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6924 176TH ST SW
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makilince 4 &�y Curreorkistw WOOL
noneo Ormng or umlperfla�tted buflfiig skuctm
or site cohdition *hich w ou d the seopei of the
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PLANNING DATA
SINGLE FAMILY RESIDENTIAL
STREE
Name:
Date:
Site Address: C
Tax Parcel:
on5umocc)
Project Description: Acld;m�� S\rNed dbriiers �o co,.,�A
cAPA 16 edr-oe, 'n*p ;)- 6e-droo,,% 4 6xh�-rcc", .
Plan Check #:
I
Reduced Site Plan Provided: (g�)/ NO)
Zoning: 91's--s
Map Page:
Corner Lot: (S) NO)
Flag Lot: (YES
Critical Areas Determination #: -C,9,A1012
El Study Required
0 waiver
SEPA Determination: &Ke," Oc
Exempt
Needed (for over 500 cubic yards of grading)
0 Fee 0 Checklist El APO List with notarized form
Requir6d Setbacks
Street:
Side.
Side:
�-AeaFi
G*ZI: (F-)
Actual efbackj' -*-r. 2ad E
Stree%) .. ',
FSide:
Side
.1
AeBF
Detached Structures: F-x;c-.46r�� de,*xz\,tJ 8a-� %VoLa" or,
0 Rockeries: plo,e_ AV��n.
Fences/Trellises: _%,^0LAMf% OrN 0'a-41G6.
El Bay Windows/Projecting McQation: Mor,,_ S�%Oeorj.
Stairs/Deck:
-Height,
Datum Point: C",
4 gs�- -%Q GRA 91-W
Datum Elevation:
Maximum Height Allowed:
Actual Height: ;Zs/
Offier.
Parki ng Required:
Parking Provided:
Lot Area:
5? � 1/00 e,
Maximum Lot Coverage: 35% 'Proposed:
A15 CV4,tt,
Lot Coverage Calculations: W, -ye,
ADU Created: (YES \_3
Subdivision:
Legal Nonconforming Land Use Determination Issued: (YES
Comments
Plan Review By:
Planning Data Form 07-14-09
DEC 11 '90 15!41 PERMA BIL-1 IND P.2/3
It - - . (;. IP 13ulte B a 16691 H1qhwW 90 * Lynmam SN'27-31 61
Town & Cow riveraw (20M 25&4`171 Puyallup: (906) 940-9552
m
POW FRAME RUILDINGS Kenal. Alaska-. (907) 2834060
AdmINstraM Headquarhm (206) 743-1555
I%X- (2" 742-1591 1bV Free' I-W"24-0552
ContmaWe Lic. 0, PGAMA81 170JR
Quality,- Our Fkfurd Ddpen& On WM
Site Plan
PLWR CHECK,
aftroperty dimenalons qqgptic and drainfleld FrCcoass to proposed building
2F.*tlng bulidings awlewar'lines ClUt size
@Proposed buildffig [Wetbacks of proposed, and Wovation of property
ClEasemente sting buildings OWles of water
okinroad with name wFloorplan
wn fudu
Job name: Job Site Addre3a: 7JI sit- I.-W
Legal Description -T
IL
14
FW.101
- Z'
LU
k i
DEC I
VC
PERMIT 'COUNTER
e,
VP
A*
Owner has,verified and approved the location of acceisories, orientation of the building tD the orthendver CS1 V all items specifled in psfWaPh
T% mf tho e-imtrar.t arn. Phnwn nn this drawinu and vice versa. Customer sianature;...,"
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
APPLICATION
S11DE SEWER. P T
EASEMENT ....... ...... .........
NEW CONSTRUCTION REPAIRS 0
z
y2c/
OR .,00e
OWNIM .. ...... ....... ..................... CONTRACT -!� . ........... ......... . .... PERMIT"No....._
A DDRESS . . .......... ..........
............. .................. LEGAIA DESCRIPTION: LOT No. — ........................... BLOCK No.... ... .....
r pyg
NA . ME OF ADDITION7?p&4 C.7.- -43-V .....
x c &p- 7- S c)
-T Z-e)7
0
-7
DATE ... . — ................... B ....... ....... .....................
y
C ITY OF EDMONDS SIDE SEWER PERM,1F
WAT9R-SkWER DEPARTMENT
TRRMIT*�-
7.76-1,107 aide sewer inspections BEFORE: cover] ng,�'any-.,.-,portion ,of the constructl
(Call ti,
Inspection will, be provided after re at 0 at un :�or holiday inspec ons.
ithim"24' hours que
ADDRESS L OCATION OF CONSTRUCTION ...............
....................................................................... ............ ... ... .............................. ..................
otp,
PROPERTY LEGAL- DESCRIPTION ....... %,
............................................
............................................................... .. ... ... 71":`,-- ............................
.............................................................................................. z ..................................................... . ................................... ........................ I ...................................
...................................................... OWNER AND/OR, BUILDER ........................... ................................................. � ....... .
................ ............................
S. �j
CONTRACTOR'S NAME� & ADDRES ....... .................. ........ ......
............ .................. ........................... — ....... : ............. ............................
Perinissibn I& granted .... -SeWe s
................. ........... IJ9,..L� for ki3piW and/or f&nnectio*,of it side r tol'4he, cify anitary sewer
.........................
System In, accordancel withi. Cfty of', Edrftonds ordinarfees.
WTTENTION IS, CA�LLED T& THE FOLLOWING!:
'TE No. I —The owners of the property may obtain a permit 'to construct" sewer inside, property ]I . n6. '�k'ljccnsed, Side Sews r Contracto . r�,rn I us t be, empl6�ed..to cons truct
side sewer in street area: Do not cover any por tion, of 'sewer before It' has been. Inspected:
--fE No. 2—All work performed in city right-of-way requires. an; Invasion of Right�of-Way Permit obtainable from the City Erfglneer's office.
NOTK No. 3—Obtain fulL Information, regarding Ordinance 11.16'03W and' Regulationsi governlnk.�sldc sewers when: yqu- got permit.,
NOTE No. 4—Top of side sewer must,have, at least 30 inches coverage at property. 11he and, _f2 Inches -inside property, line;, mini muryi,,grdde- of 2%. No -�ends! In grade
sharper than '/a will be permitted.
NOTE No. 5--Trenches in street must be water settled and 'surface ;of str6eirestored to origin aX, condition'. - Contractors shall -be responsible 'for failure due to Improper
�work which may develop within one year of completion.
NOTE No. 6—It Is unlawful to alter or do any other work,than 'is provlded� f6r)n the jiermit6r to do any work on the main sewer or its appurtenances.,except- to in-
sert the pipe into the wye.
DISAPPROVED M Date— ..................................... By .................. Date ............. ..................... L. By ................ Date ......................... By .................
............
APPROVED ate ....
D .... ............................ I B3 .................. L. z . .... .............................................................
Remarks: .......... .....................................................................
...............
. ......................................... ..................... ....... .........................................
................................. .................. ................................................... ...................................................... ............... .......................... .........
_B THP itC ies ST e Signed: -By'-Owner.of. Firm Performing Construction, PRIOR To Request For Inspection -
I . .. ..................... .... .... reby certify thatthe si e sew a
...... ......... ......... d er.in6tail, tion:constructe(,T under this -permit
(Owner of ntract' g Firm Performing Construction -)-
was instal inaccor ance ith. all governing ordinances,of the %City of Edmonds'. 3.
'94 /y
24 � , .; 'r� .. ".
Diited M ...... :,-day .......................
9711
Cheek, BEFORK you,dig, for: Waf6i'�Eif,� Gas.',ETI; 'Telephone -E],, . Powd'-,t!,,j 'Sbwuyr, -,.,:Gth6n, N/,