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23032 102ND PL W11111111111111 15586 23032 102ND PL W 2-?)632 lb24 Pt- W.0 TAX ACCOUNT/PARCEL NUMBER: BUILDING PERMIT (NEW STRUCTURE): COVENANTS (RECORDED) CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DA SEWER LID FEE $: LID #: SHORT PLAT FILE: LOT: BLOCK: SIDE SEWER AS BUILT DATED: SIDE SEWER PERMIT(S) #: SOILS REPORT DATED: STREET USE / ENCROACHMENT PERMIT #: WATER METER TAP CARD DATED: OTHER: LATEMP\DSTs\Forms\.Street File Checklist doc PROJECT REVIEW CHECKLIST PROJECT NAME: PLAN CHECK #: PROJECT ADDRESS: RECEIPT DATE: 1-121-11,90 REVIEWED r.'(pitial/Dafle) PLAN. WATERA COMMENTS- FIRE 'BLDG. SEWE R' STREEI NG. SetbacksNariance/Setback Adjustment Conditional Use Permit ADB, Requirements 3, Other Zoning Requirements 4 Underground Wiring Required 31. Lot Slope 15% 0 .6 SEPA Environmental Checklist/Hydraulics Permit jV Tree Cutting Plan . . . . . . . . . . . Plat/Subdivision Requirements ........ ................ ........ ... 9 Legal Description Verification Quit Claim/Street Dedications . . . . . . . . . . . . . . . . . . . . . . . . .. .... ... Easements -Public/Private Engineering Storm Drain Review Fee 1,3* Engineering 2.2 Inspection Fee 14. Drainage Plan (On -Site) 1:5. Setback - To of Bank, Stream, Water Courses ............ . . . . . . . . . . ,Setback - Storm Drain Line .7, X Open Ditch - Existing Culvert Required Culvert Size .20 Shoulder Drainage/Shale Ogen Runoff Catch Basin Required ftfJrpf o 10, Driveway Slope & Vehicle Access Sidewalk Required .Curb & Gutter Required Nj Curb Cut For Driveway Required �j Street Paving Required Right -Of -Way Construction Permit Required Street Name Sign Required Other Signing Required Bond Required For Public Improvements FEMA Map Check/Water Table 2 Side Sewer Availability Calculate Sewer Connection Fee If No LID # 84. Create Street File Existing Water Main Size Water Meter Size Service Line Size Water Meter Charge Re uired Hydrant Required Hydrant Size Existing Fire Line Charge Required - Sprinkler IStreet Cut [Miscellaneous Reviewed By: FIRE PLANNING GINEERING PUBLIC WORKS 1A RECORD OF CONTACTS I 21 2 22 3 23 4 24 5 25 6 26 t, 7 27 '8 28 RW PERMIT 1/ DATE ISSUED RECEIPT 9, 29 0 30 it 31 32 e� PAID RECEIPT # DATE 33 SS PERMIT DATE ISSUED �4h PAID $ RECEIPT # DATE 34 w5T 35 L6 36 a l7t„ 37 1 METER SIZE PAID $ DATE RECEIPT 18° 38 19 39 �� 40 i �l �r � � Cp�ac.�►Ec� Oaiv�. 371V 1�0,0 ss stv►� w. F.��w� FOB. 314p, r n I t��o ass►� 22Ita / w a- IDA z REV 1S�D P�oe�-�cr a,Aat��ti4 • �30. �o� �� w , � � Nt 373A 6 : L: 3'13�ti = 4 M�PN=�7�lA' L- QG w'c 2. of S�P� y@ �►o, s-q�•Oto� $ n� p�Rt� oa�at� S4 MAN . DIO ,►...-aw► .Ptii w..��... .t 11� /C�:`:i •�~i Wd►VOD: 9 6E8190�nwf�Po•WM 91og,Ond ,toMgloOoioN of R89•lLl(9Lf):o�loA 96fB9Lt(�t�:xei •ou�',owoHPcaa19a3�owla� Pu�':way:.••..•_ . 214.97' r YELI z J U L 1 5 1998 PERMIT COUNTER N 0 11 LW -,A 0 5 10 20 30 40 SCALE IN 1EET K%(Ml CNLC'. P\ = `10G'O' � 15 Nrc A t4 �� I co smuxm'N ;bot' t'\nvov� t2-23\ LQLMt� (u \OvA t �j Or, 372 TPY ou 0-7 '61tf vnklzl Ilk, 2 V o o 000q�Oqa------' PVUP,\ :. 20, 1 4--) 5 -�,