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21818 82ND PL W21818 82ND PL W n NOTICE: No warranty ... oaccuracy. The .inf®rrnatio n shown on the attached map(s) was compiledforuse by the City of Edmonds, its Employees and Consultants. The City of Edmonds does not warrant the accuracy of anything set forth on these rnap (S). Any person or entity -requesting a copy should conduct an independent inquiry regarding the information shown on tie -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 e-rnplo.v ee-s or officers hall be liabal.e for the information given on this map(s), nor for resentation provided based one repp upon said map(s). Side Sewer Drawing The City of Edm-6nds;=-3%t EASEMENT NO. ............................................ NEW CONSTRUCTION REPAIRS E] LID NO . ..... ......... ASMT. NO . .................. CONTRACTOR OWNER ... V--x =�-1 -A -E aL- -C--- — - ----- (� -T- - T - - =- - - ---- -ate-_ PERMIT NO. JOB ADDRESS .... 21EA�.................. LEGAL DESCRIPTION: LOT NO . ......... -4 --------------------- .- BLOCK NO. ......-------------------------_.... , PWW-0001-11/75 (REV.11/78) NAME OF ADDITION ----- --------- F -FF�uvvu- DATE ..... 1,;Z:22- -Z<- -------- By ---- -C TY OF 'EDMONDS PUBLIC ,WORKS DEPART�._-NT FOi2, N�FECTION CALL 77Ex. 22`0 �SIDE,.SEWER FE:RMIT," Permit Issue Date PUBLIC 1%1ORKS DETN �i EqT CHECKLIST � M/7 Date BUILDIN LE Aar Address Street Right -of -Way Existing -n%30 REQD Access Easements Existing "at-A REQD _. Utility Easement Existing - REQD _ Lot per Subdivision Plat X Assessor Map Site Plan Checked for Accuracy Underground Wiring Reqd. S Check Accuracy of Legal Description lU Environmentally Sensitive Area jy(D Environmental Checklist Reqd. Ty p Flood Hazard Zone Shoreline Management Area No Slope, Soil, Vegetation ylsS Stream, Creek, Drainage Basin T- 0 Existing Zoning Per•Code 2cj 8 Amenities Design Board Approval Reqd. 'r-An. ADB # Approval Board of Adjustment Approval Reqd. Review By: Date: Existing Water :lain Size Water Main Reqd. 1,4, Service Line Reqd.� w Hydrant Size Existing O C, Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. _A-)p Cross Connection Inspection ACS Fire Department Cc Water Meter Charge Review by: Septic 'lank llc-'sign Approved-------------------------i��;te: . Septic Tank Permit Reqd. Permit No. ---- Sanitary Sewer Availability Proj . Drawing No. File No. w Side Sewer Availabilitr y y D r w Sanitary Sewer ection Fee .d_ cr. Review By: s Date: BU LDING DEPARTMENT USE PERMIT ZONE HERMIT Applicant Fill NUMBER j _ APPLICATION Inside Heavy Lines JOB AME (OR NAME OF BUSINESS) ADDRESS / / r n C b /e lVV LEGAL LOT PLAT NAME ` SUBDIVISION NO. W MAILING ADDRESS ES ONO 1/ /, Z 0 PUBLIC RIGHT OF WAY PER ORDINANCE NO. C1 TELEPHONE NUMBER L7 {� ` EXISTING RIGHT OF WAY 3� NAME PROPOSED RIGHT OF WAY F DEFICIENCY OF RIGHT OF WAY U W f N Y � ADDRESS � STREET/UTILITY WORK REQUIRED WYES ❑NO UPERMIT FOR WORK IN PUBLIC R/W irVES ❑NO 0 3 Q CITY TELEPHONE NUMBER UNDERGROUND WIRING REQUIRED AYES ❑NO U_ CONNECTION TO SANITARY SEWER WYES ❑NO m m NAME SEPTIC TANK PERMIT REQUIRED ❑YES ®NO G �v p SEPTIC TANK PERMIT NO, 0 ADDRESS ' V Q SEE MEMO ,DATED ?Y Ir F CITY TELEPHONE NUMBER REMARKS Z 0 U STATE LICENSE NUMBER - CITY LICENSE NUMBER CHECKED BY 3-o 2 toc Legal Description Of Property (Show Below. or Attach Four Copies) METER IZE/' BUILDING SUPPLY SIZE O YL v � r- t C7 C W W RE RKS F Q 0 F � b IL SIGN AREA ENV. REVIEW ADB NO.- Z 3 ALLOWED PROPOSED COMPLETE EXEMPT 14 O� SHORELINE J U ' Q REMARKS W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS ' , / 'A 5 FRONT 7� SIDE EAR LOT COVERAGE �'�// GAS II/1 I`�EW ttt--- lii RESIDENTIAL LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ❑ ADD ❑ NON-RESIDENTIAL El SIGN a DEMOLISH ❑ RETAINING SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY OCCUPANT ❑WALL ALTER EXCAVATE FENCE OR FILL El ( X FT ❑ YES ❑ NO GROUP LOAD ) PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY ❑ PRE -MOVE swim REPAIR 1:1 INSP. POOL OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Z NUMBER OF STORIES NUMBER OF REMARKS 0 DWELLING f F UNITS Z W a NATURE OF WORK TO BE DONE It F 144 r a W 0 m a W � PLAN CHECK FEE VALUATION FEE PROPOSED USE F Z W PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING STREETS) BUILDING d U 0 ' W PLUMBING J W m W O MECHANICAL p FENCE Y F W"Applicant, on behalf of his or her Spouse, heirs, assigns ;uid SIGN Z J successors in interest, agrees to indemnify,defend and hold harmless 3 f the City of Edmonds, Washington, its officials, employees, and RETAINING WALL aeents from anv and all claims for damages of whatever nature, _. nnli, .. ,. �,r Ilr�.• ,�t �I��- ��t I�•.., '"+!MMIN> POOI_ BUILDING DEPARTMENT Applicant Fill ZONE �_ NUMBER I �RMIT APPLICATION Inside Heavy Lines JOB ADDRESS/ / ez'- `_` AME (OR NAME OF BUSINESS) C W h Ub /e ) +�0� -}^ ^ y l LEGAL LOT VYES ❑ NO PLAT NAME V SUBDIVISION NO. MAILING ADDRESS Z O PUBLIC RIGHT OF WAY PER ORDINANCE NO. C TELEPHONE NUMBER / EXISTING RIGHT OF WAY NAME PROPOSED RIGHT OF WAY_ UDEFICIENCY OF RIGHT OF WAY_ L7 W F N y ADDRESS STREET/UTILITY WORK REQUIRED WYES NO UPERMIT FOR WORK IN PUBLIC R/W idYES ❑NO 3 Q CITY TELEPHONE NUMBER UNDERGROUND WIRING REQUIRED. DYES NO CONNECTION TO SANITARY SEWER WYES NO _U I m NAME SEPTIC TANK PERMIT REQUIRED DYES ®NO a tr SEPTIC TANK PERMIT NO. Q ADDRESS U Q I,� SEE MEMO DATED (U i ?Y M F CITY TELEPHONE NUMBER REMARKS Z 0 vV` vV ` vYt.J U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY 3-0 --Un-Lt•2 �� _A''� Legal Description of Property (Show Below. or Attach Four Copies) METER IZE/ BUILDING SUPPLY SIZE � I o�iJ ter. C W RE RKS F Q Z 0 3 a SIGN AREA ENV. REVIEW ADB NO. C U .r ALLOWED PROPOSED COMPLETE EXEMPT to o �. SHORELINE J J U 6 Q REMARKS 0 W J VARIANCE OR C1 PLANNING REVIEW BY DATE ' YARDS / / 1 FRONT 7� SIDE REAR LOT COVERAGE GAS ❑ I{/I I'IEW LLLJJJJ RESIDENTIAL LINE FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT ❑ ADD ❑ NON-RESIDENTIAL ❑ SIGN ❑ DEMOLISH ❑ RETAINING SPECIAL INSPECTOR AREA OCCUPANT WALL ALTER ❑ EXCAVATE FENCE FILL ❑ ( X FT ) REQUIRED ❑ YES ❑ NO JOR ]OCCUPANCY GROUP LOAD ❑ PLAN CHECKED BY THIS SITE IS LOCATED IN THE CITY OF. EDMONDS. LOCAL SALES REPAIR El PRE -MOVE Swim INSP.POOL TAX SHOULD BE CODED 31.04. Z NUMBER OF STORIES NUMBER OF REMARKS - O DWELLING F i. UNITS Z W a NATURE OF WORK TO BE DONE U /`0 F it Ln < W 1] Q m a W 0 PROPOSED USE PLAN CHECK FEE VALUATION FEE -- F- Z PLOT PLAN INDICATE BUILDING SETBACKS, W� ABUTTING STREETS) BUILDING a N 0 J W 0 PLUMBING ty m W 0 MECHANICAL Q FENCE Y F m"Applicant, on behalf of his or her spouse, heirs, assigns and SIGN — Z W successors in interest, agrees to indemnify, defend and hold harmless i f the City of Edmonds, Washington, its officials, employees, and RETAINING WALL agents from anand all claims for dalmf QI y w" o whatever nature, � r ' ._ .. .t 11; .11� I• �. Yr Mf.11NG Pflfl! --- • DATE: U 5 MEMO TO: Building Division Community Development Department FROM: Engineering Division Public Works Department SUBJECT: �cac�izt �_ L . CnrL<r.144,9 eXet3 After review of the subject building permit application, we have the following comments: (1) Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grade's is the responsibility of the contractor. 2) The contractor is required to keep the abutting streets clean- ed of dirt Rd debris caused by the construction. (3) A "Right -of -Way Construction Permit" is required. from the Engineering Division of Public Works, for any work within the Public Right -of -Way or public easement. .11 _(4) Driveway slope not to exceed 14%. (ate(_ 1 12.1 Lu _ In MEL k„)WQeRY— erg a2i> �1 2-stne. �ZLiL 1 /SC..[=� Tl9 - C��� !1Trlp.6ti1G17. n" Q1tT� PW 5/77 �RIC 1401TS DEPAMENr CHECKL BUILDING PERMLT REVIEW U M y Date 1 Y [ C FrZ mp Ayp,IdAddress Street Right -of -Way Existing 2�%3© REQD ---- Access Easements Existing T—lC-NL= REQD Utility Easement Existing SZ;jm� REQD Lot per.Subdivision Plat X Assessor Map Site Plan Checked for Accuracy A3/7 V Underground Wiring Reqd. g Check Accuracy of Legal bescription lU Environmentally Sensitive Area ►y d Environmental Checklist Reqd. �y p Flood Hazard Zone Shoreline Management Area N.(� Slope, Soil, Vegetation Stream, Creek, Drainage Basin NO Existing Zoning Per 'Code `2� -. 8 Amenities Design Board Approval Reqd. '-,[) ADB # Approval. Board of Adjustment Approval Reqd. "N Review Bv: Date: IU Z Y Existing Water Main Size Water Main Reqd. A.)A, Service Line Regd., f �� Hydrant Size Existing p Hydrant Reqd. Per Fire Code Size Detector Check Meter Reqd. Cross Connection Inspection A,-,n Fire Department Counts Water Meter Charge Reqd. �.�✓�� Review by: �'�, Date : Se�T c 1 sign Approve — ate: Septic Tank Permit Reqd. Permit No. --- Sanitary Sewer Availability Proj. x Drawing No. File No. w r 3 Side Sewer Availability 7 E) w Sanitary Sewer Connection Fee Reqd. Review B !�/s y: _ Date: -T •01)enDitch Existing ejV 1 Reqd. ;��_ r Culvert Reqd. Size _-- -_ 0� Catch Basin Reqd.. Indicate on Site Plan O Shoulder drainage nni.ntahi collection on Swale open runoff�j fcwdiole rcgd. y Indicate on Site Plan Soil Conditions and Ground Later Field Checked_ Review by �/� O Date H Street Paving Reqd. -A &-y� z„ Curb and Gutter Reqd. Sidewalk Reqd. w Curb Cut for Driveway Reqd.L_ x Right -of -Way Construction Permit Reqd. E , Bond Reqd. for Public Inprove;T,-.-nts___A Street Nature Sign Reqd. A Other Signing Reqd. Q Pre Permit Site Inspection ride o BY: SEI :'E?R H H �e U [il [Q WATER P. ~' STREET ENGIN PJING I '4 Special Require::.�snts listed in meim to Comr-unity Development DepartrrLnt, Mild.ing Division BY Date o All items filled in on Building Permit Application BY Date a' DrawiiVs Stan-ned and Notations 1,1--ide a BY a- to �d Approved by POID I. i. c %•'orks Depart-umi t Revised: l.v 10-1977 ,40 7,5 0 y 1s' ry my""OF OWNS / •' - sIG DIV.i ATE W �_ T r'• ... 1 I; ATZ:I� RE PIROTE0.l'I0N A I N A G E XITF_ IMPROVEMENTS 1J INSPECTION NOT REQUIR':D �SS2 �S f a't �� cSQ i / COvN f