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16223 72ND AVE WIIIIIIIIIIIIII 14962 16223 72ND AVE W BUILDING DEPART Applicant Fill =ONE NUMBERSTREET FILE144 lln,ide PERMIT APPLICAN Heavy Lines ,cB' ADDRESS 6 Ij /z�- ��C/A� �'-`�- 'rl'•-. NAME (OR NAME OF BUSINESS) go Mfg (nO,vsvp �O '-(O* LEGAL LOT PLAT NAME SUBDIVISION NO. yEj ❑YES ONO MAILING ADDRESS Z /(!� ,{p • O y. so�" 0 PUBLIC RIGHT OF. WAV PER ORDINANCE NO W(/O 1 CITY ELEPHONE NUMBER; 778- R3a3 . EXISTING RIGHT OF WAY ¢ .Cyv1/wo©o- PROPOSED RIGHT OF WAY �f NAME 11 -Tfff P2Ess/o/,/ �C S(6 DEFICIENCY OF RIGHT OF WAY [� N F ADDRESS STREET/UTILITY WORK REQUIRED ®YES ❑NO = u Q r/ BRoA�w qy Tf7�R S^O M ❑ PERMIT FOR WORK IN PUBLIC R/W VES NO 0 3 CITY TELEPHONE NUMBER C Q UNDERGROUND WIRING REQUIRED D4VES No U_ UE'�ET T 3 SS- 31,cK=, CONNECTION TO SANITARY SEWER KYES ❑ NO SEPTIC.TANK PERMIT REQUIRED DYES )iNO J m d NAME n CoxjsrI!^ „ SEPTIC TANK PERMIT NO. 0 ADDRESS F QP_o �v SEE MEMO DATED Z_ 7` ��� E CITY TELEPHONE NUMBER REMARKS o �c/�c%-�J�C) 0, - 7 -7 g ^ �3R 3 x� NA U STATE LICENSE NUMBER CITY LICENSE NUMBER CHECKED BY ?.?3-01-80-M9-13c-.236Bq 6-08/,6 Legal Description of Property (Show Below or Attach Four Copies) METER SIZE .3 . II BUILDING SUPPLY SIZE a 1 W F Q REMARKS ° t�1Z�ssU &TO1Z RE�2v ; 0SIGN Ivt�7r'Iolt�i` t//EC�J IL AREA ENV. REVIEW ADB NO. C U ALLOWED PROPOSED COMPLETE EXEMPT SHORELINE W i J REMARKS ¢ O W J VARIANCE OR CU PLANNING REVIEW BY DATE YARDS / .LOT COVERAGE NEW RESIDENTIAL El .25'FRONT / O SIDE as/REAR OK FIRE ZONE TYPE OF CONSTRUCTION CODE HEIGHT LINE LINE ❑ NON-RESIDENTIALIDSIGN ADD 3 V'_N j`1r G 1 •CC/ �^i „A I'c DEMOLISH ❑ ❑RETAINING SPECIAL INSPECTOR AREA OCCUPANCY I,A-1 OCCUPANT ,•` ❑ WALL ALTER ❑ EXCAVATE FENCE OR FILL ( X FT) REQUIRED l ❑ YES NO `r l�? GROUP LOAD R-3 PLAN CHECK D ev THIS SITE IS LOCATED IN THE CITY PRE -MOVE swim REPAIR ❑ INSP.a POOL �l OF EDMONDS. LOCAL SALES TAX SHOULD BE CODED 31.04. Z NUMBER OF STORIES NUMBER OF REMARKS 0 J r / T'S/� UNITSLING �{- r� p� y� l .� 1 G�Iv\1'tL �NSV i�T,�N CGIL �- - -/'f7 W a f NATURE OF WORK TO BE DONE ,c%w LOT C> R al N A6 E OR 0 - f i 4 In W Q o a WO m PLAN CHECK FEE. VALUATION FEE PROPOSED USE W PLOT PLAN INDICATE BUILDING SETBACKS, ABUTTING? STREETS)' BUILDING / 1C� BOO lv 1 4 i d W /J I* T�/9C Af 6-P W PLUMBING 3 ( MECHANICAL ^ 0 W FENCE F -- SIGN Z D m "Applicant, on behalf of his or her spouse, heirs, assigns and III J successors in interest, agrees to indemnify, defend and hold harmless g Y, i i the City of Edmonds, Washington, its officials, employees, and RETAINING WALL O agents from any and all claims for damages of whatever nature, U x arising directly or indirectly from the issuance of this permit. Issu- SWIMMING POOL o ance of this permit shall not be deemed to modify, waive or reduce o any requirement of any city ordinance nor limit in any way the I—U�.1(i�ZS 3eo 1 City's ability to enforce any ordinance provision." io • PUBLIC WORKS DEPAR'IM Wr CHEAST BUILDING PERMIT REVIEW Date 16713 %ztV ress Street Right -of -Way Existing j� REQD — Access Easements Existing REQD Utility' Easement Existing 1py " V/E5 -50 REQD — Lot per Subdivision 1_67-3 Plat Assessor Map Site Plan Checked for Accuracy -ml'` Underground Wiring Reqd. ,lea Check Accuracy of Legal, .Description Environmentally Sensitive Area �d Environmental Checklist Reqd. QUO Flood Hazard Zoned Shoreline Management Area Slope, Soil, VegetationD Stream, Creek, Drainage Basin Existing Zoning Per Code Amenities Design Board Approval Reqd. ADB # Approval Board of Adjustment Approval Reqd.�j Review By: �'j/j/ Date: Existing Water Main Size Water Main Reqd. Service Line Reqd. Hydrant Size Existing Hydrant Reqd. Per Fire Code Size Detector Check Meter.Regd. Cross Connection Inspection Fire Department Canments Water Meter Chara .Read-, 4 %mi Review by septic larllc 1Jesign approvea Septic Tank Permit Reqd. Sanitary Sewer Availability Drawing No. Date: Permit No. Proj . File No. Side Sewer Availability Ves V przo p, Sanitary Sewer cReqd. L�=CQ,47A Review By: Date: / Open Ditch Existing f� t Reqd. Culvert Reqd._%s� ,Rs size j1 ., .4*g4& c4 Catch Basin Reqd. Indicate on Site Plan .Shoulder ciraina;e nkmintaln collection on swale open runoff got- �' i u�tzole re d. q �/,,� In ca on Site Plan Soil Conditions and Ground Water Field Checked Review hyIX-ate _-yL J� 4_ Street Paving Regd.j�� H Curb and Gutter Reqd. w Sidewalk Reqd.�Q� w Curb Cut for Driveway Regd.,��,� P� Right -of -Way Construction Permit Reqd. E, Bond Reqd. for Public Inprovements tf/�2r.1 Street Name Sign Reqd. Other Signing Reqd. Q Pre Permit Site Inspection made on z BY: SE:Ji:R H U G*1 W J>>ATER a-� STREET H ENGINEERING "' Special Requirements listed in mem to Comiiinity Develop- nt Department, -Building Division 0 w w d All items filled in on BY Drawings Stamped and Notation Lade BY Approved by Public Vorks Department Revised: lv 10-1977 t Application Date Date Date Date MEMO TO: Building Division Community Development 'Department FROM: Engineering Division Public Works Department SUBJECT: -Ado -50H'JA2 After review of the subject building permit application, we have the following comments: Coordination of the location of any structure with respect to utilities, streets, property lines and driveway grades is the. responsibility of the contractor. LT The contractor is required to keep.the abutting streets cleaned of dirt and debris caused by the construction. ACI The "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. Driveway slope not to exceed 14%. Connection to sanitary sewer required. Septic Tank Permit required, submit design. Fire hydrant required, submit design. Site drainage per code #17/q See approved plans Curb /—T Sidewalk om `t' Paving required. Bond required for public improvements. Submit cost estimate. Underground wiring required. Approved Engineering.Plans required when applicable. For Fred F. Herzberg, P.E. City Engineer. Department. of: Public, Works', �, Qy ����0 r•, -. 1 .. 1` s"tom; ` c / r �IJ. ...�. _ ..__. �,. is<IY` G ' I � `— t Vt1% ` ., y.,;s•r'� S.: 1' •.4 :[NS, fie. .'t3' I a' '�C� l::v G: a-,Y 1,,..-bar r ,. ;1'•,?�•` �R /01 rr �f',Yed: ��,, .SCE \ �U> � �;''•`lir �'� :�'R'.� � '�,' � `\; .' r y .r, .`i. �" jr"J�, `. / i �,'�Ic.r.,T�37�Y�\%�����'� -�� / ..� �jQ~' .cz/I ���i/J, •,`•. './�, �'{� /\�i. ✓/\ .� \� , � Lam,, j/� � O �\ ,` .� , Ag I ' ' y;?A �,! ..0 '•.,tip \ 'a•'t�.n.,y_. . , - '-�- 'Awl -_=--��AL��I�20�=III ..-� I . , � , . � .,... •�f ,``::r::;.�.. La NAGE- PT. - Wc-5TMoOr W:W I.ATs Dtv `1 1978. CITY of EDMONDS.. 200 Dayton Street - Edmonds, Washington 98020 - Telephone (20.6) 775-2525 Department of Public Works 7? I I T T I N G: J REQUESTED: FOR YOUR INFO: AS NE DISCUSSED: FOR YOUR APPROVAL: FOR YOUR FILE: REVIEW & COMMENT: COMMENT & RETURN: FOR APPROPRIATE ACTION: REMARKS: o--V 757 0P" 2F- p, Iq aoA Tim v aA-1 A/00/-O 050e dvWR,4-7'1641-= k.117tl F14611-1&- cwF 7 -50ASAW"7 A.1 At 46 e., PUBLIC WORKS DEPARTMENT BY: It-(O- 78 lwro%meb APPUCAOT