23130 76TH AVE W11111111111111
15143
23130 76TH AVE W
City of-E,dmond'-,,'..,
SIDE.SEWER PERMIT
Address of Construction:
Property TaxAccount Parcet,,N,6.�
I
Attach copies, of ill, access and utility easements
Owner and/or
PERMIT NO: 10009;
PERMIT EXPIRES U�
-7 0 00 0 40 9
Approved by
00 5A)10. BuilTin—j Ve-ri'M VO�O
Contractor License La N L..
4- Ct (70
El
Single Family Invasion into City *Right -of Wa es", No
*RW Consttuction Permit #
',of Units
Mu i-Family (No'
0 Commercial (No' of Units Cross othei.' "Privitte Property: Ws &(No
**Attach leg�4`1 description and copy of rec
El Public ordedkasement.
Owner/Contractor 1/11
O,.�� coniractor signature--an-d _kknowledgerriefit statement: Dat97
By"Mgning fdr this permit I certity that I nave read the City s pu
Side.5ewer Specifications, and shall comply with all City requir,
2 CALL DIAL -A -DIG (1-800-4"r&F-555) B,
W FOR INSPECTION CALL 425-71
24 HOUR NOTICE REQUIRED FOR ALI
�-'NOTE: IF -JOB SITE IS NOT READY
INSPECTOR ARRIVES A $45 RE-INSPEC
Job. Site Ready YES, NO
ic handout entitled .
nents outlined therein.
FORE ANY EXCAVATION W
1-0220
OR INSPECTION WHEN -
ON FEE WILL BE CHARGED.
Date: Initial:
A
Partial Inspection: MI&I, C.-T, Idimphole 0, P-1- —Date: Initial
Partial Inspection: —Date: Initial:
FINAL INSPECTION APPROVED: Date: Initial:'. As -built to Street File: El
PERMIT MUST BE POST EQ.�-'ON JOB SITE t�
White Copy: File. Green Copy: Inspector, Buff Copy: �Applicaint
P
L;temp;bldg;forms-,sspermitjlg4/00
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 Consult'ants.
The City of Edmonds does not warran t the
accuracy of anything set forth on these
map(s). Any person or entity recluesting�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 this map(s), nor for
any one representation provided based
upon said map(s).
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76th
AVE W
CITY OF EDMONDS WATERLINE
AS-
BUILT
ADDRESS:
76th AVE
W
— 23130
PERMIT
NUMBER 2004-0271
HOMEOWNER:
CONTRACTOR1
SWEAZY
I
I
DATE INSPECTED:
DRAWN BY1.
DATE DRAWN:
4/27/05
L
ABILA
4/29/05
CA
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PERMIT
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ED * CITY, OF EDMONDS WATERLINE AS— BUILT
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CONTRACTOR SCALE
DATE fDRAWN PERMIT
&t 1890 d-- 2 -7 IBY NO.
EIVED
CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
OWNER NAMEINAME OF BUSINESS
MAILING ADDRESS V
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CITY ZIP TELEPHONE
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NAM
ADDRESS
L111 /V.
CITY .01 ZIP TELEPHONE
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NAME jCBL
�0 7-- 1 PERMIT EXPIRES
USE PERMIT
ZONE,oWi _// NUMBER
JOB SUITE/APT#
ADORES! 10
PLAT NAMEISUBDIVISION NO.
LID NO.
LID FEE
TESCP Approved t3
PUBLIC RIG
JHT OF WAY PER OFFICIAL STREET MAP
RW Permit Re uired
q 13
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Street use Fe It Req'd 13
EXISTING% PROPO ED-�--
inspection Reqmuirad 0
Sidewalk Required 13
REQUIRED DEDICATION
Underground
Wiring required 13
METER SIZE
LINE SIZE
NO. 0 F FIXTURES
PRV REQUIRED
YESX NO 13
us
REMARKS
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OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROUDRAINAGE
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ENGINEERING REVIEWED BY OAT
E N G 'NE E
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ADDRESS
FIRE REVIEWED BY DATE
F I R E
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W
CITY ZIP
TELEPHONE
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SHORELINE ORADB#'I
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REO'D
BOND
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STATE LICENSE NUMBER EXPIRATION DATE;
C D BY
D By
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7
fPES ONO
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SEPA REVIEW>
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COMPlETE EXEMPT I
COM
SIGN AREA.
ALLOWED PROPOSED
HEIGHT
A� I LOWED PR ISE
PROPRTY TAX ACCOUNT �ARCEL NO
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IL
lots
Exp
EXP
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NEW RESIDENTIAL PLUMBING MECH
LOT I&OVERAGE
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ALLOWED PROPOSED
REQ UIREP SETBACKS (IFT.)
FRONT SIDE REAR
PROPOSED SETBACKS (Fr)
FROrT If SIDE REAR.
0
0
COMPLIANCE OR
ADDITION COMMERCIAL ..
CHANGE OF USE
Hr-jo/ LAn
0
01, 15
1 lb IQ/1
REMODEL MULTIFAMILY 1:1 SIGN
9L
L
PARKING LOT
REOD PROVIDED
AREA
I PLANNING REVIEWED BY OATE
1:3
C4
FENCE
G DING X F0
1:1 REPAIR YDS 1:1 (
&;,9� 5
yf %. I
1 '
1:1 DEMOLISH 13 TANK 0 OTHER
GARAGE RETAINING WALL F RE SPRINKLER
ID 1:1
CARPORT ROCKERY FIRE ALARM
(TYPE OF USE, BUSINESS OR ACTIV" EXPLAIN'..'.
CHE C KED,'BY
ItYPE OF CON C 0 . N.,
r UTRU TI
OCCUPANT
GROUP JK:3 -V
NUMBER
OF
NUMBEFCOF; .,I CRITICAL,
AREA
DWELLING S
"SPECIAL INSPECTIO *
OCCUPANT
LOAD
STORIES
UNITS NUM ER1,
REQUIRED 15 (YE.7 JAW
4 1
DESCRIBE WORK TO BE DONE
'L.10
REMARKS
PROGRESS INSPECTIONS PER UBC I 08/FINAL INSPECTION REG -D
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VALUATION
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UMT-13 It
LOT,S 0 E %
HW SOURCE GLAZ_, 3
PLAN CHECK140,L VESTED DATE
THIS PERMIT AUTHORIZES ONLY THE WORK NOTED. 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 APPLICATION: ISO DAYS
PERMIT LIM T I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
11
SEE BACK OF PINK PERMIT FOR MORE INFORMATION
-APPUCAN-E ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
IN INTEREST. AGREES TO INDEMNIFX 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 MODIFX WAIVE OR REDUCE ANY REQUIREMENT OF ANY CITY ORDINANCE
NOR LIMIT IN ANY WAY THE CITTS 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 AUTHORIZED AGENT OF
THE OWNER. I AGREE M COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC-
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
IN VIOLAT ON OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
WORKMEN!S COMPENSATION INSURANCE AND RCW 18.27.
SIGNAT�UR �NE
�EN!T�) DATE SIGNED
1 0 - 1 �3 03,
DiBico'p�lon, FEE Description FEE
Pian'Chec'k. State Surcharge
'Buildi . nq,Permit City Surcharge
/;J7
Plumbing
Mechanical
Grading
Engr. Review
Engr. Inspection
Fire Review
Fire Inspection
Landscapeinsp.
Recording Fee
CALL
FOR INSPECTION
(425)
771-0220
Plan Chk. Deposit
Receipt #
Total Amt. Due
II Receipt # -4
APPLICATION APPROVAL
This application is not a permit unth signed by the
Building Official or his/her Deputy: and Fees are paid, and
receipt is acknowledged in space provided.
DATE
MM -1111gh)ll
By
A17ENTION M 1333 LJ�2
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE UNTIL
A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR A CERTIFI-
CATE OF OCCUPANCY HAS BEEN GRANTED. UBC SECTION 109
04/02
PRESS HARD -YOU ARE MAKING 5 COPIES
ORIGINAL - FILE YELLOW - INSPECTC
PINK - OWNER GOLD - ASSESSOR
GREEN - ACCOUNTING
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