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1015 BELL ST.PDFiiiiiiiiiiiiii 10222 1015 BELL ST CITY OF EDMONDS - SIDE SEWER PERMIT • WATER -SEWER DEPARTMENT PERMIT q' 5460 /Call 775-2525 for side sewer inspections BEFORE covering any portion of the construction.) `Inspection will be provided within 24 hours after requst. NO Sat., Sun., or holiday inspections./ ADDRESS LOCATION OF CONSTRUCTION.---..... � _ _--^.........�.._;................................ PROPERTY LEGAL DESCRIPTION .------• L © _-................................................................'84' Its -.... �......... ..... .......................,............................__..--......_-----------....--------•---------------....----....-----------....---.............---.........---..._...........---1............._................. _------.. _...................... _•----... 1............................................................ OWNER AND/OR BUILDER ............... o �.• Y.._- - \ e,a CONTRACTOR'S NAME & ADDRESS ............ ............. (� .................................................................... Permission is granted ..................... ... _►!--_-. s'---------------- 197?r_., for repair and/or connection of a side sewer to the city sanitary sewer s M in accordance with City of Edmonds ordinances. A NTION IS CALLED TO THE FOLLOWING: NOTE No. 1—The owners of the property may obtain a permit to construct sewer inside property line. A licensed Side Sewer Contractor must be employed to construct side sewer in street area. Do not cover any portion of sewer before it has been inspected. NOTE No. 2—All work performed in city right-of-way requires an Invasion of Right -of -Way Permit obtainable from the City Engineer's office. NOTE No. 3—Obtain full information regarding Ordinance 11.16.030 and Regulations governing side sewers when you get permit. NOTE No. 4—Top of side sewer must have at least 30 inches coverage at property line and 12 inches inside property line;- minimum grade of 2%,. No bends in grade sharper than 'A will be permitted. No. 5—Trenches in street must be water settled and surface of street restored to original condition. Contractors shall be responsible for failure due to improper work which may develop within one year of completion. No. 6—It is unlawful to alter or do any other work than is provided for in the permit, or to do any work on the main sewer or its appurtenances except to in- sert the pipe into the wye. DISAPPROVED ❑ Date---- 40owBy ................ Date.-=----. . .-_. ............ By-_------------ Date.-_..__.....-----.....--............ By....------------ APPROVED yJ Date........ ,.s... I��c .---------- By.. _ ................................... Remarks: .......... ................. ........... .............•----........ _._.............----................----...._...----................:...................--------............................ _. _.. _......-_...---. _...... -•----------••-----------------------------------•-------•----------..._..._-.------..I....................... ----------•-----..__._.....-----------------......_........----••------•---------..---•--•-----........--._....._......--._....-_.......... — BOTH Permit Copies MUST Be Signed By Owner of Firm Performing Construction PRIOR To Request For Inspection — I,_----..r• "?---�.. hereby certify that the side sewer installation constructed under this permit "1 ,(Owner of Contt+acting Firm Perfcrming Construction) *installed'in accordance with all governing ordinances of the City of Edmonds. " Dated this ...... -..................... day of ................................................................. 19......... Check BEFORE you dig for: Water p, Gas �, Telephone E], Power R, Sewer E], Other r. SL ADDRESS: TAX ACCOUNT/PARCEL NUMBER: UO % [)q1035260 BUILDING PERMIT (NEW STRUCTURE): t p, l 1 (P 0 J 2 COVENANTS (RECORDED) CRITICAL AREAS DETERMINATION: ❑ Conditional Waiver ❑ Study Required ❑ Waiver DISCRETIONARY PERMIT #'S: DRAINAGE PLAN DATED: PARKING AGREEMENTS DATED: EASEMENT(S) RECORDED FOR: PERMITS (OTHER): PLANNING DATA CHECKLIST DATED: SCALED PLOT PLAN DATED: I w I °,V►M A SEWER LID FEE $: LID #: ' SHORT PLAT FILE: ' I LOT:-5 ,Wp BLOCK: SIDE SEWER AS BUILT DATED: _ _41-L Q J I �o SIDE SEWER PERMIT(S) #:_ 'J L p 0 GEOTECH REPORT DATED: STREET USE / ENCROACHMENT PERMIT WATER METER TAP CARD DATED: .611210 OTHER: L:\TEMP\DS"Ps\Forms\Street File Cheeklist.doc �' �:��. Vim.,, ;, • :oJ� U s - �. � � ! a nn r' � � � � { Ai'ER EWE DER . CH`E tG LISI 'U.. o,l Edmund's '=' ater De pa,'rtmentm =,,yytt" T=� - •a ,nrh S_ ; c :Er,. +• � 1-. y ..�' - i +r '�' , z�^"l�e w. •"`. i,,r �. � � _' �� • � ;TAP CA`�RDi 1 �N F , . CALL ' N�AD� FIELD CHECK "?'S ii�.d�°'-�FtC=.`t - � s{.�•... '} ,r:.1'r-s '�"' t. t. � �s � �+`. � .Y, ,• . i Date 7 , :�I FILE J :. �' `}dt E3EFORE DIGGING a or�tx �I�I Of ' : .. 3 ; No Y Mee eY"ryr r yL a i Tap Size r z r:; ``Szeq r r 7D R E S S ,` /S LEA:tw1, C •t i ����� -- ------- 249'o�s�179 Mf Ts No t. Style. a �.—.-- Fbrt NAME DATE DISPOSITIC wit r. tJ (/L 4 ¢ h - ) a. }Lot Nto�"........................................r Blk +Nod - a s.: Service Locatiori ' yK��...+m-t,y"`_aW41.a,.� t3i:'}'f� � r.. t jaF: � �.�i�t- v; •�[ � i u... IVleterLocation�p- ` OR.. j riT S9 ;� lie. Y .r`P _ t E k ........................................................ . Pressure .44 �-S� abs Test �. , , .a E9 lzx N 1 t_ � Date Hof Works 7� K A =-------------- f 9 `, i°,,$> Nf y For'emanK Guar ='Vi Voucher�No-� ` .$ .. `z � y f ' r �R°emarks f... .. f' Y. +- _ � r 3Flh LL �.. ---- :. '-ram 11 1 th.th � a s 7-• � i •� � r _ . ( 1 A • / .! W ©UxT.GOING, Index ' s Reg Route=Bk Stencil Card, IiNCOM�ING� "Index. Reg: RouteEBk StenaL' `'Card: '�;�'�� � r rt i .wf, ' ,n M1.-..^ y aM1 Y' � 3 - � • r } yl � - :��x,..��yp6t � � � i>' �- �c " "t� ✓�� - � . t: f �� 7' .,,y 7> 3 � �y fa' ft -, �. use ZOI c li p /•y BUILDING DEPARTMENT Applicant Fill q PERW APPLICATION Ilnside Hcavy Lines — NAME (OR NAME OF BVSIN ESsI E el MA/I)!_ING ADDRESS CITY � nc AME .ALL`/_._�— u ACD Ess z QCITY TELEPHONE NUMBER F NAME E 1- ADDRESS u, RCITY TCLCounNE NUMBER � F 0 U STATE LICENSE NUMBER CITY LICENSE NUMBER Legal Descfiptlo'.t of Property 1 how Balow or Attach Four Copies) _Is 35--s c-S«//�/%7( yl C F ` s Y W D #� J r [ �• W {: J y NEW LN RESIDCATIAL � LINL kr' NON-R ESIDCNTIAL ❑ SIGN a ADD O OCMOLISN ❑ WALL KING •�', ❑ ALTCN ❑ OREFILLTE ❑ i FENCE X_ • l In F6PAIN ❑ SWIM INSPMOVC - �'0— Y'• NUr'T[R OF STORKS - NUMBER OF DWELLING UNITS t4•y,' NATURE OF WORK TO BE 11 a a LEGAL LOT > ►T) A/F�E}A� S�U•BDIVISION NO. 1LYES ❑ (LOT VARIANCE OR ADB NO. , CONo. USE O. C t ! HEIGHT Z PROPOSED VARO: ^�^^ 'FRONT �% SIDE vC/V REAR 2,3 Z [ PROPOSED J ALLOWABLE SIGN AREA SIGN HEA OTHER n- Rr_OUIREMEN�t PLANNING DEPT. APPRO�(AL DATE STREET R/W EXISTING STREET R'WG J C FT. DEFICIENCY THIS PROPERTY COMP, PLAN ST. RIt1 Ury FT. 1P FT, D REMARKS Drivewayslopes Plot to exceed those Z t n E n CH F_C KEO BY STREET AND/OR UTILITY ❑ YES WORK REO'D ❑y, 'NO UNDERGROUND LyVES WIRING REO'D ❑ O TVPE CONNECTION VERIFIED BY Z _ 1 ��. ES PERMIT NVMEER �0- SEPTIC SYSTEM In APPVD BV CITY ENG.O - REMARKS - METr.l' SIZE SERVICE SIZE CLEARANCE CH EC ✓.LD BY •3 u 3 �. R E�M1�tR Ks FIRE ZONE TYPE Oc CON uCnON CODE G4SC UGr 1 Y73' SPECIAL INSPECTOR REA OCCUPANCY OCCUPANT., RFOu1RED GROUT '• \�I LOAD y �J ❑ YKS NO P wN cHc Kc'-"`BY CA •O.IN TH CIT / OF EGMONDS. LOCAL SALIES TAX HOU1Q@E COD VALUATION FEE - :x Z O PROPOSED USE PLAN CHECK NO. [[ PLOT PLAN INDICATE BUILDIN SETBACI:S� -- ABUTTING STREETS) a BUILDING //� L 3 S / '�+ /3 11 Q _— _ r, PLUMBING 23,00— W D O O HEAT h GAS LINE e0 _ .l FENCE SIGN ' RETAINING WALL SWIMMING POOL .r 4.+Y ,+ I nermy steno.-t<a•e met t have rmd mD evaticsunn: tnet ma In. [armatton given le wrr<ct: and that I a n the owner, ur the dnlr acthw- Ixed agent or me owTl<r. I agree Iu compV T.tN eltY and etata IaRa ngu- leung eonetrucuon: ana m doing me work authartr<d 11—by. no per.on a'111 he emDteY<d to violation Of the IAt r end, of the state of W"htngton ittat106 t0 W'Orkmen'. Cnm Den""" ImBnu1<e. TOTAL AMOUNT DUE ATTENTICN THIS PERMIT ,AUTHORIZES I �D' APPLICATION APPROVAL This applicstlon is not a permit until signed by the Building Official or his Dep- i NOTE: Permit Limit One Year (Ea c, DEMOI-ITIO1-A mhloh .inn he eompl<tea In mnrly day.: moveo-tX ECILmsas .hau t» win- ONLY THE WORK NOTED uty; and fees are paid, and receipt is ac- ltnowledged la space provided. -'- •^I I=z Pl—d In ale moothe.l W NER OR AGENT) OAT' SIGNED YSPECTION OC RTMENT OF. EDMOND:i OIRE TR' SIGNATUCITY 1 DATE V NOTE Applicant Strbjcct ro Plan Check Fee _ 775-2525 _ •� This Permit rovers Work to be done on private properry ONLY. Any construction on the public domain (curbs, sidewa'ks, driveways, marque", etc.)'will require separate permission. ORIGINAL- fitc- YELLOW - Ins;.'x;rr PINK . O.•:re-• GOLD � A,—.1- APPLICATION The City of Edmonds for EASEMENT NO_ ____________________________________________ SIDE SEWER PERMIT NEW CONSTRUCTION REPAIRS ❑ LID NO_ __________________ ASMT. NO. _._____._-_____. ��rvty��-T►dt�i ^r= - OWNER ---- ...... - ------------------------------ CONTRACTOR __-`_...... 41�1.-----.C�NLrt=Y........._... PERMIT NO. S4�c� Is JOB ADDRESS _._— ___ LEGAL DESCRIPTION: LOT NO. --------- BLOCK NO. ..... --__4.1______________ CE r+ NAME OF ADDITION Gl'TY �� �bMONC�S DATE ,?� BY1,eOrl.,4 -/75 -•-------- --- -- 1 1 APPLICATION The Ci*y of Edmonds for SIDE SEWER PEWIT -- EASEMENT NO. -------------------- ------------ NEW CONSTRUCTION f-1 REPAIRS Fl LID NO - ------------------ IASMT. NO. __________________ OWNER ----------- --------- 0 t., --- --- ---CONTRACTOR CONTRACTOR --- ------- -- ------------------------- ----------------------- PERMIT NO. JOB ADDRESS .......... ------- 4 . ...... 5.r. A ..... ...... — ---------- I ----- LEGAL DESCRIPTION: LOT NO.. ---- ------- .............. BLOCK NO. ..... All ------- -17761-P500 .................................... C-i -T/ --------- ------4 .... ..... ........................... ................ ----------- bma NAMEOF ADDITION.. --------- ............................. ---------------------------------------------------------- .................. Approved: DATE By---------------------------------------------- 7 fi7fg MEMO TO: Finance Department FROM: Leif R. Larson Director of Public Works SUBJECT: CONNECTION FEE REFUND June 15, 1978 STREET FILE On April 26, 1976, John Conley secured _.a_s_ide sewer permit and paid a $300 connection fee. for,1015 Bell Street (Lots 35 and 36, Block 41, plat of City of Edmonds -- see attached). Unknown to the issuer of the permit, the connection fee had been satisfied two years earlier when M. E. Kingdon paid a $1,028.50 connection fee for 1007 Bell Street which at that time included Lots 35, 36, 37, 38, 39 and 40, Block 41, plat of Edmonds. Please forward a $300 refund to. John Conley, 221 - 9th Avenue North, Edmonds, Washington 98020, as soon as possible. If I can be of further assistance, please call. JR/LRL:ej Attachment ��o�'�L•w� P JR Date 6 =LG=7 KrS up-t . Wit- 5IA" Ass t. C.E. Date % 7 min. Sec. Date Date March 25 1974 Memo to: Director of Maintenance X Operation Public Works From: City Engineer Subject: Sewer Connection Charges Legal Description: Lots 35 - 40, Blk, 41, Plat of.Edmooda Commonly known as: 1007 Bell St, Z.F.F. Calculation: / 121 \ Z.F.F. X / $8.50 \ = / \ Lateral X / \ Unit K / S 25 \ = CC/ Owner: M.E. Klngdoo � 1,028.50 Connection Fee � _O_ Lateral Charqe � 25.00 Trunk Ch8rqe —10-00 � .ermi t $ 1,063.50 TOTAL / / _-' / �~`" _��' '° ^ � Form G �) •40 OatAkADril 26, 1976 Memo to: Director of Maintenance & Operation Public•Wor.ks From: City'Engineer Subject: Sewer Connection Charges . Legal Description: Lots 35, 36, Blk 41, Plat of City of Edmonds 1 Commonly known as: 1015 Bell Street Owner: John Conlev Z.F.F. Calculation: Minimum ) Z.FeI?. `` ( ) Lateral X (. ) Unit X ( $25 ) _ CC: John Conley $ 300.00 Connection Fee G� $ 0 Lateral Charge $ 25.00 Trunk Charge_ $ 10.00 Permit. $ 335.00 TOTAL 2108