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HomeMy WebLinkAbout16240 68TH AVE W.PDFiiiiiiiiii lill 14907 16240 66TH AVE W �b PUBLIC WORKS DEPARa'mVT mECKI.ISTSTR EET FILE BUILDING PERMIT REVIEW rpAvr. (address) to Revised: lv10-1977 S1, Street Right -o£ -Way Existing n' REQD 2 Access Easements Existing AW f� REQD H Utility Easement Existing w Lot Per Subdivision' PlatA�Iof Assessor Map s„c . S W Site Plan Checked for Accuracy G - z Underground Wiring Reqd. H U Check Accuracy of Le al scription geil . Z Review by Date -ft- w Existing Water Main Size Water Main Required IVA-- Service Line Required Hydrant Size Existing c� Hydrant Reqd Per Fire Code vy� e w Detector Check Meter Reqd. Cross Connection Inspection Fire Department Conmants Water Meter Charge Reqd. 4 Review by Date //M? ' O Septic Tank Design Approved Date Septic Tank Permit Regd. �� Permi No. Sanitary Sewer Availability L( Proj.441�1` Drawing No. �� File No. Side Sewer Availability w Sanitary Sewer Connection F6 Reqd. 3 Review by Date W Open Ditch Existing /(Z® Regd. Culvert Reqd. P� Catch Basin Reqd. 1011,r Indicate on Site Plan O Shoulder drainage maintain collection on swale open runoff H Manhole reed. Indicate on Site Plan --�--” Soil Conditions and Ground Water Field Checked Review by ��� Date / Revised: lv10-1977 S1, BUILDING DIVISION PERMIT APPLICATION NAME (OR NAME OF BUSINESS) USE PERMIT Applicant Fill ZONE NUMBER Inside Heavy Lines JOB ADDRESS gVv, WEST- ��' �♦n n A \r� J�L"1'' TI �O�L�'(� I�� LEGAL DESCRIPTION SUBDIVISION SHORT SUB NO. M ADD FENCE I � "Applicant, on behalf of his or her. spouse, heirs, assigns and y MAILINGL ADDRESS RETAINING IJO � AVE11) ❑ ALTER ❑ EXCAVATE OR 0 v PLAN CHESKED BY PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP CITV ELEPHONE NUMMBEBERR l G� BC' L_rC' VV& `-L F-455-0-750 REMARKS EXISTING AM PROPOSED ,�r^ DWELLING 2 DEFICIENCY OF RIGHT OF WAY /0 W ADDRESS F Lam- UNITSF PUBLIC IMPROVEMENTS REQUIRED = V d NATURE OP WORK TO BE DONE DRAINAGE IMPROVEMENTS REQUIRED IJ a CITY ` TELEPHONE NUMBER DRAINAGE PLAN REQUIRED ❑ �...� EDMn US -775- 39 G UNDERGROUND WIRING REQUIRED NAMEN 1l 11!- m �-vG���vV� NE ON TO SANITARY SEWER C 0 ADDRESS F U a a CITY I- 2 0 U I c A 11 Z 0 a V N W 0 J U W J 6 eG COC SEPTIC TANK PERMIT REQ'D ❑ NO. ELEVATION OF PROPERTY CORNERS ❑ & FOOTINGS REQ'D TELEPHONE NUMBER SEE ENGINEERING MEMO DATED CITY LICENSE NtIMRFR CHECKED BY / of Property (Show Below or Attach Four Copies) METER SIZE BUILDING SUPPLY SIZE 3� Il � 1 t REMARKS TI" }4ED SIGN AREA ENV. REVIEW ADB NO. ALLOWED I PROPOSED I COMPLETE( EXEMPT REMARKS -XIVARIANCE OR CU (PLANNING REVIEW BY I DATE A YARDS ILOT COVERAGE FRONT SIDE REAR © NEW RESIDENTIAL IoGAS LINE FIRE ZONE TYPE OF CONSTRUCTION ICODE oance of this permit shall not be deemed to modify, waive or reduce I e HE AREA OCCUPANCY OCCUPAI GROUP LAAO THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION FEE ElNON-RESIDENTIAL El SIGN PLUMBING M ADD FENCE SIGN � "Applicant, on behalf of his or her. spouse, heirs, assigns and El DEMOLISH11 RETAINING SPECIAL INSPECTOR ❑ ALTER ❑ EXCAVATE OR WALL FENCE ( X_FT) REQUIRED ❑ YES ❑ NO PLAN CHESKED BY ❑ REPAIR PRE -a INSP.MOVE POOL ' REMARKS Z NUMBER OF STORIES NUMBER OF DWELLING 2 Lam- UNITSF - d NATURE OP WORK TO BE DONE V Co Rv�T tJr✓W Vi�'f1- t� W 1l 11!- m �-vG���vV� O PLAN CHECK FEE PLOT PLAN oance of this permit shall not be deemed to modify, waive or reduce I e HE AREA OCCUPANCY OCCUPAI GROUP LAAO THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION FEE BUILDING PLUMBING MECHANICAL FENCE SIGN � "Applicant, on behalf of his or her. spouse, heirs, assigns and � successors in interest, agrees to indemnify, defend and hold harmless F the City of Edmonds, Washington, its officials, employees, and RETAINING WALL rc from any and all claims fbr damages of whatever nature, a agents I arising directly or indirectly from the issuance of this permit. Issu- SWIMMING Pool oance of this permit shall not be deemed to modify, waive or reduce I e HE AREA OCCUPANCY OCCUPAI GROUP LAAO THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. VALUATION FEE