7406 218TH ST SWiiiiiiiiii lill
15987
7406 218TH ST SW
NOTICE:
No warranty of accuracy.
The information shown on the attached map(s)
was compiled for useby the City of Edmonds,
its Employees and Consultants. The City of
Edmonds does not warrant the accuracy of
anything set forth on these map(s). Any person
or entity requesting 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 map(s), nor for any one representation
provided based upon said map(s).
The City of Edmonds
q2,5jo&5c(
APPLICATION
for
SIDE SEWER PERMIT
OUTSIDE E] INSIDE F] REPAIRS 0
CARD No . .........................
EASEMENT No.
-7
OWNER ------- x -------------- . ........................................ CONTRACTOR 1,222 �- .... ...... PERMIT N
ey STREET
. . .........
HOUSE No—'2-4!�� --- ---------------- // ........ AVENUE LOT No. ..../I .. ...... ....... ..... ...... BLOCK No. ..... 12 ------------------------------------
NAMEADD . ............... ................. ..... . "'er. ......... e .................. Z�f..'..........................
Is
CV
Date
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $
SEWER WORK ORDER ISSUED ..........................................
// -.5- 717 ' e-. Approved:
.....................
DATE --- Z). ....... ...... .. 4.2. By ....... . IC-2,
..........................................
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The City of Edmonds
APPLICATION
for
SIDE ' SEWER PERMIT
OUTSIDE ❑ INSIDE ❑ REPAIRS ❑
CARDNo . ........................ ..............
EASEMENT No.
OWNER •--- ` ............ . ......................................... CONTRACTOR -PERMIT No.
STREET
HOUSE No.... .C�/-- AVENUE LOT No. ....fi+. �....... .._y ..............V- BLOCK No. ..... /: Y_...._. '2
NAME ADD . ............. C L. �!Y 5�..----.._.....-�/•-----lT----'.:T-GG -•- --•-- .... �_=/.. 1�.r.
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Date � Approved:
BACKFILL WORK ORDER ISSUED ................................... DEPOSIT, $.............................................
SEWER WORK ORDER ISSUED .......................................... DATE .....
APPRpyEb
DEC 6 W8
.......................... BY `'
i
USE PERMIT
BUILDING DIVISION (6p�ICi III ZONE ' /- NUMBER 7/a51®
PERMIT APPLICATIO IL=lnsWd Heaavvy� JOB ^/Y 7 j
:NAME (OR NAME OF BUSINESS) ADDRESS `k,o 4-T" /A\tE S '''+VIED
['S�� � i71� •T. LEGAL DESCRIPTION SUBDIVISION •{V M9It NOAw
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CITY
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TELEPHONE NUMBER
NAME
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TELEPHONE NUMBER
NAME
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TELEPHONE NUMBER
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Legal Description of Property (Show Below or Attach Four Copies
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PUBLIC RIGHT OF WAY PER OFFICIAL ST�
):
EET..M.A P'I
EXISTING
PROPOSED
DEFICIENCY OF RIGHT OF WAV
PUBLIC IMPROVEMENTS REQUIRED
❑
DRAINAGE IMPROVEMENTS REQUIRED
❑
DRAINAGE PLAN REQUIRED
❑
UNDERGROUND WIRING REQUIRED
CONNECTION TO SANITARY SEWER
SEPTIC TANK PERMIT REO'D ❑ NO.
ELEVATION OF PROPERTY CORNERS
❑
& FOOTINGS REQ'D
SEE ENGINEERING MEMO DATED
CHECKED
METER SIZE
BUILDING SUPPLY SIZE
3/� r
I
I
REMARKS
P RCSSv (2C- 112E6U LAZ'GR (LEQO
SIGN AREA
ENV. REVIEW
ADB
ALLOWED PROPOSED
COMPLET EXEMPT
-
SHORE
`
REMARKS
VARIANCE OR CU PLANNING REVIEW BY (DATE
U NEW
ADD
a ALTER
a REPAIR
RESIDENTIAL
❑ NON-RESIDENTIAL
aDEMOLISH
EOXCFAI`LTE
PRE -MOVE
INSP.
11 GAS
LINE
❑ SIGN
� RETAINING
WALL
FENCE X—�)
swim
POOL
YARDS ' I
�r FRONT SIDE 15 REAR
LOT COVERAGE
3o n/
FIRE ZONE
�
TYPE OF CONSTRUCTION
� - I
I CODE
--��
I
1'1-7 t_-ca
HEIGHT
301M
SPECIAL INSPECTOR
REQUIRED
❑ YES ❑ NO
AREA JOCCUPANEY
1$5Z
GROUP n --3
IC -
OCCVPANI
LOAD
PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY
OF EDMONDS. LOCAL SALES TAX
SHOULD BE CODED 31.04.
T � fA AL.
1 /� 1(]WELLING
(N LA %PE.12. R.Q 1NITS
Z NUMBER OF STORIESTUMBER
OFREMARKS/�l
LOT t>0LAI
-AGE— PER ac?
a NATURE OF WORK
0
TO BE DONE
PR.0v21✓SS ►► 5PGC_TnW 51 R&QD
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p
C. I'fT GI a N
PLAN CHECK FEE
VALUATION
FEE
_
—'—
N Applicant, on behalf of his or her spouse, heirs, assigns and
� successors in interest, agrees to indemnify, defend and hold harmless
i the City of Edmonds, Washington, its officials, employees, and
z agents from any and all claims for damages of whatever nature,
a
x arising directly or indirectly from the issuance of this permit. Issu-
o ance of this permit shall not be deemed to modify, waive or reduce
J any requirement of any city ordinance nor limit in any way the
XCity's ability to enforce any ordinance provision."
hereby acknowledge that I have read this application; that the in
formation given is correct; and that I am the owner, Or the duly author-
ized agent of the owner. I agree to comply with city and state laws regu-
lating construction; and in doing the work authorized thereby, no person
will be employed in violation of the Labor Code of the State of Washington
relating to Workmen's Compensation Insurance.
NOTE: Permit Unlit One YAar(Except DEMOLITIONS and FILL
PERMITS without conditional use permit, which shall be completed in 90
days; MOVED -IN BUILDINGS' shall be completed in six months.)
SIG /` R�E (OWNER OR AGENT) DATE SI�NED�
This Permit coven work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks, driveways,
marquees, etc.) will require separate permission.
ATTENTION
IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE
UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR
A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC 304, 306.
1 oz-7e
BUILDING
315IV
t5 t
PLUMBING 17
3
MECHANICAL
FENCE
_-
SIGN
RETAINING WALL
SWIMMING POOLO
_rU w D
TOTAL AMOUNT DUE
4 5,3c
ATTENTION
THIS PERMIT
AUTHORIZES
ONLY THE
WORK NOTED
INSPECTION
DEPARTMENT
CITY OF
EDMONDS
775-2525
APPLICATION APPROVAL
This application is not a permit
until signed by the Building Official or
his Deputy; and fees are paid, and
receipt is acknowledged in space pro.
vided.
EC
DIROR'S SIGNATURE
O-A0.
DATE
1 Z / fir f 77
ORIGINAL — Fite YELLOW — Inspector
PINK — Owner GOLD — Assessor
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