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1012 ALDER ST.PDFiiiiiiiiiiiiii 10027 1012 ALDER ST ......1P.�........._...D�stri City of Edmonds ---Water TAP CARD Departmen Date-JAN...".:5..1956 PAID Meter No .................. ............ Tap I No .................. ...................... Size............................. Size........................................ For .................................................. _..... -........................... ........ .................. ......... _.......... .... Lot No ........................................... Blk. No .................................... _............. . Add............................................ ................. _....... ......... ........... ............... ............ Service Location .167./ ... ..... ................... Meter Location .......... _...._.._.-- .................................... — a ........................ .............. -STRET ---- --- ------------------ - MakeTap ....................... _.................................. _....... _........ ........................ ....._ .................................................._....----........_................__.............._......._......_.......... _. Pressure..............................lbs. Test .................................... % ........................._..-----...................---.........---.....--...._. _:...: Send Bills to ............. Date of Work Foreman Guar. Voucher - No........._ ................_.............$................. �.. r Remarks:.. .?�.� ...._...... ....._. C OUTGOING Index ......... Reg ......Route Bk ..... _.StenciL..... Card. ....... INCOMING Index ... _... eg....—Route Bk.........StenciL.....Card..._... Material Chargeable to NO. SIZE DESCRIPTION RATE AMO MY �m ��' Material--- ----�----- ~r~ ~^~~�~~�~~~ NO. SIZE DESCRIPTION RATE AMO NT .............. Hours Time —Monthly Men .. ............... ..... ICIP. i�-'& N 0-0 ADDRESS: I i� �ZAtWGt/. TAX ACCOUNT/PARCEL NUMBER BUILDING PERMIT (NEW STRUCTURE)O COVENANTS(RECORDED)FOR: CRITICAL AREAS :/ DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): / bz/2( I Z f �Z b� GZ 5 z . PLANNING DATA CHECKLIST DATED: �qo/ SCALED PLOT PLAN DATED: SEWER LID FEE $: LID #: SHORT PLAT FILE: �LOT: BLOCK: SIDE SEWER AS BUILT DATED: 'u;& SIDE SEWER PERMIT(S) #: GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT FOR: WATER METER TAP CARD DATED:��I OTHER: L:\TEMP\DSTs\Forms\Street File Checklist.doc , •0 ��_..---... __..-._ .._...�_- ---- - _.-----..____ - __-- ---- - - ---- -.. < Y��^ys tip, �,ja�••tix! ^ t. • ' ..11 R �` d f ar �� CITY OF EPAACmdS, WASHINGTON--9EPARTNIM OF BUILDINGS BUILDING PERMIT xrl Ap^licant hereby certifies that. a plot, plan, drawings, and sui$cient detaiU m indicate the intention to fulfill all requ eats of this code are attached i)cretn. .°tppli n is hereby ad or permit to do the following work: :a rg %7 �^!°..... ................................ _..----........-----•-- Q ... .._...—...._....._......... .p• _..... Q > ji ...._..........._............. _. ..._..... ...... ....__..._..... q S _................_.._..._..... ............. _ '� w ........_.. .._..............----.._........._.._.... 't` i • __...._.._......_...._...._. S .._...._....----._...._..._........._....._....__.—...._..._....--•-- ..... - d9 J........ ............._--..... —.................. v 2 = F -........._........__... —.... ............ e o . 11 (street nam!•er « lu end Slots cmben) � " � to z 1. Bui .tic. dimensions are.._Z S �� • .1_..__. V! p s d Yr. � q�� i 2. Lx U. vct:Siens are.. - a._..... �_d._.. .... _-----..... # r n 3. Buildin will k ......... .... .. tones in height. 4. Numbr: of basements......--_...._..... S. Occupa:•_y of ouildilg.will be...._..\ef mac....._.._..—..._..—..._ -.> > W t,;... 6. Bui din be .11 ..........�lcTt from nearest adjoining la line. // awma� ii ��..l.lrtx�t. Fstilaated 7. Owner.. L .. �.......... .. — - •• _ a 8. Owner's Addre.s...lr S!. r•.•1...._.._.. __... 9. Builder.......... --------------------------- ----------- Group No. ....._ t -1•.ha �;,? ^.?.•.c[ g l0. Eutldr:'s AL..ress..............................................._..........-.-----...._._.........._............ It. rng ncer.----_.........._......_......_..._..__......_....----..._---___._.__....---• Life of oerfzif_. Date..../ /.•.r=•�%. .............19J.....1.. . r' 1 -•. Applie�tni s Signaturd . Plans filed: _ Yes y; No ❑ >a ' �, x bI[ Pcrmii.ion is heathy gr : ••_d to do the work described hernrn, according :o the apnrt*mi plans and VeCificttialu petEattutt; htieto subject to compliance w; the ordinarces of the City of U—nonds. This copy is your :,rcipt for the following few 1. Building permit fc ... ................ ....... .... _...._ ' 5..... M, r. 2. Sewer permit fee ....... ............................. _. _.._ S_........._.._------------------- Ch o 3. Inspeeuon and supervise .fee ........... ......................... S- 4. Total ..... _................. .... ... .... .._....... -----— ---- _.-- E..—_...—..._.._.._... ? Department of Burldinget� i PERMIT N? 421 Cityof. Rdn;4nda ?inx- J r � 1 17 ta•e f tuuimrn u tbr'r.tr d {lm !« axb 1. 'IDe,baildirta perml[ !s which :ppiiau Paya .San ixtmir 6 iv.ed shall be based m «timved mu d the Droposed tt �.. i• 7. St000.00 n! ms[. It be .meal eo.[ of the mna[[trc. when fi"], de—laed. erred[ be -.ice [� by mmn m:m 5%. aPpu— errem w Pay m .ad,tleoa E. ,hall be itat•d votil a.��'dtweP+nO. f«7 b D•N. - . ti •• �''z .of 113.00 far each SING- O of m: c[ta+ ron. In aucb r.¢: n use permk _ . .. - r. whm:.rr . [,�mrcR r ra,aN[,ion la «« w,ad fee ,.a .t�rtm< swdoR � rb- $1..us few .h:ar . rrmaea uce;n[< « <nsinmr`u na rpultsd bf ' �i th, 8nllding t;.Jl o: L%z Cit W E.Iwwda, dw ar P11—ton fm a buildlns permit Jolt be .ommPauied br a;oop) or the mmr.a wt ,, rove d sh< hr.11ad !. Prior m emDlofiriR-.ar tilioa or mmmmdop wodt, n«ifr du Indesuia' Ivearauce DIeW_ of th<'IXp.cwem of Lab« and Iruhiart.,'; 51<tnf u e.dmrii W •VI +[ �� Saw rh<?arroll and make moerhlr «porn of partotL.' FWII iusrrumotu d:. uld to obta.aed from the nrvex ogee of the L%Manroen[ of Lb 'end •1'ndora7a. Bdou 1 L cl �', ', fin.l Psymnt. tbn owner shmdd obtain a rele.re from the f.[neral co ,von who is turn should obnio r[taase from .11 [ubbonrrs err The nl«w shnaW h eneued br the Depero.eur of Labor sod faduurie. The .ho.e r--dmn arc reoctremmrr of the Snro h..lunrtal loruran¢-An..t ti 4- u�... ir•<� Y y APPLICATION The City of Edmonds for EASEMENT NO. ____------------------------ __-__-_-._ SIDE SEWER PERMIT 103-OS100 NEW CONSTRUCTION ❑ REPAIRS ❑ LID NO___________________ ASMT. NO. ----------------- OWNER -------------Fred J. Smith... ------ ------ CONTRACTOR----------------------------------------------------------------------------------- PERMIT NO. -------------------- JOB ADDRESS ---1012 Alder Street----_-__--_--_ ----------------------- LEGAL DESCRIPTION: LOT NO. --- --------------------------------- BLOCK NO. ----------- ------------------- Uj --------- I----------------------------------------------------------------------- --------------------------------------------------------------------------------- NAMEOF ADDITION---------------------------------------------------------------------------------------------------------------------- DYE TESTED ON SEINER - February 11, 1976 By Jim Jensen Approved: DATE-------------------------------------------- By ------------------------------------ ii 7is • WREET FILE;,,� D!::r. (j 1TTI: 1,T PIT'UT PPVT12"? :Street ExistincT p: Auz 'Access Eoincilts Existing T130T)f II Utility Easement Existina— _Tzrnl) Lot Per Subdivision Plat. Assessor T-up �, li In CJcdi�-d for Accuracy__ Sitc PLL Ad U I ii 1%i(!crprofu-,c] '.':Jrixq 11,cod. 41 Checik Acalraq f1--Leqaf Cv6jr, Noview by I ]Ut I V. cl: 0 I; Sri vice_ 11 e_ 1.ci ji i I, I k-drw t Si ::C I \ I's t Ify(Irzint '"CoLlilMd hre Cz-,,-jC, Detector (11cch R r " �(_'Ii .,pn Sciltic Tm'k. P(,r.qjt Perjuirc(_ Sanitnry 1)c-.-c,- Avnilal.dlitv Size Date "roi . S1: ioc Scv.er rAvai :1 t�u, A \j 'or sa; I i Sc, _CY C01131CCLIOn )'Cc Pcouircd Vic!w ", Rcouirc(i ��T car 1: 4 stir ,, Culvert 1'equir-d Catch Basin Renuired tc], IF,211 1% re Ion 3 t Ion Ct r) -Z) d r,c(I 0 1 Concdlition�s, I,[ Growid 1"?atcr Field Mocked Review by — ,Size —'Indicate on 'itc Plml_ bidicate oil. Site 111m I i 7)_ 101 U —pate 1 c^ Street in,c; Required _ I� Curb and Gutter i.red Sido alh l'.couired. it Curb Cutfor Driveway l:cguired _ Rid Iit-of-.'.a.• Construction ill.t Rccjuircd IBond Rcquircd't blic Improvements, Str : cimc Sian Required Otlicr Signing I'co.uirccl �i Pre I'crilit Site Inspection m, c r4 I BY: Scr,er. H Watcr Street_ _ H � i I J?nninecrinf, H Special Requi.rcr,ients listed in ricrio to L'uildi.nR I�cprirtmcnt Dato Al items filled in on Building Pcmit Application � B",----- Date 1)rav:'ings Stwipecl and ,Notations "!zcic Approved L-y Public 1'lorhs Dopartncnt