6916 160TH ST SW.PDF855
6916-160TH ST SW
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CIT,Y of EDMONDS RECE- t V— 9 P- SIDE SEWER PERMIT
'RE ET FILEcT 2 9 015�rRMIT NO. 07600
For Inspection
LYNNYfOOD LINE'
Address.of Construction: (?Ib /� VA" "'T""t EpmOAIZ) (vt
Property Legal Description (Include all easements): CAI F-14
Owner and/or Builder: avm/5 R. 8o&1'V1;N-t- 6; zol?0 1-11!A�FoRP
Contractor & License No: If-_0 /-Z - I/q A/d 6,-� / � 21�
Single Family Residence
Multi -Family
Commercial
N
(No. of Units
(No. of fixture Units
Invasion into City Right -of -Way: No V"' 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 legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
I"certify that I have read and shall comply
with the items listed on the back.
Permit Fee: 32- 0 0
Trunk Charge: Z6-. 00
Assessment Fee:
Partial Inspection:
Issued By:
Date Issued: 2 J?
Receipt No.:
Comments
Final Inspection Approved: 12 /6-85"
Date InitiAl
Rejected:
Reason
PERMIT MUST.BE POSTED ON JOB SITE
/()_� - .01
Date
- - _ffa —te Initial
InitiaT
White Copy - File Green Copy - Inspector
Buff Copy - Applicant
The City of Edmonds Side Sewer Drawing
'0"N. -------------
tAF-A.,j0 c EASEMENT NO - -------------------------------
NEW CONSTRUCTION El REPAIRS El LID NO. Z-110 ----- ASMT. NO - ------------------
OWNER j)E&Jb4-jS_B0-WM
.... CONTRACTOR XeNJIN ----- JXJET-Z�Ae- ------ PERMIT NO. -74-0.8
JOB ADDRESS -691-6 ------- NoUr".-Sm --- S.-W - ------------ LEGAL DESCRIPTION: LOT NO - -------------------------------------- BLOCK NO. ---E�
C)o t:��E
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NAME OF ADDITION -------------------------------------------
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Approved:
11/78
PWV -ON1. 175(REV.11/78) DATE
-IY85 -,
C.2 2: V
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 accuracv 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).
0
FROM
44 �,m
i I' ; BlUILDING DIVISIOME
PERMIT APPLICATION
71WAMIE (OR NAME OF BUSINESS)
Applicant Fill
Inside Heavy Lines
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MAILING ADDRESS
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CITY
TELEPHONE NUMBER
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ADDRESS
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CITY
TELEPHONE NUMBER
77
NAME
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TELEPHoNF-N—umBER
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CITY LICE NSEF—N-U-J�j -BE R
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Legal Description of Property (Show t3elow or Attach Four Copie�)-
USE
ZONE
JOB
A 0 D R F S S
L E G A L & E-S-C`410,
!HMIT
UMBER
7
71
1 %-.4 - 'Tir — e%f
I
PUBLIC RIGHT OF WAY PER OFFI IAL
STREET MAP
EXISTING
PROPOSED Ilk,
DEFICIENCY OF RIGHT
"T F WAY
PUBLIC IMPROVEMENTS REQUIRED
0
DRAINAGE IMPROVEMENTS REQUIRED
DRAINAGE PLAN REQUIRED
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REQ'O
N
ELEVATIO N OF PROPERTY CORNERS
El
& FOOTINGS REQ'D
SEE ENGINEERING MEMO DATED
CHECKED BY
AETER SIZE
BUILDING SUPPLY SIZE
EM
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0
SIGN IZREA
ENV. REVIEW ADB NO.
U
ALLOWED PROPOSED
COMPLETE EXEMPT
in
W
--S H 0 R E L-I N E74F—
REMARKS
W
VARIANCE OR CU
LANNING REVIEW BY DATE
YARDS
ETIS
LOT COVERAGE
InNEW
,
RESIDENTIAL
GAS
F R 0 N
10 E=R E A R
NTIAL
El NON -RESIDE_]
LINE
FIRE ZONE TYPE OF CONSTRUCTION
HEIGHT
ADD
SIGN
1CODE
ElDEMOLISH
RETAINING
EIWA LL
SPECIAL INSPECTOR OCCUPANCY UCCUPANT
ALTER
EXCAVATE
OR FILL
FENCE
E]
REQUIRED
0 YES 13 N 0
GROUP LOAD
REPAIR
PRE -MOVE
1_ x FT)
PLAN CHLLKLD BY
TE IS LOCATED IN THE CITY
OF EDMONDS.
INSP.
swim
ET POOL
LOCAL SALES TAX
SHOULD BE CODED 31.04.
z
NUMBER OF STORI
ER OF
REMARKS
0
LING
;
i-�ry
I
'-
-
NATURE OF WORK TO BE DONE
It
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4-
0
IPLOT PLAN
PLAN CHECK FEE
VALUATION FEE
ck-�- A:�
BUILDING
PLUMBING
MECHANICAL
FENCE
In "Applicant, on behalf of his or her spouse, heirs, assigns and
Ul
SIGN
successors in interest, agrees to indemnify, defend and hold harmless
i the City of Edmonds, Washington, its officials, employees, and
RETAINING WALL
agents from any and all claims for damages of whatever nature,
x, an,ing directly or indirectly from the issuance of this permit. I ssu-
SWIMMING POOL
0 ance of this permit shall not be deemed to modify, waive or reduce
0 any requirement of any city ordinance nor limit in any way the
DAT E,:
MEMO TO: Building Division
0
Community Development DeparLment
FROM: Enpineering Division
Public Works Department
0 20
SUBJECT:
After review of the subject buildin- peumi.t- ;Ipplic, tio ,
following, comments: .' 0 . - -i n we have the
1. Drivewav—slope not to exceed 1.4%
2.
Right-of-way construction permit required
for any work on City proper-'Ly.
3.
Backwater valve required if downstairs_plunibing is below elevacior,
of upstream manhole.
4.
Sewer and water service lines to be
b
separaLed I y 10 feet (101).Aw
5.
The Contractor is re uired to keep
the butting st-reets clean of dirt
and debris cause v the consTruction.
10)2-
10
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FROM j), (.'f �,j� , A� tj
PRINTEO IN U.S.A.
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PbBLIC WORKS DEPART= tCKLIST
BUILDING PER-1IT REVIEW 2-
(a SS) (date)
Street Right -of -Way Existing
elfl 14, REQD
Z
Access Easements Existing
REQD
Utility Easement Existing
Lot Per Subdivision Plat
Assessor p
Site Plan Checked for Accuracy
Z
Underground Wiring Reqd. Z
Check Accuracy of Legal Des/cription 1,,
Z
Review by__21 ..�Date
Existing Mater Maixi Size— To
Water Main Required &M
Service Line Required
Hydrant Size Existi
1:4
Hydrant Reqd Per Fire Code IVIA
—Size—
Detector Check Meter Reqd. //,//I
Cross Connection Inspecti
Fire Depart:ment ConTnents
:3:
Water �tter Charge Reqd.
Review by
Date
Septic Tank Design Approved — ,f4,
Date-- A.11A,
Septic Tank Permit Reqd.
Permit No. AL 11611-
Sanitary Sewer Availability
5
Proi "4-
Drawing No.
ile No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
:3:
Review by 5;, Date
Open Ditch Existing Reqd.
Culvert Reqd. iyf
Size
C4
Catch Basin Reqd.
Indicate on Site Plan
0
Shoulder drainage maintain collection an swale open runoff
E_
�tinhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by /
Date Z —
4
Revised: lvlO-1977
0
LEGAL DESCRIPTIONS
S-49-67
ENTIRE PARCEL:
-J! ; i,)
DLPT. ENUNIEUMIG DIV.
EXAMINLO
Ely 11% 3
R I M A 1, K
'D
-AUT110RIZF-
Lot 7, East Edmonds Acres Division No 2, as per Plat recor-OW
in Volume 12 of Plats on page 66, Records of Snohomisl
Washington.
CITY OF EDMONDS
Lot A: By
-4
-e -=—
The north one half of Lot 7 of East Edmonds Acres DFVIfsion No.- 2,
as per Plat recorded in Volume 12 on Plats page 66, Records of
Snohomish County, Washington, except the east 151.00 feet thereof,
and except the west 30.00 feet for road as conveyed to the City
of Edmonds by deed recorded under A.F. #2004066;
Together with an easement for utilities across the east 10 feet
of the following described Property: The south one half of Lot 7
of East Edmond-s Acres Division No. 2, as per Plat recorded in
Volume 12 on Plats page 66, Records of Snohomish County, Washington,
except the east 151.00 feet thereof;
Together with an easement for utilities across the south 10 feet of
the following described property: The east 151.00 feet of Lot 7
of East Edmonds' Acres Division No. 2, as per Plat recorded in
Volume 12 on Plats page 66, Records of Snohomish County, Was . hington.
Lot B:
The south one half of Lot 7 of East Edmonds Acres Division No. 2,
as per Plat recorded in Volume 12 on Plats page 66, Records of
Snohomish County, Washington, except the east 151.00 feet thereof,
and except the west 30.00 feet for road as conveyed to the City
of*Edmonds by deed recorded under A.F. #2004066;
Subject to an.ea�ement for utilities along the east 10 feet thereof;
Together with lain easement for utilities across the south 10 feet of
the following described property: The east 151.00 feet of Lot 7 of
East Edmonds Acres Division No. 2, as per Plat recorded in Volume 12
on Plats page 66, Records of Snohomish County, Washington.
Lot C:
The east 151.00 feet of Lot 7 of East Edmonds Acres Division No. 2,
as per Plat recorded in Volume 12 on Plats page 66, Records of
Snollomish County, Washington;
Subject to an easement along the south 10 feet thereof, for utilities;
Together with the south 5 feet of the east one half of Lot 6 of said
subdivision as recorded tinder A.F. #23849()6.
800605ois3 Wil iGA PACE 1673
0 ' 0
. STREET FILE
3/iq
INSPECTION RECORD
CITY OF EDMONDS, PUBLIC WORKS DEPART1,1ENT
DATE: PROJEICT:
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APPLICATION
T., he City of Edmonds for EASEMENT NO . .....................................
PERMIT
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NEW CONSTRUCTION E] REPAIRS E] LID NO - ------------------ ASMT. NO - ------------------
OWNER ---
CONTRACTOR t�-4 PERMIT NO. 7a�--
------------- LEGAL DESCRIPTION: LOT NO . ...... . ..................... BLOCK NO . ..........................
JOB ADDRESS .......
NAME OF ADDITION ........ - --------------------
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Approved:
DATE.. ----- By ---- ----------------
Civic Center - Edm.onds, Washington 98020 - Telephone (206) 775-2525
Office of the City Engineer
APPLICATION FOR A SEWAGE DISPOSAL SYSTEM PERMIT
(Submit 3 Copies)
Permit to be issued to: Dpu.in Echelbarqo�r
................................................................
.................. .......................
For installation at: (street address)
16
....................... ....
tic.
Addition or Subdivision Block
........................................................................................................ Lot
Type of Building: New ..... (� ..... Existing ............ Single family residence ...... X ........ Number of bedrooms ..... ...........
Other: (specify type or use) ...........................................................
............................................................................ ............
Builder -,ox I 1711 , Lyimwood, VIA 98036
....................................... Address
..................................................................................
Lynnwood' , WA
Designer ... Da v I d 0. Ostergaard 19707 44th Ave. 1 98036
............................................................................. Address
7 7 5 - 4, C.
ole No. V ...... 1
Soil Log H 20 G? Sa ndy .. !7( Ani
.........................................
......................................................
........................................................................................................................................................................................................
Soil Log Hole No. Zr ...... ......
........................
........................................................................................................................................................................................................
Elevation of Water Table., if encountered. (Distance from ground surface) ............................................ .. . ...........
Corrections to control surface water if needed
....................................................................................................................
................................................................................................................................................................................ 1 .......................
Specify if any removing or grading of topsoil in field area .......................................................................
......................................................................................................................................... ...............................................................
Percolation:
Test Hole No. 1 — Average Rate .......... 9 ... n'91 ................................... (Fall in minutes/inch-bottom 6" test hole)
Test Hole No. 2 —Average Rate 5.,5 .. M.0 ................................... (Fall in minutes /inch -bottom 6" test hole)
'7
Test Hole No. 3 —Average Rate .......... -bottom 6" test hole)
... .. 5 ... qlp.1 ..... : ............................. (Fall in minutes/inch
rate 66,h'0idh!tp-"se &AiTfield design .... . ... Tp. ........................ Date Taken ....... 1/2Z47*1
Average per.d9la..
Septic tank requirements based on present rules and regulations:
Septic Tank Size ......... _9.,r-X4t k
................ gallons.
Amount of Square Feet of Disposal Field ....... I., F.
Signature — Designer i"',
r
.... ...... .... ...... ....................... Date (�/_7.7
DO NOT WRITE BELOW THIS LINE (To be completed by Issuing Agency)
'Permit issu I ed (dat . e) ............................................................ Permit Number
Remarks:
.........................................................................................................................................................
................... ......................................................................................................................................................................................
STREET FILE
DATE: 440-11 -1
NIEN10 TO: Building Division
Community Development Department.
FROM: Engineering Division
Public Works Department
SUBJECT: &'91(-0 --iLnnvi Sr.
After review of the subject building permit application,.we have
the following comments:
(1) Coordination of the location of.any structure with respect to
utiff—ities, streets, property lines and driveway -grades is tF—e
responsibility of the contractor.
The contractor is required to kee� the abutting streets cle.an-
ed of dirt and d ris caused by the construction.
(3) A_"Right-of_-Way Construction Permit" is required, from the
Engineering Division of Public Works, for any work within
the Public Right -of -Way or public easement.
(4) Driveway slope not to' exceed 14%.
561 P"
PW 5/77
ab
1, FT- - 27-- , M ET
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W—AA
PUBLIC 'WORKS DEPARMOWECKLIST
BUILDING PERNIT REVIEW (77
(0e -
(address5
Street Right -of -Way Existin�
���
in REQD
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Access Easements Existing &45
REQD
p4
Utility Easement Existing *15
to t Q REQDIII.-AV
Lot Per SubdivisionS- 1— -6 Plat
Assessor Map
Site Plan Checked for Accuracy_
lit
Underground Wiring Reqd..� ts1i
C) �j
Check Accuracy of Legal Description
h
Z
Review by
Date_
Existing Water Main Size- D.T-
Water Main Required
Service Line Required
Hydrant Size Existing
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd. A-.*"D
Cross Connection Inspectim A-Y
Fire Department Conu�ents
Water Meter Charge Reqd. 115 -9 S C). ao-
Review by.
Date 4/— 46— -77
Septic Tank Design Approved
Date
Septic Tank Permit Reqd. Y W-5
Permit No.
Sanitary Sewer Availability W 0-0-9—�Proj-
Drawing No. 1000�
File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
C5 -NM
:3:.
Review by.
Date
U)
Open Ditch Existing___,&e!��.
Reqd.
Culvert Reqd. ALa
Size
P4
Catch Basin Reqd.
Indicate an Site Plan
0
Shoulder drainage maintain co e an
swale open runoff
P
r
Manhole reqd.
Indicate on Site Plan
Soil Conditions and Ground Water Field Checked
Review by
Date/
Revised: 1v10-1977
Page 2.
Street Paving Reqd. /14-7.
Curb and Gutter Reqd.
Sidewalk Reqd.—
Curb Cut for Driveway Reqd.
94 Right -of -Way Construction Permit Reqd.
F-1 Bond Reqd. for Public Improvements —
Street Name Sign Reqd. AIZZ
Other Signing Reqd.
Pre Permit Site Inspection made on
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BY: SEWER
WATER
P4
V)
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F-A
r-4 ENGINEERING
Special Requirements listed in mem to Commmity Development Department,
Building Division
BY Date
o All items filled in on Building Permit Application
r4 BY to/
Datell e
01 Drawings Stamped and Notations Made
P4 BY Date
-14
Approved by Public Works Department
Revised: 1v 10-1977
3 0/- 001 -,-- �P67-
PUBLIC WORKS DEPARIT"M CHEacusT
111 no 0 NNEV", M� INV-.
ow Un
u 7i crom sT, sw, 16
(address) '- (date)
Street Right -of -Way Existing 400,1
(D in REQD Aw
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Access Easenxmts Existing ArdS SM!Q�tj
I
H
__jEQD
p4
Utility Easement Existing-A5-4-ft
REQ�
Lot Per SubdivisionS- Plat
Assessor
Site Plan Checked for Accura cy—
1-7 —1
Z
I
Underground Wiring Reqd. '4%j
P-% 1k
1
H
0
Check Accuracy of Legal Description
a h -I
i"
Z
Review by_ 45 P0
Date
J#J,
Existing Water Main Size DZ_
Water Main Required lt"�D
Service line Required
Hydrant Size Existing
r4
Hydrant Reqd Per Fire Code
Size
Detector Check Meter Reqd. A--" 0
Cross Connection Inspection AT
Fire Department Comments
,
Water 1-1eter Charge Reqd. 3's C)
Review by. 04KJUA� L--
Date
Septic-Tank Design Approved
Date
(-Septic
Tank ermit Reqd. Y
Permit No.
-Sanitary Sewer Availability
D Proj.
Drawing No.
File No.
Side Sewer Availability
Sanitary Sewer Connection Fee Reqd.
�3:
Review by
Date
U)
Op en Ditch Existing__,&,!!�.
Reqd.
Culvert Reqd.
Size
P4
Catch Basin Reqd.
Indi cate an Site Plan
0
Shoulder drainage maintain co ec an
swale open runoff
P
Yn
U)
Manhole reqd.
Indicate on Site Plan --
Soil Conditions and Ground Water Field Checked
Review by
Date
Revised: 1vl0-1977
BUIL—DIN'G DEPARTMENT
PERMIT APPLICATION
Applicant Fill
inside Heavy Lines
USE PERMIT
ZON NUMBER
OB
ADDRESS
q
NAME (OR NAME OF BUSINESS)
P4_rV_1Cn(_ Tee- tj G LT& Aj�G GR
LEGAL LOT
T AREA
SUBDIVISION NO.
110
YES No
7
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MAILING -ADDRESS
P0 'to'A %-t
STREET R/W
EXISTING STREET R/W Fr. DEFICIENCY THIS PROPERTY
4-0
COMP. PLAN ST. R/W FT. 0 FT.
REMARKS
CITY TELEPHONE NUMBER
9 02-0 _77S- gs-'g-s-
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NAME
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A13DRESS
CHPCKED
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TELEPHONE NUMBER
STREET AND/OR UTILITY WORK
REQ'D. ttN
0 YES 0
[R/W PERMI T REQUIRED
YES '%NO
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NAME
UNDERGROUND
�L_Tb
WIRING REQ'D.
0 YES 1a:NO
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ADDRESS
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TYPE CONNECTION y
SANITARY SEWER
VPES
V.RIF..� By
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CITY
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TELEPHONE NUMBER
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SEFTIC SYSTEM S
APPV'D BY CITY ENG. NY E
ONO
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STATE LICENSE NUMBER
CITY LICENSE NUMBER
REMARKS
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Legal Description of Property (Show Below or Attach Four Copies)
BUILDING SUPPLY SIZE
W
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2
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SIGN AREA
ENV. REVIEW
ADB NO.
i
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W
ALLOWED PROPOSED
COMPLETE EXEMPT
REMARKS
W
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!VARIANCE OR CU
PLANNING REVIEW BY
DATE
YARDS
/ FRONT I SIDE ' AS'IREAR
—.1,5 1 1)
LOT COVERAGE
GAS
NEW RESIDENTIAL LINE
U�F
11:1
FIRE ZONE
TYPE OF CONSTRUCTION
HEIGHT
NON,RESIDENTIAL SIGN
ADD
DEMOLISH R TAINING
WEA LL
0 ALTER EXCAVATE FENCE
OR FILL I— X�FT)
PRE -MOVE swim
El REPAIR INSP. POOL
ICODE
1
SPECIAL INSPECTOR
REQUIRED
YES 13 NO
OCCUPANCY
GROUP
I I
OCCUPANT
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
NUMBER OF STORIES
t p�Ar _f
p . f)
NUMBER OF
DWELLIN G
UNITS
REMARKS
NATURE OF WORK TO BE DONE
;SIC- VJ C0Ar1,P;? Lk,- _FI 0 A)
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PLAN CHECK
NO.
VALUATION
FEE
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PROPOSED USE
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PLOT PUN (INDICATE BUILDING SETBACKS,
ABUTTING STREETS)
BUILDING
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PLUMBING
HEAT & GAS LINE
10
0
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FENCE
SIGN
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RETAINING WALL
I
SWIMMING POOL
0 STREET FILE
CITY of EDMONDS
200 Dayton Street - Edmonds, Washington 98020 - Telephone (206) 775-2525
Department of Public Works
Hay 24, 1977
V
Mr. Dean Echelbarger
P. 0. Box 1171
Lynnwood, Washington 98036
Dear Mr. Echelbarger:
SUBJECT: SEWAGE DISPOSAL SYSTEM APPLICATION
6916 160TH STREET S.W., EDMONDS
The permit application, which is required prior to
issuance of a building permit, is approved. Please
obtain the actual Septic System permit prior to
commencing the installation. The permit fee is $10.
Yours very truly,
S A!4=0
11411:
LEIF R. LARSON, P.F.
Director of Public Works
WJN: j t
cc: David Ostergaard
19707 44th Avenue West
Lynnwood, Washington 98036
Building Division
TAj 2 4-
Nims t Tllen Df. A:cTm __ /Z Dt.