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21814 82ND AVE W11111111111111 15342 21418 82 N D AVE W 40 PMLIC WORKS DEPAR'Il M CHEQmIST STREET FILE BUILDING PERMIT REVIEW ad ess Uj g-, s (date) Street Right -of -Way Existing ' REQD z Access Easements Existing P. .�REQD H 42ag2 a Utility Easement Existing p-er P, (,� REQD - w Lot Per Subdivision Plat Assessor Map w Site Plan Checked for Accuracy. _ z Underground 14iring Reqd. H 0 Check Accuracy of Legal Descrip ion © •t , z Review by-�,}�s� Date - w Existing Water Main Size � D. Water Main Required Service Line Required 3 �� Hydrant Size Existing 3A sn4 Hydrant Reqd Per Fire Code NIA Size w Detector Check Meter Reqd. AVA Cross Connection Inspection A H Fire Department Comnents 3 Water Meter Charge Reqd. 9� - Review by Date 9-1 3-ZZ Septic Tank Design Approved — Date Septic Tank Permit Reqd. Permit No. ---- Sanitary Sewer Availability t Proj. Drawing No. (- I. 'l 1 1 File No. Side Sewer Availability , w Sanitary Sewer ection Fee Reqd. 3 Review by Date w Open Ditch Existing _&,Z�,.,_ Regd. Culvert Reqd. �(/�,p Size �- c4 Catch Basin Reqd.�i Indicate on Site Plan - O Shoulder drainage maintain collection on swale open runoff H Manhole re d. q moo . Indicate on Site Plan .---. Soil Conditions and Ground Water Field Checked Review by r Date �5 Revised: 1v10-1977 11 Page 2 Street Paving Reqd. &�� H Curb and Gutter Reqd. �,/, W Sidewalk Reqd. W Curb Cut for Driveway Reqd'. w Right -of -Way Construction Permit Reqd. (/ r F, Bond Reqd. for Public Irrrpravements Street Name Sign Reqd..�� cn Other Signing Reqd. A .. Pre Permit Site Inspection made on z ,.a off BY: SEWER E+ W W WATER a V) H STREET ENGINEERING '4 Special Requirements listed in memo to tozrr pity Development Department, Building Division BY Date o All items filled in on Building Permit Application P BY Date Q' Drawings Stamped and Notations Made BY Date Approved by Public Works Department Revised: lv 10-1977 1." i10 TO: Building Division Community Development Department, FRC't,!; Engineering Division Public I,Iorks Department SUBJECT: 2l Ij K4 -Isla IL& c-kc-L--3*(7t2UnA 1 (71 v%: 4=k - -- I ' Jn cz Fi I NL--- go& A _ c DING UIVISI Applicant Fill " E• R ! ,uMt,f_ ����A jiff A�"RICAT Inside Heavy Lines,(tM, cc nUR ESS INE (OR NAME OF BU SIN ESSI 1 OR / �/ �.� f` L e .EGAL DESCRIPTION J/SUBDIVISION SHORT SUB NO. C. w MAILING ADDRESS Z �- 3 ') _ it � O �'� �^ �l rh l� PUBLIC RYGHF OF WAY PEr7 OFFICIAL STREET MAP CITY TELEPHONE NUMBER EXISTING 1 r- U F ADDRESS I U 0: CITY TELEPHONE NUMBER Q NAME J O ADDRESS J C CITY F % TELEPHONE NUMBER U STATE LICENS/J NUMBER CITY LICENSE NUMBER Legal` Description of Property (Show Below Or Attach Four Copies) �r•�c1,•,., z 0 I, - IL x U N w 0 J Q W J PROPOSED DEFICIENCY OF RIGHT OP WAY Cts PUBLIC IMPROVEMENTS REQUIRED ❑ DRAINAGE IMPROVEMENTS REQUIRED �I DRAINAGE PLAN REQUIRED r, UNDERGROUND WIRING REQUIRED CONNECTION TO SANITARY_ SEWER FF-- lJ SEPTIC TANK PERMIT REQ'D ❑ NO. ELEVATION OF PROPERTY CORNERS r-1 ❑ P, FOOTINGS r7EQ'D SEE ENGINEERING MEMO DATED_ JU CHECKFD BY MLT I BUILDING SUPPLY SIRE/ REMARKS SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETEI EXEMPT -"_"-- SHORELINE REMARKS VARIANCE OR CU IPLANNING REVIEW BY IDATE m 3 �EW JNON-RESIDENTIAL ❑WALL ALTER REPAIR RESIDENTIAL ❑ DEMOLISH a EXCAVATE OR FILL ❑ PRE -MOVE INSP. ❑ LINE ❑ SIGN ❑ RETAINING FENCE ❑ ( X F-T) SWIM POOL El YARDS j FRONT SIDEGAS REAR ILOT COVERAGE FIRE ZONE �. TYPE OF CONSTRUCTION � (,' r- N❑ADD _.[�/ '" E R;�6 HEIGHT SPECIAL INSPECTOR REQUIRED ❑ YES 'KNO AREA JOCCUPANCY GROUP -� OCCUPANT LOAD PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. NUMBER OF ST Z } /,q( O rf / I /:� RIES NUMBER OF DWELLING UNITS REMARKS / /� / J� /� 1 Z w F a NATURE OF WORK TO BE DONE /1 a w 0 m O PLAN CHECK FEE VALUATION FEE 0 --_-- --- -- PLOT PLAN __ F _ __ Z —_ w BUILDING PLUMBING MECHANICAL FENCE N "Applicant. on behalf. of his or her ¢I)OLISC. heirs. assiLi and SIGN w successors in interest, aerces to indemnify, defend and hold harmless J i the City OI Edmonds, Washington. its officials. employees, and RETAINING WALL QIagents from any and all claims for damages of whatever nature, x arisine directly or indin'ctly from the. i�Suance Ilf this pCrInit. ISsu SWIMMING POOL 0 anc•' „f this permit '45:111 1, • dr'tnl'd tf, 111-10%. %t:, :t• f.r rrducc L L tj 82 nd AVE. W. 1'e -47 vc, f;7 5--? lv000a,;j7,F Lv A10 °2;� ;�o t y O� w v —> 0j, 25 g6 Ij (10 It r �17► s _ t , ! E - .{ j- •i -o v . � J o- r k . Ln --