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1014 WALNUT ST
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CITY of EDMONDS SIDE SEWER PERMIT
For Inspection Call 771-3202 PERMIT No. 07574
Address of Construction: /c)l41_
Property Legal Description (Include all easements) :."�
l �L; , f TREATMENT PLANT
Owner and/or Builder; i.:{.- { � ,�,�,.,..�:��; � 1
Contractor & License No: T-�:'
Single Family Residence -
Multi -Family
(No.
of
Units )
Commercial
(No.
of
fixture Units )
Invasion into City Right -of -Way: No Yes (If Yes, Right -of -Way
Construction Permit required. Call One -Call -Center (1-800-424-5555) before any
excavation.)
Cross other Private Property: No Yes (If Yes, easement required,
attach legal description and county easement number.)
PLEASE READ THE ITEMS LISTED ON THE BACK
6
I Certify that I have read and shall comply
with the items listed on the back.
Permit Fee: 30,00
Trunk Charge:.'1'
Assessment Fee:
Partial Inspection:
:.a FILE
Date
Issued By: �--�
Date Issued:
Receipt No.: ---J`
Comments �/ Date Initial
Final Inspection Approved: 46 �7f�.
Date Initial
Rejected:
eason
** PERMIT MUST BE POSTED ON JOB SITE **
White Copy - File Green Copy - Inspector
Date Initial
Buff Copy - Applicant
The City of Edmonds
Side Sewer Drawing
EASEMENT NO. .8CD-0-53.7 ------- ..............
NEW CONSTRUCTION X REPAIRS ❑ LID NO. -Go ....... . ASMT. NO ...................
OWNER ..... C.0—tAER AAAwn --------------------- CONTRACTOR I A, I . .... PERMIT NO. 75.74
JOB ADDRESS --- 1014 ------------- ........... LEGAL DESCRIPTION: LOT NO. ----------------------------- BLOCK NO. EDMONDS
T TREATM ENT' 0 LMI
. ............... ....... -- -----
PWW-000 1 - 11/75 (REV. 11/78)
NAMEOF ADDITION ................................................................................. -----------------------------------
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Approved: &/
DATEa4-. ja IY86 ....... By,4&f . ..... ..................................
W //// 71, � W
Side Sewer DrawingEDMONDS
The Cityof Edmonds REATMEN-L PLANT
EASEMENT NO . ..........IT............. ...............
NEW CONSTRUCTION ® REPAIRS ❑ LID NO- ------------------ ASMT. NO...................
OWNER - -E TE..R.N...... MME.R4l.A4- .................... CONTRACTOR.-.0--W.NE.SZ............................................................ PERMIT NO. ....................
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JOB ADDRESS l0. L-,---10!.(b,-•---•WAL.t4u--.ST--. LEGAL DESCRIPTION: LOT NO- ------------------------------------- BLOCK NO. ....................................
-11/75 (REV.11/78)
----------------------------•-------------------------------------------------------------------------...
I
NAME OF ADDITION .............................. )----------------------------.
LOT 2
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9.2o-86
9-29-8G �4 .
DATE............................................ By = -- . ...........................
1002- WALNUT ST.
A
EXISTING -' SANITARY SIDE SEWER.
EXACT DEPTH, SIZE AND LOCATION ARE NOT KNOWN.
THE CONTRACTOR SHALL VERIFY THE DEPTH, SIZE AND
'LOCATIQN PRIOR TO INSTALLATION OF ANY UTILITIES
TO AVOID CONFLICTS IN GRADES AND LOCATION.
MINIMUM SIZE SHALL BE 6'o• -
WALH.
NUT STREET EX-M
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- 135.00 �� MEET EXIST DRIVEWAY EX. CONC. WAiX
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STANDARD DRAINAGE PLAN
INFILTRATION SYSTEM
PAGE 1 OF 2
for ME-STgKN PflwtMlUCji*L
location -
plan by AZsk- Cow lo..
phone - SVL- C 3 9S
date_ 7- a;t-&G
DESIGN DATA
Trench Perc LF. per Imperm Trench
Number Rate 1000 sq.ft. Area Rea.
nm�_F%_M
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mm�
NOTES
I. Call Engineering Division (77I-3202)
for prebackfill and final inspections.
2. Responsibility for operation and
maintenance of drainage systems on
private property is the responsibility
of the property owner(s). Preventive
maintenance consists of preventing
soil and other materials from entering
trench during construction as well as
after construction. Catch basins should
be cleaned of floating material and
sediment at regular intervals (at least
twice per year).
CITY OF EOMONOS
ME140 70: Building Division
Planning Department
FROM: Engineering Division
Public Works Department
SUBJECT:
After revie-.i of the subject Building Permit application, vie have the following
corrimen is
1 , Connection t0 Ci tv water s vs tem rPrnr i rarl
2. Connection to City sanitary sevier- system required.
3. P.ight-oF-way permi t required for any work on Ci ty property.
4. Driveway slope not to exceed l4%
5. Back:vrater valve required iF downstairs plumbing is below elevation of
upstream manho e.
6. Water and sewer lines to be separated by 10 Foot minimum.
00 6/82
1 ,CITY OF EDMONDS
CONSTRUCTION PERMIT APPLICATION
USE NWPERMIT
ZONE _- NUMBER
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JOB
ADDRESS
ZMAILINGADDRESS
O.n-
NAME (OR NAME OF BUSINESS)
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LEGAL DESC IPTION CHRR
SUBBDIVI ION NO.
LID NO.
PUBLIC RIGHT OF WAY PER OFFICIAL STREET MAP.
EXISTING REQUIRED DEDICATION
PROPOSED /—
z
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CITY
TELEPHONE NUMBER
F
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NAME
RIGHT OF WAY CONSTRUCTION PERMIT REQUIRED
STREET USE PERMIT REQUIRED ❑
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ADDRESS
SEE ENGINEERING MEMO DATED
02-V/0
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CITY
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TELEPHONE NUMBER
REMARKS
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NAME
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ADDRESS
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METER SIZE
BUILDING SUPPLY SIZE
FIXTURE UNITS
CITY
TELEPHONE NUMBER
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REMARKS
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3
STATE LICENSE NUMBER
GS� a 6 N<
SIGN AREA
ALLOWED PROPOSED
ENV. REVIEW
COMPLETE EXEMPT
ADB NO.
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Legal Description of Property • Include all easements
(show below or attach four Copies)
SHORELINE N
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b � p /U S _ I 5- T-27�
' /\/rff 1 L I 'J(,t�fl O�
VARIANCE OR CU PLANNING
REVIEW BY
DATE
0
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LJ
YARDS
FRONT SIDE REAR
HEIGHT
LOT COVERAGE
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S��i Su6DiVisie�
LDTFul
REMARKS
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NEW RESIDENTIAL PLUMBING
ADDIALTER COMMERCIAL MECHANICAL
REPAIR RETAINING WALL SIGN
EXCAVATE FENCE
DEMOLISH OR FILL L—_x_FT)
PRE•MOVE INSPJ SWIM
REMODEL D COMPLIANCE INSP. POOL
CHECKED BY
TYPE OF CONSTRUCTION
_y_ N
CODE
1 / y1? Z
HEIGHT
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SPECIAL INSPECTOR
REQUIRED
❑ NO
AREA
OCCUPANCY
GROUP
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OCCUPANT
LOAD
❑ WOO SSTOVE/ APT. BLDG RENEWAL
R MARKS
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P/�Q6/z� 1/XSPELT/D.✓ /t I�ff3G 3os
NUMBER OF STORIES .
-
NUMBER OF
DWELLING
UNITS
NATURE OF WORK TO BE DONE (ATTACH PLOT PLAN)
VALUATION
FEE
PLAN CHECK FEE
BUILDING
PLUMBING
MECHANICAL
GRADINGIFILL
This Permit covers work to be done on private property ONLY.
Any construction on the public domain (curbs, sidewalks,
driveways, marquees, etc.) will require separate permission.
STATE SURCHARGE
Permit Application: 180 Days
Permit t: 1 Year• Provided Work is Started Within 180 Days
ENERGY CODE
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"Applicant, on behalf of his or her spouse, heirs, assigns and
successors in interest, agrees to Indemnify, defend and hold
harmless the City of Edmonds, Washington, Its officials,
emolovees. and agents from any and all claims for damages of
CITY OF EDMONDS ASSET 'm=nRMATION SHEET
Property of:
CITY OF EDMONDS
•I
NEW _ ASSET NO. _
El ADDITION ADDITION TO ASSET NO. N� 05130
❑ RETIREMENT
DESCRIPTION /64-�—��
�j
SERIAL NO.
LOCATION �✓C/,�/ILcJT
l
DEPyNO
(_Ea
" PURCHASE ORDER NO.
PURCHASE ORDER DATE
COST
* PROJECT NUMBER
PROJECT COMPLETION DATE l� a
COST e59eO , -71�
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
DEPRECIATE
MONTHLY DEPRECIATION AMOUNT
ANNUAL DEPRECIATION AMOUNT
G.L. ENTRY
REFERENCE DATE
b P/ INITIAL
m
VERIFIED BY
PROCESSED
BATCH NO.-