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7025 177TH ST SW.PDFiiiiiiiiiiii 1180 7025 177TH ST SW C. city of hamonds RIGHT-OF-WAY CONSTRUCTION PERMIT, Permit Number. ?r7- Z.2,-A 4 Issue Date: 5-RO— q1 A. Address or Vicinity of Construction: 7025 177th Street SW GTE to place, operaTe7 and maintain a buried service ft'. ;r—Ne 4 $ �4 +�4� -A--+-al #44901at flower ot) then lype - — I— W M — - . ;3 t r, t1c. north to' a residence at 1Uz!) 177th Street 5W. UIL to Plow ID TeR anG pu3n no driveway or road. R.O.W. Footage 5 feet. Marilyn Holmgrens Permit Coordinator Contractor: GTE Northwest Incorporated Contact: Dennis Alexander �06/771-9036 mo'bile 388-1358 2312C W. Casino Road 1h Mailing Address: Everett, WA 98204-1440 Phone: Marilyn 206/710-0786 or 488-1628 State License #: Liability Insurance: ' Bond: $ 1� D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. Fl Commercial E] Subdivision El City Project 0 Utility (PUD, GTE, WNG, CABLE, WATER) Multi-Fainily E] Single Family Other 210 1 0-9POOlDB 642310 INSPECTOR: INSPECTOR: 9W F. Pavement or Concrete Cut: 0 Yes Q�No G. Size of 9t: x -H. Cbarg4�,$j Please see attached -sketch. APPLICANT TO READ AND SIGN INDEMNITY: Applicant understands and by his signature to this application to hold the City of Edmonds harmlessftom injuries, damages, or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costs and atforneyfees by reason of granting this permit. THE CONTRACTOR IS RESPONSIBLE FOR WORKMANSHIPAND MATERIALS FOR A PERIOD OF ONE YEAR FOLLOWING THE FINAL INSPEC- TION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREETPATCHIS COMPLETED BY CITY FORCES, AT WHICH TIME A DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT Two sets of construction drawings of proposed work required -with, permit application. A 24 hour notice is required for inspection. Please call the Eng , iniee-ring Division, 771-02�0': Work and material'. is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut trench work shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the a ve 71 and understand the permit requirements and the pink copy of the permit will be available on sit a al' im I r inspection urposes. Signature: Af David Squires Date: )Ftracror orAgent) Sec. Mgr. -Access Design CALIA DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: TIME AUTHORIZED: VOID AFTER DAYS ...... . . ..... A SPECIAL CONDITIONS: RIGHT OF WAY FEE: DISRUPTION FEEIFUND I 11: RESTORATION FEE: T OTAL FEE: 1.2( oc�) ... ....... UCEIPTNO.: /7) ISSUEDB) ::�� 441 NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE Eng. Div 1997 Vill FIELD INSPECTION NOTES (Fund 111 - Route copy to Street Dept.) Comments: - I " iji��ram CONTRACTOR CALLED FOR INSPECTION El YES El NO Partial Work Inspection by P.W.: Work Disapproved By: Date: FINAL APPROVAL BY: Date: Lm I - LEGEND PEDS :3 POLES 0 ROAD BORES OVERHEAD LINES c\j PERMIT SUBMITTED BY J.D-UTILITY POTHOLE M c .. UG TRENCHING --UGT— GTE 0 cl) 0 Lo C3 ,n IVI 9501LI -7tl r R. 0. w. ----------------------- EOP r-6 00 cs) THE FOLLOWING INr0 TO BE PROVIDED RIG14T OF WAY LINES.EOP OR FACE OF CUR3. EXISTING SIDEWALK, POLES, ROAD curS AND THE UTILITY UNDER ROAD' CUTS, ABOVE GROUND FACILITIES.(Te:) PEDS,60XES.CABINETS. ETC.,LINDERGROUND TRENCHING AND O\;ERHEAD LINES. 0\0 FOOTAGE OF WORK IN R.O.W. ,c,3TREET RLE Critical Areas Checklist Site Information J" 2 199i Project Name: Pr_�M�,LE Permit Number 41COA 0 MAI, Site Location: Property Tax Account Number 00(o Approximate Site Size (acres or square feet): 1,"ZO) sr. Have you filled out a Critical Areas Checklist for a project on this site before? WD General Site Conditions 1. Has the site been cleared or logged? Date of most recent action: Soils /Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? ALDMkJnOt> L9PAQ LAW t�p COM VL-� - 2 - 5% SLOFT,: 3. Describe the general site topography. Check all that apply. Flat less than 5 feet elevation change over cntir-'e site. Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 fbeL) -)1ill3r. slopes present on site of more than 15% and less than 301Y* a vertical rim of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments RcYN27192 1.1�. -011 On i [ � 22j-01 *,M�TQSLIMI C:-:, A it NO ALL IM8�-IEb�A-M MWI CC "13 FLOT DRIVEWA-r 321-s' 77 W15m- OU I 7f' k- �oveR m poor" H04 F-: 17 1 s-rReF-*r w. 1�00F r-"IUC4FL4J co CY vn STIREET FILE. Ot -des 9 9 141r) City Of Edmoinds Critical Areas* Checklist, The Critical Areas Checklist contained on. this form -is to be filled out by any person preparing a Development Permit Application for the City of Edmonds prior to his/her submittal of a developmentpermit to the City. The purpose of the Checklist is to enable City staff to determinewhether any potential Critical Areas are or way be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys).". An applicant, or his/her representative. must fill out the checklist, sign and date it, and submit it to the City. The City will reviewl the checklist, make a precursory site visit, ;Lndm a on of the subsequent steps necessary to complete a development permit a0plication- With a signed copy of this form, the applicant should also submit a vicinity map of the parcel vinth enough detail that City staff can find and identify the-subjcct pared(s). In addition, the applicant is encouraged to include any other pertinent information. or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). . Owner / Applicant: Name Title Street Address City, State, ZIP Phone . I Applicant Representative: rAM�IcIA [3AF_Wk1A0 'ARCHIOUIS Name Tide NE5 �AS E,- Street Address ZIP S2-8-2[386 Phone Signature Date Date HA�" Critical Areas�'theck Site Information PrejectName: SJkJQH& Pr,9MkLF_- PermitNumber. Site Location.- 0—'Z r7 Property Tax Account Number JL53-000-00r,-000(o Approximate- Site Size (acres or square feet): Gr:, Have you filled out a Critical Areas Checklist for a project on this site before? WD General Site Conditions 1. Has the site been cleared or logged? YES Date of most recent action: Soils [Topography 2. In the Snohomish County Soil Survey, what is the mapped soil type(s)? LJ P,04 LAW t:) COH ?L-ex — 2 - 5% SLOPF, 3. Describe the general site topography. Check all that apply- Ylat less than 5 feet elevation change over entir'"e site. Rolling: slopes on site generally less than 15% (a vertical rise of 10 feet over a horizontal distance of 66 feet.) Hilly: slopes present on site of more than 15% and.less than.30%. a vertical rise of 10 feet of horizontal distance.) Steep: grades of greater than 30% present on site. Comments Hydrology[Vegetation 4. Site contains areas of year-round standing water. 5. Site contains areas of seasonal standing water KJO ---Approx. Depth: 6. Site is in the floodway floodplain of a -water course. 7. Site contains a creek or an area where water flows across the grounds surface? flows are year-round? Flows are seasonal? 8. Site is primarily: forested meadow ;shrubs mixed "OX 9. Obvious wetland is present on site: kJo 10. Wetland inventory or map indicates wed 'and present on site:, k10 11. Critical Areas inventory or map indicates any (:�ritical Area on site: Un Rey.3f27192 '-36 ST�Sw PL BM iT� C ,. : z t 137 PL SW 0 138 PL 1#9 139'K SW 3 2 Sw 141 0 7V. -2 142 PL %)M -.e > ST' 4L�! I �L T > T 1144 1-4 Is VA Norma Beach 146 1P CH L N Me do 57 Sw ;5. 58 1W Pi ou�nt rk Meadowdale N f6o Sport F,shinq Dock I ut vb Sw -63 T Sw > 'ST Nw. < 164 Ib4 PL Sw L 1 IS 5 7V� 2 '.3 PL -!w sw �d C, .1:1ealowidole a Plyf" P11 if d , I ;p : ory �elds U C1149 Of Ly 'Aar— Se.age Treatment an Meadowdate lVlIqdqdI SORT �el Bt-bwns - - - - - - ec Bay S 5k s.Hig I S t Y .1w '73 4*S7. ST Sw Rock BRAEMAR ST IN72 0, DR T, SUP 1 4 17 CT sw 10 IT RICK PL' I_i75 -sw. Is -*lee S, r,_1 --------- 176 w 176 _ojnTY VO 1�6 LL SoutNvvest Ctxrnty "a' .-,y Ir 77 �1 tL7j 178 P, Sw Pt . .,:�D % % � -IQ, ST 00 P 0) 41 PL S* '81 ST U, Sw ST ST �81 PL' '0 -04 Z ;.-6 2 3T tF. el Sw C S W > Go < Cj '83 ST P sw�,� :8i 7511 ST' -A IS :05 ST Sw, T 15 Hutt 185 park r 39 86 PL SA 7 7 3. 85 PL ST W. > 1 7 PL SW I 9T ie r- 187 PL SU L..� r Sw L Pax., :,88 PL:*,Sw > a, Aseaview I'- I. , �_ w I ;-V - ^ 189 t' W.T T ST .189 OL SW Elemscl., 190 ST, Sw PL Sw: 196 Sterro" -1 .. ....... to _____!�o ST ;Cc 9, ST 90 sw :Park ST Sw f 001"01 ST SN ST Sw 2U 192 inridale L Isw le S 's C5 1 S > 3c 3� Rq 11 .. 1. s P S Jv 0 �_tA ! . 91 .. I la`_&� 0 0 Q- M .0 1 3 PL 0 W 0'I94,v`S_0 T SW 0 'a 194 ST 1 0 ELL C04). coo - cc P ;!T L51 r-W-4. UG T D '0 P R A - 4-Y N) Edmonds �Isw 1960 - `0 %1E OVE h_ - I 9 Elem It. Park W - �� -( , f -) 111 cn, -4 - �, a it 7z Sir sly to ,4 Sch 0 te > A Z w STId -71 r i.SW- E S' ST GW t:, 'A "Ondic9p cwt _1`i_1_sT1*_ 2.1 9 Sr S .1-0 Tq.S, 6' A A" ST h Maple ;.I ro 3.. si Sw S'N �7 MONDS CQ-21� Moplevrood 76 _11ASWCA " A S* Nort-Grodea ;STIS I. v rt (X) PIL Sw L) 2 ST ------ "an es::_,w i �2 - �Y, C-1 LEN ST _5 PLSIA > 2. --1 ALL Cl .4 203 Sf'�SW E OD 2 1 SIX -) - "' �] - w S., , - U 204 Is, P, It, < T 400 IC �:jzo P sw III allege A. _RidgeJ OF 21�1 S SAf-'1:`, it. �.5 Ft 2% 2O6r. ST,� Place Eldm Scho_ ST 0 1200, A" 4 ST m- College Place... 0 Q� IST calloo -J2 AIN J, L, 0 Middle'Sch ST 4 1 OAT I UN a too of fj � S-31! . :?T >1 208 I- e d- ist 11 't - I ST SA > ALDEW." V; &L20-i.- eights 21C' 57 S o 0 -i ALOE P" L3 Top k" �erporia.�., a, w V, 't . ,, 1 1. - S _000STWate < 0 0 v WALN T > P, 21! ST vr 400 ST *4 7S20 f" 7SIS pp2 7slo 703 76 7sar r4 751 Met 7 `4 702 741 g .j r 7# 7-11S a 7491 , 7432 ?#,of4t , I ..;. 1. 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OF EDMONDS LIS ZONE PERMIT NUMBER -q;:t n OiNSTRUCT10i PERMIT APPLICATION OWNER.NAME /NAME OF BUSINESS 'A AMIL f HM MAILING ADDRESS 1-71"1" S7 �3-kl- CITY Z TELEP HONENUMBER OM 00 DS I E) �, (, I - -7 0 [INAME' L-1 FATPflC1A - B9EFIQPA0 A P-1-- H i - re LT 5 Z61 6 r-A(;T L A r- F-- A V E - r,- - I T Y zip ITE�EPHONE NUMBER F- A77 323 -258G f TNAME ADDRESS IMIS10% STATE LICENSE NUMBER EXPIRATION E 1,SOLLIe,1 1# 09'70Z 9/:z-z Legal Description of Property - include all easementt C-PF-P,R-r PILL, LANe tOT (P �1 JPyoperty Tax Account -7141-�) - 000 — ON, -000le 1pp�!.cel No. NEW ZRIESIDENTIAL PLUMBING OADDITION COMMERCIAL MECHANICAL a1EMODEL APT. BLDG. SIGN GRADING FENCE REPAIR CYDS. x —FT WOODSTOVE SWIM POOL DEMOLISH INSERT HOT TUB/SPA FGARAGE r7 RETAINING WALL/ -]CARPORT ROCKERY E] RENEWAL ( TYPE OF USE. BUSINESS OR ACTIVITY) EXPLAIN: T MGSj0E-VT/AL- [NUMBER OF STORIES NUMBEROF DWE41NG 2- UNITS , % I DESCRIBE WORK TO BE DONE (ATTACH PLOT PLAN) (5T Af;,V 8F:-01200M ON 2", 14' P to orz- N F-W �orzm F- a s oti 7--'1tCVFL- HEAT SOURCE: GLAZING -7 oylo Plan Check No. 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 App9cation: 180 Days Permit Limit: I Year - Provided Work Is St3rted Within 180 Days . Applicant, on behalf of his or her spouse, heirs, assigns and su ccessors in in,terest, 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 modi�ly, waive or reduce any requirement of any city ordinance nor limit in any way the City's ability to enforce any ordinance P-! 2M- —s 1. if;ii�.�riby,aeknow,l.e.�,,6,e -that I have read this application; that the given is correct: and that I am the owner, or the duly ap,tbp,f4X-,e-d agent of the owner. I agree to comply with city and &tgtb�laiwa regulating eoristruction; and in doing the work authoriz- ed -thtreby, no person will be employed in violation of the Labor Gode of the State of -Washington relating to Workmen's Compensa- 41-- 1---- URE (OWNER OR KGE-NIT) DATE SIGNED 7 1 51. �!�l ATTENT [ON 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. IP2�07 'JOB —SUITE/ ADDRESS IT4 �EGAL DESC141PTION'CHECK�-SLfO�"DMfO"N ONO. LID NO PLIBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING -- REQUIRED DEDICATION TESCP Approved 0 AW Permit Required 0 Street Use Permit Req*d 13 Inspection Required 0 Sidewalk Required 11 �PROPOSED :REMARKS RENGINEERING MEMO DATED REVIEW BY r1f—AEfI0FF6-1fE- BUILDING SUPPLY SIZE RIES �REMARKS SEPA REVIEW ADEI NO, ALLOWED PROPOSED COMPLETE EXEMPT EXP I ;�� SHORELINE # VARIANCE OR CU PNGA;PEVIEW BY DATE FEE RONT--Z,,�. 1 ,F S DE /7AEAR HEIGHT LOT COVERAGE 3 ,'REMARKS 9 'C"REcKEb"g-V YPE OF CONSTRUCTION CODE HEIGHT FSPECIAL INSPECTOR !REOUIRED 13 YES AREA JOCCUPANCY GROUP OCCUPANT LOAD fREMARKS 1PROGRESS INSPECTIONS PER UBC 305 2;wl- / 1 V WI! LO C6, FINAL INSPECTION REQUIRED fifflmmm�_ N FFE E PLAN CHECK FEE BUILDING 35 000 PLUMBING L GFIADINGIFILL STATE SURCHARGE 4-50 :STORM DRAINAGE FEE !ENG. INSPECTION FEE IPLAN CHECK DEPOSIT TOTAL AMOUNT DUE -7 7.4AE22- 111-r, I ATTENTION THIS PERMIT AUTHORIZES ONLY THE WORK NOTED I NSPECTION DEPARTMENT CITY OF EDMONDS CALL FOR INSPECTION 771-0220 APPLICATION APPROVAL This application,is not a permit until signed by the Building Official or his/her Deputy; and fees are paid, and receipt is acknowledged in space provided. OFFICIAL'S SIGNATURE E III Z111 RELEAJ�b,if DATE >11 -K -/0 - 57 -1-, ORIGINAL — File YELLOW — Inspector PINK — Owner GOLD — Assessor 01 ZI Lu I STREET F11 F- NEIL ESHLEMAN Post Office Box 578 Edmonds, Washington 98020 Phone 776-3569 BUILDING CO., INC. LEGAL: Lot 6, Plat of Cherry Hill Lane, Snohomish County SCALE: 1" = 20' ZONE &,S - 5� SETBACKS: F:�ONT SIDE- R LE A R ),57 OTHER — HEIGHT 2s' �4 to. The . City of Edmonds Side Sewer Drawing EASE.\IENT NO. SlOREETTILF NEW CONSTRUCTION [Z REPAIRS Ej LID NO . ........ . . ASMT. N-0. OWNER F—S"LF—MAN- .................. CONTRACTOR ..... LIM-N-W.000 ----- 5-F-PTI.C... .... ....... PERMIT NO. G9 3 4 . ........ . �OEt JOB ADDRESS 770.2-5 ... ... ........ LEGAL DEStRIPTION: LOT NO. ... ........ ... -------- BLOCK NO. WC D 1,4� _j ..................................................................... ............................................................................ ............... NAME OF ADDITION .... C.qERP,J .... 91LL ---- LAN-E ---------- ....... I ............. .... '709-5 1'77-rt4PL. 3,5.' 5.0p Y Sao SEND W W Y E_ c C.O. CAP VOR 2' r-7 Apprw--ed: 4-5'D P ve Bp4D W*yF- 4 DATL CITY OF EDMONDS FOR INSPECTION CAL Permit 10 01 11fl PUBLIC WORKS DEPAR�WT L'� OIL 775-2525 Ext- Q '0 ef::2�2 Issue Date S;�,DE SEWER PERMIT PERMIT MUST BE POSTED ON JOB SIM-i—I ow"JorAw ir LYNNWOOD. LINE 1. Address of Construction 1 -7 2. PropertyLegal Description (include all easements) CIA�-rr'/ h"11 (AMC 3. I--- I Uj uj 4. 5. 6. Single Family Residence-_g Multi -Family No. of Units Commercial Owner and/or Builder Contractor & License Invasion into City Right -of -Way: No X Yes (If Yes Right -'of - way Construction Permit Required - Call Dial Dig (d_-4?2,_-Q,-5T3C_,Q) before excavation). 7. Cross other private property: Yes No>t, Easement required - attach legal description and county easement number. READ THE FOLLOWING AND SIGN: 44 P4 OC4 a. Property owners must obtain a permit to install side sewers on >-I their property. A licensed side sewer contractor must be employed to M construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each E-4 installation for one year. W 4 C. Commercial establishment requires a minimum of a six inch (6") A4 z side sewer line. 0 d. Side sewers may not be installed closer than thirty inches (30") to any structure. 0 e. Side sewer lines must be laid at a minimum grade. of 2% (1.15 and maximum grade of 100% (450). 0 f. No turn in side s8wer greater than 45 (1/8,bend) is 0 allowed between cleanout. All 90 turns must be constructed of a 45 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 1001 along sewer line run. j. Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working h ours only. Two (2) working days notice required. DATE: IVcer -",,y that I have read and shall comply with the above P PERMIT FEE: _�?n 00 DISAPPROVED BY: Date: By: Date: A)arqel '2s-'00 CONNECTION FEE: APPROVED By: Date: :3_1-p.aa 0 aFK_ 44 * PERMIT MUST BE POSTED ON JOB SITE * The City of Edmonds Side Sewer Drawing EASEMENT NO - --------------------- NEW CONSTRUCTION REPAIRS E] LID NO - ------------------ - ASMT. NO - -------------- OWNER ---- F-Sk ULKA - - ------------- ...................... CONTRACTOR ----- Lu ...... .... PERMIT NO. -653A. joB ADDRESS --- !702S -------- ------ ------------- LEGAL DESCRIPTION: LOT NO. -.--(o --------- ------------------- BLOCK NO.[� ------------------------------------------------------------------------------------------------ ........... ................... - .............................. Nopm NAME OF ADDITION .... C.RF-Rk'*j ----- 14 . ILL ---- LAJ4E ,9 17 7TI-IPL. Approved: PWW-OWl-1 1/75 (REV. 11178) DATE 3- IR-83 ................. B J, f- %!- --- & :��/ 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 p-rovided based upon said map(s). CITY OF EDMONDS NEW ADDITION RETIREMENT DESCRIPTION LOCATION --7 43 2- t:;- -7 2 "PURCHASE ORDER NO. - PURCHASE ORDER DATE COST ASSET INFORMATION SHEET fill; ASSET NO. 00139��—o ADDITION TO ASSET NO. SERIAL NO. DEPT. NO. ,6 C./,O *PROJECT NUMBER C,, -� :K 2- -1— Zj PROJECT COMPLETION DATE 6" 3c; - COST q 5. 5 k B.A.R.S. ACCOUNT NO. Lf f/, - & c> c, - C/ C/ ra ESTIMATED LIFE 2-5 INITIATED BY DATE APPROVED BY "SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY 12 DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT - 0 G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. INITIAL (yp) DEPARTMENT FILE PUBLIC UORKS BEPAR7= CHEaCLIST BUnDING PE2;2-nT REVIEW (a 3 Fe- —ss (date) Street Right -of -Way Existin�� Z Access Easeum ts Existing REQD H cd Utility Easement Existi REQD Lot Per Subdivisim Plat- Assessor Site Plan Checked for Accuracy___ao......... Z Underground Wiring Reqd. 0 Check Ac acy saviption Z Review b Date Existing Water Main Size na. Water Main Required L Service Line Required4 Hydrant Size' Existing, Y4 9 Hydrant Reqd Per Fire Code-N,4 Size W Detector Check Meter Reqd. t4/A Cross Connection Inspection VA-1 E-4 Fire Departmmt Comnents Char2e 00 Water Meter Y. V Review by A;3 Date g3 Septic Tank Design Approved Date Septic Tank Permit Reqd. Permit No. Sanitary Sewer Availability_ /,OA ---Proj Drm,,ing No. Zld -IJ�4 7 File No. Side Se%.7er Availability, Sanitary Sewer tio Fee Reqd. Review b- 'Date Open Ditch Existing_____&an.. -e- Reqd. Culvert Reqd. Size 04 Catch Basin Reqd. Indicate on Site Plan 0 Shoulder drainage maintain collection on swale open runoff Manhole reqd. Indicate op Site Plan Soil Conditions and Ground Water Field Checked 5 Rcview by Z-4-, 7- 5- -,3r Revised: 1vlO-1977 Page 2 Strde-t-Paving Reqd. 17 Curb and Cutter Reqd. W Sidewalk Reqd. 94 Ourb Cut for Driveway Reqd. cd Right -of -Way Construction Permit Reqd. Bond Reqd. for Public Inproveffients-'- Street Name Sign Reqd. Other Signing Reqd. Pre Permit Site Inspd'dtion made an z �C' BY: SE14ER 04 4 WAnM z STREET ENGIMEERING '4 Special Requirements listed in merm to Commmity Developrwnt Depart:ment, Building Division BY Date c> All items filled in on Building Permit Applic,at-ion,. 94 BY Drawdngs Stmped and Notations Made BY Date Approved by Public Works Department Fevised: 1v 10-1977 NEIL ESHLEMAN Post Office Box 578 Edmonds, Washington 98020 Phone 776-3569 BUILDING CO., INC. LEGAL: Lot 6, Plat of Cherry.Hill Lane, Snohomish County SCALE: 1" = 20' +; I I S-S'-4 Multiple Commercial BUILDING ADDRES BLDG. DEPT. SUSPENS . E DATE -2- // Z 0 (1 K5 INITIAL DATE OFFICEADMIN. — PUBLIC WORKS LOG IN E&CITY ENGINEER (check) C3 Access Slope and Vehicle Access 0 Drainage Plan 0Street File [hegal Descripti6n DQuit C * laim ElEasement a 16 u 1 ate Sie�46r- Connection WATER/SEWER DIVISION i 13Detdrm ne,.'-:Meter.,Size' w 7- i�'-�!Re'vie mOlete;, Build .erm 1.4 TI:EET'DIVI SION'-. S ---- Complete'-;Building Permit", Re'view 11OFFI E ADMIN. - LOG OUT-Tb BLDC;,.-' DEPT. ------------------------------------------------------------------------ Er'BUILDIP PERMIT APPLICATION (COMPLETE). _Z110-." COPIES OF SITE PLAN L� X -E] 2 COPIES OF FIRE PROTECTION PLAN (PREVIOUSLY REVIEW'ED BY FI RE DEPT.) 3 COPIES OF DRAINAGE PLAN 14ITH CALCULATIONS /5- 1441Ar _77 REQUIRED BY SUBDIVISION GREATER THAN 2,000 SQ. FT. IMPERMEABLE SURFACE El/�/;14W, I - LESS THAN 2,000 SO. FT. PEECK ZONING-REQUIR-EME14TS (SETBACKS) VCOPY OF ENGINEERING CHECK LIST 0/1 OPY OF PU,"*LIC'.WORKS MEMO YC . MULTIPLE OR'COMMERCIAL YES [] ':(ATIACjJ:C0Py OF -ADB APpRDvAL INCL. ALL DM!,IINCS) N 0 [�/SUBDIVISION — YES[j NAME. - DATED RECOPED NUMBER-' NO (ATIACH -COPY -OF RL-OUIPJIDITM) 2�rHECK SEWER DRAWING AND. ATTACH COPY 14, IS DE . DICATION REQUIRED YEs['j (OBTACIN nUIT CLAI10 NO CITY 60DI: fal/DOES CITY HAVE EASEMENT ON PROPERTY YES (ATTACH CO�JE�.,OF DRAWINGS) No El 3CHECK LEGAL ACCESS' ING UTILITUSla-l" YESYE3--",YES NO [3 NO Or'HAS SEWER ASSESSMENT BEEN'PAID YES L.I.D. NO.; ;5� PLAT NO. SUBDIVISION Nq;. ITIF:,MULTIPLE: INCLUDE NUMBER 'OF, 'UNITS- ........ F "COMMERCIAL: INCLUDE NUMBER 'OF FIXTURE UNITS DATE MEMO TO: Building Division Planning Department FROM: Engineering Division Public Works Department SUBJECT: After review of the subject Building Permit application, we have the following`*'�'�;'� comments: 1. Connection to Citv water systpm rAmirpri 2. Connection to City sanitary sewer system required. 3. Right-of-way p-ermit required for any work on City property. 4. ._Driveway slope not to exceed 14% 5. Backwater valve reguired4f downstairs plumbing is below elevation of upstream manhole. 6. Water and sewer lines to be separated by 10 foot minimum. N CITY OF EDIVIOWS ZONE CONSTRUCTION PERMIT APPLICATION JOB NAME (OR NAME OF BUSINESS) I ADDRESS VMAIMG AD6RFSS ADDRESS 901 10th Street Cc < CITY TELEPHONE NUMBER - mukilteo 7�347-4999 NAME ADDRESS I ICITY I TELEPHONE NUMBER ISTATE LICENSE NUM13ER I CITY LICENSE NUMBER Legal Description of Property - include all easements (show below or attach four copies) Uj 4D Uj 10 FXI NEW RESIDENTIAL PLUMBING 1:1 D ADDIALTER NON-RESIDENTIAL MECHANICAL ElREPAIR RETAINING WALL SIGN DEMOLISH EXCAVATE OR FILL FENCE I x FT) r-1 PRE -MOVE INSPJ r--1 swim 1:1 SIDE SEWER WATER LINE P El a: '5 NUMBER OF 4TORIES U' MBER OF -To W ELLING U NI 0 -1 NATURE OF WORK TO BE DONE (AT_rACH PLOT PLAN) rA _EGAL DESCRIPTION CHECK SUBDIVIS!,QN N . - A 7f PUBLIC RIGHT WAY PER OFFICIAL STREET MAP. EXISTING :��dof 7- REQUIRED DEDICATION 47 PROPOSE6_j'&;�_ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED Q STREET USE PERMIT REQUIRED C1 , SEE ENGINEERING MEMO DATED &�f Z SEE PIW DEPT. REVIEW CHECK LIST DATE7 1/140 REMARKS METER SIZE JEWILDING SUPPLY SIZE REMARKS LID NO. SIGN AREA ENV. REVIEW ALLOWED I PROPOSED I COMPLETE i EXEMPT UNITS W AD13 NO. LVAR,IANI E OR CU JP�� PDAT Y, S YARDS LOT COVERKGE'O' FRONT IZ7- SIDE A� REARW15110011W.Wx BY ITYPE OF A r 161-614 H SPECIAL INSPFCTOR AREA OCCUPANCY OCCUPANT REQUIRED GROUP LOAD 1:1 YES l�NO REMARKS 0 Z Z Z 5 0. VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY 'I GRADING/FILL 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 "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to Indemnify, defend and hold (Wn harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of a: < whatever nature, arising directly or indirectly from the issuance of this permit. Issuance of this permit shall not be deemed to modify,, waive or reduce any requirement of any city ordinance I TOTAL AMOUNT DUE 0 nor limit in any way the City's ability to enforce any ordinance 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 APPLICATION APPROVAL 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 This application Is not a permit until ed thereby, no person will be employed In violation of the Labor ONLY THE signed by the Building Official or his Code of the State of Washington relating to Workmen's Compensa- WORK NOTED Deputy; and fees are paid, and receipt is tion Insuranc . INSPECTION acknowledged in space provided. SIGNATPRE (OWNER�ORArT), TE SIGNED PARTMENT DE C _IDA ITY OF OFFICIAL'S SIGNATURE EDMONDS THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX 775-2525 ATTENTION SHOULD BE CODED 31.04. DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE - UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 1983 A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. "13"JAN ORIGINAL — File YELLOW — Inspector 14 CHAPTER 3. PINK — Owner GOLD — Assessor 102-78