23132 76TH AVE WIIIIIIIIIIIIII
15142
23132 76TH AVE W
8.9,
cq
co
co
14-1
0
cf)
22 7'
1:
0
z
w
Ir
0
(y)
T-
cy)
L
z
2 .2'
P
D
,N
D
17'-J
-
-7.5
CC)
t;=z M
D
co
<
2 1*5' I
U)
('14
--1
1
w
2
17.5'
0
-77.5111
c\l
--2
w
(y)
04
t- <
z.,
>
Ir
LLJ
17.7'J
w
U)
F--
-7.5�
w
Ir
<
>
04
m
u-
06
cy)
4-5'
0
F-
04
U)
w
2 3'
0
cl
5
0
00
_—1
T"
z
F
w
0
Lo
LL
76th
AVE W
CITY OF EDMONDS WATERLINE
AS
-BUILT
ADDRESSi
76th AVE
W
- 23132
PERMIT
NUMBER 2004-0272
HOMEOWNER:
CONTRACTOR:
SWEAZY
DATE INSPECTED:
DRAWN BY:
DATE
DRAWN:
4/27/05
L
ABIL4
4/29/05
N OL
qj
N
Addles5
oa
cli
2 312-4�,
c-i 2s,
Zz.
4— r
+
joe � j-p(.1 � g
F
Zo&>4-
2,,,4 2,70
LL
7(o A vE-
E.D
CITY OF EDMONDS WATERLINE AS'� BUILT
0
6 ADDRESS HOMEOWNER
A vE vv
CONTRACTOR
SCALE
DATE
DRAWN. PERMIT
,at 1890 d--7 -7 1)4 BY [A lz C-L NO. Ile' A5-7�d
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 warran t the
accuracy of anything set forth on these
map(s). Any person or entity requesting a
copy shoul.cl 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).
'007
RM11'NO:
�*-City of, I Amonds''.
1..PERMIT EXPIRES_ UJ/ M41UA
14c, cTnrQ'U1VUD DrDA411rir ----7— 1
12C.
t-7
Addres§,of C&
Property Tax"'A
Attach copie c
Owner and/or
Contractor Lic(
,Single F n
I Multi-Fam
F-1 Commerci�
Pu fic,
,�Klr7
11, access and, utility easements Veri
#:,zl,
f 0
(490
Approved by
o City *Right -of Way:yikes No
-17
uction Permit —6
es
**,Pri.va.te Prop.erty:.. El Y No.
f 6c
al description and copy of r6corded asement.
Owner/Contractoi
0 W"'k -- I -5--ard c
ine -,,,0fcodtfactor signature. -A knowledgement statement:
Bylgiining fdr this permit I certify that I have read the City'spublib handout entitled,,
SW06er Specifications, and shall cbmply with all City requirements outlined therein.
'�1!5555) BFFORE ANY EXCAVATION W
-A-DIG (1-800-42r
CALL. DIAL
W FOR INSPECTION CALL 425-711-0220 extensionvgbg
24 HOUR NOTICE REOUIRED FOR ALL! INSPECTION REOUESTS'
. .... . ..... ...... ... . ...... .
FOR OFFICE USE ONLY.
............. .
Permit' $ Issued By:
Fee. $ —Repair Fee -
Trunk Charge $ !!Sb9P_.4 1 COO Datelssued-`
Ilu
Assess'..__ Receipt No:
City Permit Surcharge Fee $5.00 Totat, Fees'Paid $
ily Invasion i
ly (P&-1of Units. *RW Con:
.1 (,No. of Units Cross oth
"Attach I
NOTE: IF JOB SITE IS NOT READY FOR INSPECTION WHEN,
INSPECTOR ARRIVES A $45 RE.INSPECT11ON FEE WILL BE CHARGED.
job Site Ready,YES,' NO I —Date: Initial:
Partial Inspection: 191d cl- uArhole 13 pl-
Partial Inspection:
FINAL I NSPECTI ONAPP ROVED: Date' I r
1� PERMIT MUST BE POSTE
White Copy: File Gie4n.Copy: Inspector
L;temp;bldg;forms;sspennitjlg4/00
Date: Initial:
Date: Initial:
itial.-4d As -built to Street File: E]
DI(ON JOB SITE't-
Buff Copy: Applicant
de�,_
PERMIT EXPIRES
USE
PERMIT
CITY OF EDMONDS
ZONE
NUMBER
CONSTRUCTION PERMIT APPLICATION
JOB
SUITE/APT#
ADDRESS
OWNER NAMENAME OF BUSINESS
PLAT NAME/SUBDIViSION NO.
LOT NO. LID
NO.
MAILING ADDRESS
LID
FEE S
de.... 4C
PUBLIC RIGHT OF WAY
TESCP
PER OFFICIAL STREET MAP RW
Approved
Permll Required
CITY ZIP
.,v
TELEPHONE
EXISTING —
Street
PROPOSED Inspection
Sidewalk
Use Parrott Req'd
Required 13
Required 13
REQUIRED DEDICATION— FT Underipound
Wiring
required 13
NAME
METER SIZE
LINE SIZE
RES
PRV REQUIRED
a
ff
'aA
it/
YE NO 13
SX
3
Ma tfi If- 41.,
W
E
ADDRESS
REMARKS
x
OWNER/CONTRACTOR RESPONSIBLE FOR EROSION CONTROL/DRAINAGE
(?4.>1I'(&
z
CITY zip
TELEPHONE
66=jgX
&42= hO��Ql
X
Wv
040 W _hr"
NAME
CBL#
ENGINEERING REVTIE
Y D11,E
cc
_7
ADDRESS _5_
4DB
4W
00
Z11;j
0
17 Ae -.1 141-11
* , I
CITY
TELgPINdhE
FIRE R%�WED, BY
DATE
77 6
rL
0
0
��/
Zen - 2Zf lo 49-7 J,
�
STATE LICENSE NUMBER EXPIRATION DA TE
CJSCKED,BY.,
VARIANCE OR CU
SHOPIELINEbRADI�#,"[j
INSPECTION
REO'D
BOND
POSTED
SdI 2LAI& � 1j__
.:.
W.
I
- .. 1� . .
01�7 1 a(6
ONO
1 -1 b
i $ 1(0 11
'Oew
,Z/<,
.
SEPA REVIEW ,
I I , SIGN AREA
ALLOW ED PROPOSEI
HEIGHT
-,�ALLOWED PROPOSED
PROPERTY TAX ACCOUNT, PARCEL NO.
C ETE'
EX
NEW
RESI DENTIAL,
PLUMBING MECH
P(
LOT COVERAGE
ALLOWED PROPOSIED1
REQUIRED SETBACKS (!`T)�
SIDE REAR
406POSED SETBACKS (FT.)
FRI DE REAR
,
\rj
COMPLIANCE OR'
L4 50
FR9Nj 11
Id lb
I
. ��41 1 1b
0
11
z
ADDITION
(—z
COM MER64L
-, "
CHANGE OF USE
z
REMODEL
? �'. 11,
MULTIFAMILY
SIGN
.
PARKING'
REQ`O PRO I N
(IDED
LOT AREA
PL�ANN FEVIEW DATE
90's
IL
GRADI G FENCE
REPAIR y r 0 _X—FT)
RE!NJ!EO�
o OTHER
DEMOLISH TANK
NQ IL n 0
A
GARAGE RETAINING WALL. FiAESPRINKLEFi-.'
13 0
CARPORT FIRE ALARM
IV"
(TYPE OF I ME BUSINESS OR ACT �EXPLAIN:
e P C �__z 7-o"LA1 e j
CHECKE6 BY
TYPE OF CONSTRUCTION
.JTA
CODE, OCCUPANT
GROUP
NUMBER
OF
7,
NUMBtR OF.:
DWELLING
CRITICAL
AREAS
�41-,7
SPECIAL INSP CTION
AR OCCUPANT
0
STO RIES
UNITSi.�
NUMBER
REOUIR�D�, YES".1.
_LOAD
DESCRIBE WORK TO BE DONE
I
REMARKS'
PROGRESS INSPECTIONS PER UBC 1101,81FINAL INSPECTION REO'D
ILI j
,k)., ul
VA ATION",
$ `7
Ax
Description
.,,,,FEE
Description
FEE
9 4q y
�LOT�jq�=O
Plan I Check n
y4eX4
State Su rcharge
H T SOURCE!1
GLAZING %
-
�Buildin4,,,Per
City Surcharge
Cit2
y Su rge
1-7 i---;S
PLAN CHEr��j
VESTED DATE
1,"Plumbing Y
Mechanical
THIS PERMIT AUTHOREMS ONLY THE WORK NOTED. THIS PERMIT COVERS WORK TO
1:
BE DONE ON PRIVATE PROPERTY ONLX ANY CONSTRUCTION ON THE PUBLIC
Grading
D OMAIN (CURBS, SIDEWALKS, DRIVEWAYS, MARQUEES, ETC.) WILL REQUIRE
SEPARATE PERMIS SION.
'
Engr. Review
PERMIT APPLICATION: ISODAYS
PERMIT LIMM I YEAR - PROVIDED WORK IS STARTED WITHIN 180 DAYS
Engr. Inspection
SEE RACK OF PINK PERMIT FOR MORE INFORMATION
'APPLICANT ON BEHALF OF HIS OR HER SPOUSE, HEIRS, ASSIGNS AND SUCCESORS
Fire Review
Plan Chk. Deposit
IN INTEREST, AGREES TO INDEMNIFY; DEFEND AND HOLD HARMLESS THE CITY OF
2
cc
EDMONDS, WASHINGTON, ITS OFFICIALS, EMPLOYEES, AND AGENTS FROM ANY AND
Fire Inspection
Receipt #
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
Landscapeinsp.
Total Amt. Due
0
xI
NOR LIMIT IN AW WAY THE CITTS ABILITY TO ENFORCE ANY ORDINANCE PROVISION.-
01101
Recording Fee
Receipt #
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
APPLICATION
APPROVAL
THE OWNER. I AGREE TO COMPLY WITH CITY AND STATE LAWS REGULATING CONSTRUC_
CALL
This application is not a permit until signed by the
TION; AND IN DOING THE WORK AUTHORIZED THEREBY, NO PERSON WILL BE EMPLOYED
Building Official or hWher Deputy: and Fees are paid, and
IN VIOLATION OF THE LABOR CODE OF THE STATE OF WASHINGTON RELATING TO
FOR INSPECTION
receipt Is acknowledged In space provided.
WORKMEN'S COMEE�ISATION INSURANCE AND RCW 18.27.
11
OFFI ATU DATE
SIGNATUR N AGE DATE
SIGNED
(425)
1 P., - J,//1 A 1A I/
�VW86_-'J
.
771-0220
- '41
ED B JDATE
ATTENTION
M 1333
3&_
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
ORIGINAL -FILE YELLOW- INSPECTOR
PINK -OWNER GOLD -ASSESSOR
04/02 PRESS HARD -YOU ARE MAKING 5 COPIES GREEN - ACCOUNTING