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1017 9TH AVE N.PDF1017 9TH AVE N CITY OF EDMONDS STREET FILE ASSET INFORMATION SHEET [?NEW • ❑ ADDITION ❑ RETIREMENT ASSET NO. _Q 4��4 ADDITION TO ASSET NO. DESCRIPTION SERIAL NO. LOCATION DEPT. 0. i .4✓� o **PURCHASE ORDER NO. _ PURCHASE ORDER DATE COST *PROJECTNUMBER GC/`i`�SOaX PROJECT COMPLETION DATE COST o2sSo3i lc C,o B.A.R.S. ACCOUNT NO. is ESTIMATED LIFE INITIATED BY DATE APPROVED BY **SUBMIT ASSET INFORMATION SHEET WITH FINAL PAYMENT REQUEST *SUBMIT ASSET INFORMATION SHEET UPON CLOSE OF PROJECT ACCOUNTING ONLY t_'J DEPRECIATE MONTHLY DEPRECIATION AMOUNT ANNUAL DEPRECIATION AMOUNT _ • G.L. ENTRY REFERENCE DATE VERIFIED BY PROCESSED BATCH NO. _ INITIAL ttnp DEPARTMENT FILE City of Edmonds OF WAY CONSTRU ION :RIGHT- - CT PERMIT Permit Number. / iO Issue Date: A. Address or Vicinity of Construction: 1017 9th AV N GTE top ace, operate, an maintain a urte service 18 B. Type of Work (be specific): wire from exi sti n of a #7220 located at 9th AV N and 9 �01 9 Brookmere then west to a res ence at v N. Ult tO,PIOW 15Jrest, push one driveway, and push one road 60 feet. R.O.W. footage 183 feet. Mary A Bower, Permit Coord. C. Contractor: GTE Northwest Incorporated Contact: Dennis Alexander 771-9036 or mobile 388-1358 22118 20th AV 5E, 5uite 130 Mailing Address: RnthPl 1 WA gR(YJl Phone: Mary 20614RR-1628 State License #: Liability Insurance: Bond: $ D. Building Permit # (if applicable): Side Sewer Permit # (if applicable): E. ❑ Commercial ❑ Subdivision ❑ City Project [X3 Utility (PUD GTE)WNG, CABLE, WATER) ❑ Multi -Family ® Single Family ❑ Other 2100-9P001 DB 242310 INSPECTOR: I INSPECTOR: L J-%t k c,^ F. Pavement or Concrete Cut: ❑ Yes QNo G. Size of Cut: x H. Charge $ Please see attached sketch. / / 7� APPLICANT TO READ A i IGN I ,�p( ✓ .- ! .- INDEMNITY: Applicant understands and by his signature to this application, agrees io hold t . e C' i y of Edmonds harmless from injuries, damages, or claims of any kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds, or any of its departments or employees, including or not limited to the defense of any legal proceedings including defense costa, and attorney fees by reason of granting this permit. ` THE CONTRACTOR IS RESPONSIBLE FOR, WORKMANSHIP, AND MATERIALS FOR A PERIOD OF ONE YEAR#%O 0,TING THE FINAL INSPECTION AND ACCEPTANCE OF THE WORK. ESTIMATED RESTORATION FEES WILL BE HELD UNTIL THE FINAL STREET PATCH IS COMPLETED BY CITY FORCES, AT WHICH TIMEA DEBIT OR CREDIT WILL BE PROCESSED FOR ISSUANCE TO THE APPLICANT. Construction drawing of proposed work required with permit application. A 24 hour notice is required for inspection; Please call the Engineering Division, 771-0220. Work and material is to be inspected during progress and at completion. Restoration is to be in accordance with City Codes. Street shall be kept clean at all times. Traffic Control and Public Safety shall be in accordance with City regulations as required by the City Engineer. All street cut ditches shall be patched with asphalt or City approved material prior to the end of the working day; NO EXCEPTIONS. I have read the above statements arALud4erstand thepermit requirements and thepink copy of thepermit will be available on site at all t' e fol('1 rposes. Signature: �^ John H. Stewart Date: January 12, 1996 (Contrac or or Wer[f) Oprns Supv-OSP Engrg. CALL DIAL -A -DIG PRIOR TO BEGINNING WORK FOR CITY USE ONLY APPROVED BY: , LAjk;+CIH c� �,,, n� TIME AUTHORIZED: VOID AFTER �m-0DAYS SPECIAL CONDITIONS: GIT( 70 PAVF—' 9+1_% AWE- N ThI5 5VAAX4Eiz_. t-1AVM-. RIGHT OF WAY DEPOSIT DISRUPTION FEE/FUND 111. RESTORATION FEE: PERMIT FEE: �30 • [).0 1Lo i p p sS A e—Q A P%-R"tC- 13lf APM'" TOTAL FEE: COMMENTS: DATE: RECEIPT FEE: ISSUED BY: _ •Y NO WORK SHALL BEGIN PRIOR` TO PERMIT ISSUANCE Eng. Div. 1994 FIELD INSPECTION NOTES Comments Diagram k CONTRACTOR CALLED FOR INSPECTION Partial Work Inspection by P.W.: Work Disapproved By: FINAL APPROVAL BY: (Fund 111 - Route copy to Street Dept.) ❑ YES Date: Date: ❑ NO 7 m m N 0 z ?pQ PERMIT SUBMITTED GTE R� LEGEND PEGS POLES 0 ROAD BORES OVERHEAD LINES I.D. UTILITY POTHOLE C3 UG TRENCHING --UGT R.O.w. EOP THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LINES,EOP OR FACE OF CURB, EXISTING SIDEWALK, POLES, ROAD CUTS AND THE UTILITY UNDER ROAD• CUTS, ABOVE GROUND FACILITIES.(Ie:) PEDS,BOXES.CABINETS, ETC.,UNDERGROUND TRENCHING AND OVERHEAD LINES. FOOTAGE OF WORK IN R.O.W. Im N 0 z ii PERMIT SUBMITTED BY GTE "aw"r-1 Q �ojsji'A9.iKy .ji 1po LEGEND PEOS POLES U ROAD BORES OVERHEAD LINES I.D. UTILITY POTHOLE 1--7 UG TRENCHING --UGT R.O.w. EOP THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LINES,EOP OR FACE OF CURB, EXISTING SIDEWALK, POLES, ROAD CUTS AND THE UTILITY UNDER ROAD' CUTS, ABOVE GROUND FACILITIES.(Ie:) PEDS,BOXES.CABINETS, ETC.,UNDERGROUND TRENCHING AND OVERHEAD LINES. FOOTAGE OF WORK IN R.O.W. fl Ln 1U z 0 m m LEGEND PEOS 0 , POLES 0 ROAD BORES OVERHEA0 LINES I.D. UTILITY POTHOLE C3 UG TRENCHING --1JGT R.O.W. EOP THE FOLLOWING INFO TO BE PROVIDED RIGHT OF WAY LINES,EOP OR FACE OF CURB, EXISTING SIDEWALK, POLES, ROAD CUTS AND THE UTILITY UNDER ROAD' CUTS, ABOVE GROUND FACILITIES.(Ie:) PEDS,BOXES,CABINETS, ETC.,UNDERGROUNO TRENCHING AND OVERHEAD LINES. FOOTAGE OF WORK IN R.O.W. CA FILE NO. L- - 4b- tll - Critical Areas Checklist Site Information (soils/topography/hydrology/vegetation) ".:. .. . 1. Site Address/Location: 401 :7 !E� Tµ A-JF—, S . �ja_1✓�5 r 2. Property Tax Account Number. 3. Approximate Site Size (acres or square feet): 1? ;?_S 4. Is this site currently developed? dyes; no. If yes; how is site developed? - xt!4 Wjd Si KLA rt-i 1 : { 61Cs-2 , 5. Describe the general site topography. Check all that apply. Flat: less than 5-feet elevation change over entire site. _ 4 Rolling: slopes on site generally less than 15% (a vertical rise of 10-feet over a horizontal distance of 66-feet).-TT_:-1su�l Hilly:. - slopes present on site of more than 15% and less than 30% ( a vertical rise of 10-feet over a horizontal distance of 33 to 66-feet). Steep: grades of greater than 30% present on site (a vertical rise of 10-feet over a 'horizontal distance of less than 33-feet). Other (please describe): r 6. Site contains areas of year-round standing water. Ko ; Approx. Depth: 7. Site contains areas of seasonal standing water: Approx. Depth: What season(s) of the year? 8. Site is in the floodwayfloodplain &]-,o_ of a water course. 9. Site contains a creek or an area where water flows across the grounds surface? Flows are year- round? o Flows are seasonal? (What time of year? ). 10. Site is primarily: forested ; meadow _;shrubs ; mixed ; urban landscaped (lawn,shrubs etc)---- 11. Obvious wetland is present on site: . RmOIN41" 0190 199 City of Edmonds Critical -Areas Checklist-. The Critical Areas Checklist contained on this form is to be filled out by any person preparing a Ieveoopment Permit Application for the City of Edmonds prior to his/her submittal of a development permit to -,the City. r;r The purpose of the Checklist is to enable City staff to determine whether any potential Critical Areas are or may be present on the subject property. The information needed to complete the Checklist should be easily available from observations of the site or data available at City Hall (Critical Areas inventories, maps, or soil surveys).,,, An applicant, .or his/her representative, must fill out the checklist, sign and date it, and submit it to the City. The City will review the checklist, make a precursory site visit, and make a determination of the subsequent steps necessary to complete a development permit application. With a signed copy of this form, the applicant should also submit a vicinity map or plot plan for individual lots of the parcel with enough detail that City staff can find and identify the subject parcel(s). In addition, the applicant shall include other pertinent information (e.g. sde plan, topography map, etc.) or studies in conjunction with this Checklist to assist staff in completing their preliminary assessment of the site. I have completed the attached Critical Area Checklist and attest that the answers provided are factual, to the best of my knowledge (fill out the appropriate column below). Owner / Applicant-,,. Name _ Street Address City, State, ZIP Phone Signature Date Applicant Representative: Street address ' City, State, ZIP Phone Date CITY',OF EDMONDS '. RMIT 0 UMBER ONSTRUCTION PERMIT APPLICATION. WNER AMgE/•NA1ME OF BU NESS ,DB A�suITE/n ADDRESS © ��' 0 '� le / O LEGAL DESCRIPTION C ECK SUBDIVISION NO. LID NO, AILI GOADDRESS PUBLIC"RIGHT OF WAY PER OFFICIAL STREET MAP, TESCP APPROVED BY TY P [NAME TELEPHONE NUMBER q'.,oa O EXISTING REOUIRED DEDICATION PROPOSED• {//�6 RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED O DRESS ., 'STREET USEPERMIT REQUIREDO ZIP SEE ENGINEERING MEMO DATED REVIEW BYY TELEPHONE NUMBER / /' / I L�V .?(-, �/ I REMARKS CITY ZIP TELEPHONE NUMBER REMARKS STATE LICENSE NUMBER SIGN AREA ALLOWED PROPOSED ENV. REVIEW COMPLETE EXEMPT / ADS NO, Legal DBSClIptlOn Of PfOperty - InCIUde ell easements (show below or attach two copies) SHORELINE M ' VARIANCE O P NNING REVIEW pAT O SETBACKS -- FEET FRONT 4r/O HEIGHT LOT j COVERAGE z C, / r 4 Tax Account Parcel No. -/� ,�� — 6 O EMARKS SIDE REAR'T S NEW RESIDENTIAL PLUMBING ADDIALTER COMMERCIAL MECHANICAL REPAIR APT. BLDG. SIGN DEMOLISH O EX GRADE FILL ❑ FENCE NCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT x—�. CARPORT /x] ❑ BWIM REMODEL GARAGE SPECIAL INSPECTOR REQUIRED AREA v OCCUPANCY OCCUPANT ❑WOOD STOVE/ O RETAINING WALL/ INSERT ❑ YES ❑ NO GROUP j J LOAD ROCKERY RENEWAL OF m— PROGRESS (TYPE USE, BUSINESS OR ACTIVITY) EXPLAIN: a INSPECTIONS PER UBC 30S NUMBER OF STORIES NUMBER OF DWELLING UNITS -' NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN) FINAL INSPECTION REQUIRED P t VALUATION FEE , PUN CHECK FEE '7 BUILDING PLUMBING Plan Check NO. _ MECHANICAL This Permit covers work to be done on private property ONLY. GRADING/FILL Any Construction on the public domain (Curbs, sidewPlks, driveways, marquees, etc.) will require separate permission. STATE SURCHARGE L Permit Application: 180 Days Permit Limit: 1 Year • Provided.Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and successors in interest, agrees to indemnify, defend and hold w harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of whatever nature, arising directly or Indirectly from the Issuance i 0 of this permit. Issuance of this permit shall not be deemed to PLAN CHECK DEPOSIT c modify, waive or reduce any requirement of any city ordinance ¢ nor limit in any way the City's ability to enforce any ordinance provision." TOTAL AMOUNT DUE , sO I hereby acknowledge that I have read this application; that the Information given is correct; and that I am the owner, or the duly ATTENTION APPLICATION APPROVAL authorized agent of the owner. I agree to comply with city and state laws regulating construction; and in doing the work authoriz. THIS PERMIT AUTHORIZES This application is note permit until PP ed thereby, no person will be employed In violation of the Labor Code of the State of. Washington relating to Workmen's Compensa- ONLY THE WORK NOTED signed by the Building Official or his Deputy; tl n Insurance. r' '._ and fees are paid, and receipt is SIGNATURE (OWNER OR AGENT) DATE SIGNED INSPECTION DEPARTMENT acknowledged in spice provided. CITY OF OFFI'S SIG RE DATE yyyy EDMONDS ATTENTION CALL FOR ELEA DATE IT IS UNLAWFUL TO USE OR OCCUPY A BUILDING OR STRUCTURE INSPECTION UNTIL A FINAL INSPECTION HAS BEEN MADE AND APPROVAL OR 771-3202 ORIGINAL —File YELLOW —Inspector A CERTIFICATE OF OCCUPANCY HAS BEEN GRANTED. UBC CHAPTER 3. 102a7 PINK — Owner GOLD — Assessor -0LAS pig-�Pos Sc�u� roo�Uc �= f i i is 2 0So s - Z-\8 sa, CITY OF EDMONDS PUBLIC WORKS DEPARTMENT FOR INSPECTION CALL Permit SIDE SEWER PERMIT 71-W320P5 Ext.2',0 Issue Date 3 r PERMIT MUST BE POSTED ON JOB SITE -gr*. 1. Address of Construction d�f /°7 Tt! %Y EET FILE 7 19$4 2. Property Legal Description (include all, easements) PUBLIC VV RKS 10 r _ A .-9 — / l-/ I D ON 3. Single Family Residence jo'' Multi -Family No. of Commercial 4. Owner and/or Builder 5. Contractor & License 6. Invasion into City Right -of -Way: No Y,--' Yes (If Yes Right-of- way Construction Permit Required - Call Dial Dig (34WA/Wd) before excavation). 1-800-424-55555 7. Cross other private property: Yes_ZNo Easement required - attach legal description and county easement number. READ THE FOL.LOWI.NG AND SIGN: a,:. Property owners must obtain a permit to install side sewers on their property. A licensed side sewer contractor must be employed to construct side sewers in the public right-of-way. b. The side sewer contractor assumes full reponsibility for each installation for one year. C. Commercial establishment requires a minimum of a six inch (6") side sewer line. d. Side sewers may not be installed closer than thirty inches (30") to any structure. e. Side sewer lines must be laid at a minimum grade of 2% (1.15°) and maximum grade of 100% (450). f. No turn in side sewer greater than 45° (1/8.bend) is allowed between cleanout. All 90 turns must be constructed of a 450 (1/8 bend) and wye with removable cap. g. No down spouts, footing drains or floor drains can be connected to side sewer system. h. Pea gravel is required for bedding when installing sewer lines through other than granular soil. i. Cleanouts are required at 30"-60" from each plumbing exit line and at minimum intervals of 100' along sewer line run. j. .Trenches within City right-of-way must be restored to original conditions. Contractors shall be responsible for right-of-way failure due to poor compaction of fill. k. Side sewer must be left uncovered until inspected and approved by the City. 1. Inspection during normal working hours only. Two (2) working days notice required. DATE: g �- : a���a-r,�-' I certify that I have read and shall comply with the above H PERMIT FEE: Q DISAPPROVED By: Date: By: Date: o CONNECTION FEE : ea __,_ APPROVED By: Date: r `� � PERMIT MUST BE POSTED ON JOB SITE *�. a � . P.O. BOX 728 LYNNWOOD, WA 98036-0531 206-776-3151 TO: Mr. and Mrs. Harold Wickstrom Re: Escrow No. 757 Somerset Lane Seller: Edmonds, WA 98020 Buyer: Dear Mr. and Mrs. Wickstrom: We have completed the above transaction and forward the following documents for your information and records: Closing Statement Check in the amount of $ Contract with recording data thereon Fulfillment Deed with Sales Tax data thereof Warranty Deed with recording data thereon Assignment of Contract with recording data thereon Receipt for payment of Sales Tax Copy of Fire Insurance Policy/Binder Title Insurance Policy Deed of Trust Note X SEWER EASEMENT We appreciate having the opportunity to be of service to you. �-zT7-Gy encl. GEB/ Sincerely, 4100 200TH S.W., SUITE 4 LYNNWOOD, WA 98036-0531 206-776-3151 B-31000 CALLAHAN WICKSTROM PACIFIC NORTHWEST ESCROW CORP. BY: Glen E. Barrett, Mgr. FORM 1 Side Sewer Drawing i 5oc)3c) The City of Edmonds EASEMENT NO. 8 . ..4...... ..............39 --------- NEW CONSTRUCTION M REPAIRS F LID NO - ------------------ ASMT. NO - _-----------_-- OWNERJ4A204Q .... ---------------- --------------------- CONTRACTOR - ----------------------------------------------------------- ...................... .. PERMIT NO. JOB ADDRESS .... 1.017 ----------- . ................ LEGAL DESCRIPTION: LOT NO . ......... z - --------------------------- BLOCK NO. ----------------------- ................................................... I ............................................... .......... EDMONDS TREATMENT PLANT NAMEOF ADDITION ------------------------------- ................................................ ........... --n-7-7-7-7- 1015 9 -r14 \%Mso mmcr_ A z 0 3'0P. 4"w3G. c.a.r-PP VOP 70' tritotA PIN CORNER 24' 1 /1QV, v 4W' 0::;E0.cpp I' OP. S'D P. l9o'P.V.C.plPF_ 10 —WOOD Ect4cF_ 10 17 9"r S. N 0 - DRIV F_ \t4A,':S - To 9 -tm AVE. to PWW-0001-11/75 (REV.11178) DATE (2ua.,Ab_,..N8.4.... By, JW. ^------ -- e.' STATE OF WASHINGTON) COUNTY OF this d of 1984, per ly peare d to me known to _the dividual s c ibed in and o u ecl.the wi instrument and acknowledged tha igned and sealed.,the-;s4 s free and voluntary act and deed f the uses and purposq$. t&t,e1t6.. anti oned . Oro" IfVJl`�1�$1,fHEOFr have hereunto set my hand and affixed my official seal the. ye^;n:this certificate r ritt J.f•c` NO RY C in and for the State of •••• shington STATE OF WASHINGTON) ;�2s COUNTY OF On this of `1984, personally appeared before me d to me known t be e ' dividual W described in and who excuted the with' instrument and ackn ledged that,jg,signed and sealed the..&&! ►, free and voluntary act and deed for the uses and purposes .. th&,q jN- 4eri oned . IN WME�S',blF;l� bR, ',I hive hereunto set my hand and affixed my official seal the. day,aQ,"'gea gift this certificate fi t wr' NO R C in and for the St terof ...... W shington STATE OF WASHINGTO t COUNTY OF On this day 1 4, p sonally appeared before me and to known to b the in idua ascribed in and-' who excuted thew rument and acknowledge that signed and sealed the same as free and voluntary act and deed the uses and purposes therein mentioned. IN WITNESS WHEREOF, I have hereunto set my hand and affixed my of icial seal the day and;; , ;this certificate fi t itten 1IV - Y fo the State W shington ............. i 4 0 `3 01 Q �39 VOL 18,1.PAGE25'73 NO SALES TAX REQUIReD MAR 1- 1984 �-�' KIRK SIEVERS, S nosh County lrusunr SEWER EASEMENT By- DeputY Notice is hereby given that for valuable and mutual considerations we the Grantors, James Edward Schend and Jeanetta A. Schend, his.wife; John T. Stoeck and Barbara J. Stoeck, his wife; and Ray H. Jenkins and Delores F. Jenkins, his wife; owners of the following described tracts of land: Lots 1, 2 & 3, Diana Lee Addition, according to the plat thereof recorded in Volume 22, of Plats, page 109, records of Snohomish County, Washington Do hereby grant and convey to Carl R. Callahan and Donna L. Callahan, his wife and all present and future owners, their heirs and assigns, of all or any portion of the following described tract of land: Beginning at a point on the east line of the NE 1/4, NW 1/4, Section 24, T27N, R3E, W.M., 140 feet northerly of the southeast corner; thence north along said east line 114 feet; thence west along an existing fence line 421 feet; thence south parallel to the east line 116 feet, more or less to a point which is 140 feet north of the south line of said NE 1/4, NW 1/4; thence east parallel to the south line 421 feet to the Point of Beginning. LESS Road. An easement for the use, installation, operation and maintenance of a sanitary sewer pipeline across, through, under and upon the following described tracts of land: The north six (6.00) feet of Lots 1, 2, & 3, Diana Lee Addition, according to the plat thereof recorded in Volume 22 of Plats, page 109, records of Snohomish County, Washington. The cost of maintenance, repair or reconstruction of that portion of the sewer used in common shall be borne in equal shares, except that the owners of any lower .parcel shall not be responsible for the part of the sewer above their connection; and.when necessary to repair, clean or reconstruct the sewer, the parties to this agreement shall have a right of entry for that purpose. In witness.whereof, we have hereunto set our hands and seals this i" day of February, 1984. OWNER OF LOT/ 2 li'ECORDED BY 11 LAWYERS TITLE CO. MAR 01 1984 9:00 Ali C12 CQ L" LD •2 00 J O .840 DEAN V. W LLIAMS, A�. ._........ ........ ............:«.....,„. CITY OF EDMONDS USE PERMIT ZONE _ 1LSTR T FILE CONSTRUCTION PERMIT APPLICATION JOB ADDRESS ' O y I W4AAILING o NAME I NAME OF BUSINESS) i LEGAL DESCRIPTION CHECK LID SUBDIVISION NO. LID NO. ADORE PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP. EXISTING 6 0 REQUIRED DEDICATION CITY ,, TELEPHONE NUMBER —S S PROPOSED C7 Z NAME \ RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED ii w w STREET USE PERMIT REQUIRED ❑ Z ADDRESS' 1_ 0 (�T/ i �O z SEE ENGINEERING MEMO DATED _-__... SEE PIW DEPT. REVIEW CHECK LIST DATE CITY TELEPHONE NUMBER REMARKS NAMEcc ADDRESS U M METER SIZE BUILDING SUPPLY SIZE FIXTURE UNITS W CITY TELEPHONE NUMBER z 0 U �- 3 REMARKS STATE LICENSE NUMBER CITY LICENSE NUMBER Q ,_a l / 2 SIGN AREA ENV. REVIEW ADB NO. ALLOWED PROPOSED COMPLETE EXEMPT -- —" Z Legal Description of Property - include all easements (show below Or attach four copies) SHORELINE # a w o a wFRONT r e Z Z g VARIANCE OR CU P ING VIEW BY D �. z % 8 YARDS f / [LOT COVERAGE 4jJ /O SIDE REAR �S d REMARKS 1 7q ® NEW 41J RESIDENTIAL L� PLUMBING ADDIALTER NON-RESIDENTIAL MECHANICAL REPAIR ❑ RETAINING WALL SIGN EXCAVATE FENCE CHECKED BY TYPE OF CONSTRUCTION CODE HEIGHT DEMOLISH OR FILL 1 x_FT) PRE -MOVE INSP./ SWIM COMPLIANCE INSP. POOL SPECIAL INSPECTOR REQUIRED AREA OCCUPANCY GROUP OCCUPANT LOAD SIDE SEWER WATER LINE z NO Oz REMARKS El El w m NUMBER OF STORIES NUMREROF O Z uwtLLINU L~'% uNl I.7 NATURE �OFF.,WORK TO BE DONE (ATTACH PLOTPLAN) VALUATION FEE PLAN CHECK FEE BUILDING PLUMBING MECHANICAL This Permit covers work to be done on private property ONLY. GRADINGIFILL Any construction on the public domain (curbs, sidewalks, driveways, marquees, etc.) will require separate permission. Permit Application: 180 Days Permit Limit: 1 Year • Provided Work is Started Within 180 Days "Applicant, on behalf of his or her spouse, heirs, assigns and N successors in interest, agrees to indemnify, defend and hold harmless the City of Edmonds, Washington, its officials, employees, and agents from any and all claims for damages of -- i DATE: S =24 g4. MEMO TO: Building; Division Community Development Department FROM: Engineering Department SUBJECT: lol,7 A?.9rh-AVE N After review of the subject Building Permit application, we have the following comments: 1. _ Connection to City water system required. 2. Connection to City sanitary sewer system required. 3 Right-of-way Permit required for any work on City property. 4. Driveway slope not to exceed 14%. 5. Backwater valve required if downstairs nlumbin�- is below elevation of upstream manhole. 6. eater and sewer lines to be separated by 10 foot minimum. 7. Builder/Owner responsible for containing all temporary run - .,,/off and erosion on site and may not impact neighboring' properties in any way. Signature ENGINEERING i PUBLIC .WORKS PROJECT REVIEW CITY OF EDMONDS I prK C[Mf[fl • [0+►OnOS. wA$mwGTOM b07o . — HECK CHECK LIST SINGLE FAMILY MULTIPLE COFMEZCIAL PROJECT NAME 1;wltl 5; CONTACT NAME & TELEPHONE NUMBER ADDRESS CIS _t/-7 NITIAL0WERTS ACCESS SLOPE AND VEHICLE ACCESS DRAINAGE PLAN STREET FILE LEGAL DESCRIPTION VERIFICATION QUIT CLAIM/DEDICATIONS EASEMENT - PUBLIC/PRIVATE CALCULATE SEWER CONNECTION IF NO LID f STREET PAYING REQUIRED CURB AND GUTTER REQUIRED SIDEWALK REQUIRED -__ N 1e-- CURB CUT FOR DRIYEWAY.REQUIRED RIGHT-OF-WAY CONSTRUCTION PERMIT REQU BOND REQUIRED FOR PUBLIC IMPROVEMENTS STREET NAME SIGN REQUIRED OTHER SIGNING REQUIRED .:h ! t •' `•' I,( (ADDITIONAL'COMMENTS ON BA EXISTIHC WATER MAIII SIZE �~ C WATER WAIN REQUIRED _ 4 1A - z SERVICE LINE REQUIPED uj HYDRANT SIZE EXISTING _ S < HYDRANIT. REQUIRED PER FIRE CODE '1A SIZE CROSS CONNECTION INSPECTION ,/ten o WATER ►IFTER CHARGE REQUIRED REVIEW OY -G ut DATE 5� _ (ADDITIOttAI C01KN7S ON SANITARY SEWER D%q)ING NUMBER FILE NUMBER W SIDE SEWER AVAILABILITY SANITARY SEWER CONNECTION FEE REQUIRED co ,..�.. nTru rrtcTf�lf Rf(H11RfO CATI.'/ BA5/N . /53D (OR 600W) Z I r��rvcy 4 S/A/ Aos "1530 �Dk' E1�U.4L) A:11NIN ZeVZZ T.MA,�H \ "TEE w%" GON6 LESS 6'%�'E.PF FJPE M.. 776. ROAD EASEMENT MAY 2 3 1984 rREnlcfv cowER 11 � PE�'C..I/t/Ft� 6'Z>/A/`7 1=25Pf F'/GE e7D0 60-FT z .14 GF - 9/. 8 LF TiPEii/Ch� Ch55 - SEGTIG7JV!0"�'�` ors. 0 ' o J©AB 514E Ile ' z 3 w o Q 10 QN ( ( C45PER5 STREET ( ( ( 4IGINITY MAP Alf t9,q- 0271 1 d T FILE DRAINAGE PLAN FOR LOT 2 FOR HAROLD WICKSTROM IN NE %4 NW 1/4 SECTION 24, T 27 N, R. 3 E., W.M. SNOHOMISH COUNTY, WASHINGTON Lovell-Sauerl'and & Associates, Inc. SURVEYORS + DEVELOPMENT CONSULTANTS • PLANNERS r DP 6 23106 100TH AVE. W. • EDMONDS WA. 98020 + PHONE 775-1591 DRAWN CHECKED DATE F.B. SCALE FILE NO. LOT 2 CATC.�i SAS/N ADS "15.3© COR E"gUAL) Pi P-1 /Z r-1/ruIrv. 15aO COW 4-004L) %/�Er'VCfi� 6"T/6NTLf/V� ZeVZZ rf'EA'ICH 1-7ee W-11", GDfV6 LE65 6'F�RF F'/f'E Y.S TEM CRd.5S - SE'Cr101V N.7:S° N Ti: J1/Gf-71 CAVS5 SE'C71' 0 V N.T.S. I o�GK AREA , , , ' o L ---------- 2 0�- 0" PROPOSED _ , RES IDENCE I 0000 5 0 - Fr 0 10 CHIMNEYy--- IV07 C©.NfU 7C7 a::gy T� Ivl. rIN6 10101'I1/1/.S POAD 130.3' EASEMENT fc'Eh'C- llw-49 2TD0 50-F7- X 34 Gf"_ 'r 5r"TIGHT Lf /VE F©R l.0WIV5PU07-5 AfVD , CATCh'BAS/NS , , 5L70 SQ.-fir ` �. ASPHALT QR1VE 0a, MMY 2 3 1981, I'm DRAINAGE PLAN FOR LOT 2 FOR IN NE %4 NW 1/4 SECTION 24, T 27 N, R. 3 E., W.M. SNOHOMISH COUNTY, WASHINGTON Lovell -Sauerl'and & Associates, Inc. tio 10 SURVEYORS • DEVELOPMENT CONSULTANTS a PLANNERS {OPAL*rr8`RT``�'D7�d 23106 100TH AVE. W. + EDMONDS WA. 98020 • PHONE 775-1591 DRAWN CHECKED DATE F.B. SCALE FILE NO. 7-Z.R. 1/47-'SJ. 5 - 21-84