG RENEWAL.'
REMARKS
74etWl— hb-AA6 Y 60le—
NUMBER OF STORIES
2
NUMBEROF
DwtLUNU
UNIPS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGWILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
Permit Application: 180 Days
Permit Limit: 1 Year - Provided Work Is Started Within 180 Days
d
"Applicant, on behalf of his or her spouse, heirs, assigns and
!uccessors in interest, agrees to indemnify, defend and hold
PRWEcr REvm ommajsT
PRWBCT
NAME: PROJBCT ADDRESS:
APPLICATION RECEIPT DATE:
Rev.i
by: (initial/da�)
Cay.MENTS
WIR/SwR
STREET
ENGNWG
IF_
IRE
SINGM FAKILY/MULTIPLE/CCMERCIAL (Circle One)
S ETBACKS CHECKED - Planning
VARIANCE/SETBACK ADJ.
I -A-
11fill
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11111UuA
CONDITIONAL USE PER41T
U
1111MAY44
:ADB REQUIREMERIS CHECKED
MHER ZONIM REQUIRDEMS
_7 TI-1-1 /-/7/-
/////////
ENVIRC�ALIEATURES
ACCESS SLopp & VEHICLE ACCESS
M77W
/////////
I ////////
A/
DRAINAGE PLAN (On Site)
7TTT17
7
STREET FILE
1-17TFII-T
Ur.AL DESCRIPTICtq VFRIFICATIQN
77171111
9
QUIT CLAIM/DEDICATIONS
10
FASEK%V - PMTC/PRMTE f
TTF1 7- /- TT
CALMATE SO4EM CONNECTIM IF NO 1,ID# 10
7TTI)7777TIT177
IT17777T
////////
- - 7.-" -
12
PIAT/SUBDIVISICN REQUIMOM
-ITITff
13
RIGHr-OF-WAY CO NSTRLICTICN pMnT REQD
7/////
14
BOND REQD FOR PUBLIC IMPROVFMENTS
7771-77717
I////////
777777777
/////////
7777TR-7
////////
15
SOIIS CONDITIMS & GROUND
7777ff
-ITITTR)7
777TIT177
WATER FIELD CHECKED
16
STREET PAVING REQUIRED
17
CURB AND GUMER REQUIRED
-ITII-TI777
18
T1777'a-
SIDEMUX REQUIRED
-ITF1
CURB CUT FOR DRIVEWAY REQD
7
T/7
TTIT177UI-
20
TTI T1 7TR 7
SVREET NAME SIGN REQD
21
77TTTIT
OTHER SIGNING REQD
.177
22
111117
TIMM
SIDE -SEWER AVAILABILITY
23
EXISTING WATER MAIN SIZE
7TI77717
7TITIT1717
—
24
. : ' . ; * 11,
WATER METER SI ZE
IJIII177
25
CEMCE LIM S17
171111
77TI7
Inwil
26'
HWRANT R=nRED
77TITIT17
2 7,
HYDRANT SIZE, EXISTING':'l-
IT17TI777
711MI-117
/Y-`"1`/7-jj--/..,;9-/-�=
711M,
�77
CROSS CIONNECTIM INSPECTICN
17777TI7
/W/W
2j
TWER MMER CHARGE RE66
7711
11Tff117
7
;T
MM/W
30
7TI 7 7 7-TITTITI
7 7
FIM LM CHAWE REQD - SPRINKLER
1-171111111
3
STREET CUr
32
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MEMO TO: Building Division
FROM: Engineering Division
a
SUBJECT: 4�zl'
After review of the subject building permit application, we have the
following comments:
1)
2)
3)
4)
5)
6)
7)
Connection to City water system required.
Connection to City sanitary sewer system required.
Right-of-way permit required for any work on City property.
Driveway slope not to exceed 14%.
Back water valve required if downstairs plumbing is below
elevation of upstream manhole.
Water and sewer lines to be separated by 10 foot minimum.
Builder/owner responsible for containing all temporary runoff And
erosion on site and may not impact neighboring properties in any
wa Y.
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-1- 92 IN 60 ve) I
CITY OF EDMONDS
rO �NEW
ADDITION
RETIREMENT
STREET FILE ASSET INFORMATION SHEET
ASSET NO,
ADDITION TO ASSET NO. -
t�33 I?
DESCRIPTION
e, 411 e-
SERIAL NO.
LOCATION DEPT NO
PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
PROJECT NUMBER
PROJECT COMPLETION DATE
COST
B.A.R.S. ACCOUNT NO.
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
0/'DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE
kvp) INITIAL
uNp-m
VERIFIED BY
PROCESSED
BATCH NO.
DATE
DEPARTMENT FILF,
.Z*1
00
CD
0i
Q:
C I T Y f EDMON DSTREET FILE sIDE S'EWER PERMIT"'�
For Inspection Call 7,71-3202 0_�Nwv PERMIT NO. 07771
. M-C,
'tog I
Address of Construction: ioiiw — I �) � , s
Property Legal Description (Include all easements):
Owner and/or Builder:
Contractor & License No: FLYNNWOOD. LIKE
Singl:e Family Residence -
Multi -Family (No. of Units
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 v/ Yes (If Yes, easement required,*
attach 1 egal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I c PrtifLyv—t—ha I have read and shall comply
with the items listed on the back.
Permit Fee:
Trunk Charge:
Assessment Fee:
Partial Inspection:
Issued By:
�Date Issued:
Receipt No.:
—Drv�c_'
C�
Date
Comments Date Initial
Final Inspection Approved: qQ(:;_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).
The City of Edmonds
Side Sewer Drawing
EASEMENT NO . ................. .......... - --------------
NEW CONSTRUCTION REPAIRS F� LID NO. .- -------------- ASMT. NO . ..................
,�--"\-C
OWNER ----------------- �ou - -------- ................... CONTRACTOR ----- S%-"q -� - ----------------------------------------- --------- ------ PERMIT NO.
JOB ADDRESS -LOA --- �> ---- - --- - - ------- LEGAL DESCRIPTION: LOT NO. .----7 ---------------------------- BLOCK NO - ------------------------------------
-� -- - --------
-- ------------ - - ---- ------ ----------------------------------------------------------------------------------------------------------------------
AME OF ADDITION
Rt� 6t O� L 0 r-
Ll�i-pv
PWW-0001-1 1/75 (REV.1 1/78)
-------------------------------------------------------------- --------------------------------------------------------
FLYNNWOOD LINE
It
16-7 , -13U.
DA� �- IS- � 7
............................................ By
...................................