20930 SHELL VALLEY RD.PDF11111111111111
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20930 SHELL VALLEY RD
6 0
TAX ACCOUNT/PARCEL N
BUILDING PERMIT (NEW S
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: [-] Conditional Waiver F1 Study Required F] Waiver
DISCRETIONARY PERMIT 4'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DATED:
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER): /'f /Y,!!57 �
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED:
SIDE SEWER PERMIT(S) #:
GEOTECH REPORT DATED:
STREET USE / ENCROACHMENT PERMIT #:
WATER METER TAP CARD DA
LATEMP\DS'Ps\Fon-ns\Street File Checklist.doc
CI -IMUNDS
CONSMUCTI prTMOT APPLICATION
PERMIT e—Ift An ro
N I
0 t-,V. VI
I-EPHONE NUMBER
,ME
It (' A31,() ,,
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Pusuc nIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING_— REOUIREDOEDICATICN—
PROPOSED--
RIGHT OF WAY CONSTRUCTION PERMIT REOUIRED 13
STREET USE PERMIT RZOUIREC C
SqE ENGINCERIN3 MEMO DATED
R E,�.,�W ADII NO,
SIGN ArAEA I C..PL .E.P`T
ALLOWED PROPOSEI
0
MPT t
SHORELINE
�Y TE
DA _
PLAN,4ING REVIEW By DATE
VARIANCE OR Cu
RDS -EIGHT LOT COVERAGE
FRCNT sini: REAR I
El NEW
2�;ESIDENTIAL Li PLUMRING
AODIALTrR
�11 �COMMERCA'AL MECHA141CAL
F.,EP;AR RCTAINWG WALL SIGN
CHECKED By TYPE OF cot
�CAIATE FENCE
OR FILL
fj I
1711
111.01.11M
swim
_Lj_L
SPECIAL INSPECTOR RE
REOUIRED
0 NO L
STOVEI
El
0 YES
L ARKS
,,.III, RENEWAL
INSERT Al. BLD':-
OF STORI 5
NUMLLIN3
(ATTACH PLOT PLAW
PLAN CHEM(FEE
BUILDING
PLUMBING
MECHANICAL
to be done Of, plil.t. Pro party ONLY.
GRAOINGIFILL
Tt,js Permit covers Work It,
Any construction on the public dcmain (Curbs, t;ldew9 -3,
------------------------------------
driveways, marquees. etc.) will rei3uire �_erarate permIsSiO
I Perrp't Ll mi t: I Year - Provided Work I s S Zarlel Wit hin 1 SO Da
beha!t Di his cr her s:)ousr,. hcirs, assigns anO
*rterc;st. agrees to [ndem,-.'f7, dZfend a��d hold
Succ 6Z:,S n '.
133 the �ity of EeJmOndS, Vvasnington, its Cliicidit$,
9
tiai-sn,
an Is from any and a;I claims for d2mage
employpez, and ag I f; 'no issu
Indiroctly f;om tbe issu
14 whalevor na!ure, arising d1rcctij or
-nit. ISSUance of this permit shall lot br deilnj
PLAN CHECK CEPOSIT
of this per,
arve Or rejuce any requiremOilt Of any cl-y ordin
llp�oldlilliVliiwn any way the City's ability to enlorce any ordin
TOTAL AMOUNT DUE
p.c,-.;sInn."
I hereby acknowledge that I have read MIS ap 11 callon; that the
and th3t I am the owner, x the duly
ATTENTION
jr.formation given Is c orrect;
9gent Of the owner. ! agree tc. -omply with city and
THIS PERMIT
author;ked
'uctlon;and In doing thew:I;KaulhoriZ-
3tate Jews rogulpting const. d in violation of the La�)or
AUTHORIZES
ONLY THE
b arson will be employe
ad there 'y� no P' shinglon relating
Code , th State .1 Wa to Workmen's Compbnwt
V ;)RK NOTED
it n Insul
�9.1. GIG_NFD
SIG ATUK tiDiNNER OR
INSPECTION
DEPARTMENT
C!TY OF
EDPAONDS 4_-
771-32021e5
TTENTION
IT jS UNLAWFUL TO USE OR OCCUDV A BIJ:LDING OR STRUCTURE
HAS BEEN MADE. AND APPROVAL
OR
UNTIL A FINAL INSPECTION
CERTIFICATE OF OCCUPANCY HAS BEEN GRAr;TED.
UPC
A
CHAPTER
102-78
LOAD
IJ
5-C!
APPLICATION APPROVAL
This application is not a permit until
signed by the Building official or hIS
Daputy; and fees are paid, and receipt la
acknowledged In space provided.
OFFICIACS SIGNA R
1RE D BY: DA_
0 GINAL — Fi., YELLOW — Inupector
PINK — owner GOLD — Assessor
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30—
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ul
51 e,
kc?
OUR INTERVAL
GR.t\FiH(r- FoP- JNMES SMM4
Reid, t�ltLor, & Assc IMATM cett�r1135
_EISL r�--j-k I .a. ----&o,p s3
Engineefs - StiNeyors o Plan tz�-L—..s !.-ALZ I"=
121 h A� N. s-,,te 700. 0—d, Ki
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;21 a "
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