1239 CORONADO PL S.PDF11111111111111
10677
1239 CORONADO
PL S
0
ADDRESS: /4\ 6� 6116na&) .
TAX ACCOUNT/PARCEL NUMBER: ON--) l 07-00 C)n 0 0
BUILDING PERMIT (NEW STRUCTURE):
COVENANTS (RECORDED)
CRITICAL AREAS: DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver
DISCRETIONARY PERMIT #'S:
DRAINAGE PLAN DATED:
PARKING AGREEMENTS DA
EASEMENT(S) RECORDED FOR:
PERMITS (OTHER):
PLANNING DATA CHECKLIST DATED:
SCALED PLOT PLAN DATED:
SEWER LID FEE $: LID #:
SHORT PLAT FILE: LOT: BLOCK:
SIDE SEWER AS BUILT DATED: ('q - Z
SIDE SEWER PERMITS)
GEOTECH REPORT DA
STREET USE / ENCROACHMENT PERMIT
WATER METER TAP CARD DATED:
L:\TEMP\DSTs\Fortis\Street File Checklist.doc
APPLICATION
for
The City of Edmonds SIDE SEWER PERMIT
EASEMENT No. ..........................................
NEW CONSTRUCTION ❑ REPAIRS ❑
401-00100
OWNER........... !is...HUbbdl"d.....-•................................................•--.....-•------. CONTRACTOR-•-•-----•--•-----.........---•---•---................--••------•-................................ PERMIT No.......................
ADDRESS ........ --.
1239 Coronado P1dCe........--•..................................... LEGAL DESCRIPTION: LOT No............................................... BLACK No.............................................
•
•
•
NAMEOF ADDITION------•---------•....................................•--.................---..............................................................
Dye Tested On Sewer 1972
Approved:
DATE................................................ BY---..............---..................................................
CITY OF EDMONDS, WASHINGTON
BUILDING PERMIT
;efttfies.that.a plot, plan, drawings' and sufficient details to indicate
M-an'roquL-ernents of this code are attached hereto.
;�made for'pemit to do the following work:
.................. . .......... ...
. .. . ....................
7
This' space 14 For
city lnspector Only.
........... dime ............... ................ ... J., ............. 1�': Building dimensions ....... .
Lot dimensions-Vt ................ -7
2.-
........... stones. -�4
----------
4. Basenfent ...
S. occupancl of building will be.... .......
A
........ feet If f"
Aicd adjo�' line.
6 . ........ n3ng
T
7. Owner
. . . . . . . . . . . `
B. 0wrieFs Add..:Ze . .... . .... . ..... ..... .............4.
.
9. Builder ..... .............. .......... ....
.10. BuildeFs Address....._...._...._...._......................_...._...._...
................. ....... ..........
Date ............
.8.� .. .............
Pcr-,nission is hereby granted to do the work described hereon, according to the approved plans and'specificatbm Perta-ag hereto,
subject to.compliance with the ordinances of the City of Edmonds.
PERMIT N? 982
Pamir j. inmed hall be based — estimated cos[ of be P-Pruted ar the — �f S2.00
I. The building Permit fee which ppliranl par -h-
31000.00
t determined. ra,needs the �;--ttd � bY more than 5%, 2"';eatn' ag"e" W M.- dditi.-I fer"
of he firattly
000 .00 of rmir. If the acroud
of $2 .00 for each $1000.00 of sorb excess
,,lon j, red for any corting more than $1000.00 for which I licensed 2rehifter or.--s m" neclithed by
2. NVb--t' - comnn for —.- -b-11 be --P-ied by a copy of the onconter and a copy of,ltbo�deodlad.-
,he Code of he City of E,.—d,. the application for . building Permit n;
•
,be Industrial I.--- Diiskua of lu, Drr—Unnar of Labor and L-huall-, OW-1 of
'he 3.. Print to —PI-Yi-9 --y l.b., or --ri-9 —1k. —ify be obt,itted f,— the __ offic, of he Department of Lath- and =-trases�Befo::,
payroll and make monthly reporra of PlYM111. Full fournortiona sbocld
final payment, the —er should obtila a relea .m b, general —m. h. in — h-!d dx= release from Of sub�� The
af
and 1. io. The al— p—duar, rCqW_ of he Sure Jdwri.1 I.-- Art.
—ed by the Drp—t of Labor
;j
16,
3T
o�• tie -I 3
Zone S' Come r Fly
Setbacks BgWirgd,Actual
Front W 26 3g
Sides N15 7•6 115 44.
Rear F, 15 fo 3
Other
Ife4ft 25 q • 3
1 �,
Ilk
9
t
�L
CGV,� O CEE
JUL 18 2013
-vim' Z
LAPMFNT SERVICES CTR
w Ln n 00
°Dd000mv
rn
4D
N 0/
N N
jj
Vm 2 LL
Z I A
rl
i
v
0
k�
v
a
�
x
� �
g
� z
a
t
Y
a
o
DEVE CITY OF EDMONDS
STREET FILE